14 documents found, page 1 of 2
Peripartum Hysterectomies over a Fifteen-year Period
Dorigon,Alessandra; Martins-Costa,Sérgio Hofmeister; Ramos,José Geraldo LopesAbstract Objective To determine the indications and outcomes of peripartum hysterectomies performed at Hospital de Clínicas de Porto Alegre (a university hospital in Southern Brazil) during the past 15 years, and to analyze the clinical characteristics of the women submitted to this procedure. Methods A cross-sectional study of 47 peripartum hysterectomies from 2005 to 2019. Results The peripartum hysterectomie...
Temporal Evolution of Maternal Mortality: 1980-2019
Vettorazzi,Janete; Valério,Edimárlei Gonsales; Zanatta,Maria Alexandrina; Scheffler,Mariana Hollmann; Costa,Sergio Hofmeister de Almeida MartinsAbstract Objective To determine the profile of maternal deaths occurred in the period between 2000 and 2019 in the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym) and to compare it with maternal deaths between 1980 and 1999 in the same institution. Methods Retrospective study that analyzed 2,481 medical records of women between 10 and 49 years old who died between 2000 and 2018. The prese...
Pre-eclampsia/Eclampsia
Peraçoli,José Carlos; Borges,Vera Therezinha Medeiros; Ramos,José Geraldo Lopes; Cavalli,Ricardo de Carvalho; Costa,Sérgio Hofmeister de Almeida MartinsAbstract Pre-eclampsia is a multifactorial and multisystemic disease specific to gestation. It is classically diagnosed by the presence of hypertension associated with proteinuria manifested in a previously normotensive pregnant woman after the 20th week of gestation. Pre-eclampsia is also considered in the absence of proteinuria if there is target organ damage. The present review takes a general approach focus...
Preeclampsia
Ramos,José Geraldo Lopes; Sass,Nelson; Costa,Sérgio Hofmeister MartinsAbstract The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with hypertension with prot...
Early Experience of Robotic Hysterectomy for Treatment of Benign Uterine Disease
Gutierrez,Ana Luiza; Binda,Márcia Luisa Montalvão Appel; Ramos,José Geraldo LopesAbstract Objectives To demonstrate the initial experience of robotic hysterectomy to treat benign uterine disease at a university hospital in Brazil. Methods A cross-sectional study was conducted to review data from the first twenty patients undergoing robotic hysterectomy at our hospital. The surgeries were performed from November 2013 to August 2014, all of them by the same surgeon. The patients were reviewed...
Natriuria and calciuria levels in preeclampsia: a cross-sectional study
Gasnier,Rose; Valério,Edimárlei Gonsales; Vettorazzi,Janete; Martins-Costa,Sérgio Hoffmeister; Barros,Elvino Guardão; Ramos,José Geraldo LopesCONTEXT AND OBJECTIVE Sodium excretion abnormalities in preeclampsia have been studied in relation to several factors. The objective of this study was to compare natriuria (mEq/24 h) and calciuria levels (mg/24 h) in preeclamptic patients. DESIGN AND SETTING An analytical cross-sectional study with a control group was conducted in the obstetric center and the high-risk pregnancy outpatient clinic at a universit...
Insulin stimulation of Akt/PKB phosphorylation in the placenta of preeclampsia ...
Ferreira,Gustavo Dias; Orcy,Rafael Bueno; Martins-Costa,Sérgio Hofmeister; Ramos,José Geraldo Lopes; Brum,Ilma Simoni; Corleta,Helena von EyeCONTEXT AND OBJECTIVE: Preeclampsia is a multi-systemic disease and one of the most frequent severe health problems during pregnancy. Binding of insulin triggers phosphorylation and activates cytoplasmic substrates such as phosphatidylinositol 3 kinase (PI3K). Phosphorylation of membrane phosphoinositide 2 (PIP2) to phosphoinositide 3 (PIP3) by PI3K starts Akt/PKB activation. Defects in phosphorylation of the i...
Risk factors for cardiovascular disease ten years after preeclampsia
Canti,Ivete Cristina Teixeira; Komlós,Márcia; Martins-Costa,Sérgio Hofmeister; Ramos,José Geraldo Lopes; Capp,Edison; Corleta,Helena von EyeCONTEXT AND OBJECTIVE: Preeclampsia is a gestational disease that occurs mainly among nulliparous women after the 20th week of gestation, and frequently close to delivery. The effects of preeclampsia on women's blood pressure over the long term are still controversial. Patients with recurrent preeclampsia or preeclampsia in the early stages of pregnancy appear to present higher risk of hypertension. The aim of ...
Obesidade como fator de risco para a falha da cirurgia de Burch
Viecelli,Camila Finger; Santos,Débora Cristina Simão dos; Aguiar,Wolfgang Willian Schmidt; Martins-Costa,Sérgio Hofmaister; Corleta,Helena von EyeOBJETIVO: observar o impacto da obesidade e de outros fatores de risco sobre a taxa de falha das pacientes submetidas à cirurgia de Burch para tratamento da incontinência urinária. MÉTODOS: estudo de casos de pacientes submetidas à cirurgia de Burch no período de 1992 a 2003. As pacientes foram avaliadas no momento da segunda consulta pós-operatória (66 dias em média) e com um ano de acompanhamento, e classific...
Distribuição da altura uterina ao longo da gestação em uma coorte brasileira: c...
Oppermann,Maria Lúcia Rocha; Duncan,Bruce Bartholow; Mengue,Sotero Serrate; Ramos,José Geraldo Lopes; Serruya,Suzanne Jacob; Schmidt,Maria InêsOBJETIVOS: descrever, em gestantes do Estudo Brasileiro do Diabetes Gestacional (EBDG), a distribuição da altura uterina de acordo com a idade gestacional e validar a curva do Centro Latino-Americano de Perinatologia (CLAP), curva de referência para a predição de anormalidades do crescimento fetal. MÉTODOS: o EBDG é uma coorte de 5564 gestantes, com mais de 19 anos, seguidas até e após o parto. Entrevistas e me...