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• W815920402 abstract "RESUMO: Dos 34.000 pacientes coloproctologicos foi feito o diagnostico de doenca hemorroidiana, como doenca coloproctologica principal em 9.289 pacientes (27,3%), dos quais 2.417 (26,0%) foram submetidos a hemorroidectomia. A finalidade deste trabalho e analisar estes 76 casos de complicacoes a luz da idade e sexo dos pacientes e das tecnicas cirurgicas que a elas deram origens, bem como a abordagem de cada tipo de complicacao, comparando os resultados com outros similares da literatura. A grande maioria dos pacientes (2.014 casos, 83,3%) foi submetida a tecnica aberta, seguindo-se a tecnica fechada (232 casos, 9,6%) e a mista (171 casos, 7,1%), resultando 76 complicacoes (3,1%), principalmente estenose anal cirurgica (44 casos, 1,8%), hemorragia grave (21 casos, 0,9%), seguindo-se agravamento da incontinencia fecal e sepse anal grave (5 casos de cada, 0,2%) e complicacoes clinicas graves (0,1%), sem obitos. A analise dos dados da serie de pacientes permitiu as seguintes conclusoes. A estenose anal foi mais comum na quarta decada (18 casos, 2,6%), com hipertonia esfincteriana (70,0%, 21 casos), de forma anular (70,4%, 31 casos), entre 11 e 30 dias de pos-operatorio (61,5%, 27 casos), 31,8% (14 casos) sendo abordada por anotomia simples e excisao de area de fibrose e anoplastia com retalho cutâneo em “V” (7 casos, 15,9%). A hemorragia grave foi mais comum na terceira decada (6 casos, 1,2%), todos os pacientes foram submetidos a ligadura e transfixacao de pediculo. Dos 5 casos de agravamento da incontinencia fecal somente 2 pacientes (40,0%) foram submetidos a esfincteroplastia “em jaquetao”; todos os 3 casos de sepse anal grave foram submetidos a drenagem e desbridamentos; e todas as 3 complicacoes clinicas graves foram abordadas clinicamente." @default.
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• W815920402 date "2007-01-01" @default.
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• W815920402 title "Complicações Pós-Operatórias Cirúrgicas da Hemorroidectomia: Revisão de 76 Casos de Complicações Surgical Complications of Hemorrhoidectomy: A Review of 76 Cases" @default.
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