27 research outputs found
Análise do potencial da videolaparoscopia no tratamento cirúrgico da obstrução intestinal
Context - Laparotomy is the gold standard treatment of patients with intestinal obstruction without response to clinical management. Nowadays, literature has been demonstrating the feasibility of videolaparoscopy in the treatment of intestinal obstruction. Objectives - To report the clinical-epidemiological profile of patients with intestinal obstruction submitted to surgery and verify the presence of contraindications for laparoscopy. Methods - It was done a observational, descriptive and retrospective study including adults patients with intestinal obstruction submitted to surgery at Hospital de Clínicas de Porto Alegre, RS, Brazil, between January of 2004 and October of 2008. Results - It was included 135 patients in the study, with a total of 126 patients submitted to open surgery and 9 to laparoscopy. There was similar distribution between gender and the mean age was 59 years (SD ± 16.9). The most frequent site of obstruction was the small bowel and the most frequent etiology was adhesions. Among the patients submitted to laparotomy, 75.4% presented with abdominal distention, 68.3% previous abdominal surgery, 11.9% body mass index >30 kg/m2, 4.8% coagulopathy and 3.2% hemodynamic instability. Among the 135 patients, only 5 of them presented with none contraindications for videolaparoscopy. Conclusion - The epidemiological findings of this study are similar to the ones of the worldwide literature. Indications of videolaparoscopy in retrospective analyses have the limitation of subjective evaluation of intestinal obstruction, which was included in this study as a relative contraindication to laparoscopy.Contexto - A laparotomia é considerada o método de escolha para o tratamento cirúrgico de pacientes com obstrução intestinal sem resposta ao tratamento clínico conservador. Atualmente, no entanto, diversas publicações têm demonstrado a viabilidade da videolaparoscopia no tratamento da obstrução intestinal. Objetivo - Descrever o perfil clínicoepidemiológico de pacientes com obstrução intestinal submetidos ao tratamento cirúrgico e verificar a presença de contraindicações para laparoscopia. Método - Estudo observacional, descritivo e retrospectivo com pacientes adultos submetidos a tratamento cirúrgico por obstrução intestinal no Hospital de Clínicas de Porto Alegre, RS, no período de janeiro 2004 a outubro 2008. Resultados - Foram estudados 135 pacientes, 126 dos quais tratados por laparotomia e 9 por videolaparoscopia. Observou-se distribuição semelhante entre os sexos e idade média de 59 anos (DP ± 16,9). Intestino delgado e aderências intestinais representaram respectivamente, o principal sítio e causa de obstrução. Dos pacientes submetidos a laparotomia, 75,4% apresentavam distensão abdominal, 68,3% história de cirurgia abdominal prévia, 11,9% índice de massa corpórea >30 kg/m2, 4,8% coagulopatia e 3,2% instabilidade dinâmica. Dos 135 pacientes, somente 5 não apresentavam contraindicação para videolaparoscopia. Conclusão - Os dados epidemiológicos deste estudo são semelhantes aos observados na literatura mundial. A indicação de videolaparoscopia em análises retrospectivas tem como grande limitante a avaliação subjetiva da distensão abdominal, que nesse trabalho foi incluída como contraindicação relativa para videolaparoscopia
Análise do potencial da videolaparoscopia no tratamento cirúrgico da obstrução intestinal
Context - Laparotomy is the gold standard treatment of patients with intestinal obstruction without response to clinical management. Nowadays, literature has been demonstrating the feasibility of videolaparoscopy in the treatment of intestinal obstruction. Objectives - To report the clinical-epidemiological profile of patients with intestinal obstruction submitted to surgery and verify the presence of contraindications for laparoscopy. Methods - It was done a observational, descriptive and retrospective study including adults patients with intestinal obstruction submitted to surgery at Hospital de Clínicas de Porto Alegre, RS, Brazil, between January of 2004 and October of 2008. Results - It was included 135 patients in the study, with