ICHC – Destaque

O cirurgião Wellington Andraus, da Divisão de Transplantes de Fígado e Órgãos do Aparelho Digestivo, irá assumir a presidência do Colégio Brasileiro de Cirurgia Hepato Pâncreas Biliar – CBCHPB para o biênio 2024-2025. O cirurgião foi eleito na XI edição do Congresso Brasileiro de Cirurgia do Fígado, Pâncreas e Vias Biliares, ocorrido recentemente em Salvador, BA.

Prêmio Faz Diferença: ‘fizemos um grande esforço para que se gerasse uma única vida’, diz Dani Ejzenberg

Médicos do Hospital das Clínicas da Universidade de São Paulo (USP), eles transplantaram o útero de uma doadora morta e conseguiram fazer com que a paciente que o recebeu tivesse um filho saudável RIO — Os médicos Dani Ejzenberg, Wellington Andraus, Edmund Baracat e Luiz Carneiro, do Hospital das Clínicas da Universidade de São Paulo, receberam na noite desta quarta-feira o Prêmio Faz Diferença na categoria Ciência com a pesquisa que resultou no nascimento do primeiro bebê saudável gestado em útero

Brasil é único país do mundo a ter bebê gerado em útero transplantado de doadora morta

Cesar Baima Procedimento de sucesso acaba de ser relatado em uma das principais publicações médicas do planeta. RIO – Uma menina paulistana prestes a completar 1 ano de idade é a primeira criança, no mundo, gestada por uma mãe que recebeu um útero de uma doadora falecida. O procedimento de sucesso ainda único no planeta foi realizado por uma equipe do Hospital das Clínicas da Universidade de São Paulo no ano passado, e agora está sendo oficialmente relatado em artigo publicado ontem

Association Between Readmission After Liver Transplant and Adverse Immunosuppressant Reactions: A Prospective Cohort With a 1-Year Follow-up

Objective To measure the association between readmission after liver transplantation and corresponding adverse drug reactions. Methods A total of 48 patients undergoing liver transplantation were prospectively followed for 1 year. Of these, 23 were readmitted and evaluated by a pharmacist for causes of adverse drug reaction. The detection of adverse drug reactions was based on a combination of clinical interviews and physical and laboratory exams. Adverse reactions were defined in accordance with the Naranjo algorithm. Results A total of 67.6% of all readmissions were related

Functional Budd-Chiari Syndrome Associated With Severe Polycystic Liver Disease

A 50-year-old woman with end-stage renal disease secondary to autosomal dominant polycystic kidney disease was referred to a quaternary care center due to significantly increased abdominal girth. Her physical examination revealed tense ascites and abdominal collateral veins. A 10-L paracentesis improved abdominal discomfort and disclosed a transudate, suggestive of portal hypertension. A computed tomographic scan revealed massive hepatomegaly caused by multiple cysts of variable sizes, distributed throughout all hepatic segments. Contrast-enhanced imaging uncovered extrinsic compression of hepatic and portal veins,

Simple technique of subxiphoid hernia correction carries a low rate of early recurrence: A retrospective study

Background Cardiovascular surgeries are extensive procedures which patients are submitted to several types of morbidity during surgery and on post-operative period [1]. Sternotomy’s problems depend on surgery techniques employed as well as patients overall health condition. Subxiphoid incisional hernia is a complication following median sternotomy, such as myocardial revascularization, cardiac valvuloplasty and cardiac transplantation. The incidence rate of subxiphoid incisional hernia is between 1% and 4.2% [2, 3], although the true incidence rate

Diagnosing Sarcopenia in Male Patients With Cirrhosis by Dual-Energy X-Ray Absorptiometry Estimates of Appendicular Skeletal Muscle Mass

Background: Ascites in cirrhotic patients interfere with accurate assessment of skeletal muscle when diagnosing sarcopenia. We hypothesized measurement of appendicular skeletal muscle index (ASMI) with dual-energy x-ray absorptiometry (DXA) improves the diagnosis of sarcopenia in cirrhotic patients as ASMI does not include the fluid-filled abdominal compartment. Objective: To evaluate if ASMI is influenced by ascites, lower limb edema (LLE) and predicts mortality alone or combined with handgrip strength (HGS) in cirrhotic patients. Design: ASMI, HGS, and 36-month mortality were obtained

Learning curve takes 65 repetitions of totally extraperitoneal laparoscopy on inguinal hernias for reduction of operating time and complications

Background Inguinal hernia repair is one of the most frequently conducted surgical procedures worldwide. Totally extraperitoneal (TEP) hernioplasty has shown many advantages over traditional open surgery. However, because of increased surgical complexity, it requires more practice to achieve optimal results. Objectives The aim of this study is to evaluate the learning curve for TEP hernioplasty, analysing parameters related to the mean operating time. The secondary objective is to assess the complications and early discharge rates related to this procedure. Methods A prospective study of 238


INTRODUCTION The first living donor liver transplantation (LDLT) was performed in 1989 at our Institution15. Since then, surgical techniques and patient´s care improvements have established LDLT as a valid option of overcoming the shortage of deceased donors. Initially, LDLT was exclusive to pediatric patients, although over time it also became good option to adult recipients as well. One of the major concerns of this procedure is to provide an adequate graft volume while preserving a suitable hepatic remnant for the donor.

Phase angle obtained by bioelectrical impedance analysis independently predicts mortality in patients with cirrhosis

INTRODUCTION Liver transplantation (LT) is the best option for patients with advanced cirrhosis, but its clinical application is often limited by the low availability of organ donors, risk of organ rejection, and implied high cost[1,2]. Consequently, the control and treatment of cirrhosis-associated complications remains the mainstay for this population. Malnutrition is a major complication often observed in patients with cirrhosis, and it has been associated with more severe disease, the manifestation of other cirrhosis-associated complications,