HB - Hospital de Braga (passou a integrar o Serviço SARI em 06/2014)
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Repositório institucional do Hospital de Braga foi constituído com o objectivo de armazenar, centralizar, divulgar e dar acesso à produção científica da instituição em formato digital.
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- 1ª Anestesia para craniotomia em doente acordado no Hospital de BragaPublication . Oliveira, C; Gomes, C; Cerqueira, I; Pereira, MJ
- 231 colecistectomias em ambulatório... que resultados?Publication . Goulart, A; Delgado, M; Antunes, MC; Braga dos Anjos, J
- 231 laparoscopic cholecystectomy in ambulatory: what results?Publication . Goulart, A; Delgado, M; Antunes, MC; Braga dos Anjos, Jntroduction: Laparoscopic cholecystectomy is the gold standard procedure for the treatment of lithiasic gallblader pathology and acute cholecystitis. Whether or not it should be done as ambulatory surgery is still being discussed. The present study aims to analyze the quality and safety of laparoscopic cholecystectomy conducted by the Ambulatory Unit of Hospital de Braga and compare the results with those from other European surgical centers performing LC as ambulatory surgery. Material and Methods: Observational prospective study of patients submitted to laparoscopic cholecystectomy in ambulatory surgery during a period of 26 months. Data regarding patients' demography, peri- and postoperative complications, surgical time, time in recovery room, and readmission rates was collected. Results: A total of 231 patients were subjected to Laparoscopic cholecystectomy in the ambulatory unit with overnight stay (time to discharge less than 24 hours). Three patients presented with intra-operative complications, which needed conversion to laparotomy, and four patients were admitted after surgery. The mean time for the procedure was 58 minutes and the mean time for recovery was 19h19 minutes. Postoperative morbidity was 7.8% with 2 nonscheduled admission having occurred. Discussion: One of the controversies regarding laparoscopic cholecystectomy as an outpatient procedure is the need for overnight hospital surveillance. In our unit, we have started LC on an outpatient basis with an overnight stay. Using this protocol, over the past two years, we have operated 231 patients and our results show that this is a completely safe technique. Conclusions: Data from the study suggests that LC is a safe technique when performed in ambulatory practice, having similar results to other european surgical centers.
- 5 anos de GIST: experiência de uma unidade esófago-gástricaPublication . Goulart, A; Carneiro, T; Luís, D; Gomes, A
- Abcesso isolado do clivus achados em ressonância magnética convencional: estudo de difusãoPublication . Fernandes, JS; Valle, JM; Morais, N; Ribeiro, M; Magalhães, Z; Moreira da Costa, JA; Rocha, J
- Abcessos hepáticosPublication . Leão, P
- Acidente Vascular Cerebral em Doente com Anemia de Células FalciformesPublication . Caridade, S; Machado, A; Ferreira, CStroke in patients with sickle cell anemia is multifactorial but occurs mainly by 2 mechanisms: occlusive arteriopathy and obliteration of small vessels with plugs of sickle cells. The high individual risk can be assessed by simple and well-defined strategies such as ultrasounds with transcranial and cervical Doppler Ultrasonography. The authors report the clinical case of a 25 year-old black female patient with sickle cell anemia, who was admitted with right hemiparesis. Cerebral MRI showed small recent fronto-temporo-parietal cortical-subcortical infarcts and several, older, posterior periventricular lacunae of left preponderance. A brief discussion is made, with particular emphasis on the proper treatment and prevention of its cerebrovascular complications.
- A acuidade da Ressonância Magnética e da biopsia estereotáxica no diagnóstico de lesões cerebraisPublication . Filipe, MA; Soares, A; Alegria, C
- Acute coronary syndrome and endocarditis 20 years before: how do they match?Publication . Ribeiro, S; Amorim, MJ; Torres, M; Almeida, J; Bettencourt, N
- Acute segmental renal infarction due to factor V LeidenPublication . Cabral-Ribeiro, J; Sousa, L; Calaza, C; Santos, AOBJECTIVE: Renal infarction is rare and has variable clinical presentations causing diagnostic difficulties. Although most renal infarctions are caused by an obvious thromboembolic factor some are only explained by hereditary or acquired thrombophilia. The authors present a case of segmental renal infarction associated with factor V Leiden. METHODS/ RESULTS: A 48-year-old man presented with right flank pain that was unresponsive to analgesia for renal colic. CT scan was performed revealing a partial renal infarction. The etiologic study was only positive to factor V Leiden. In spite of the diagnosis and treatment it resulted in atrophy of the affected renal area. CONCLUSIONS: Renal infarction can be a presentation of thrombophilia that should be searched in the absence of an obvious embolic factor. Renal CT scan is the best way to a rapid diagnosis and treatment.