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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | TORMENA, Renata Assef | - |
dc.contributor.author | RIBEIRO, Sergio Conti | - |
dc.contributor.author | SOARES JUNIOR, Jose Maria | - |
dc.contributor.author | MACIEL, Gustavo Arantes Rosa | - |
dc.contributor.author | BARACAT, Edmund Chada | - |
dc.date.accessioned | 2017-10-24T13:20:29Z | - |
dc.date.available | 2017-10-24T13:20:29Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | ACTA CIRURGICA BRASILEIRA, v.32, n.7, p.576-586, 2017 | - |
dc.identifier.issn | 0102-8650 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/21957 | - |
dc.description.abstract | Purpose: To evaluate the inflammatory responses induced by laparoscopic hysterectomies with multiport and singleport approaches. Methods: This was a pilot prospective randomized study that included 42 women candidates for hysterectomy at School of Medicine, Hospital das Clinicas, USP. The patients were randomized to two groups: MP-TLH (total laparoscopic hysterectomy with 3 abdominal incisions), and SP-TLH (total laparoscopic hysterectomy with a single umbilical incision). We evaluated the inflammatory response (via CRP, IL-6, IL-10, TNF alpha, VEGF and leukogram assessments), surgical time, postoperative pain, blood loss and surgical complications in both groups. Results: Both techniques were similar regarding C-reactive protein (p=.666), IL-6 (p=.833), IL-10 (p=.420), TNF-alpha(p=.098), VEGF (p=.092) and the leukogram (p=.712) measures. The operative time was significantly longer in the SP-TLH group than in the MP-TLH group (p=.001). The pain evaluation was similar in both groups (p=.170). Hemoglobin variation and the aspirated blood volume were similar in both groups (p=.493 and p=.347). There were no major complications. Conclusions: Multiport and singleport laparoscopic approaches are both safe methods for hysterectomy. Although SP-TLH resulted in a significantly longer operative time than MP-TLH, no differences were observed between the groups in inflammatory responses, blood loss and postoperative pain. | - |
dc.language.iso | eng | - |
dc.publisher | ACTA CIRURGICA BRASILEIRA | - |
dc.relation.ispartof | Acta Cirurgica Brasileira | - |
dc.rights | openAccess | - |
dc.subject | Hysterectomy | - |
dc.subject | Laparoscopy | - |
dc.subject | Singleport | - |
dc.subject.other | assisted vaginal hysterectomy | - |
dc.subject.other | abdominal hysterectomy | - |
dc.subject.other | port-access | - |
dc.subject.other | trauma | - |
dc.subject.other | interleukin-6 | - |
dc.subject.other | infection | - |
dc.subject.other | incision | - |
dc.subject.other | trial | - |
dc.title | A prospective randomized study of the inflammatory responses to multiport and singleport laparoscopic hysterectomies | - |
dc.type | article | - |
dc.rights.holder | Copyright ACTA CIRURGICA BRASILEIRA | - |
dc.identifier.doi | 10.1590/s0102-865020170070000009 | - |
dc.identifier.pmid | 28793042 | - |
dc.subject.wos | Surgery | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.description.beginpage | 576 | - |
hcfmusp.description.endpage | 586 | - |
hcfmusp.description.issue | 7 | - |
hcfmusp.description.volume | 32 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | 2-s2.0-85027015365 | - |
