Análise das complicações tardias em operações anorretais: experiência de um serviço de referência em coloproctologia

Steckert, Juliana Stradiotto; Sartor, Maria Cristina; Miranda, Eron Fábio; Rocha, Juliana Schaia; Martins, Juliana Ferreira; Wollmann, Maria Cecília Ferraz de Arruda Sarti; Freitas, Cristiano Denoni; Filho, Alvaro Steckert; Kotze, Paulo Gustavo

doi:10.1590/s0101-98802010000300006

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…By being a subjective assessment, this strategy may underestimate the occurrence of such complication. This is a frightening complication because it causes major discomfort to the patient, although its occurrence in the current series has been low [six patients (3.3%)], only three patients were successfully treated and the other three experienced permanent sequels 9,10,14,22 . Up to one year, the surgical follow-up showed loss in about 15.3% of patients; however, postoperative complication rates must be underestimated.…”

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confidence: 62%

Anal fistula: results of surgical treatment in a consecutive series of patients

Oliveira¹,

Sousa²,

Almeida³

et al. 2012

J. Coloproctol. (Rio J.)

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Objectives:To evaluate the results of surgical treatment of patients with anal fistulas in a consecutive series of patients. Methods: A retrospective analytical study of a consecutive series of cases prospectively collected. The sample comprised 210 patients who underwent surgery; demographic data, signs and symptoms, intraoperative classification of the fistulas and healing time were analyzed. results: The median age was 38 years and 69.0% of the patients were male. The most frequent symptom was perianal orifice with purulent drainage. The fistulas were classified as transsphincteric in 60.9% and the most used operative treatment was the marsupialization of fistulotomy, in 84.2% of cases. Complete healing occurred in all patients between 2 and 16 weeks. One hundred and seventy-eight patients, 84.8% of the patients who underwent surgery, were evaluated at least one year after surgery and recurrence occurred in 6.4% of cases. Conclusions: There was male prevalence (2.2/1), and most fistulas were transsphincteric. The marsupialization of fistulotomy was the most used operative treatment, and it presented acceptable low rates of morbidity and recurrence of 6.4%.Keywords: fistula; rectal fistula; surgery; classification; surgical treatment, operative. resuMO: Objetivos: Avaliar os resultados do tratamento cirúrgico de pacientes portadores de fístulas anais em uma série consecutiva de pacientes. Métodos: Estudo analítico, retrospectivo, de uma série consecutiva de casos que foram coletados de forma prospectiva. A casuística englobou 210 pacientes operados, tendo sido analisados os dados demográficos, os sinais e sintomas, a classificação transoperatória das fístulas e o tempo até a cicatrização completa. resultados: A mediana de idade foi de 38 anos e 69,0% dos pacientes eram homens. O sintoma mais frequente foi a drenagem de secreção purulenta por orifício perianal. As fístulas foram classificadas como transesfincterianas em 60,9%, e o tratamento operatório mais empregado foi a fistulotomia com marsupialização do trajeto fistuloso, em 84,2% dos casos. A cicatrização completa ocorreu em todos os pacientes entre 2 e 16 semanas. Cento e setenta e oito pacientes, 84,8% dos pacientes operados, foram avaliados com, pelo menos, um ano de pós-operatório e a recidiva ocorreu em 6,4% dos casos. Conclusões: Houve prevalência do gênero masculino (2,2/1) com a maioria das fístulas transesfincterianas. A fistulotomia com marsupialização foi o tratamento operatório mais empregado e apresentou baixos índices de morbidade, com recidiva de 6,4%.

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confidence: 62%

Anal fistula: results of surgical treatment in a consecutive series of patients

Oliveira¹,

Sousa²,

Almeida³

et al. 2012

J. Coloproctol. (Rio J.)

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“…Anorectal procedures account for around 80% of all coloproctology surgeries 28 and among these procedures, more than 90% may be performed in ambulatory facilities 4,5,15 . A series of cases published by Steckert et al that analyzed 430 patients submitted to 453 anorectal surgeries, described hemorrhoidectomy as the most frequent procedure, corresponding to 50.3% of total surgeries 28 . Therefore, as hemorrhoidectomy is the most frequent anorectal surgery, it is important that the proctologist should be aware of the costs associated.…”

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confidence: 99%

Analysis of direct costs of anesthesia-related materials between spinal and venous anesthesia with propofol associated with local perianal block in hemorrhoidectomy

