Cirurgias proctológicas em 3 anos de serviço de coloproctologia: série histórica

Prudente, Ana Carolina Lisboa; Neto, Juvenal da Rocha Torres; Santiago, Rodrigo Rocha; Mariano, Dam Rodrigues; Filho, Mário Costa Vieira

doi:10.1590/s0101-98802009000100010

Cited by 6 publications

(11 citation statements)

References 1 publication

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“…The programming language used to develop the prototype, as described in step (4), is the Ruby language, accompanied by the framework for the web development of Ruby on Rails. A programming language that allows the logic of the program to be developed in an understandable way, that would be later translated into computer instructions.…”

Section: Discussionmentioning

confidence: 99%

“…According to this point of view, in the health field it is necessary to manage information on different aspects of a patients for the performance of a surgical procedure; more specifically, in coloproctology, this specialty comprises various diseases that can be treated with surgery, such as cancer, adenomatous polypo-sis, Chron's disease, among others [1][2][3][4][5][6] . Thus, an information system may significantly contribute with the management of data concerning surgery, that is, pre-, inter and postoperative periods, enabling the construction of a solid and organized database.…”

Section: Introductionmentioning

confidence: 99%

“…These opensource technologies were: 1. Implementation: The Ruby programming language (3) , which is a programming language focused on simplicity and productivity, and the framework for web development Ruby on Rails (4) , provides the fast development of applications; 2. Application server: Apache application server (5) , widely used for web applications, together with the plugin Passenger (6) , which allows the installation of Ruby applications in Apache servers.…”

mentioning

confidence: 99%

“…In step (5), the prototype was developed with the help of Technologies presented in step (4) according to the models established in step (3). The development of the prototype was followed-up by experts in the medical field.…”

mentioning

confidence: 99%

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Prototype system to manage data on coloproctology surgery

Lee¹,

Jung²,

Silva³

et al. 2011

J. Coloproctol. (Rio J.)

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Objective: To develop a prototype system to manage data on coloproctology surgery, aiming at Data Quality (DQ) and the adoption of a DQ monitoring process, which is nonexistent in most biomedical systems. Methods: The construction of the prototype was separated into five steps: analysis of an existing system (legacy), the analysis of requirements and specifications for the new prototype, the development of the model, definition of technologies and the development of a prototype. Results: The analysis of the legacy system revealed several limitations and inconsistencies, which can result in problems concerning the DQ. Therefore, actions to prevent these problems are already being executed at the step of developing the prototype, such as the creation of interactive and more elaborate interfaces, the use of validation mechanisms on data fields and the proposal of a process to monitor inconsistencies and incompleteness in patients' data. Conclusion: The adoption of DQ mechanisms on system development results in building a reliable and consistent database, to assist tasks such as management, scientific research and future intelligent data analysis methods. Future work includes subjective evaluations of DQ indicating the adequacy of the prototype for the users' needs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Prototype system to manage data on coloproctology surgery

Lee¹,

Jung²,

Silva³

et al. 2011

J. Coloproctol. (Rio J.)

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“…It usually affects men in their 40s and male predominance estimated in most published series is of approximately 2:1 [1][2][3][4][5] . Anal fistula is almost always a consequence of an anorectal abscess that was drained.…”

Section: Introductionmentioning

confidence: 99%

Anal fistula: results of surgical treatment in a consecutive series of patients

Oliveira¹,

Sousa²,

Almeida³

et al. 2012

J. Coloproctol. (Rio J.)

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Objectives:To evaluate the results of surgical treatment of patients with anal fistulas in a consecutive series of patients. Methods: A retrospective analytical study of a consecutive series of cases prospectively collected. The sample comprised 210 patients who underwent surgery; demographic data, signs and symptoms, intraoperative classification of the fistulas and healing time were analyzed. results: The median age was 38 years and 69.0% of the patients were male. The most frequent symptom was perianal orifice with purulent drainage. The fistulas were classified as transsphincteric in 60.9% and the most used operative treatment was the marsupialization of fistulotomy, in 84.2% of cases. Complete healing occurred in all patients between 2 and 16 weeks. One hundred and seventy-eight patients, 84.8% of the patients who underwent surgery, were evaluated at least one year after surgery and recurrence occurred in 6.4% of cases. Conclusions: There was male prevalence (2.2/1), and most fistulas were transsphincteric. The marsupialization of fistulotomy was the most used operative treatment, and it presented acceptable low rates of morbidity and recurrence of 6.4%.Keywords: fistula; rectal fistula; surgery; classification; surgical treatment, operative. resuMO: Objetivos: Avaliar os resultados do tratamento cirúrgico de pacientes portadores de fístulas anais em uma série consecutiva de pacientes. Métodos: Estudo analítico, retrospectivo, de uma série consecutiva de casos que foram coletados de forma prospectiva. A casuística englobou 210 pacientes operados, tendo sido analisados os dados demográficos, os sinais e sintomas, a classificação transoperatória das fístulas e o tempo até a cicatrização completa. resultados: A mediana de idade foi de 38 anos e 69,0% dos pacientes eram homens. O sintoma mais frequente foi a drenagem de secreção purulenta por orifício perianal. As fístulas foram classificadas como transesfincterianas em 60,9%, e o tratamento operatório mais empregado foi a fistulotomia com marsupialização do trajeto fistuloso, em 84,2% dos casos. A cicatrização completa ocorreu em todos os pacientes entre 2 e 16 semanas. Cento e setenta e oito pacientes, 84,8% dos pacientes operados, foram avaliados com, pelo menos, um ano de pós-operatório e a recidiva ocorreu em 6,4% dos casos. Conclusões: Houve prevalência do gênero masculino (2,2/1) com a maioria das fístulas transesfincterianas. A fistulotomia com marsupialização foi o tratamento operatório mais empregado e apresentou baixos índices de morbidade, com recidiva de 6,4%.

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Análise dos resultados cirúrgicos das operações anais realizadas em um centro de treinamento de nível secundário

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privilégio único de ser orientado por vocês, compartilhando seus conhecimentos e incentivando a carreira acadêmica. O suporte de vocês foi fundamental para conclusão do presente trabalho. Ao Prof. Dr. José Joaquim Ribeiro da Rocha agradeço pela oportunidade de ter aprendido tanto, não somente sobre coloproctologia, mas também sobre trato com pacientes e relação interpessoal. Aos Professores do Departamento de Cirurgia e Anatomia da Faculdade de Medicina de Ribeirão Preto que tanto me ensinaram nos ambulatórios, enfermarias, centro de endoscopia e centro cirúrgico. Hoje na minha carreira profissional sigo seus conselhos, suas orientações e suas técnicas. À minha família, em especial minha mãe Dilma, meu pai Nilberto e minha noiva Marcela, pelo apoio e amor incondicional. Aos meus colegas de residência Gustavo Vilar, Juliana Mamede e Mabel Silveira pelo companheirismo durante os dois anos de residência. À Marlene Lúcio e Juliana Pischiottin, secretárias da Disciplina de Coloproctologia e do Departamento de Cirurgia e Anatomia, respectivamente, que tanto me ajudaram burocraticamente na realização do mestrado.

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Cirurgias proctológicas em 3 anos de serviço de coloproctologia: série histórica

Cited by 6 publications

References 1 publication

Prototype system to manage data on coloproctology surgery

Prototype system to manage data on coloproctology surgery

Anal fistula: results of surgical treatment in a consecutive series of patients

Análise dos resultados cirúrgicos das operações anais realizadas em um centro de treinamento de nível secundário

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