{"id":189,"date":"2023-06-16T14:17:36","date_gmt":"2023-06-16T17:17:36","guid":{"rendered":"https:\/\/drwaltermiyamoto.online\/?page_id=189"},"modified":"2024-07-19T15:35:55","modified_gmt":"2024-07-19T18:35:55","slug":"tecnicas-cirurgicas","status":"publish","type":"page","link":"https:\/\/drwaltermiyamoto.online\/?page_id=189","title":{"rendered":"T\u00e9cnicas cir\u00fargicas"},"content":{"rendered":"\t\t
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T\u00e9cnicas\ncir\u00fargicas<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tRetossigmoidectomia Laparosc\u00f3pica (V\u00eddeo)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

\u00c9 um procedimento cir\u00fargico composto pela retirada de parte do reto e c\u00f3lon sigm\u00f3ide, por\u00e7\u00f5es finais do intestino.<\/span>\u00a0<\/span><\/p>

\u00c9 indicada em casos de: c\u00e2ncer colorretal, prolapso retal, doen\u00e7a de Chron, colite ulcerativa, diverticulite, sangramento incontrol\u00e1vel do retossigm\u00f3ide, obstru\u00e7\u00e3o fecal do retossigm\u00f3ide, entre outros.<\/span>\u00a0<\/span><\/p>

A cirurgia pode ser dividida em duas t\u00e9cnicas: a cirurgia aberta e tamb\u00e9m por videolaparoscopia.<\/span>\u00a0<\/span><\/p>

Na cirurgia aberta realizamos um corte mais abrangente no abd\u00f4men para retirar parte do reto e sigm\u00f3ide. Em seguida, reunimos as partes saud\u00e1veis do intestino que restaram e restauramos o reto, sendo uma t\u00e9cnica mais invasiva.<\/span>\u00a0<\/span><\/p>

Em rela\u00e7\u00e3o \u00e0 videolaparoscopia, \u00e9 um m\u00e9todo menos invasivo feito atrav\u00e9s de pequenos cortes para introduzir as ferramentas cir\u00fargicas com uma microc\u00e2mera. O p\u00f3s-operat\u00f3rio \u00e9 mais confort\u00e1vel e mais r\u00e1pido para o paciente.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tHemorroidectomia convencional <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Feita por meio de uma incis\u00e3o no tecido hemorroid\u00e1rio, podendo utilizar ferramentas como tesoura, bisturi el\u00e9trico, pin\u00e7a bipolar avan\u00e7ada ou laser.<\/span>\u00a0<\/span><\/p>

\u00c9 um m\u00e9todo mais invasivo com p\u00f3s-operat\u00f3rio mais longo, diferente das t\u00e9cnicas THD E PPH.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tColectomia Laparosc\u00f3pica<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