hcfmusp.origem.id | WOS:000407368300009 | - |
hcfmusp.origem.id | SCIELO:S0102-86502017000700576 | - |
hcfmusp.publisher.city | SAO PAULO | - |
hcfmusp.publisher.country | BRAZIL | - |
hcfmusp.relation.reference | Caetano EM, 2015, ACTA CIR BRAS, V30, P691, DOI [10.1590/S0102-86502015010000000, 10.1590/S0102-865020150100000007] | - |
hcfmusp.relation.reference | Chen YJ, 2011, OBSTET GYNECOL, V117, P906, DOI 10.1097/AOG.0b013e31820c666a | - |
hcfmusp.relation.reference | Dabrowska AM, 2014, CENT EUR J IMMUNOL, V39, P532, DOI 10.5114/ceji.2014.47741 | - |
hcfmusp.relation.reference | DeLoach LJ, 1998, ANESTH ANALG, V86, P102, DOI 10.1097/00000539-199801000-00020 | - |
hcfmusp.relation.reference | Einarsson JI, 2010, J MINIM INVAS GYN, V17, P167, DOI 10.1016/j.jmig.2009.12.017 | - |
hcfmusp.relation.reference | Ellstrom M, 1996, J AM COLL SURGEONS, V182, P423 | - |
hcfmusp.relation.reference | Escobar PF, 2010, FERTIL STERIL, V94, P2497, DOI 10.1016/j.fertnstert.2010.08.018 | - |
hcfmusp.relation.reference | Greco F, 2012, EUR UROL, V61, P1048, DOI 10.1016/j.eururo.2012.01.043 | - |
hcfmusp.relation.reference | Hao W, 2012, PEDIATR SURG INT, V28, P281, DOI 10.1007/s00383-011-3011-4 | - |
hcfmusp.relation.reference | Hoover L, 2006, J TRAUMA, V61, P310, DOI 10.1097/01.ta.0000229052.75460.c2 | - |
hcfmusp.relation.reference | Jackson T, 2010, REV OBSTET GYNECOL, V3, P133 | - |
hcfmusp.relation.reference | Jung YW, 2011, SURG ENDOSC, V25, P2462, DOI 10.1007/s00464-010-1567-z | - |
hcfmusp.relation.reference | KADAR N, 1993, AM J OBSTET GYNECOL, V168, P1493 | - |
hcfmusp.relation.reference | Kim TJ, 2010, SURG ENDOSC, V24, P2248, DOI 10.1007/s00464-010-0944-y | - |
hcfmusp.relation.reference | 김태관, 2010, Korean Journal of Anesthesiology, V59, P265 | - |
hcfmusp.relation.reference | Labib M, 1997, ANN CLIN BIOCHEM, V34, P543 | - |
hcfmusp.relation.reference | Lee JH, 2011, EUR J OBSTET GYN R B, V158, P294, DOI 10.1016/j.ejogrb.2011.05.002 | - |
hcfmusp.relation.reference | Li M, 2012, J INT MED RES, V40, P701 | - |
hcfmusp.relation.reference | Olive DL, 2000, J AM ASSOC GYN LAP, V7, P9, DOI 10.1016/S1074-3804(00)80004-3 | - |
hcfmusp.relation.reference | Puntambekar S, 2012, INT J GYNECOL OBSTET, V117, P37, DOI 10.1016/j.ijgo.2011.11.021 | - |
hcfmusp.relation.reference | Ribeiro SC, 2003, INT J GYNECOL OBSTET, V83, P37, DOI 10.1016/S0020-7292(03)00271-6 | - |
hcfmusp.relation.reference | Shiroma ME, 2016, J OVARIAN RES, V9, DOI 10.1186/s13048-016-0245-8 | - |
hcfmusp.relation.reference | Tormena RA, 2015, REV ASSOC MED BRAS, V61, P446, DOI 10.1590/1806-9282.61.05.446 | - |
hcfmusp.relation.reference | Wang T, 2012, EUR J OBSTET GYN R B, V161, P215, DOI 10.1016/j.ejogrb.2011.12.028 | - |
hcfmusp.relation.reference | Watt DG, 2015, SURGERY, V157, P362, DOI 10.1016/j.surg.2014.09.009 | - |
hcfmusp.relation.reference | Werner S, 2003, PHYSIOL REV, V83, P835, DOI 10.1152/physrev.00031.2002 | - |
hcfmusp.relation.reference | Yim GW, 2010, AM J OBSTET GYNECOL, V203, DOI 10.1016/j.ajog.2010.02.026 | - |
dc.description.index | MEDLINE | - |
dc.identifier.eissn | 1678-2674 | - |
hcfmusp.citation.scopus | 5 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOG Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/58 |
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