a total of 126 patients submitted to open surgery and 9 to laparoscopy. There was similar distribution between gender and the mean age was 59 years (SD ± 16.9). The most frequent site of obstruction was the small bowel and the most frequent etiology was adhesions. Among the patients submitted to laparotomy, 75.4% presented with abdominal distention, 68.3% previous abdominal surgery, 11.9% body mass index >30 kg/m2, 4.8% coagulopathy and 3.2% hemodynamic instability. Among the 135 patients, only 5 of them presented with none contraindications for videolaparoscopy. Conclusion - The epidemiological findings of this study are similar to the ones of the worldwide literature. Indications of videolaparoscopy in retrospective analyses have the limitation of subjective evaluation of intestinal obstruction, which was included in this study as a relative contraindication to laparoscopy.Contexto - A laparotomia é considerada o método de escolha para o tratamento cirúrgico de pacientes com obstrução intestinal sem resposta ao tratamento clínico conservador. Atualmente, no entanto, diversas publicações têm demonstrado a viabilidade da videolaparoscopia no tratamento da obstrução intestinal. Objetivo - Descrever o perfil clínicoepidemiológico de pacientes com obstrução intestinal submetidos ao tratamento cirúrgico e verificar a presença de contraindicações para laparoscopia. Método - Estudo observacional, descritivo e retrospectivo com pacientes adultos submetidos a tratamento cirúrgico por obstrução intestinal no Hospital de Clínicas de Porto Alegre, RS, no período de janeiro 2004 a outubro 2008. Resultados - Foram estudados 135 pacientes, 126 dos quais tratados por laparotomia e 9 por videolaparoscopia. Observou-se distribuição semelhante entre os sexos e idade média de 59 anos (DP ± 16,9). Intestino delgado e aderências intestinais representaram respectivamente, o principal sítio e causa de obstrução. Dos pacientes submetidos a laparotomia, 75,4% apresentavam distensão abdominal, 68,3% história de cirurgia abdominal prévia, 11,9% índice de massa corpórea >30 kg/m2, 4,8% coagulopatia e 3,2% instabilidade dinâmica. Dos 135 pacientes, somente 5 não apresentavam contraindicação para videolaparoscopia. Conclusão - Os dados epidemiológicos deste estudo são semelhantes aos observados na literatura mundial. A indicação de videolaparoscopia em análises retrospectivas tem como grande limitante a avaliação subjetiva da distensão abdominal, que nesse trabalho foi incluída como contraindicação relativa para videolaparoscopia
Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction
CONTEXT: Laparotomy is the gold standard treatment of patients with intestinal obstruction without response to clinical management. Nowadays, literature has been demonstrating the feasibility of videolaparoscopy in the treatment of intestinal obstruction. OBJECTIVES: To report the clinical-epidemiological profile of patients with intestinal obstruction submitted to surgery and verify the presence of contraindications for laparoscopy. METHODS: It was done a observational, descriptive and retrospective study including adults patients with intestinal obstruction submitted to surgery at Hospital de Clínicas de Porto Alegre, RS, Brazil, between January of 2004 and October of 2008. RESULTS: It was included 135 patients in the study, with a total of 126 patients submitted to open surgery and 9 to laparoscopy. There was similar distribution between gender and the mean age was 59 years (SD ± 16.9). The most frequent site of obstruction was the small bowel and the most frequent etiology was adhesions. Among the patients submitted to laparotomy, 75.4% presented with abdominal distention, 68.3% previous abdominal surgery, 11.9% body mass index >30 kg/m², 4.8% coagulopathy and 3.2% hemodynamic instability. Among the 135 patients, only 5 of them presented with none contraindications for videolaparoscopy. CONCLUSION: The epidemiological findings of this study are similar to the ones of the worldwide literature. Indications of videolaparoscopy in retrospective analyses have the limitation of subjective evaluation of intestinal obstruction, which was included in this study as a relative contraindication to laparoscopy