Objectivo: Frequentemente os doentes avaliados no contexto de cirurgia electiva apresentam anemias que, caso não sejam corrigidas, irão aumentar o risco de mortalidade e morbilidade pós-cirúrgica, de infecções, de necessidade de transfusões de componentes sanguíneos (CS) e do aumento do tempo de hospitalização 1 . O Patient Blood Mangement (PBM) é uma abordagem baseada na evidência e multidisciplinar que visa o...
Context: Neuropathic pain (NP) may be an important contributor to the morbidity burden of breast cancer. Objectives: We aimed to quantify the incidence of NP in the first year after diagnosis of breast cancer and to identify its main determinants. Methods: We performed a prospective cohort study including 506 patients with incident breast cancer, recruited at the Portuguese Institute of Oncology of Porto, and f...
Surgical intestinal resection margins in colon cancer are a longstanding debate in terms the optimal distance between the tumor and the colonic section line. The aim of this study is to define the oncological outcomes in relation to surgical margins, measured in terms or recurrence rate, time-to-recurrence, disease-free survival and overall survival in a population of node negative colon cancer patients. METHOD...
A descrição da amputação abdominoperineal extraelevadora (ELAPE) para a ressecção de tumores do recto baixo ou da margem anal, a subsequente estandardização do tempo perineal e a definição das suas indicações precisas, veio colocar enfâse particular na necessidade de recorrer a técnicas de reconstrução do períneo para encerramento dos defeitos perineais provocados por ressecções mais alargadas. Apresentamos um ...
PURPOSE:The purposes of this study were to estimate the incidence of chemotherapy-induced peripheral neuropathy (CIPN) and to identify its main determinants and impact in patient-reported outcomes. METHODS:We performed a prospective cohort study including 296 patients with incident breast cancer submitted to chemotherapy, followed for 1 year. Patients with incident CIPN were reevaluated 6 months after this diag...
Objectives: Neurological complications secondary to breast cancer treatment may be an important contributor to these patients morbidity. We aimed to quantify the incidence of neurological complications of breast cancer treatment during the first year after diagnosis. Materials and methods: We performed a prospective cohort study with 506 patients recruited at the Portuguese Institute of Oncology of Porto, among...
Introdução: O mapeamento vascular por ecografia e doppler é crucial no planeamento de um acesso vascular para hemodiálise. O objectivo deste estudo é avaliar quais das variáveis anatómicas e hemodinâmicas arteriais e venosas, medidas por ecografia e Doppler, se associam a permeabilidade global aos 12 meses nos acessos vasculares proximais. Material e Métodos: Estudo observacional, analítico, longitudinal, com c...
AIMS OF THE STUDY: To describe the importance of preoperative venous and arterial mapping before choosing the best arteriovenous fistula (AVF) according to the National Kidney Foundation Dialysis Outcomes Quality Initiative (NKF-DOQI) guidelines. METHODS: We describe a case of a successful arteriovenous graft (AVG) creation after the failure of two AVF and a AVG without vascular mapping conducted before the suc...
Background: Color Doppler Ultrasound (CDU) is essential for vascular mapping in vascular access planning/creation. The aims of this study was to evaluate which anatomical and physiological variables of the artery and the vein, measured by CDU, were associated with higher patency at one year follow-up in brachiocephalic (BC) and brachiobasilic (BB) primary AV fistula (AVF). Materials and Methods: Retrospective o...