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Dismembered pyeloplasty for ureteropelvic junction syndrome treatment in children
Pinto, João Moreira; Osório, Angélica; Vila, Fernando; Castro, João Luís Ribeiro de; Réis, ArmandoBackground: Open dismembered pyeloplasty remains the preferred surgical technique for ureteropelvic junction syndrome (UPJS) in most paediatric urology units. The authors present their experience of 230 patients and describe their form of presentation, treatment and early and long-term results. Materials and Methods: Retrospective analysis of clinical records of 230 patients submitted to dismembered pyeloplas...
Transthoracic single port with peroral assistance : an animal experiment to ass...
Coelho, Tiago Henriques; Soares, T. R.; Miranda, Alice; Pinto, João Moreira; Pinto, Jorge CorreiaProva tipográfica. ; Thoracoscopic repair of esophageal atresia has becoming the gold standard in many centers since it allows a better cosmetic result and avoids the musculoskeletal sequelae of a thoracotomy. Natural Orifices Transluminal Endocopic Surgery (NOTES) is a new surgical paradigm and its human application was already started in some procedures. In the present study, we explore the feasibility to pe...
Five really easy steps to build a homemade low-cost simulator
Pinto, João Moreira; Silva, João Guilherme; Castro, João Luís Ribeiro de; Pinto, Jorge CorreiaPublished online march 2012 ; Aim. The aim of this study was to evaluate how simple it is to build a homemade low-cost simulator using a simple 5-step scheme. Methods. A scheme explaining how to build an endoscopic surgery simulator in 5 easy steps was presented to 26 surgeons. The simulator required a pair of scissors and easy-to-find materials. Its total cost was less than €35. The participants assessed the ...
Transesophageal pulmonary lobectomy with single transthoracic port assistance :...
Pinto, João Moreira; Ferreira, Aníbal; Miranda, Alice; Rolanda, Carla; Pinto, Jorge PintoBACKGROUND AND STUDY AIMS: Thoracoscopic pulmonary lobectomy is being performed in an increasing number of patients. The aims of the current study were to assess natural orifice transluminal endoscopic surgery (NOTES) as an alternative to transthoracic endoscopic surgery, and to test the feasibility of peroral transesophageal right upper pulmonary lobectomy with the assistance of a single transthoracic trocar. ...
Left atrial appendage ligation with single transthoracic port assistance : a st...
Pinto, João Moreira; Ferreira, Aníbal; Miranda, Alice; Rolanda, Carla; Pinto, Jorge CorreiaBackground: Left atrial appendage (LAA) exclusion is a well-known procedure for the prevention of stroke in high-risk patients with atrial fibrillation and contraindication to long-term oral anticoagulant therapy. Objective: To evaluate a natural orifice transluminal endoscopic surgery (NOTES) approach for LAA ligation. Design: In 4 acute and 6 survival pigs, we performed LAA by using a forward-viewing, single-ch...
Natural orifice transesophageal endoscopic surgery : state of the art
Pinto, João Moreira; Ferreira, Aníbal; Rolanda, Carla; Pinto, Jorge CorreiaThe main goal of Natural Orifice Transluminal Endoscopic Surgery (NOTES) is performing surgery avoiding skin incisions. Theoretical advantages of NOTES include decreased postoperative pain, reduction/elimination of general anesthesia, improved cosmetic outcomes, elimination of skin incision-related complications such as wound infections and hernias, and increased overall patient satisfaction. Although various f...
Natural orifice transluminal endoscopy surgery : a review
Pinto, João Moreira; Lima, Estêvão Augusto Rodrigues de; Pinto, Jorge Correia; Rolanda, CarlaMinimally invasive surgery started spreading worldwide in 1987, when the first laparoscopic cholecystectomy was performed. Meanwhile, improvement of endoscopic equipment and instruments allowed gastroenterologists to attempt more aggressive endoluminal interventions, even beyond the wall barrier. The first transgastric peritoneoscopy, in 2004, brought to light the concept of natural orifice transluminal endosco...
Octreotide in the treatment of neonatal postoperative chylothorax : report of t...
Pinto, João Moreira; Rocha, Paula; Osório, Angélica; Bonet, Berta; Carvalho, Fátima; Duarte, Carlos; Oliveira, LuísaChylothorax is a well-recognized omplication after neonatal cardiothoracic surgery. Management strategies include cessation of enteral feedings, repeated aspiration, chest drainage, and total parenteral nutrition. Somatostatin and its analogue, octreotide, have been used with promising results. The authors present three cases of neonatal postoperative chylothorax in which ctreotide was used. After literature ...
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