Publications by authors named "Rodrigo Altenfelder Silva"

Objective: to describe and measure the Bicrista Iliaca Pubo Angle (APBCI) as a new anthropometric parameter. Correlate the measurement with patients with giant incisional hernia (HIG), in the midline of the anterior abdominal wall (AAW).

Methods: measurement of APBCI, through 3D reconstruction from computed tomography (CT).

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Background: The delay in gastric emptying is the second most frequent complication after duodenopancreatectomy with pyloric preservation, that increases hospitalization time and hospital costs.

Aim: To identify factors that contribute to the appearance the delay in this surgical procedure.

Method: Ninety-five patients were submitted to duodenopancreatectomy with pyloric preservation.

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Background: The cholecistojejunal bypass is an important resource to treat obstructive jaundice due to advanced pancreatic cancer.

Aim: To assess the early morbidity and mortality of patients with pancreatic cancer who underwent cholecystojejunal derivation, and to assess the success of this procedure in relieving jaundice.

Method: This retrospective study examined the medical records of patients who underwent surgery.

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Background: Pancreatic adenocarcinoma remains one of the worst digestive cancers. Surgical resection is the main target when treating a patient with curative intent.

Aim: To assess angiolymphatic invasion as a prognostic factor in resected pN0 pancreatic cancer.

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Article Synopsis
  • The study evaluates a training program for 46 surgeons in São Paulo on Lichtenstein inguinal herniorrhaphy, focusing on teaching methods and outcomes across two years (2014-2015).
  • The training involved active teaching strategies and a validated Qualification Form to enhance surgeons’ skills, confidence, and performance, showing significant improvements in various aspects of the surgical procedure.
  • Results indicate the program's effectiveness, with a high nerve identification rate among trained surgeons and a consensus on the training’s value in serving underserved communities, emphasizing the social responsibility of medical education.
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Objective: : to evaluate the epidemiology and outcomes of surgical treatment of patients with Mirizzi Syndrome (MS) grades III and IV, the most advanced according to Csendes classification.

Methods: : we conducted a retrospective, cross-sectional study by reviewing records of thirteen patients with grades III and IV MS operated from December 2001 to September 2013, among the 3,691 cholecystectomies performed in the period.

Results: : the incidence of MS was 0.

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Introduction. Chronic pancreatitis (CP) is considered an inflammatory disease that may cause varying degrees of pancreatic dysfunction. Conservative and surgical treatment options are available depending on dysfunction severity.

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Purpose: To present an option technique during the accomplishment of a "Roux-en-Y" hepaticojejunostomy that, allows future transgastric endoscopic access to the biloenteric anastomosis.

Methods: The side-to-side "Roux-en-Y" hepaticojejunostomy is carried through transmesocolic, retrogastric short tunnel. A distal jejunal loop of approximately 10,0 to 15,0 cm must be kept far from the anastomosis that allows its setting, without tension, in the anterior gastric wall bellow the small bending, between body and of the stomach antrum.

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Objective: To evaluate the relationship between the occurrence of pancreatic fistula after pancreatojejunal anastomosis in patients undergoing pancreaticoduodenectomy for periampullary malignancy and the histological fibrosis and inflammation found in pancreatic tissue and the caliber of the main pancreatic duct.

Methods: We conducted a retrospective study with patients that were treated with surgical resection. The rate of pancreatic fistulae was recorded.

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Paragangliomas is a pheochromocytoma of extra adrenal localization. The case report is a male, 55 years old who presented symptoms of adrenergic hyperstimulation associated to an abdominal mass diagnosed as paraganglioma by a biopsy. Because of its size, localization and vascularization, an aortography with embolization of the nutrient branches of the tumor was done pre-operatively.

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Purpose: Establish the prevalence of Helicobacter spp in chronic cholecystitis and its correlation with the gallbladder's histological findings.

Methods: 100 patients were operated for chronic cholecystitis with cholecystolithiasis. In pathological examination of the gallbladder, were evaluated the presence of metaplasia, dysplasia, lymphoid follicles, anaplasia and tumors that might be related to the presence of Helicobacter plus the presence of the bacilli Giemsa(+) by optical microscopy.

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Purpose: To assess the bactericidal action of ozone pneumoperitonium, and to compare the results with CO2.

Methods: It was used 36 Wistar rats. The animals, under anesthesia, were inoculated with 2ml of E.

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Background: The aim of this study was to identify clinical, biochemical and ultrasonographic predictors of choledocholithiasis in patients sustaining gallstones assessed by cholangiography.

Methods: In a prospective study, 148 patients were analyzed regarding clinical, biochemical and ultrasonographic data. All patients underwent cholangiography, either preoperative endoscopic or during cholecystectomy.

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Unlabelled: The rise of elderly population is due to the improvement of life expectancy. The biliary lithiasis is the most common condition requiring intra-abdominal surgery. Half of these patients sustain associated diseases and frequently develops acute and complicated forms of cholelithiasis.

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