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
7 resultados
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- 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.
- 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.
- Minimally Invasive Closure of Bronchopleural Fistulas(2011) TEDDE, Miguel L.; SCORDAMAGLIO, Paulo R.; RODRIGUES, Ascedio; MINAMOTO, Helio; ALFINITO, Fernanda S.
article 2 Citação(ões) na Scopus Broncoscopic Closure of Tracheoesophageal Fistulas(2011) TEDDE, Miguel L.; MINAMOTO, Helio; SCORDAMAGLIO, Paulo R.; RODRIGUES, Ascedio; MOURA, Eduardo G. H.; PEDRA, Carlos A. C.- Objective evaluation of patients with palmar hyperhidrosis submitted to two levels of sympathectomy: T3 and T4(2011) ISHY, Augusto; CAMPOS, Jose Ribas Milanez de; WOLOSKER, Nelson; KAUFFMAN, Paulo; TEDDE, Miguel Lia; CHIAVONI, Camila Ribeiro; JATENE, Fabio BiscegliThis study compares the results obtained of video-assisted sympathectomy performed on two distinct ganglion levels (third vs. fourth thoracic ganglion) in the treatment of palmar hyperhidrosis (PH), through a blind randomized clinical trial. All participants were randomized into two groups of 20 patients (G3 and G4) and underwent the operation, and were followed for 12 months. We used an objective method for measuring sweat, checking the transepidermal water loss (TEWL), and evaluated the quality-of-life (QoL) before and after the operation. All patients (n=40) ceased suffering from PH after surgery, with statistical difference when we compared the values of TEWL palmar preoperatively with their respective values at one week, one month, six months and 12 months. The main side effect observed was compensatory hyperhidrosis (CH), which was most frequent in G3 after 12 months of follow-up. There was an improvement in QoL since the first evaluation of the postoperative period with no difference between groups. Both techniques were effective in the treatment of PH, generating objective reduction of TEWL regardless of the ganglion operated. Sympathectomy G3 had a higher incidence of CH, yet the improvement in QoL was similar in both groups.
- The search for stability: bar displacement in three series of pectus excavatum patients treated with the Nuss technique(2011) TEDDE, Miguel Lia; CAMPOS, Jose Ribas Milanez de; DAS-NEVES-PEREIRA, Joao-Carlos; ABRAO, Fernando Conrado; JATENE, Fabio BiscegliOBJECTIVES: To compare bar displacement and complication rates in three retrospective series of patients operated on by the same surgical team. METHOD: A retrospective medical chart analysis of the three patient series was performed. In the first series, the original, unmodified Nuss technique was performed. In the second, we used the ""third point fixation"" technique, and in the last series, the correction was performed with modifications to the stabilizer and stabilizer position. RESULTS: There were no deaths in any of the series. Minor complications occurred in six (4.9%) patients: pneumothorax with spontaneous resolution (2), suture site infection (2), and bar displacement without the reoperation need (2). Major complications were observed in eight (6.5%) patients: pleural effusion requiring drainage (1), foreign body reaction to the bar (1), pneumonia and shock septic (1), cardiac perforation (1), skin erosion/seroma (1), and displacement that necessitated a second operation to remove the bar within the 30 days of implantation (3). All major complications occurred in the first and second series. CONCLUSION: The elimination of fixation wires, the use of shorter bars and redesigned stabilizers placed in a more medial position results in a better outcome for pectus excavatum patients treated with the Nuss technique. With bar displacement and instability no longer significant postoperative risks, the Nuss technique should be considered among the available options for the surgical correction of pectus excavatum in pediatric patients.
article 4 Citação(ões) na Scopus The True False-Negative Rates of EBUS and EUS(2011) TEDDE, Miguel L.; ARAUJO, Pedro Henrique X. Nabuco de; JATENE, Fabio Biscegli