Protocolo eletrônico multiprofissional em cirurgia bariátrica

Nassif, Denise Serpa Bopp; Malafaia, Osvaldo; Nassif, Paulo Afonso Nunes; Kuretzki, Carlos Henrique; Lucas, Ricardo Wallace das Chagas; Pinto, José Simão de Paula

doi:10.1590/s0102-67202011000300007

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Thus, possible tissue sufferance or even necrosis are avoided [15]. The relevance of using flaps to improve mammal symmetry, including post-mastectomy cases due to cancer, was verified [2]. It also provides an option for the use of the thoracic wall flap in vertical mammoplasties [16].…”

Section: Discussionmentioning

confidence: 99%

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Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

Resende¹,

Fiorelli²

2013

MPS

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Objective: To assess the rate of mammary prosthesis extrusion after mammoplasty with prosthesis implantation, to verify the resulting shape and the degree of patient satisfaction after the use of a transverse bipediculated flap with lateral irrigations. Methods: 30 patients with a weight loss of 50 kg on average after video-assisted bariatric surgery, with ptosis and excessive volumes, who underwent mammoplasty with prosthesis placement with volumes ranging from 190 to 260 cc, using a transverse flap with the aim of anchoring the silicone prosthesis. Results: In the patients' evaluation, the few postoperative complaints did not amount to complications. Pains were minimal and the discomfort with the prosthesis was acceptable. Conclusion: the transverse flap, in addition to acting as the best anchor among the existing flaps for implanted prostheses, provided a youthful, natural, anatomical, aesthetic and longer lasting appearance for the breasts.

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Section: Discussionmentioning

confidence: 99%

“…Patients who undergo bariatric surgery lose weight in a short time [2], causing tissue to sag, primarily that of the skin, causing esthetic, interpersonal problems and low self-esteem [3].…”

Section: Introductionmentioning

confidence: 99%

Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

Resende¹,

Fiorelli²

2013

MPS

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“…Data collection was performed using the Electronic Multiprofessional Protocol for Metabolic and Bariatric Surgery with emphasis in physical therapy identified by SINPE (Integrated Electronic Protocol System) registered in the Brazilian National Industrial Property Institute (INPI) under number RS06056-1, with intellectual property of Dr. Osvaldo Malafaia 16 . Patients underwent preoperative physical therapy evaluation and were followed in the postoperative period in four stages: hospitalization and at the beginning of physical therapy within 30 days, three months and six months after surgery.…”

Section: Methodsmentioning

confidence: 99%

Efeito da fisioterapia contra-resistida com relação à massa corporal magra em pacientes no pós-operatório de cirurgia bariátrica

Nassif¹,

Nassif²,

Lucas³

et al. 2011

ABCD, arq. bras. cir. dig.

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-Background -Calculations of metabolic and physical activity are carried out from the active tissue in the body, known as lean body mass, which is the sum of fat-free lean mass to essential fat. Kinesiotherapy helps in weight strength and flexibility and can be applied in the patients recovery. Aim -In patients undergoing surgical treatment for morbid obesity are the objectives: 1) to evaluate the effect of physiotherapy counter resisted in lean mass; 2) to assess the factors associated with variations in lean body mass with physical therapy; 3) to compare the group of patients who lost lean mass to the one who won using physical therapy, analyzing the co-morbidities that interfered with these results. Method -The study included 100 patients operated on by Fobi-Capella technique divided into group A, patients who lost lean body mass measured in two periods (between 30 days and three months between three months and six months) and group B by the patients that gained lean body mass in at least period. Data collection was performed using the Electronic Multiprofessional Protocol of Metabolic and Bariatric Surgery with emphasis in Physical Therapy, identified as SINPE © (Integrated Electronic Protocols). The patients were evaluated pre-operatively and followed in the postoperative period in four phases: in the hospital, 30 days, three months and six months after the operation. Results -There were significant differences between the three assessments (p <0.001). By comparing the 30 days to three months, there was loss of lean body mass with statistical significance (p <0.001). Similarly, between 30 days and six months (p <0.001). However, the period between three months and six months did not show results with significance level (p <0.612), showing a tendency to maintain lean body mass. Conclusions -Physical therapy counter resisted helped in maintaining lean body mass between the periods of three months and six months; 2) elderly men, diabetic and dyslipidemic lost more lean mass; duration of obesity, cardiovascular and orthopedic disease not changed the lean mass; 3) groups A and B showed no significant differences for both gain and loss lean mass in relation to cardiovascular and orthopedic comorbidities, but patients with diabetes mellitus and dyslipidemia were more prevalent in Group A. ABCDDV/797RESUMO -Racional -Cálculos metabólicos e de atividade física são realizados a partir do tecido ativo presente no corpo, conhecido como massa corporal magra, que resulta da soma da massa magra isenta de gordura com a gordura essencial. A cinesioterapia é a musculação terapêutica que auxilia na força e flexibilidade. Objetivos -No paciente submetido a tratamento cirúrgico para obesidade mórbida: 1) avaliar o efeito da fisioterapia contra-resistida na massa magra; 2) avaliar os fatores associados às variações de massa corporal magra com tratamento fisioterapêutico; 3) comparar o grupo de pacientes que perdeu com o que ganhou massa magra com o tratamento fisioterapêutico, analisando as co-morbidades que interferira...

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“…In addition to the weight and comorbidity requirements, in 1991, the National Institute of Health in the United States, established a multidisciplinary approach to patient assessment during the preoperative period, which included psychological evaluation as an essential part of this process 17 . In the same way, the Brazilian Bariatric Consensus and the Federal Council of Medicine endorsed this practice, as they require the presence of a psychologist or psychiatrist, as part of the multidisciplinary team 4 .…”

Section: Introductionmentioning

confidence: 99%

Psychological assessment for bariatric surgery: current practices

Flores¹

2014

ABCD, arq. bras. cir. dig.

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IntroductionThe prevalence of obesity on a global scale has alarmed health institutions, the general population and professionals involved in its treatment. Bariatric surgery has emerged as an effective and lasting alternative for weight reduction and improved general health. In this context and as part of a multidisciplinary team, psychologists are responsible for the preoperative psychological assessment of bariatric candidates.AimTo investigate how psychological assessments are occurring, including the identification of utilized resources; factors that are addressed; the duration of the process; existing protocols; and to evaluate the importance of this practice.MethodA systematic review of national and international literature, through PubMed and Scielo's databases, using "psychological assessment", "obesity" and "surgery", as keywords.ConclusionThere is an agreement about the main factors that should be investigated during the preoperative assessment, as well as the main contraindications for the surgical procedure. The importance of the psychological assessment is well established in the field of bariatric surgery. However, this area needs a standard protocol to guide the mental health professionals that deal with bariatric patients.

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Protocolo eletrônico multiprofissional em cirurgia bariátrica

Cited by 3 publications

References 4 publications

Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

Retrospective: Mammoplasty with Prosthesis after Video-Assisted Bariatric Surgery with Transverse Bipediculated Flap

Efeito da fisioterapia contra-resistida com relação à massa corporal magra em pacientes no pós-operatório de cirurgia bariátrica

Psychological assessment for bariatric surgery: current practices

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