Navegando por Palavras-chave "Surgeons"

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    Anterior cruciate ligament reconstruction: how do we perform it? Brazilian orthopedic surgeons' preference
    (Springer, 2016) Ambra, Luiz Felipe Morlin [UNIFESP]; Rezende, Fernando Cury [UNIFESP]; Xavier, Bruno [UNIFESP]; Shumaker, Felipe Conrado [UNIFESP]; Franciozi, Carlos Eduardo da Silveira [UNIFESP]; Luzo, Marcus Vinicius Malheiros [UNIFESP]
    Purpose We evaluated current trends and common practice of Brazilian orthopedic surgeons while selecting approaches for anterior cruciate ligament (ACL) reconstruction surgery. Methods Orthopedic surgeons (n = 191) completed a survey consisting of seven questions regarding their profiles and preference for ACL reconstruction techniques. Results Most surgeons were from Southeast Brazil (56.6 %) and had specialized in knee surgery (79.5 %); most participants (55.1 %) had worked in this field for > five years, and 46.8 % had performed >50 ACL reconstructions. Further, 93.1 % respondents preferred the hamstring graft. Analysis of preference for the femoral tunnel approach in terms of years of experience showed that surgeons with ten to 15 years' experience preferred the transtibial approach; those with < five years of experience, the transportal technique; those with >15 years' experience, the two-incision technique. Conclusions Surgeons' preferences for ACL reconstruction are variable, and are influenced by learning time and availability of tools rather than research evidence.
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    Influência do tempo operatório e complicações intraoperatórias na resposta cognitiva do cirurgião
    (Universidade Federal de São Paulo (UNIFESP), 2018-11-28) Deus, Juliana Beneduzzi de [UNIFESP]; Fernandes, Fernando Augusto Mardiros Herbella [UNIFESP]; http://lattes.cnpq.br/4035568020554599; http://lattes.cnpq.br/6342563444609253; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Surgeon’s performance may be influenced by several factors that may affect skills and judgement, which ultimately represents surgeon´s cognition. This study aims to evaluate the effect of operative time and operative complications on surgeon´s cognition. Methods: Fortysix surgeons (mean age 31 years, 78% males) assigned to an operation expected to last for at least 2 hours, volunteered for the study. All participants underwent 3 cognitive tests at the beginning of the operation and hourly, until the end of the procedure: (a) concentration (serial sevens, counting down from 100 by sevens); (b) visual (fast counting, counting the number of circles with the same color among a series of circles); and (c) motor (trail making, connecting a set of numbered dots). Intraoperative complications – defined as bleeding, organ injury or hemodynamic instability were recorded. Results: The visual test had a stable behavior along time. Concentration and motor tests tended to be performed faster. Intraoperative complications occurred in 5 (11%) cases (3 hemorrhage and 2 organ injuries). Performance time was stable for concentration and motor tests but visual test tended to be performed faster in cases with an intraoperative complication. Conclusion: Our results showed that: (1) time does not jeopardize surgeon´s cognition, but rather surgeons learned to perform the tests faster; and (2) complications do not decrease surgeon´s cognition.