Complicações em Vídeo-Laparoscopia
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Complications can occur during and after laparoscopic procedures. A review of studies found: 1. Early laparoscopic cases had higher complication rates (around 16%) due to the learning curve for the procedure. 2. Major complications occurred in around 9.5% of cases and minor complications in 1.9% of cases. 3. Common intraoperative complications included bleeding (1.4-4%) while postoperative complications included ileus (1.5%) and hernia formation (<0.5%). 4. Proper cleaning of surgical instruments and use of disposable materials can help reduce risks of infection from microorganisms that form biofilms and resist chemicals like glutaraldehyde.
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1) Primary surgery for testis cancer typically involves orchidectomy. Contra-lateral biopsy may also be performed to check the other testis.
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2. Trials found that EVAR patients had improved short-term survival but similar long-term survival and aneurysm-related survival compared to open repair patients. EVAR was also associated with higher reintervention rates.
3. The document concludes that open repair remains the gold standard treatment currently, as EVAR is associated with increased long-term reintervention rates. Patient anatomy and life expectancy should be strongly considered to determine the best repair method.
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