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
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- Letter to the Editor(2021) TEDDE, Miguel L.
bookPart Hiperidrose e simpatectomia para o tratamento da hiperidrose primária(2021) CAMPOS, José Ribas Milanez de; TEDDE, Miguel LiabookPart Deformidades congênitas da parede torácica(2021) CAMPOS, José Ribas Milanez de; TEDDE, Miguel Lia- Quality of life outcomes after minimally invasive repair of pectus excavatum utilizing a new set of metallic bars and stabilizers(2021) CARVALHO, Rafael Lucas Costa de; TEDDE, Miguel Lia; CAMPOS, Jose Ribas Milanese de; HAMILTON, Niura Noro; GUILHERME, Gustavo Falavigna; SOUSA, Vanessa Moreira; SALOMAO JUNIOR, Vitor Floriano; SAVAZZI, Flavio Henrique; PEGO-FERNANDES, Paulo ManuelBackground/Purpose: The aim of the study was to evaluate the postoperative quality of life (QoL) of patients who underwent minimally invasive repair of pectus excavatum (MIRPE) with a newly designed bar and bar stabilizers. Methods: We conducted a prospective randomized study in which patients were operated either with standard perpendicular stabilizers (control group) or with the newly designed oblique stabilizers (intervention group). All patients were evaluated 6 months after the operation with the Pectus Excavatum Evaluation Questionnaire (PEEQ). Results: There were 16 patients in the control group and 14 in the intervention group. Mean age was 17 (SD: 3.3, range 14-27) years. There were no demographic differences between groups. Two patients in the control group and one in the intervention group were repaired with two bars instead of one. There was one reoperation in each group. There was a significant difference between the pre- and postoperative scores, in both groups, in the patient body image domain (control group: 9.5 to 3; p < 0.01: intervention group 10 to 3: p < 0.01), as well as in the psychosocial domain (control group: 13.5 to 24, p < 0.01: intervention group: 15 to 24, p < 0.01). With regards to the patients' perception of physical difficulties before and after MIRPE, the difference between pre- and postoperative scores was greater in the intervention group (8 to 12, p < 0.01) than in the control group (10 to 11, p = 0.04). The mean length of stay was 45 and 5 days in the intervention group and the control group, respectively. Conclusion: Our study showed that patients who underwent MIRPE with the newly designed barsand stabilizers had non-inferior outcomes than patients reported in the literature who underwent MIRPE with standard bars and stabilizers. We found slightly better outcomes in patients in the intervention group compared to the control group, but larger studies will be needed to confirm if those differences are statistically significant.
- Evaluation of compensatory hyperhidrosis after sympathectomy: The use of an objective method(2021) YAZBEK, Guilherme; ISHY, Augusto; SILVA, Marcelo Fiorelli Alexandrino da; LOUZADA, Andressa Cristina Sposato; CAMPOS, Jose Ribas Milanez de; KAUFFMAN, Paulo; TEDDE, Miguel Lia; PUECH-LEAO, Pedro; PEGO-FERNANDES, Paulo Manuel; WOLOSKER, NelsonObjective: To investigate the prevalence of compensatory hyperhidrosis following videothoracic sympathectomy to treat palmoplantar hyperhidrosis and its effect on sweating in the chest, abdomen, back and thighs. Furthermore, to evaluate the concordance between a subjective and an objective method of assessment for compensatory hyperhidrosis. Methods: Forty patients with combined palmar and plantar hyperhidrosis who underwent video-assisted thoracoscopic sympathectomy (15 women and 25 men, with a mean age of 25 years) were prospectively followed for 1 year. Subjective and objective parameters were evaluated, using respectively a questionnaire and a sudorometer (Vapometer). Results: In the subjective analysis, in the first month, only 10% of patients did not have compensatory hyperhidrosis, and 70% continued to report it at 1 or more sites after 1 year. In the objective analysis, 35% of the patients did not present compensatory hyperhidrosis after 1 month, and this number persisted stable, with 30% of patients remaining free of compensatory hyperhidrosis after 1 year. The most frequent area affected by compensatory hyperhidrosis was the back in both assessments. There was no positive concordance between the results of the objective and subjective analysis at any time in any of the 4 regions studied. Conclusions: Compensatory hyperhidrosis is a very common postoperative side effect after videothoracic sympathectomy, occurring early after the procedure and persisting for prolonged periods of time. The most frequently affected body area is the back, and no concordance between objective and subjective assessments was observed.