Kotze¹,

Junior²,

Freitas³

et al. 2011

J. Coloproctol. (Rio J.)

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There is no consensus on the ideal anesthesia for hemorrhoidectomy in ambulatory facilities. Spinal anesthesia and venous propofol associated with local perianal block (combined anesthesia) are frequently used, and their direct costs may be crucial for the anesthesia type selection. The objective of this study was to compare the direct costs of anesthesia-related materials in hemorrhoidectomy between these two anesthetic techniques.Retrospective and cross-section analysis, comparing the direct costs of the materials of spinal and venous anesthesia with propofol associated with local perianal block, in hemorrhoidectomy. Twenty patients were included, ten submitted to each anesthesia type (five from each gender). The mean age in the spinal anesthesia group was 46.5 years and in the combined anesthesia group, 42.5 years (p=0.334). The mean cost of anesthesia-related materials was R$ 58.50 (R$ 36.48 - R$ 85.79) in the first group versus R$ 190.31 (R$ 98.16 - R$ 358.51) in the second - 69.27% difference between them (p<0.001). The mean costs according to gender analysis were R$ 50.32 and R$ 66.69 (p=0.263) in the spinal anesthesia group versus R$ 222.52 and R$ 158.10 (p=0.221) in the combined anesthesia group, respectively. The direct costs of anesthesia-related materials were significantly lower in patients submitted to hemorrhoidectomy using spinal anesthesia. No difference was observed between the genders in each group analyzed.
Não há consenso sobre a técnica anestésica de escolha para hemorroidectomias em regime ambulatorial. A raquianestesia e a anestesia combinada (venosa com propofol + local) são frequentemente utilizadas, e os custos das mesmas podem ser determinantes na escolha do melhor tipo de anestesia. O objetivo deste trabalho foi avaliar e comparar os custos diretos dos materiais anestésicos utilizados em hemorroidectomias entre essas duas técnicas. Foi feito um estudo retrospectivo e transversal, comparativo entre os custos diretos dos materiais anestésicos entre a raquianestesia e a anestesia venosa com poropofol associada ao bloqueio perianal local, em hemorroidectomias. Foram analisados 20 pacientes, 10 operados com cada técnica anestésica (5 de cada gênero). A média de idade do grupo da raquianestesia foi de 46,5 anos e do grupo da anestesia combinada foi de 42,5 anos (p=0,334). O custo médio do procedimento anestésico no primeiro grupo foi de R$ 58,50 (R$ 36,48 - R$ 85,79), no segundo foi de R$ 190,31 (R$ 98,16 - R$ 358,51). A diferença das médias foi de 69,27%, com significância estatística (p<0,001). A média dos custos dos gêneros masculino e feminino no grupo da raquianestesia foi de R$ 50,32 e R$ 66,69 (p=0,263) e no grupo da anestesia combinada foi de R$ 222,52 e R$ 158,10 (p=0,221), respectivamente. Os custos diretos médios dos materiais anestésicos dos pacientes submetidos a hemorroidectomias foram significativamente menores no grupo da raquianestesia. Não houve significância estatística na diferença entre os gêneros em cada grupo

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Constipation: Prevalence and Associated Factors in Adults Living in Londrina, Southern Brazil

Schmidt

Santos

Domansky

et al. 2016

Gastroenterology Nursing

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The aims of this study were to estimate the prevalence of constipation and identify associated factors among adults living in an urban area in Londrina, Brazil. This was a secondary analysis of an epidemiological, population-based study on bowel habit performed in 2008 with 2,162 individuals selected through cluster sampling. Interviews were administered using a sociodemographic questionnaire and the adapted and validated Brazilian version of the "Bowel Function in the Community" tool. Variables from the original database were used to determine the prevalence of constipation (according to the Rome Criteria III) and associated factors. The chi-square test and multivariate logistic regression were used for data analysis. The overall prevalence of constipation (14.6%; n = 315) was higher among women than among men (21.9% vs. 5.3%), increased with age among men, and was inversely related to family income. Overall, female gender, low socioeconomic status, history of anal fissure, anorectal surgery, stroke, nervous system disease, fistulae, and hemorrhoids were factors significantly associated with constipation. The variables low social economic status, stroke, anal fissure history, and anorectal surgery were statistically significant in all three tested statistical models.

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Análise das complicações tardias em operações anorretais: experiência de um serviço de referência em coloproctologia

Cited by 3 publications

References 16 publications

Anal fistula: results of surgical treatment in a consecutive series of patients

Anal fistula: results of surgical treatment in a consecutive series of patients

Analysis of direct costs of anesthesia-related materials between spinal and venous anesthesia with propofol associated with local perianal block in hemorrhoidectomy

Constipation: Prevalence and Associated Factors in Adults Living in Londrina, Southern Brazil

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