http://repositorio.ufc.br/handle/riufc/417 2026-04-30T15:31:58Z 2026-04-30T15:31:58Z Vilarinho, Adjra da Silva http://repositorio.ufc.br/handle/riufc/86061 2026-04-29T16:52:59Z 2026-01-01T00:00:00Z

Título: Prevalência das disfunções do assoalho pélvico utilizando ultrassom 3D dinâmico em mulheres com sintomas de evacuação obstruída e sua relação com idade, paridade e parto vaginal Autor(es): Vilarinho, Adjra da Silva Abstract: Considerable controversy remains regarding the prevalence of pelvic floor disorders and their associated risk factors, largely due to biases related to the study populations and methodologies used. Few studies have employed dynamic three-dimensional imaging to identify pelvic floor dysfunctions and correlate them with factors such as mode of delivery, parity, or patient age. Therefore, this study aimed to determine the prevalence of pelvic floor disorders in female patients with obstructed defecation and to assess their association with age, mode of delivery, and parity using dynamic three-dimensional anorectal ultrasound (3D-US). This cohort study was conducted in the colorectal surgery unit of a tertiary hospital. Female patients presenting with symptoms of obstructed defecation who, despite increased dietary fiber intake, maintained a Cleveland Clinic Florida Constipation Score greater than 6 underwent echodefecography (EDF) to evaluate the presence of posterior pelvic floor dysfunction. The findings were then correlated with history of vaginal delivery, parity, and age. A total of 889 women were included: 552 (62%) had a history of vaginal delivery, and 337 (38%) were nulliparous. The mean age was significantly higher among women with a history of vaginal delivery. Previous anorectal surgeries were more frequent among nulliparous women (p = 0.043). The prevalence of posterior pelvic floor disorders—including rectocele, intussusception, enterocele/sigmoidocele, and anismus—was similar between the two groups and was not associated with the number of vaginal deliveries or with age. However, the prevalence of sphincter defects was higher in the vaginal delivery group and was positively associated with parity. In conclusion, the prevalence of obstructed defecation disorders such as rectocele, intussusception, and enterocele/sigmoidocele, as assessed by EDF, was not associated with vaginal delivery, number of deliveries, or age. Nevertheless, symptoms of fecal incontinence and obstructed evacuation were more prevalent among older women, regardless of prior vaginal deliveries. No association was found between age and the prevalence of sphincter defects in nulliparous women. Tipo: Tese

2026-01-01T00:00:00Z Martins, Tarso Buaiz Pereira http://repositorio.ufc.br/handle/riufc/86013 2026-04-24T18:09:04Z 2026-01-01T00:00:00Z

Título: Resultados clínico-cirúrgicos e sobrevida de pacientes submetidos a gastroduodenopancreatectomias em um hospital universitário Autor(es): Martins, Tarso Buaiz Pereira Abstract: Pancreaticoduodenectomy (PD), a highly complex procedure, is the main treatment for resectable tumors of the pancreatic head and periampullary region. Advances in surgical and anesthetic techniques, together with perioperative intensive care, have reduced patient mortality over the past decades, although morbidity remains high. The main objectives of this study were to analyze the clinical and epidemiological characteristics, as well as the survival, of patients undergoing PD. This was a longitudinal, observational, and analytical study, with retrospective data collection from the medical records of 110 patients operated on between 2015 and 2023 at Hospital Universitário Walter Cantídio (HUWC/UFC). Logistic regression analysis identified the following as significant risk factors for death: male sex, dyslipidemia, smoking, histological diagnosis of pancreatic adenocarcinoma or cholangiocarcinoma, and the presence of positive lymph nodes. Perioperative mortality (30 days) was 3.63%, and estimated overall survival was 75.5% at 6 months, 68% at 12 months, 64% at 3 years and 58% at 5 years, with a median overall survival of 48.53 months. Regarding postoperative complications, a high morbidity rate was observed, affecting 83.6% of patients. The main complications identified were infections (60.9%), pancreatic fistula (41.8%), delayed gastric emptying (25.4%), and bleeding (22.7%). Less frequent complications included pulmonary complications (6.3%) and biliary fistula (4.5%). The results of this case series, with in-hospital mortality below 5%, were similar to those reported by major international centers. HUWC is a center for teaching, research, and patient care, and these data are essential to support protocols and contribute to optimizing survival and reducing morbidity in these major surgical procedures. Tipo: Dissertação

