BERNARDO PINHEIRO DE SENNA NOGUEIRA BATISTA
Projetos de Pesquisa
Unidades Organizacionais
DVCLCIR-62, Hospital Universitário
5 resultados
Resultados de Busca
Agora exibindo 1 - 5 de 5
- Abdominoplastia vertical para tratamento do excesso de pele abdominal após perdas ponderais maciças(2012) TUMA JR., Paulo; BATISTA, Bernardo Pinheiro de Senna Nogueira; MILAN, Lincoln Saito; FARIA, Gladstone Eustáquio de Lima; MILCHESKI, Dimas André; FERREIRA, Marcus CastroBACKGROUND: Bariatric surgeries are becoming increasingly common in the treatment of morbidly obese patients. The enormous weight loss resulting from these procedures causes excessive skin and subcutaneous tissue throughout the body, especially in the abdominal region. The objective of this study was to present the technique of vertical abdominoplasty as an alternative for resection of excess skin in ex-obese patients. METHODS: We retrospectively evaluated the records of 40 patients who underwent vertical abdominoplasty between 2004 and 2009. The degree of patient satisfaction was assessed through a subjective scale, with scores ranging from 0 to 10. RESULTS: Twenty-five percent of the patients had minor complications (3 seromas, 3 minor dehiscences, and 5 hypertrophic scars), which were all treated on an outpatient basis. Sixty-seven percent of the patients reported high satisfaction and considered their results as good (grades 7 or 8) or excellent (grades 9 or 10). CONCLUSIONS: The vertical abdominoplasty technique appears to be a new option for the treatment of excess abdominal skin in ex-obese patients.
- Calcanectomia subtotal para tratamento de úlcera de pressão com osteomielite associada: relato de 2 casos(2014) MILLAN, LINCOLN SAITO; CARVALHO, JULIO GRYNGLAS DE; BATISTA, BERNARDO PINHEIRO DE SENNA NOGUEIRA; GALLAFRIO, SAMUEL TERRA; TUMA JUNIOR, PAULO; FERREIRA, MARCUS CASTROABSTRACT Introduction: Feet wounds are very common and require multidisciplinary approach for prevention, treatment and rehabilitation. When involving the calcaneus, they offer even greater difficulty and may complicate with osteomyelitis. Debridement of devitalized tissue and antibiotics are important steps for treatment. For the reconstruction, local or free flaps are needed. However, not all patients, due to systemic conditions or local blood supply, are not candidates for this type of reconstruction and some times are submitted to amputations. Cases Report: The authors report two cases in which subtotals calcanectomies were used for the treatment of wounds in the calcaneus. In both cases, amputations were avoided.
- MANDIBULAR RECONSTRUCTION WITH A FIBULAR OSTEOCUTANEOUS FREE FLAP IN AN 8-MONTH-OLD GIRL WITH A 12-YEAR FOLLOW-UP(2014) FARIA, Jose C. M.; BATISTA, Bernardo N.; SENNES, Luiz U.; LONGO, Marco V. L.; DANILA, Arthur H.; FERREIRA, Marcus C.The purpose of this article is to describe a case of an 8-month-old girl who was diagnosed with a melanotic neuroectodermal tumor and was submitted to a right hemimandibulectomy and immediate reconstruction with a fibular osteocutaneous free flap. At 12-year follow-up, the longest reported in a patient this young, the transferred bone had grown much like the native mandible, and the patient had adequate mandibular contour and function. No revisions were needed, although orthopedic surgery was performed to correct an ankle valgus deviation on the donor leg. It is the opinion of the authors that microsurgical mandible reconstruction in very young patients is efficient and that the surrounding structures contribute to the remodeling of the bone segment to achieve characteristics similar to those of the native mandible. (c) 2013 Wiley Periodicals, Inc.
- Uso da terapia por pressão subatmosférica em feridas traumáticas agudas(2013) MILCHESKI, Dimas André; FERREIRA, Marcus Castro; NAKAMOTO, Hugo Alberto; PEREIRA, Diego Daniel; BATISTA, Bernardo Nogueira; TUMA JR, PauloOBJECTIVE: To evaluate the use of subatmospheric pressure therapy in the treatment of acute traumatic injuries of the soft tissues, especially in the limbs. METHODS: One hundred and seventy-eight patients with traumatic wounds were treated by the Center for Complex Wounds in the period from January 2010 to December 2011, and submitted to subatmospheric pressure therapy (SPT). RESULTS: Of the 178 patients who underwent SPT, 129 (72.5%) were male and 49 (27.5%) were aged between 18 and 40 years. Degloving injuries to the limbs were the most common type of traumatic wounds, being responsible for the hospitalization of 83 (46.6%) patients. Mean hospital stay was 17.5 days. A total of 509 procedures were performed (average 2.9 per patient). SPT was used in 287procedures, 209 (72.8%) on traumatic wounds and 78 (27.2%) of skin grafts. The number of exchanges of the SPT apparel per patient was 1.6 and the mean time of use, 8.5 days. CONCLUSION: SPT significantly reduced morbidity and healing time of injuries when compared with previously performed dressing treatments. The subatmospheric pressure therapy is a useful method in treating acute traumatic wounds, acting as a bridge between the emergency treatment and the final coverage of the skin lesions, being better when compared with more traditional methods of plastic surgery.
- Lymph node flap transfer for patients with secondary lower limb lymphedema(2017) BATISTA, Bernardo N.; GERMAIN, Michel; FARIA, Jose Carlos M.; BECKER, CorinneBackgroundPrevious authors have shown benefits from the use of lymph node flap transfer (LNFT) to treat lymphedema of the arms, but there is little evidence for its use for lower limb lymphedema. We performed a retrospective analysis of a series of patients suffering from secondary lower limb lymphedema treated with a free LNFT. Methods52 cases of LNFT to treat 41 legs in 38 patients with secondary lymphedema were retrospectively reviewed. The causes of the lymphedema included lymphedema secondary to hysterectomy for uterine cancer, melanoma resections on the leg, lymphoma treatment and testicular cancer, cosmetic surgery to the limb, lipoma resection at the inguinal region, and a saphenectomy. Patients had been suffering with lymphedema for an average of 9.17.3 years at the time of LNFT. ResultsEleven patients (28.9%) presented with minor complications treated conservatively. For 23 legs there was enough data to follow limb volume evolution after a single LNFT. Total volume reduction in eight legs (two patients with no measures of the healthy limb and three bilateral) was 7.1 +/- 8.6%. Another group of 15 patients with unilateral lymphedema had an average 46.3 +/- 34.7% reduction of excess volume. Better results (>30% REV) were associated with smaller preoperative excess volume (P=0.045). ConclusionPatients with secondary leg lymphedema can benefit from LNFT. Results in patients with mild presentations seem to be better than in more severe cases. (c) 2014 Wiley Periodicals, Inc. Microsurgery 37:29-33, 2017.