A5090726841- Pediatric Urology and Nephrology Studies
- Surgical Simulation and Training
- Urological Disorders and Treatments
- Renal and related cancers
- Kidney Stones and Urolithiasis Treatments
- Renal cell carcinoma treatment
- Anatomy and Medical Technology
- Minimally Invasive Surgical Techniques
- Ureteral procedures and complications
- Augmented Reality Applications
- Urinary Tract Infections Management
- Urinary Bladder and Prostate Research
- Urologic and reproductive health conditions
- Renal and Vascular Pathologies
- Williams Syndrome Research
- Cardiac, Anesthesia and Surgical Outcomes
- Prostate Cancer Diagnosis and Treatment
- Intestinal and Peritoneal Adhesions
- Surgical Sutures and Adhesives
- Testicular diseases and treatments
- Central Venous Catheters and Hemodialysis
- Dialysis and Renal Disease Management
- Cutaneous Melanoma Detection and Management
- vaccines and immunoinformatics approaches
- Male Reproductive Health Studies
Universidade Federal Rural do Rio de Janeiro
2025
Universidade de São Paulo
2012-2022
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2009-2021
Hospital de Clínicas de Porto Alegre
2020
Universidade Brasil
2017
Fundación Universitaria Sanitas
2014
Hospital Sírio-Libanês
2013
Associação Paulista para o Desenvolvimento da Medicina
2009
Universidade Nove de Julho
2009
Universitäts Frauenklinik
1999
This phase III study compared docetaxel and doxorubicin in patients with metastatic breast cancer who had received previous alkylating agent-containing chemotherapy.Patients were randomized to receive an intravenous infusion of 100 mg/m(2) or 75 every 3 weeks for a maximum seven treatment cycles.A total 326 randomized, 165 161 docetaxel. Overall, produced significantly higher rate objective response than did (47.8% v 33.3%; P =.008). Docetaxel was also more active negative prognostic...
We describe 2 cases of laparoscopic nephrectomy for unilateral Wilms tumor in children who underwent preoperative chemotherapy.Two with nonmetastatic included the International Society Pediatric Oncology 2001 protocol were preoperatively treated vincristine/actinomycin D and subsequently lymph node sampling. A 5 10 mm trocar transperitoneal approach was used each case. The extracted without morcellation through a 4 cm Pffannensteil incision.The tumors completely removed as well samples....
There are four papers in this section, from Turkey, Japan and two Brazil. The topics dealt with VUR, PUJ vesico‐ureteric junction obstruction, the non‐pharmocological treatment of lower urinary tract dysfunction, laparoscopic nephrectomy for Wilms’ tumour after chemotherapy. OBJECTIVE To report results unilateral children treated chemotherapy before surgery. PATIENTS AND METHODS Eight nonmetastatic included International Society Pediatric Oncology 2001 protocol were vincristine/actinomycin D...
Ureteral ectopia is a congenital malformation characterized by the abnormal location of distal aspect one or both ureters, being classified according to its anatomical path as intramural extramural. The most common clinical sign urinary incontinence. presence other associated urogenital anomalies, such hydroureter, hydronephrosis and ureterocele are possible, last rare condition cystic dilation submucosal layer ureter. diagnosis based on patient history, signs imaging exams. Treatment...
The role of minimally invasive surgery for the treatment pediatric urological tumors has been limited to biopsies and resection small neuroblastomas benign tumors. purpose this study is present experience a Brazilian group pioneering laparoscopic nephrectomy Wilms' tumor. A total 15 children with unilateral non-metastatic tumor were preoperatively treated vincristine actinomycin D, afterwards submitted lymph node sampling. Veress needle umbilical punction was performed four-trocar...
Several different methods of teaching laparoscopic skills have been advocated, with virtual reality surgical simulation (VRSS) being the most popular. Its effectiveness in improving performance is not a consensus yet, however. The purpose this study was to determine whether practicing simulator results improved performance.Fifteen medical students recruited for were divided into three groups. Group I (control) did receive any VRSS training. For 10 weeks, group II trained basic (camera...
Background and Purpose: Becoming proficient in laparoscopic surgery is dependent on the acquisition of specialized skills that can only be obtained from specific training. This training could achieved various ways using inanimate models, animal or live patient surgery—each with its own pros cons. Currently, there are substantial data support benefits model initial learning laparoscopy. Nevertheless, whether these extent themselves to moderately experienced surgeons uncertain. The purpose...
