Sample records for titanium 43
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Sample records 1 - 2 shown.



1

Controle dos vasos renais usando clips vasculares e fio cirúrgico em nefrectomias vídeo-assistidas de doadores vivos/ Control of renal vessels using titanium clips and cotton suture in hand-assisted laparoscopic live donor nephrectomy

Branco Filho, Alcides José; Branco, Anibal Wood; Kondo, William; Maciel, Rafael Fabio; Carvalho, Ronaldo Moreno de; Garcia, Mariana Jorge
2005-02-01

Resumo em português OBJETIVO: A nefrectomia laparoscópica em doadores vivos para transplante renal vem assumindo um papel importante na era das cirurgias minimamente invasivas, acarretando menor morbidade aos doadores, e resultados semelhantes à técnica aberta no que se refere ao enxerto renal. O objetivo do presente artigo é relatar a experiência do nosso serviço utilizando a técnica de controle dos vasos renais usando fio cirúrgico e clips vasculares. MÉTODO: Foram realizadas 45 n (mais) efrectomias utilizando a técnica vídeo-assistida, com ligadura dos vasos renais com clips de titânio (LT-300) e fio cirúrgico. As variáveis analisadas foram tempo cirúrgico, perda sangüínea, tempo de isquemia quente, permanência hospitalar, necessidade de conversão e complicações. RESULTADOS: O procedimento foi realizado com sucesso em todos os casos. O tempo cirúrgico médio foi de 118 minutos, com perda sangüínea estimada em 84ml e tempo de isquemia quente de 4,3 minutos. Dois casos de íleo prolongado, uma lesão de veia gonadal, um escape de artéria renal e uma necrose de ureter foram observados. A permanência hospitalar média foi de 3,7 dias. O uso de clips vasculares e fio cirúrgico reduziu a perda de tecido venoso comparado à técnica com staplers e gerou redução de custos. CONCLUSÕES: A nefrectomia vídeo-assistida com a técnica descrita é factível e mostrou ser efetiva na contenção de gastos e na redução de tecido venoso perdido. Resumo em inglês BACKGROUND: Laparoscopic live donor nephrectomy has acquired an important role in the minimally invasive surgery era, decreasing morbidity to kidney donors, with an equivalent renal graft outcome compared with open surgery. The aim of this article is report our experience using the technique of renal vessels control with metallic clips and cotton suture. METHODS: Fourty-five nephrectomies were performed following the hand-assisted technique and using titanium clips (LT-30 (mais) 0) and cotton suture for renal vessels ligatures. Operative data and postoperative courses were reviewed, including surgical time, estimated blood loss, warm ischemia time, length of hospital stay, conversion to laparotomy, and complications. RESULTS: The procedure was performed successfully in all cases, including 18 right nephrectomies and 27 left nephrectomies. The mean operative time in our series was 118 minutes, with an estimated blood loss of 84ml and warm ischemia time of 4.3 minutes. Two cases of postoperative ileus, one gonadal vein lesion, one metallic clip displacement and one ureteral necrosis were observed. The mean postoperative hospital stay was 3.7 days. The use of titanium clips and cotton suture reduced the loss of venous tissue compared to the technique using the Endo-GIA stapling device (4 to 6 mm vs. 10 to 15 mm) and showed to be associated with a cost reduction, saving about 700 US dollars per stapler. CONCLUSION: Hand-assisted nephrectomy using the above described technique is technically feasible and showed to be effective in reducing costs and decreasing the loss of vascular length.

Scientific Electronic Library Online (Portuguese)

2

Análise de pesticidas, aflatoxinas e análise de macro e microminerais de polpa cítrica peletizada comercial/ Pesticides, aflatoxins and macro and microminerals analyses of commercial citrus pulp pellets

Oliveira, N.J.F.; Melo, M.M.; Lago, L.A.
2004-10-01

Resumo em inglês Pesticides, aflatoxins, and nutritional analyses of commercial citrus pulp pellets in Brazil were performed in samples from São Paulo State. They were stored during 86 days and were processed for detection of toxic agents. Residual pesticides (organochlorinated, organophosphorus, pyrethoids, carbamates, chloroalquil tio fungicides, triazols, and the miscellaneous compound propargit) and aflatoxins (B1, B2, G1 and G2) were assayed at 0, 43 and 86 days of storage. It was n (mais) ot detected residual pesticide and aflatoxins in any sample. The analysis indicated reduced levels of phosphorous and high values of calcium. Assessment of micro minerals indicated the presence of aluminum, barium, titanium, cooper, manganese, thorium, vanadium, zinc, lanthanum, samarium, cobalt, antimony, arsenic, and scandium.

Scientific Electronic Library Online (Portuguese)