2026-01-01T00:00:00Z Juaçaba, Ricardo Carvalho http://repositorio.ufc.br/handle/riufc/85968 2026-04-23T17:28:56Z 2001-01-01T00:00:00Z

Título: Mastectomia radical modificada com drenagem por sucção contínua versus sem drenagem Autor(es): Juaçaba, Ricardo Carvalho Abstract: This research was conducted in order to analyze the results of seroma formation after modified radical mastectomy using suction drain versus no suction drain with a wound closure tecnique. This prospective study included seventy-two (72) patients who had operable breast cancer. All patients underwent modified radical mastectomy (Madden surgery) followed by wound closure using inabsorvent stitch between the skin and the chest wall musculature. The axila was also closed and the suction drains were placed beneath the skin and in the axila. The drains were removed 24 hours after surgery. Of the seventy-two (72) patients in the study, thirty-seven underwent the surgery and had drains placed. Thirty-five patients had no drains place following surgery. Evaluations factors included: age, weigth, clinical stage, number of axillary lymph nodes removed and positive lymph nodes. Complications (thus are of study) in both groups of patients included: seroma, infected seroma, skin necroses, hematoma and wound infection. The results of these seventy-two patients showed no significant statistical difference between the two groups in relation to: age (p=0.59), weight (p=0.25), height (p=0.83), clinical stage (p=0.44), lymph nodes removed (p=0.63) and positive lymph nodes (p=0.94). Surgical complications occurred in 10 patients (27%) in the first group (with drains) and in 12 patients (34,3%) in group two (without drains). Seroma formation was present in 8 patients in group 1 (21,6%) and in 10 patients in group 2 (28,6%). No significant statistical difference was noted between the two groups in relationship to the total number of complications (p=0.50) and seroma (p=0.49). The author concluded that modified radical mastectomy (associated with wound closure) and without drains can be safely performed without increasing surgical complications Tipo: Dissertação

2001-01-01T00:00:00Z Carneiro, Paulo Cesar Alves http://repositorio.ufc.br/handle/riufc/85546 2026-03-30T13:58:07Z 1990-01-01T00:00:00Z

Título: Tumores malignos primários da vesícula biliar: estudo de 40 casos Autor(es): Carneiro, Paulo Cesar Alves Abstract: The author analyses 40 patients bearing primary malignant tumor of the gall'bladder, in the Surgery Department (."Serviço de Cirurgia Geral - Hospital Universitário Clementi- no Fraga Filho"! of the "Universidade Federal do Rio de Janei- ro" Medicai School, from March 15"", 1978, to December 31"", 1989, consisting of 1,9% of the number of surgical interven- tions on the extrahepatic biliary ducts. The ages ranged from 34 to 88 years old, with an average of 59,5 years old. They were more frequent in females (.39 cases - 97,5%1, white (.31 cases - 77,5%). and married (_50,0%)_. The gall'bladder cancer is a rare affection having an unfavorable biological behavior, clinical course and therapeutic possibilities. The most frequently found histological pattern was adenocarcinoma (37 cases - 92,5%). Advanced lesions Cstage VI were predominant (32 cases - 80,0%). The most frequent signs and symptoms were abdominal pain (35 cases - 87,5%í, weight loss (.31 cases - 77,5%) and jaundice (.21 cases - 52,2%1. Symptoms lasted from ten days to 30 years. Preoperative diagnosis of gall'bladder cancer was done in only four cases (.10,0%), who were not sub- jected to surgical treatment. The abdominal ultrasonography was carried out in 22 cases C55,0%)_, with a suspicion or diagnosis of gall'bladder cancer in ten cases (45,5%). The abdominal computerized tomography was of real value and, in two cases, it counterindicated surgical treatment, due to the disease advanced stage. The predominant accompanying affec- tion in our study was cholelithiasis (28 cases - 70,Q%1. The used surgical procedures were many and varied, according to xi the disease progress. Iinmediate po&t-operatiye complications occurred in 44,4% of the patients and late ones in 23,3%. The patient survival ranged from six days to three years, seven months and 22 days, the average survival being significantly low C5,5 months), and the five year survival null. The one year global survival, according to KAPLAN & METER method, was 15,0%. Tipo: Tese

1990-01-01T00:00:00Z