Hemicorporectomia associada à colostomia úmida: procedimento de exceção

Ricci, Marco; Duarte, Ênio Lucio Coelho; Souza, Renato C.; Albuquerque-Peres, Carlos Michel; Guimarães, Gustavo Cardoso; Lopes, Ademar

doi:10.1590/s0100-69912009000600012

Cited by 3 publications

(2 citation statements)

References 8 publications

(13 reference statements)

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“…7,8 Before amputation, the patient's desire and acceptance, the staging of the disease that motivates the indication (tumour, infection, trauma, wound), the clinical and ethical conditions, the prognosis and the possibility of support and social inclusion of the patient must be considered. 2,9,10 In other words, the risk of death and willingness to live with functional resumption and not just the chances of survival should be evaluated. The patient's emotional and psychological conditions to understand and deal with the physical, functional and emotional manifestations of hemicorporectomy need to be treated.…”

Section: Introductionmentioning

confidence: 99%

Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series

et al. 2021

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Hemicorporectomy is a procedure where the lumbar spine and spinal cord, pelvic bones and contents, lower extremities and external genitalia are surgically removed. The rehabilitation process, in addition to being prolonged and costly, is challenging. This article reports the rehabilitation process for hemicorporectomy and shows the innovative solutions for mobility for this disability for two cases of paraplegic patients: case 1 due to traumatic spinal cord injury due to firearm injury and case 2 due to lumbosacral myelomeningocele. They presented chronic pressure ulcer which evolved to neoplastic transformation. (squamous cell carcinoma - Marjolin's ulcer). The cases were submitted to L4 hemicorporectomy and were rehabilitated to ensure the right to mobility independence for activities of daily living; social inclusion; prevention of comorbidities and pluralization of disabilities. The rehabilitation involved the elaboration of a new prosthesis for the hemibody and improvement of functional capacity, within a gain of 6 - 11 points in the Functional Independence Measure (FIM). The principal changes happened in social interaction, locomotion and transfers to a bed/chair and toilet. Despite the body transformation, patients show gains in quality of life mainly for the social domain of World Health Organization Quality of Life instrument-brief version (WHOQOL-bref). In general, there is an increase in the scores of this instrument from 1.78% -19.25%. The evolution of social inclusion through the International Classification of Functioning, Disability and Health (ICF) reveals that patients are able to resume social, working, academic-professional life and recreation and leisure activities, reducing the number of severe and complete qualifiers from 90.91 to 60% when using the products appropriate assistive devices. Hemicorporectomy can be a therapeutic option for those in need, as it provides functionality without the need for caregivers and resumes educational, professional, economic and social aspects with gains in quality of life.

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Section: Introductionmentioning

confidence: 99%

Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series

et al. 2021

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“…A colostomia úmida consiste na elaboração de um estoma a partir do cólon, onde a boca proximal se destina à eliminação de fezes e a boca distal à eliminação de urina (Ricci et al, 2009). A vantagem é que são eliminadas urina e fezes por uma única boca, mas em contrapartida é necessário encontrar um equipamento coletor que consiga adequar-se as duas drenagens (Habr-Gama e Araújo, 2000).…”

Section: Introductionunclassified

Conviviendo con una estoma húmedo: un estudio acerca de la calidad de vida

Benício¹,

Carvalho²,

Nolêto³

et al. 2016

cuid

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Back-to-Front Hemicorporectomy with Double-barreled Wet Colostomy for Treatment of Squamous Cell Carcinoma of a Pressure Ulcer

Crum

Lee

Patterson

et al. 2015

The American Surgeon

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Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 4 double-spaced pages with no Abstract or sub-headings, with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.In general, authors of case reports should use the Brief Report format.

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Hemicorporectomia associada à colostomia úmida: procedimento de exceção

Cited by 3 publications

References 8 publications

Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series

Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series

Conviviendo con una estoma húmedo: un estudio acerca de la calidad de vida

Back-to-Front Hemicorporectomy with Double-barreled Wet Colostomy for Treatment of Squamous Cell Carcinoma of a Pressure Ulcer

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