MARCELO CRISTIANO ROCHA
Índice h a partir de 2011
4
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
10 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 10
bookPart Hemorragia digestiva baixa(2019) ROCHA, Marcelo Cristiano; GHAFFAR, Sumaya Abdul; MENEGOZZO, Carlos Augusto MetidieribookPart Apendicite aguda(2019) ROCHA, Marcelo Cristiano; GHAFFAR, Sumaya Abdul- Pop in a scope: attempt to decrease the rate of unnecessary nontherapeutic laparotomies in hemodynamically stable patients with thoracoabdominal penetrating injuries(2020) MENEGOZZO, Carlos Augusto M.; DAMOUS, Sergio H. B.; ALVES, Pedro Henrique F.; ROCHA, Marcelo C.; SILVA, Francisco S. Collet e; BARAVIERA, Thiago; WANDERLEY, Mark; SAVERIO, Salomone Di; UTIYAMA, Edivaldo M.Background Management of patients with thoracoabdominal penetrating injuries is challenging. Thoracoabdominal penetrating trauma may harbor hollow viscus injuries in both thoracic and abdominal cavities and occult diaphragmatic lesions. While radiological tests show poor diagnostic performance in these situations, evaluation by laparoscopy is highly sensitive and specific. Furthermore, minimally invasive surgery may avoid unnecessary laparotomies, despite concerns regarding complication and missed injury rates. The objective of the present study is to evaluate the diagnostic and therapeutic performance of laparoscopy in stable patients with thoracoabdominal penetrating injuries. Methods Retrospective analysis of hemodynamically stable patients with thoracoabdominal penetrating wounds was managed by laparoscopy. We collected data regarding the profile of the patients, the presence of diaphragmatic injury, perioperative complications, and the conversion rate. Preoperative imaging tests were compared to laparoscopy in terms of diagnostic accuracy. Results Thirty-one patients were included, and 26 (84%) were victims of a stab wound. Mean age was 32 years. Ninety-three percent were male. Diaphragmatic lesions were present in 18 patients (58%), and 13 (42%) had associated injuries. There were no missed injuries and no conversions. Radiography and computerized tomography yielded an accuracy of 52% and 75%, respectively. Conclusion Laparoscopy is a safe diagnostic and therapeutic procedure in stable patients with thoracoabdominal penetrating wound, with low complication rate, and may avoid unnecessary laparotomies. The poor diagnostic performance of preoperative imaging exams supports routine laparoscopic evaluation of the diaphragm to exclude injuries in these patients.
- Performing Ultrasound-Guided Percutaneous Tracheostomy in COVID-19 Patients(2021) MENEGOZZO, Carlos Augusto Metidieri; ROCHA, Marcelo Cristiano; UTIYAMA, Edivaldo Massazo
bookPart Tratamento do abdome agudo na pandemia de Covid-19: o que aprendemos?(2022) ROCHA, Marcelo Cristiano; RAMOS, Vitor Marcondes- Can ultrasound be used as an adjunct for tube thoracostomy? A systematic review of potential application to reduce procedure-related complications(2019) MENEGOZZO, Carlos Augusto M.; ARTIFON, Everson L. A.; MEYER-PFLUG, Adriano Ribeiro; ROCHA, Marcelo C.; UTIYAMA, Edivaldo M.Background: chest tube insertions are commonly performed in various scenarios. Although frequent, these procedures result in a significant complication rate, especially in the acute care setting. Ultrasonography has been incorporated to interventional procedures aiming to reduce the incidence of complications. However, little is known about the applications of ultrasound in tube thoracostomies. The aim of this systematic review is to present the potential applications of ultrasonography as an adjunct to the procedure. Methods: we searched Medline/Pubmed, EMBASE and Scopus databases. Out of 3012 articles, we selected 19 for further analysis. Thirteen of those were excluded because they did not meet the inclusion criteria. Ultimately, 6 articles were thoroughly evaluated and included in the review. Results: The included articles show that ultrasound can be used to correctly identify a safe insertion site, to accurately find a vulnerable intercostal artery, and is reliable for timely diagnosis of drain malpositioning. Conclusion: this systematic review highlights the potential benefits of incorporating ultrasonography in tube thoracostomies. No randomized clinical trials are available. However, it is reasonable to assume that proper use of ultrasound may reduce procedure-related complications.
bookPart Abdome agudo perfurativo(2019) ROCHA, Marcelo Cristiano; GHAFFAR, Sumaya Abdul; MENEGOZZO, Carlos Augusto MetidiericonferenceObject How Can Laparoscopic Appendectomy Become the First-Line Treatment for Acute Appendicitis in Lower-Income Countries: A 15-Year Experience(2022) DAMOUS, Sergio H. B.; MENEGOZZO, Carlos Augusto M.; ROCHA, Marcelo C.; SILVA, Francisco D. S. Collet E; UTIYAMA, Edivaldo M.bookPart Obstrução intestinal(2019) ROCHA, Marcelo Cristiano; GHAFFAR, Sumaya Abdul; MENEGOZZO, Carlos Augusto MetidieribookPart Hemorragia digestiva alta(2019) ROCHA, Marcelo Cristiano; GHAFFAR, Sumaya Abdul; MENEGOZZO, Carlos Augusto Metidieri