Você pesquisou por y - Revista Brasileira de Ginecologia e Obstetrícia
You searched for:"Régis Resende Paulinelli"
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Rev Bras Ginecol Obstet. 2007;29(9):465-469
DOI 10.1590/S0100-72032007000900005
PURPOSE: to compare the double-circle (DC) technique to other techniques, with periareolar (PA) and transverse nipple-areolar (TNA) incisions, for the surgical correction of gynecomastia. METHODS: we studied the medical files of 34 patients from the Federal University of Goiás, submitted to the surgical correction of gynecomastia, from 1999 to 2004. Patients were divided according to the surgical technique used. The parametric numeric variables were compared by Tukey test. The chi2 or the Fisher's exact test was used for nominal variables. It was considered significant a p value<0.05. RESULTS: the mean age of the patients was 27.9 (+12.5) years. There were 43 gynecomastias, 34 unilateral (79.1%) and nine (20.9%) bilateral. There were 19 breasts operated (44.2%) using DC, 14 (33.6%) using PA incision, and 10 (23.3%), TNA incision. The mean drain usage was five days for DC and one day for the others (p<0.01). The suction drain was used in 19 cases (100%) of DC and two (22%) in TNA. The other patients used drains of Penrose (p<0.01). The mean surgical time was significantly larger for DC (73 minutes) than for PA (45 minutes) and for TNA (48 minutes). DC was used mainly in voluminous gynecomastias (p=0.04). The complications consisted in three (33%) hematomas in TNA (p<0.01) and one (5%) in DC; one (11%) infection in TNA; two (10%) partial necrosis of the nipple in DC; four (21%) enlarged scars in DC (p=0.04); three (16%) hypertrofic scars (p=0.08) in DC; one (2%) inversion of nipple with TNA. CONCLUSIONS: The DC was used often in voluminous gynecomastias. It was a good and secure operation, although it required a more extensive surgical time and had a larger possibility of distended scars.
Summary
Rev Bras Ginecol Obstet. 2007;29(9):465-469
DOI 10.1590/S0100-72032007000900005
PURPOSE: to compare the double-circle (DC) technique to other techniques, with periareolar (PA) and transverse nipple-areolar (TNA) incisions, for the surgical correction of gynecomastia. METHODS: we studied the medical files of 34 patients from the Federal University of Goiás, submitted to the surgical correction of gynecomastia, from 1999 to 2004. Patients were divided according to the surgical technique used. The parametric numeric variables were compared by Tukey test. The chi2 or the Fisher's exact test was used for nominal variables. It was considered significant a p value<0.05. RESULTS: the mean age of the patients was 27.9 (+12.5) years. There were 43 gynecomastias, 34 unilateral (79.1%) and nine (20.9%) bilateral. There were 19 breasts operated (44.2%) using DC, 14 (33.6%) using PA incision, and 10 (23.3%), TNA incision. The mean drain usage was five days for DC and one day for the others (p<0.01). The suction drain was used in 19 cases (100%) of DC and two (22%) in TNA. The other patients used drains of Penrose (p<0.01). The mean surgical time was significantly larger for DC (73 minutes) than for PA (45 minutes) and for TNA (48 minutes). DC was used mainly in voluminous gynecomastias (p=0.04). The complications consisted in three (33%) hematomas in TNA (p<0.01) and one (5%) in DC; one (11%) infection in TNA; two (10%) partial necrosis of the nipple in DC; four (21%) enlarged scars in DC (p=0.04); three (16%) hypertrofic scars (p=0.08) in DC; one (2%) inversion of nipple with TNA. CONCLUSIONS: The DC was used often in voluminous gynecomastias. It was a good and secure operation, although it required a more extensive surgical time and had a larger possibility of distended scars.
Summary
Rev Bras Ginecol Obstet. 2001;23(10):635-639
DOI 10.1590/S0100-72032001001000004
Purpose: to analyze the factors that may be related to insufficient material in fine needle aspiration cytology (FNAC). Patients and Methods: a total of 351 FNAC of patients with solid breast tumors were studied in a random way: 180 (51%) by Cameco's pistol holder and 171 (49%) by the auto-vacuum device. All smears were analyzed by only one cytopathologist, and they were described as malignant, suspicious, benign or insufficient for diagnosis. The significance of each variable was tested by the c² test. Results: among the 351 cases analyzed, we found 67 (19%) of insufficient material. The device used (pistol or auto-vacuum), the size of the tumor and the clinical stage of the lesions were not related to the frequency of sufficient and insufficient material. The age of the patient and the histological type of the tumor were related to the rate of insufficient material. Patients younger than 50 had a 12% rate of insufficient material, compared to 30 above 50 (p<0.03). The patients with fibroadenosis had a rate of 30%, those with ductal carcinoma, 20%, and those with fibroadenoma 12% (p<0.02). Conclusion: the present study showed a relatively high rate of insufficient material (19%), which was influenced by the age of the patient and the histological type of the biopsied breast lesion.
Summary
Rev Bras Ginecol Obstet. 2001;23(10):635-639
DOI 10.1590/S0100-72032001001000004
Purpose: to analyze the factors that may be related to insufficient material in fine needle aspiration cytology (FNAC). Patients and Methods: a total of 351 FNAC of patients with solid breast tumors were studied in a random way: 180 (51%) by Cameco's pistol holder and 171 (49%) by the auto-vacuum device. All smears were analyzed by only one cytopathologist, and they were described as malignant, suspicious, benign or insufficient for diagnosis. The significance of each variable was tested by the c² test. Results: among the 351 cases analyzed, we found 67 (19%) of insufficient material. The device used (pistol or auto-vacuum), the size of the tumor and the clinical stage of the lesions were not related to the frequency of sufficient and insufficient material. The age of the patient and the histological type of the tumor were related to the rate of insufficient material. Patients younger than 50 had a 12% rate of insufficient material, compared to 30 above 50 (p<0.03). The patients with fibroadenosis had a rate of 30%, those with ductal carcinoma, 20%, and those with fibroadenoma 12% (p<0.02). Conclusion: the present study showed a relatively high rate of insufficient material (19%), which was influenced by the age of the patient and the histological type of the biopsied breast lesion.