MARCELO HISANO
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
7 resultados
Resultados de Busca
Agora exibindo 1 - 7 de 7
conferenceObject THE GUY'S STONE SCORE: A VERY PRACTICAL AND USEFUL TOOL TO PREDICT THE OUTCOMES OF PERCUTANEOUS NEPHROLITHOTOMY (PCNL)(2012) VICENTINI, Fabio Carvalho; MARCHINI, Giovanni Scala; MAZZUCCHI, Eduardo; CHEDID NETO, Elias Assad; BRITO, Arthur Henrique; DANILOVIC, Alexandre; HISANO, Marcelo; CLARO, Joaquim Almeida; SROUGI, MiguelOBJECTIVE: To evaluate the applicability of the Guy’s stone score for complete supine PCNL. METHODS: 117 patients that underwent to complete supine PCNL were classified according the Guy’s stone score. The data were prospectively collected but the classification according to the score was done by review of the pre-operative CT scans. All patients were operated by the same surgeon and had a pre and post operative CT scan and at the final followup. The outcomes and complications were compared among the 4 groups. RESULTS: The table 1 shows the demographic and outcomes. The groups were similar except for the median stone diameter. The differences among groups were statistically different after stratification according to the Guy’s stone score in relation to operative time, hemoglobin drop, transfusions, complications, tubeless rate, immediate success, auxiliary procedures, PCNL revisions and final success rate. CONCLUSIONS: The Guy’s stone score showed to be a very practical and useful tool to predict the outcomes of PCNL.- CAN WE TREAT FEMALE RECURRENT URINARY TRACT INFECTION WITHOUT URINE CULTURE? COMPARATIVE ANALYSIS OF BACTERIOLOGY AND SUSCEPTIBILITY PROFILE(2014) HISANO, Marcelo; BRUSCHINI, Homero; NICODEMO, Antonio Carlos; LUCON, Marcos; GOMES, Cristiano Mendes; BARACAT, Fabio; FIGUEIREDO, Jose Alaor de; SROUGI, Miguel
- IMPACT OF THE PATIENT POSITION IN THE OUTCOMES OF PERCUTANEOUS NEPHROLITHOTOMY FOR COMPLEX STONES(2015) VICENTINI, Fabio C.; WATANABE, Carlos H.; HISANO, Marcelo; PERRELA, Rodrigo; MURTA, Claudio C.; CLARO, Joaquim F. A.
conferenceObject CAN WE EXTRAPOLATE THE BACTERIOLOGICAL FINDINGS OF SIMPLE CYSTITIS IN WOMEN TO TREAT SIMPLE PYELONEPHRITIS?(2016) HISANO, Marcelo; BRUSCHINI, Homero; NICODEMO, Antonio Carlos; LUCON, Marcos; GOMES, Cristiano Mendes; SROUGI, MiguelconferenceObject COMPLETE SUPINE PERCUTANEOUS NEPHROLITHOTOMY - OUTCOMES OF A PROSPECTIVE SERIES OF A SINGLE SURGEON(2012) VICENTINI, Fabio Carvalho; HISANO, Marcelo; MAZZUCCHI, Eduardo; CLARO, Joaquim Almeida; MURTA, Claudio Bovolenta; SROUGI, MiguelOBJECTIVE: To describe our technique and results. METHODS: A total of 117 patients (120 renal units) were evaluated in a prospective manner. One surgeon operated all the cases. All patients had a CT scan pre-operatively and the stones were classified according the Guy’s score. We performed complete supine PCNL (csPCNL) with no rolled towel under the flank and no change of position. The ipsilateral arm was hung over the thorax and the patients were draped only once. A 6Fr ureteral catheter was placed without lithotomy position. The puncture was done always by the surgeon in the selected calix under fluoroscopic vision. The tract was dilated with a double shot technique and a 30Fr Amplatz sheath was placed. A 16Fr nephrostomy tube was inserted in cases of bleeding or residual stones. A ureteral catheter or a double J was always left. A CT scan was done in the first POD in all cases. Success was defined as the presence of ≤ 4 mm fragments at the end of follow up. RESULTS: The operative time ranged between 20 and 240 minutes (mean 105.5±50.8 min). The immediate success rate was 72.5% and the final rate was 90.4% after an average of 1.08 PCNL and 0.17 auxiliary procedures. Patients were left tubeless in 38.3% of the cases. The complication rate was 15.8% (11.6% of Clavien 1 or 2 and 4.2% of Clavien 3 or 4). The transfusion rate was 4.2%. No colon injuries or deaths occurred. CONCLUSIONS: The csPCNL is a very safe and effective procedure.conferenceObject THE EFFECTS OF PHYSICAL THERAPY INTERVENTION ON PAIN AND URINARY SYMPTOMS IN WOMEN WITH BLADDER PAIN SYNDROME: A RANDOMIZED CONTROLLED TRIAL(2019) HACAD, C.; TANAKA, C.; LUCON, M.; MILHOMEM, S.; HISANO, M.; SROUGI, M.; BRUSCHINI, H.conferenceObject SINGLE PORT TRANSVESICAL PROSTATECTOMY FOR BPH TREATMENT OF LARGE PROSTATES(2013) HISANO, Marcelo; VICENTINI, Fabio Carvalho; AGRESTA, Tulio; NAPOLI, Marco Antonio di; KURIKI, Priscila; WATANABE, Carlos; MURTA, Claudio Bovolenta; CLARO, Joaquim Francisco de Almeida