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- ItemAcesso aberto (Open Access)Rupture of vesicourethral anastomosis following radical retropubic prostatectomy(Sociedade Brasileira de Urologia, 2003-06-01) Dall'oglio, Marcos [UNIFESP]; Srougi, Miguel [UNIFESP]; Pereira, Daniel [UNIFESP]; Nesrallah, Adriano [UNIFESP]; Andreoni, Cássio [UNIFESP]; Kauffmann, José R. [UNIFESP]; Nesrallah, Luciano [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Rupture of vesicourethral anastomosis following radical retropubic prostatectomy is a complication that requires immediate management. We evaluated the morbidity of this rare complication. MATERIALS AND METHODS: We analyzed retrospectively 5 cases of disruption of vesicourethral anastomosis during post-operative period in a consecutive series of 1,600 radical retropubic prostatectomies, performed by a single surgeon. RESULTS: It occurred in a ratio of 1:320 prostatectomies (0,3%). Management was conservative in all the cases with an average catheter permanence time of 28 days, being its removal preceded by cystography. Two cases were secondary to bleeding, 1 followed the change of vesical catheter and 2 by unknown causes after removing the Foley catheter. Only one patient evolved with urethral stenosis, in the period ranging from 6 to 120 months. CONCLUSION: Rupture of vesicourethral anastomosis is not related to the surgeon's experience, and conservative treatment has shown to be effective.
- ItemAcesso aberto (Open Access)Surgical and postmortem pathology studies: contribution for the investigation of temporal lobe epilepsy(Academia Brasileira de Neurologia - ABNEURO, 2012-12-01) Caboclo, Luís Otávio Sales Ferreira [UNIFESP]; Neves, Rafael Scarpa da Costa [UNIFESP]; Jardim, Anaclara Prada [UNIFESP]; Hamad, Ana Paula Andrade [UNIFESP]; Centeno, Ricardo Silva [UNIFESP]; Lancellotti, Carmen Lucia Penteado; Scorza, Carla Alessandra [UNIFESP]; Cavalheiro, Esper Abrão [UNIFESP]; Yacubian, Elza Márcia Targas [UNIFESP]; Sakamoto, Américo Ceiki [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Associação Fundo de Incentivo à Pesquisa Departament of Pathology; Santa Casa de São Paulo; Universidade de São Paulo (USP)Pathology studies in epilepsy patients bring useful information for comprehending the physiopathology of various forms of epilepsy, as well as aspects related to response to treatment and long-term prognosis. These studies are usually restricted to surgical specimens obtained from patients with refractory focal epilepsies. Therefore, most of them pertain to temporal lobe epilepsy (TLE) with mesial temporal sclerosis (MTS) and malformations of cortical development (MCD), thus providing information of a selected group of patients and restricted regions of the brain. Postmortem whole brain studies are rarely performed in epilepsy patients, however they may provide extensive information on brain pathology, allowing the analysis of areas beyond the putative epileptogenic zone. In this article, we reviewed pathology studies performed in epilepsy patients with emphasis on neuropathological findings in TLE with MTS and MCD. Furthermore, we reviewed data from postmortem studies and discussed the importance of performing these studies in epilepsy populations.