P<\/span>rocedimento cir\u00fargico que visa remover parcialmente o c\u00f3lon (intestino grosso). Com a colectomia por laparoscopia, o paciente recebe um procedimento mais r\u00e1pido, menos dor e melhor cicatriza\u00e7\u00e3o. Indicada em casos de <\/span><\/span>c\u00e2ncer, p\u00f3lipos, obstru\u00e7\u00f5es intestinais, diverticulite recorrente e prolapso retal.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tFissurectomia anal<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Retirada do tecido comprometido juntamente com a cicatriz que se forma ao redor da fissura. Dura em m\u00e9dia 30 minutos, e o paciente recebe alta no pr\u00f3ximo dia.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tTratamento de HPV <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Remo\u00e7\u00e3o cir\u00fargica das verrugas provocadas pelo v\u00edrus, para impedir a evolu\u00e7\u00e3o das les\u00f5es.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tAmputa\u00e7\u00e3o Abdominoperineal Laparosc\u00f3pica<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Cirurgia realizada para remover tumores p\u00e9lvicos\/perineais. Novamente, o m\u00e9todo por laparosc\u00f3pica \u00e9 mais seguro e confort\u00e1vel para o paciente, dependendo da gravidade do tumor. Nesse caso, o paciente ir\u00e1 necessitar evacuar por bolsa de colostomia.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Cirurgia recomendada para apendicites precoces, quando ainda n\u00e3o foi perfurada. Tem como benef\u00edcios retorno mais r\u00e1pido da fun\u00e7\u00e3o intestinal, menor tempo de opera\u00e7\u00e3o e retorno \u00e0s atividades di\u00e1rias. Em casos mais graves, a cirurgia convencional ser\u00e1 mais indicada.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tEsfincteroplastia Anal (Reconstru\u00e7\u00e3o de m\u00fasculo anal)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Reconstru\u00e7\u00e3o cir\u00fargica do esf\u00edncter anal (m\u00fasculo) que devolve a anatomia e fisiologia do ato de defecar. Muito realizado em pacientes com incontin\u00eancia fecal.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tSacropromontofixacao (Tto Prolapso)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Tratamento menos invasivo para prolapsos genitais em mulheres, decorrentes de gesta\u00e7\u00f5es anteriores (queda do intestino, \u00fatero ou bexiga). Destaque para recupera\u00e7\u00e3o mais r\u00e1pida com bons resultados funcionais.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDelorme (Tto Prolapso perineal)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Realiza\u00e7\u00e3o de uma <\/span>protectomia<\/span> mucosa e procedimento de plicatura muscular, <\/span>ndicada<\/span> para casos de prolapso retal.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDrenagem de Abscesso Anal <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Drenagem realizada com uma incis\u00e3o que elimina as secre\u00e7\u00f5es do abcesso. Dependendo da gravidade, ser\u00e1 aplicada anestesia local ou geral.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tTratamento de Cisto Pilonidal<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Drenagem feita por uma pequena incis\u00e3o, podendo tamb\u00e9m ser realizada com laser. A les\u00e3o permanece aberta para que ocorra uma cicatriza\u00e7\u00e3o natural, reduzindo a chance de recidiva.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tCorre\u00e7\u00e3o de Retocele PPH (via retal)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Cirurgia que promove uma reconstru\u00e7\u00e3o das estruturas que causam o prolapso, feita por meio de um grampeador circular mec\u00e2nico de forma menos invasiva.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tAltemeier (Tto Prolapso perineal) <\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Outra t\u00e9cnica para corre\u00e7\u00e3o do prolapso retal, capaz de tratar procid\u00eancias maiores em rela\u00e7\u00e3o ao Delorme.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tExcis\u00e3o de Plicomas<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t

Remo\u00e7\u00e3o dos <\/span>plicomas<\/span> atrav\u00e9s de bisturi el\u00e9trico ou excis\u00e3o cir\u00fargica, dependendo do tamanho e evolu\u00e7\u00e3o. Devolve o conforto est\u00e9tico e funcional da \u00e1rea para o paciente.<\/span><\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

T\u00e9cnicas cir\u00fargicas Retossigmoidectomia Laparosc\u00f3pica (V\u00eddeo) \u00c9 um procedimento cir\u00fargico composto pela retirada de parte do reto e c\u00f3lon sigm\u00f3ide, por\u00e7\u00f5es finais do intestino.\u00a0 \u00c9 indicada em casos de: c\u00e2ncer colorretal, prolapso retal, doen\u00e7a de Chron, colite ulcerativa, diverticulite, sangramento incontrol\u00e1vel do retossigm\u00f3ide, obstru\u00e7\u00e3o fecal do retossigm\u00f3ide, entre outros.\u00a0 A cirurgia pode ser dividida em duas […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-189","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=\/wp\/v2\/pages\/189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=189"}],"version-history":[{"count":36,"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=\/wp\/v2\/pages\/189\/revisions"}],"predecessor-version":[{"id":483,"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=\/wp\/v2\/pages\/189\/revisions\/483"}],"wp:attachment":[{"href":"https:\/\/drwaltermiyamoto.online\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}