Objective: to generate a translated and validated version of the Clavien-Dindo Classification of Surgical Complications (CDC) to Brazilian Portuguese (CDC-BR). Methods: the process of translation and adaptation followed the guideline of Beaton et al., 2000. We divided 76 participating surgeons, in different levels of experience, from the Department Surgery of the Hospital de Clínicas de Porto Alegre, into two groups: Group I applied the original version (CDC, n=36);r Group II used the modified version (CDC-BR, n=40). Each group classified 15 clinical cases of surgical complications. We compared performance between the groups (Mann-Whitney test) relating to the level of experience of the surgeon (Kruskal-Wallis test), considering p value <0.05 as significant. Results: the performance of the Group II (CDC-BR) was higher, with 85% accuracy, compared with 79% of Group I (CDC), p-value =0.012. The performance of the groups as for surgeons experience displayed p=0.171 for Group I, p=0.528 for Group II, and p=0.135 for overall performance. Conclusion: we produced a translated and validated version of the CDC for Brazilian Portuguese. The instrument will be a useful tool in the production of evidence on surgical outcomes.
Ribeiro L et al. Umbilical scar autonomization: a safe technique for secondary abdominoplasties Autonomização da cicatriz umbilical: técnica segura para abdominoplastias secundárias Study conducted at the private clinic of the corresponding author,
Rev. Bras. Cir. Plást. 2014;29(1):159 159 Special article Aesthetic treatment of retracted and hanging nasal columellas Tratamento estético da columela nasal: columela oculta e columela pendente LIACYR RIBEIRO¹ MARCELO CASTRO MARÇAL PESSOA² RENATO MONTEIRO DE ANDRADE³ 1-Former BSPS and ILAFPS President; Honorary Member of BSPS and ILAFPS; Member of ASAPS, ASPS, ISAPS; Member of the Academy. Fluminense of Medicine . 2-Member of BSPS, ISAPS -Plastic surgery. 3-Member of BSPS -Plastic surgery. Institution: Private hospital .
ABSTRACTThis study discusses approaches for aesthetic correction of nasal columellas, i.e. retracted and hanging columellas, most commonly observed in clinical practice.We describe a chondral-mucoperichondrial nasal septal flap and direct or indirect approaches described by Randall as our preferred procedures to correct retracted and mild to moderate hanging columella, respectively. A combination of procedures is used in more severe cases, in addition to modified Armstrong and Joseph's approaches. These treatment options are compared to other literature reports on this specialty.
RESUMOOs autores revelam, no presente trabalho, suas abordagens frente às alterações estéticas da Columela Nasal, mais observadas em sua prática clínica, a Columela Oculta e a Columela Pendente. Para a Columela Oculta os autores descrevem o uso de um Retalho Condro-mucopericondral do septo nasal como escolha preferencial. Para o tratamento da Columela Pendente os autores utilizam as abordagens, direta e indireta, descritas por Randall, nos casos leves a moderados, e para os casos mais acentuados utilizam uma associação de táticas além de uma modificação do que é descrito por Armstrong e Joseph. Suas opções de tratamento são confrontadas com o que há descrito na literatura da especialidade e seus resultados comparativos são apresentados.
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