Incisional hernia results from inadequate healing in the area of an operative incision and its diagnosis is clinical or imaging. Complex incisional hernias are difficult to treat and have complications, especially compartment syndrome. Thus, technical care in closing incisions in primary surgeries reduces the risk of developing an incisional hernia. Therefore, the study aimed to present a case report of a patient who performed the present correction of a giant incisional hernia with a double-sided mesh.
The COVID-19 pandemic has had major impacts on the mental and psychological health of young students. Stress, anxiety, depression, and a sedentary lifestyle are some of the consequences generated during the necessary social isolation. In this way, medical education has transformed due to the current Covid 19 epidemic, which has affected students and teachers of medical education in the country. In this way, the present research intends to collect data to evaluate the affected areas of the students in terms of quality of life, health, and other areas of their lives, thus being able to bring new information that can be used for a better approach to the theme. Therefore, this study evaluated the quality of life of medical students during the pandemic through the application of a remote questionnaire.
Crohn's disease is a chronic, granulomatous inflammatory disease that can affect the entire gastrointestinal tract. Complications such as intestinal obstructions, fistula, or abscesses may determine the need for surgical treatment, with initial clinical stabilization. Therefore, the present work aimed to present a clinical case report, showing a patient who presented complications resulting from Crohn's disease to determine surgery as the definitive treatment and, emphasizes the importance of optimized treatment for this disease to avoid complications.
Perivascular epithelioid cell tumors, called PEComas, have a mesenchymal origin with immunoreactivity for melanocytic and smooth muscle markers. Its incidence in the form of uterine involvement is rare, between 1 and 2 cases per million inhabitants, affecting mainly women in their fifth decade of life. The present study was elaborated according to the rules of the CARE case report. The patient's medical record was analyzed, and who authorized access to it and signed the Free and Informed Consent Form, together with those involved in this work. This patient underwent treatment and medical follow-up with the supervisor of this work. Therefore, this study aimed to describe a rare clinical case report of uterine malignant perivascular epithelioid cell tumor (PEComa). Although the literature on this subject is scarce and there are no consistent criteria for diagnosis and treatment, our case in question presented aspects of unfavorable evolution (a large number of cytological atypia and high mitotic index) characterizing a PEComa with uncertain malignant potential, requiring a treatment adjuvant after surgery. The patient evolved well after the surgery and adjuvant treatment, undergoing quarterly follow-ups at the oncology and gynecology outpatient clinic, with a physical examination and nuclear magnetic resonance of the pelvis for control purposes.
A hiperostose esquelética idiopática difusa (DISH) é uma condição sistêmica caracterizada pela presença de pontes ósseas na coluna anterolateral, tem uma predominância no sexo masculino e pico de incidência a partir da quinta década de vida. Apesar de sua etiologia ser incerta, alguns fatores podem influenciar no seu desenvolvimento tais como: idade avançada, obesidade, hipertensão, aterosclerose, diabetes mellitus e sexo masculino. Na DISH, o paciente tem uma pré-disposição até quatro vezes maior de fratura vertebral, devido a incapacidade de redistribuição da energia de impactos para os tecidos moles, que se encontram calcificados. O tratamento de escolha para tal patologia é essencialmente cirúrgico e representa a principal escolha na maioria das vezes. Este relato tem como objetivo descrever a abordagem diagnóstica e o manejo terapêutico de um paciente com DISH tratado conservadoramente.
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