Publications by authors named "Silvia Dantas Costa"
Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago.
Gennaro Perrone Mario Giuffrida Fikri Abu-Zidan Vitor F Kruger Marco Livrini Ioannis Papacostantinou Silvia Dantas da Costa
World J Emerg Surg
April 2024
Article Synopsis
- This study compares two surgical methods, Hartmann's procedure (HP) and resection with primary anastomosis (RPA), for treating acute left-sided colonic emergencies among 1215 patients from 204 centers globally.
- Results showed that while HP was the more common treatment (57.3%), RPA was favored for younger patients with fewer health issues and those needing surgery sooner.
- The study concluded that although HP is still widely used, RPA might be the better option, emphasizing the importance of patient characteristics and surgeon experience in determining treatment choice.
Background: The late adverse effects of radiotherapy are caused by microvascular injury or depletion of differentiated cells.
Methods: Here we describe a clinical case of a late and unusual complication related to radiotherapy, in a patient with a history of squamous cell carcinoma of the anal canal.
Results: The patient presented with a large perianal vegetating lesion suspicious of local recurrence, however the biopsy of the lesion did not show malignancy.