Revista da Associacao Medica Brasileira (1992)
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Rev Assoc Med Bras (1992) · Nov 2021
Randomized Controlled TrialSuperiority of endoscopic transsphenoidal pituitary surgery to microscopic transseptal pituitary surgery for treatment of Cushing's disease.
This study aims to compare the efficacy and safety of endoscopic transsphenoidal pituitary surgery and microscopic transseptal pituitary surgery in the treatment of Cushing's disease (CD). ⋯ For the treatment of CD, the efficacy of endoscopic transsphenoidal pituitary surgery is basically the same as that of traditional microscopic transseptal pituitary surgery. However, the endoscopic surgery can further shorten the operative time, reduce the estimated blood loss, shorten the hospital stay, and reduce the complications.
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This study aims to analyze the level of disability and pain in capoeira practitioners. ⋯ The knees, lower back, and wrists/hands were the regions of the body with the highest reports of pain and disability. However, the disability presented by capoeira practitioners was slight.
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Rev Assoc Med Bras (1992) · Nov 2021
Observational StudyReadmission rates of patients with COVID-19 after hospital discharge.
The purpose of this study was to inspect return and readmission reasons and rates of discharged patients with coronavirus disease 2019 (COVID-19). ⋯ Return rate of patients to hospital after discharge with COVID-19 was comparatively high, but readmissions to hospital and mortality rate were low. Comparatively, the higher rate of return to hospital within 30 days of discharge was thought to be resulting from prolonged signs and symptoms related to COVID-19. Since COVID-19 is a new and enigmatic disease and its long-term effects still need to be elucidated, long-term follow-ups of discharged patients will be adequate.
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Rev Assoc Med Bras (1992) · Nov 2021
Factors associated with bleeding complications in hernia repair of warfarin users.
In this retrospective study, we aimed to determine factors associated with bleeding complications in patients on long-term warfarin, undergoing inguinal hernia repair using low-molecular-weight heparin (LMWH) bridging. ⋯ Baseline, preoperative INR, and postoperative INR were the only variables associated with postoperative bleeding complications in patients undergoing LMWH-bridged inguinal hernia repair. We suggest close monitoring of INR levels in long-term warfarin users, even for relatively low-bleeding risk operations such as inguinal hernia repair.
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Rev Assoc Med Bras (1992) · Nov 2021
Has external banding become a historical technique during venous valve repair?
In deep venous valve repair, transcommissural external valvuloplasty (TEV) is the commonly used technique. In some cases, external banding (EB) is combined with this procedure to improve the patency and durability of the surgical procedure. ⋯ There is no more need for EB during the venous valve repair with the increased experience of valvuloplasty techniques. TEV might be enough with acceptable long-term outcomes during deep venous reconstruction.