Gigantomastias patrones dinamicos
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The document discusses dynamic marking patterns for gigantomastia surgery. It notes that static marking patterns use standard measurements but surgeons should evaluate measurements dynamically first. Through mammary rotation, the vertical incision location can be determined following the sub-mammary crease. Dynamic maneuvers provide more flexibility in planning and allow optimizing the surgical resolution.
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![Dr. Marcelo Irigo [email_address] GIGANTOMASTIAS Patrones Dinámicos V CONGRESO INTERNACIONAL DE ACTUALIZACION EN CIRUGIA BARIATRICA Y METABOLICA Enfoque Quirúrgico y Multidisciplinario 20 de mayo 2011 , Mendoza](https://image.slidesharecdn.com/gigantomastiaspatronesdinamicos-110715200006-phpapp01/85/Gigantomastias-patrones-dinamicos-1-320.jpg)
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1. O documento discute os acertos e erros da cirurgia metabólica para o tratamento da obesidade e diabetes, incluindo mecanismos de ação e estudos clínicos.
2. Também aborda a importância de entender a fisiopatologia da diabetes e trabalhar em equipe multidisciplinar com endocrinologistas.
3. Argumenta que o IMC não deve ser o único critério para indicação cirúrgica, já que não prediz o risco metabólico individual nem garante sucesso da cirurgia.
Efectos metabólicos del by pass gástrico
The document discusses various metabolic effects and mechanisms of action of Roux-en-Y gastric bypass (RYGB) surgery based on several studies. It finds that RYGB is effective at inducing weight loss and remission or improvement of type 2 diabetes in both short and long term follow-ups. The surgery increases insulin secretion and sensitivity through multiple mechanisms such as stimulating incretin hormones like GLP-1 and PYY, as well as changes in adipokines, vagal tone, intestinal gluconeogenesis, and other factors. RYGB is also found to have durable effects, good safety profile, and reproducibility across studies.
Evaluacion y preparacion psicologica en cirugia metabolica
Evaluacion y preparacion psicologica en cirugia metabolicaCongreso Internacional Cirugía Bariátrica y Metabólica
Este documento describe la evaluación psicológica y preparación de pacientes con diabetes y obesidad para cirugía metabólica. Explica que la evaluación psicológica analiza la historia del paciente, sus hábitos, emociones y apoyo social. La preparación educa al paciente sobre la cirugía, sus riesgos y expectativas para ayudarlos a enfrentar emocionalmente el proceso. Incluye dos casos de pacientes que experimentaron mejorías significativas en su diabetes y calidad de vida después de someterse a bypass gástrico.More from Congreso Internacional Cirugía Bariátrica y Metabólica (20)
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Mendoza 2011 tips para un correcto bypass gástrico
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- 33. MUCHAS GRACIAS !
- 34. complicaciones
- 35. Static marking patterns involve “standard” measurements. Yet, surgeons do not make an incision without previously evaluating these measurements with dynamic maneuvers… Marcacion dinamica Dynamic maneuvers allow more ductility when planning, and optimize the resolution…
Editor's Notes
- Dynamic patterns in mammary elevation
- As there are undoubtedly several mammary shapes, we cannot tie ourselves to static patterns
- Then, through mammary rotation, we can determine where the vertical incision should be made, following the sub-mammary crease
- We have to draw symmetrical marks to determine the location of the nipple-areola complex
- The angles that will be dismissed
- We determine which pedicle we should use, we actually prefer the postero-inferior pedicle
- En-block resection
- Measures to superficializate the areolas
- Superficialization
- Superficialization
- Complex location, we choose not to remove it perpendicularly, since if we increased the distance between the areola and the crease, it could luxate
- Result
- Front view result
- Upper side view result
- Pre- and post-operative care
- Another case
- Result
- Another Case
- … .
- Result
- … ..
- …
- More obese patients
- Another case
- In the aforementioned patients, a 24-hour drainage is left in place for seroma collection
- Oncoplastic surgery, with inferior tumor
- Superior pedicles
- Resection
- Radiotherapy result
- Thank you
- We believe that…
- Asymmetries
- Placement of bilateral prosthesis
- …
- Result
- More complex cases, conservatory surgery and radiotherapy, we use different pedicles to fill the defect
- Inferior pedicle on the right side
- Supero-inner pedicle on the left side
- Result
- Pre- and post-operative care