MIGUEL LIA TEDDE
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
29 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 29
- A new technique for T-tube insertion in patients with subglottic stenosis(2011) TEDDE, Miguel Lia; RODRIGUES, Ascedio; SCORDAMAGLIO, Paulo Rogerio; MONTEIRO, Jackellyne SantosA silicone T tube is widely used for the management of airway problems. Montgomery described the way in which it is usually inserted, but this conventional insertion technique can fail in cases of subglottic stenosis due to the softness of the T tube, which kinks when forced against resistance. An adjunct to the traditional technique of Montgomery may help to insert a T tube in such patients.
bookPart Pectus carinatum: tratamento cirúrgico e/ou tratamento não invasivo?(2023) TEDDE, Miguel Lia; CAMPOS, José Ribas Milanez; SAVAZZI, Flavio Henrique; SOUSA, Vanessa Moreira- To cross or not to cross pectus bars: is this already a dilemma?(2022) TEDDE, Miguel Lia
- Bronchoscopic closure of tracheoesophageal fistulas(2011) RODRIGUES, Ascedio Jose; SCORDAMAGLIO, Paulo Rogerio; TEDDE, Miguel Lia; MINAMOTO, Helio; MOURA, Eduardo Guimaraes Hourneaux de; PEDRA, Carlos A. C.
- Back to the future: a case series of minimally invasive repair of pectus excavatum with regular instruments(2019) TEDDE, Miguel Lia; TOGORO, Silvia Yukari; EISINGER, Robert Stephen; OKUMURA, Erica Mie; FERNANDES, Angelo; PEGO-FERNANDES, Paulo Manuel; CAMPOS, Jose Ribas Milanez deObjective: Minimally invasive repair of pectus excavatum (MIRPE) is a surgical treatment for PE. During the procedure, a specialized introducer is used to tunnel across the mediastinum for thoracoscopic insertion of a metal bar. There have been reported cases of cardiac perforation during this risky step. The large introducer can be a dangerous lever in unskilled hands. We set out to determine the safety and feasibility of using regular instruments (i.e., not relying on special devices or tools) to create the retrosternal tunnel during MIRPE. Methods: This was a preliminary study of MIRPE with regular instruments (MIRPERI), involving 28 patients with PE. We recorded basic patient demographics, chest measurements, and surgical details, as well as intraoperative and postoperative complications. Results: Patients undergoing MIRPERI had Haller index values ranging from 2.58 to 5.56. No intraoperative complications occurred. Postoperative complications included nausea/vomiting in 8 patients, pruritus in 2, and dizziness in 2, as well as atelectasis, pneumothorax with thoracic drainage, pleural effusion, and dyspnea in 1 patient each. Conclusions: In this preliminary study, the rate of complications associated with MIRPERI was comparable to that reported in the literature for MIRPE. The MIRPERI approach has the potential to improve the safety of PE repair, particularly for surgeons that do not have access to certain special instruments or have not been trained in their use.
bookPart Fixação dos arcos costais e do esterno no trauma torácico(2023) CAMPOS, José Ribas Milanez; MARIANI, Alessandro Wasum; TEDDE, Miguel Lia; LAURICELLA, Leticia LeonebookPart Simpatectomia torácica unilateral ou bilateral simultânea(2023) CAMPOS, José Ribas Milanez; TEDDE, Miguel Lia; HAMILTON, Niura Noro; WOLOSKER, Nelson; KAUFFMAN, PaulobookPart Hiperidrose e simpatectomia para o tratamento da hiperidrose primária(2021) CAMPOS, José Ribas Milanez de; TEDDE, Miguel Lia- The Vacuum Bell device as a sternal lifter: An immediate effect even with a short time use(2018) TOGORO, Silvia Yukari; TEDDE, Miguel Lia; EISINGER, Robert S.; OKUMURA, Erica Mie; CAMPOS, Jose Ribas Milanez de; PEGO-FERNANDES, Paulo ManuelBackground: To minimize cardiac perforation during the minimally invasive repair of pectus excavatum(MIRPE), several surgeons have suggested using a suction device to intraoperatively lift the sternum. Whether or not this technique is effective for all PE patients is not yet known. As such, our aim was to quantify the extent to which a suction device is capable of lifting the sternum with a short duration of use. Methods: 30 PE patients received a low-dose CT scan as part of standard PE evaluation. A Vacuum Bell suction was then applied for only two minutes, and a repeat CT scan was obtained only at the deepest point of the chest wall deformity. We compared chest dimensions before and after Vacuum Bell suction. Results: The Vacuum Bell lifted the sternum in all 29 patients included in the analysis. The absolute change in depth ranged from 0.29 to 23.67 mm (M = 11.02, SD = 6.05). The average improvement in Haller index was 0.76. The suction was most effective for individuals with low BMI and smaller chest depths. Efficacy was not associated with gender, age, or chest morphology. Conclusions: The Vacuum Bell device effectively lifted the sternumin PE patients with different demographics and chest morphologies. Future research is needed to address whether or not the device reduces risk of cardiac perforation during MIRPE.
bookPart Implante de marca-passo diafragmático(2023) TEDDE, Miguel Lia; THOMAZ, Ana Maria; SOUSA, Vanessa Moreira
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