Publications by authors named "Bernardo Fontel Pompeu"
Purpose: Locally advanced colorectal tumors frequently invade adjacent organs, particularly the urinary bladder in the sigmoid colon and upper rectum, complicating multivisceral resections. This study compared postoperative outcomes of partial cystectomy (PC) and total cystectomy (TC) in patients with locally advanced colorectal cancer.
Methods: A systematic review was conducted in PubMed, Scopus, Central Register of Clinical Trials, and Web of Science for studies published up to November 2024.
Minimally invasive surgery is the preferred method for treating colorectal disease. Laparoscopic suturing is complex, and barbed sutures (BS) can improve the process by eliminating the need for surgical knots and constant traction on the suture line. This study compares intraoperative and postoperative outcomes in patients undergoing laparoscopic-assisted colorectal surgery (LCS) with anastomosis using BS and conventional sutures (CS).
View Article and Find Full Text PDFBackground: The decision to perform segmental or extended colectomy in Lynch syndrome (LS) patients with colorectal cancer (CRC) is still controversial. Therefore, this systematic review and meta-analysis aims to provide updated evidence for segmental versus extended colectomy in LS carriers with CRC.
Methods: PubMed, Embase, and Cochrane Library were systematically searched for studies published until January 2024 comparing segmental and extended colectomies for CRC in patients with LS.
Article Synopsis
- Accidental ureteric injury during colorectal surgery can lead to serious complications like urinary tract infections and kidney damage, but using double J stents may help avoid these injuries.
- A review of 11 studies with over 71,000 patients showed no significant reduction in ureteral injuries with stent use, though it was linked to longer surgery times and a higher risk of acute kidney injury.
- Overall, while prophylactic ureteral stents increased operative time and kidney issues, they did not significantly impact ureteral injuries, urinary infections, or other complications during colorectal surgery.
Background: The Lichtenstein technique is the gold standard for adult open inguinal hernia repair with mesh. The Desarda technique emerged in 2001 as a novel, promising non-mesh technique that has demonstrated low recurrence and postoperative complications.
Methods: We searched MEDLINE, the Cochrane Central Register of Clinical Trials, and Embase for randomized controlled trials (RCT) published until April 2024.
Article Synopsis
- The Lichtenstein technique is the standard method for repairing adult open inguinal hernias but has a risk of chronic groin pain, leading to a growing interest in the Shouldice method, which shows comparable outcomes but higher recurrence rates in certain cases.
- A meta-analysis of 14 randomized controlled trials involving 2,784 patients revealed that Shouldice resulted in a higher recurrence rate (4.2%) compared to Lichtenstein (0.9%), with a statistical significance (p < 0.001).
- Despite this higher recurrence rate, the overall low recurrence with Shouldice suggests it could still be a suitable option for specific patients.
Introduction: There is uncertainty regarding the method of mesh fixation and peritoneal closure during transabdominal preperitoneal (TAPP) repair for inguinal hernias, with no definitive guidelines to guide surgeon choice.
Methods: MEDLINE, Cochrane, Central Register of Clinical Trials, and Web of Science were searched for RCTs published until November 2023. Risk ratios (RRs) and mean differences (MD) with 95% confidence intervals (CIs) were pooled with a random-effects model.
Turnbull-Cutait pull-through coloanal anastomosis versus standard coloanal anastomosis plus diverting ileostomy for low anterior resection: a meta-analysis and systematic review.
Langenbecks Arch Surg
June 2024
Purpose: Coloanal anastomosis with loop diverting ileostomy (CAA) is an option for low anterior resection of the rectum, and Turnbull-Cutait coloanal anastomosis (TCA) regained popularity in the effort to offer patients a reconstructive option. In this context, we aimed to compare both techniques.
Methods: PubMed, Cochrane, and Scopus were searched for studies published until January 2024.
Laparoscopic cholecystectomy (LC) is the established gold standard treatment for benign gallbladder diseases. However, robotic cholecystectomy is still controversial. Therefore, we aimed to compare intraoperative and postoperative outcomes in LC and robotic-assisted cholecystectomy (RAC) in patients with nonmalignant gallbladder conditions.
View Article and Find Full Text PDFThe histological rarity of thyroid cancer.
Braz J Otorhinolaryngol
December 2012
Unlabelled: Thyroid cancer is the most common endocrine cancer, accounting for about 1% of all cancers. Sarcomas, lymphomas and metastases to the thyroid gland are rare and only with a handful of descriptions in the literature.
Objective: To describe rare histological types of thyroid cancer found in a reference center.