Cristiano Denoni Freitas

Análise das complicações tardias em operações anorretais: experiência de um serviço de referência em coloproctologia

INTRODUCTION: anorectal procedures consist 80% of surgical cases in colorectal surgery practice. The exact rate of long-term complications after anorectal surgery is unknown. This number is variable according to the medical centres and the type of procedures. OBJECTIVE: to evaluate the long-term complications secondary to anorectal procedures, as well as the risk factors that might be associated with these complications. METHOD: retrospective analysis, including anorectal procedures performed between January 2007 and July 2009. The characteristics analyzed were: sex, age, type of surgery, health system, long-term complications and reoperations performed. RESULTS: 430 patients submitted to 453 anorectal procedures were studied (54,4% female). Hemorrhoidectomy was the most common procedure (50,3% of all operations). The mean period of follow-up was 164,7 days and 102 long-term complications were identified, occurring in 22,52% of all procedures. Residual fissure in ano was the most frequent complication (54%, n=55). Only 38 patients needed reoperation (8,83% of all cases). There was no statistical significance between sex, age, health system and type of surgery in relation to the complications found. CONCLUSIONS: the long-term complication rate was 22,52%, with reoperations performed in 8,83% of all patients. There was no risk factor for long-term complications identified in this case series.

Analysis of direct costs of anesthesia-related materials between spinal and venous anesthesia with propofol associated with local perianal block in hemorrhoidectomy

There is no consensus on the ideal anesthesia for hemorrhoidectomy in ambulatory facilities. Spinal anesthesia and venous propofol associated with local perianal block (combined anesthesia) are frequently used, and their direct costs may be crucial for the anesthesia type selection. The objective of this study was to compare the direct costs of anesthesia-related materials in hemorrhoidectomy between these two anesthetic techniques.Retrospective and cross-section analysis, comparing the direct costs of the materials of spinal and venous anesthesia with propofol associated with local perianal block, in hemorrhoidectomy. Twenty patients were included, ten submitted to each anesthesia type (five from each gender). The mean age in the spinal anesthesia group was 46.5 years and in the combined anesthesia group, 42.5 years (p=0.334). The mean cost of anesthesia-related materials was R

Procedimento de ladd para má rotação intestinal no adulto: relato de caso

58.50 (R

Análise de custos entre a raquianestesia e a anestesia venosa com propofol associada ao bloqueio perianal local em operações anorretais

36.48 - R

Sacrococcygeal hernia: a challenge for the coloproctologist

85.79) in the first group versus R

Análise do número de linfonodos em espécimes de ressecções colorretais por neoplasia entre a cirurgia aberta e videolaparoscópica

190.31 (R

RESSECÇÃO DE NEOPLASIA QUE OCUPA 3/4 DA CIRCUNFERÊNCIA DO RETO MÉDIO POR TAMIS

98.16 - R

BYPASS DUODENOJEJUNAL EM ESTENOSE DUODENAL POR CROHN

358.51) in the second - 69.27% difference between them (p<0.001). The mean costs according to gender analysis were R

pr prendizado baseado em pr endizado baseado em pr endizado baseado em pr endizado baseado em pr endizado baseado em problemas

50.32 and R

Appropriateness of colonoscopy indication for colorectal neoplasm detection in patients under 50 years old with hematochezia

66.69 (p=0.263) in the spinal anesthesia group versus R