Introduction Medical literature is scarce on information to define a basic skills training program for laparoscopic surgery (peg and transferring, cutting, clipping). The aim of this study was determine the minimal number simulator sessions tasks necessary elaborate an optimal virtual reality curriculum. Materials Methods Eleven medical students with no previous experience were spontaneously enrolled. They submitted starting at level 1 (Immersion Lap VR, San Jose, CA), including sequentially...
WBS is an autosomal dominant disorder that includes features such as developmental delay, cardiovascular anomalies, mental retardation and characteristic facial appearance. We systematically investigated the prevalence spectrum of voiding dysfunction in this population.We prospectively evaluated 16 boys 12 girls with WBS, a mean age 9.7 years (range 3 to 19). Urological evaluation included history urinary symptoms impact on quality life, diary, urodynamics radiological tract sonography,...
<b><i>Background/Aims:</i></b> Peritoneal dialysis (PD) has gained interest over the last decade as a viable option for early start dialysis. It is still unknown if shorter break-in periods and less time proper patient evaluation training could influence technique survival in comparison to planned-start PD. <b><i>Methods:</i></b> A prospective observational study that compared cohort of patients who started either or planned Early PD was...
Paragangliomas (PGL) are rare tumors derived from neural crest cells, whose origins may vary along the chain of sympathetic nervous system. Such often characterized by secretion catecholamines, but sometimes they biochemically inactive, which makes diagnosis challenging. Malignant paraganglioma is defined presence this tumor at sites where chromaffin cells usually not found or local invasion primary tumor. Recurrence, either regional metastatic, occurs within 5 years initial complete...
Objective . Analyze the learning curve for laparoscopic radical prostatectomy in a low volume program. Materials and Methods A single surgeon operated on 165 patients. Patients were consecutively divided 3 groups of 55 patients (groups A, B, C). An enhancement estimated blood loss, surgery length, presence positive surgical margin all considered as function surgeon’s experience. Results Operative time was 267 minutes group 230 159 C, operative decreased over time, but significant difference...
The introduction of extracorporeal shock wave lithotripsy represented an important evolution in urinary tract lithiasis management. aim this study is to describe the results for treatment children, focusing on index elimination calculi and complications occurring during procedure following three months.From September 1991 July 2002, 135 children between one 12 years, suffering from underwent lithotripsy. A retrospective analysis these patients was carried out.One hundred ninety-five ranging...
Objective. The aim of this study was to report on the safety and efficacy 90 consecutive laparoscopic pyeloplasties carried out in a university hospital. Material methods. outcomes transperitoneal dismembered that were performed by residents at hospital from March 2004 2010 analyzed. All surgeries because symptomatic ureteropelvic junction obstruction. Anderson–Hynes technique used all cases, double-J stent routinely placed left place for 4 weeks. patients followed up clinically with imaging...
To compare the perioperative complication rate obtained with transperitoneal laparoscopic radical prostatectomy (TLRP) and extraperitoneal LRP (ELRP) during learning curve (LC).Data of initial 40 TLRP (Group 1) were retrospectively compared ELRP 2). Each Group patients was operated by two different surgeons.The overall surgical time (175 min x 267.6 min; p < 0.001) estimated blood loss (177.5 mL 292.4 mL; statistically better in 1. Two intraoperative complications observed 1 (5%) represented...
To describe an effective experimental model to study the Achilles tendon healing.Forty male Rattus norvegicus albinus, Wistar lineage adult weighing 250 300g were used for this experiment and thirty surgically submitted bilateral partial transverse section of tendon. The right was treated with radio waves (RF) whereas left served as control. On third postoperative day, rats divided into four groups consisting ten each which monopolar RF adjusted 650 kHz 2w, two minutes twice a week group...
The number of laparoscopic procedures increases annually with an estimated 3% complications, one third them linked to Verres' needle or trocar insertion. safety and efficacy ports insertion during surgery may be related the technique but also design. This study aims compare physical parameters abdominal wall penetration for 5 different trocars.
To ensure patient safety and surgical efficiency, much emphasis has been placed on the training of laparoscopic skills using virtual reality simulators. The purpose this study was to determine whether can be objectively quantified by measuring specific skill parameters during in a simulator (VRSS).Ten medical students (with no experience) ten urology residents (PGY3-5 with limited were recruited participate ten-week course basic (camera, cutting, peg transfer clipping skills) VRSS. Data...