Objective To evaluate whether hemostasis with eletrocauterization in comparison with Floseal(r) leads to different bleeding rates during total knee arthroplasty. Methods A comparative study was performed between two groups: group with ten consecutive total knee arthroplasties with Floseal(r) used as hemostatic method and control group with ten consecutive total knee arthroplasties with eletrocauterization as hemostatic method. Bleeding parameters such as debit of the drain, liquid infusion and blood transfusion rate were recorded. Results Floseal(r) group received less blood transfusion, less liquid infusion and lower drainage in absolute numbers compared to the control group. However, no parameter was statistically significant. Conclusion Hemostasis with Floseal(r) is as effective as hemostasis with eletrocauterization, what makes it a viable alternative to patients with contraindication to electric scalpel use. Level of Evidence II, Prospective Comparative Study.
RESUMO:Divertículo de Meckel (DM) é uma patologia congênita relativamente comum, subdiagnosticada porque raramente apresenta sintomas. A maior parte dos DM sintomáticos ocorre em crianças, e se apresenta na forma de hemorragia digestiva baixa. A formação de enterolito é um evento raro no DM, pois nele raramente ocorrem as condições que se supõe necessárias à formação dos cálculos (estase e meio alcalino). A presença de enterolitos em DM está associada a óstio estreito (favorecendo estase) e ausência de mucosa gástrica (possibilitando o desenvolvimento de meio alcalino). O quadro clínico mais comum é de dor abdominal recorrente. Os achados radiológicos incluem cálculos ao RX simples de abdome e cálculos dentro de área delimitada por parede intestinal à TC. Este relato se diferencia dos anteriores por mostrar um caso de enterolito em DM com mucosa gástrica ectópica, e grande óstio comunicando o divertículo com a luz intestinal.
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Artigos Médicos
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