A simple, fast and inexpensive approach to quantify low concentrations of iron in biodiesel by voltammetry after extraction induced by microemulsion breaking.

An alternative approach to assay iron (Fe) in biodiesel by differential pulse adsorptive cathodic stripping voltammetry (DPAdCSV) is presented herein. The sample treatment involved a simple, rapid, but effective extraction of Fe from biodiesel into an aqueous phase after microemulsion (ME) breaking. Then, Fe was determined as the complex Fe(III)-PAN (1-(2-pyridylazo)-2-naphthol) on a glassy carbon electrode (GCE) in the presence of bismuth (Bi(III)). The extraction induced by microemulsion breaking (EIMB) was achieved by adding 0.80 mL of ultrapure water into a water-in-oil ME containing 7.00 mL biodiesel, 2.70 mL n-propanol and 0.30 mL of 0.25 mol L-1 HNO3 solution. No deliberate addition of surfactant was necessary to form and maintain the ME. The EIMB resulted in a 1.30 mL lower aqueous phase extract (APhEx) and an upper oily phase. DP voltammograms were recorded with a portable potentiostat, showing the potentiality of carrying out the determination out of a central laboratory. Another feature was the non-necessity of deaerating the solution to eliminate the dissolved O2. The limits of detection (LOD) and quantification (LOQ) were 1.7 µg L-1 (140 mg kg-1) and 5.5 µg L-1 (455 mg kg-1), respectively. The accuracy of the method was evaluated by recovery assays of spiked samples, by analyzing a standard reference material and by comparisons with high-resolution continuum source graphite furnace atomic absorption spectrometry (HR-CS GF AAS).

Chagas disease: Performance analysis of immunodiagnostic tests anti-Trypanosoma cruzi in blood donors with inconclusive screening results

ABSTRACT Background: The screening of Trypanosoma cruzi-infected blood donors using two serological techniques frequently leads to conflicting results. This fact prompted us to evaluate the diagnostic performance of four "in-house" immunodiagnostic tests and two commercially available enzyme-linked immunosorbent assays (ELISAs). Material and Methods: One hundred and seventy-nine blood donors, whose screening for Chagas disease was doubtful, underwent three in-house ELISAs, one in-house immunoblotting test (TESA-blot), and two commercial ELISAs (bioMérieux and Wiener) in an attempt to define the presence or absence of infection. Simultaneously, 29 donors with previous positive results from three conventional serological tests and 30 donors with constant negative results were evaluated. Results: The ELISA-Wiener showed the highest rate in sensitivity (98.92%) and the ELISA-bioMérieux, the highest specificity (99.45%), followed by the TESA-blot, which showed superior performance, with lower false-negative (2.18%) and false-positive (1.12%) rates. In series, the combination composed of the TESA-blot and ELISA-bioMérieux showed slightly superior performance, with trifunctional protein deficiency (TFP) = 0.01%. Conclusion: Our study confirms the high sensitivity and specificity of commercial kits. To confirm the presence or absence of T. cruzi infection, the combination of TESA-blot and ELISA-bioMérieux may be suggested as the best alternative. Individually, the TESA-blot performed the closest to the gold standard; however, it is not commercially available.

Sulfur determination using the SiS diatomic molecule via HR-CS GF MAS and direct analysis of solid samples: A versatile method for different matrices.

In this work, a simple and reliable method was proposed for sulfur determination in different matrices using the diatomic molecule SiS via high-resolution continuum source graphite furnace molecular absorption spectrometry (HR-CS GF MAS) and direct analysis of solid samples. This investigation was carried out using six sulfur standard solutions, Na2S, Na2SO4, BeSO4, thiourea, l-cysteine and sulfamic acid, and nine certified reference materials (CRMs). All measurements were performed using the SiS analytical line at 282.910 nm with 400 µg Zr as permanent modifier and 20 µg Si in basic media as molecule forming reagent. The optimized pyrolysis and vaporization temperatures were 1200 and 2000 °C, respectively. The investigated sulfur sources presented similar analytical signals and statistically equal Aint values for the SiS molecule. Calibration curves with aqueous sulfur standard solutions were used to achieve the limits of detection (LOD) and quantification (LOQ) and the characteristic mass (m0) of 8.8, 29 ng mg-1 and 9.8 ng, respectively, and to determine sulfur in the CRMs. Considering that the investigated wavelength range contained multiple SiS lines, the LOD (2.5 ng mg-1), LOQ (8.4 ng mg-1), m0 (1.0 ng) and the working range (0.008-2.5 µg) were improved by using ten SiS lines (30 pixels) for the measurements. Despite differences in the CRM matrices, the SiS molecule was successfully employed to determine their sulfur concentrations, which were in agreement with the certified values at a confidence level of 95% through Student or Welch t-tests. Therefore, a simple, versatile and reliable method using the SiS molecule was developed to perform sulfur determination in a great variety of sample matrices via HR-CS GF MAS and direct analysis of solid samples.

Anatomy of leaf and stem of Erythrina velutina

Erythrina velutina Willd., Fabaceae, known as "mulungu", is a tree of tropical regions, as northeastern Brazil. Its bark is used in folk medicine as tranquilizer, sedative and insomnia. This study aimed to characterize the stem and leaf anatomy and to provide subsidies to quality control of the plant drug due to its wide use in folk medicine as well as its differentiation from other species with the same popular name. Samples were collected at Cuité, in Paraíba State, Brazil, fixed in FAA50, semipermanent slides were made, following usual procedures in plant anatomy. The stem shows a cylindrical contour, covered by a uniseriate epidermis covered by a thickened cuticle. It shows claviform glandular and branched trichomes with uniseriate stalk. Secretory cavities are into the phloem. The leaf epidermis has branched and glandular trichomes and anisocytic and paracytic stomata, on both sides, with predominance of branched trichomes and stomata on abaxial surface. Secretory cavities in stem and leaf, types of trichomes and stomata, its location and distribution constitute diagnostic characters for this specie. The structural characterization of the stem and leaf allows its distinction from other ones of this genus, ensuring safety for commercial pharmacological uses, allowing certification of the authenticity of raw material.

Determination of cadmium and lead in beverages after leaching from pewter cups using graphite furnace atomic absorption spectrometry.

Two simple methods have been developed to determine cadmium and lead in different kinds of beverages and vinegar leached from pewter cups produced in Brazil. Leaching experiments have been carried out with different solutions: beer, sugar cane spirit, red and white wine, vinegar and a 3% acetic acid solution. The solutions were kept in cups with and without solder for 24h. Lead and cadmium have been determined using graphite furnace atomic absorption spectrometry with deuterium background correction. The limits of detection were 0.05 and 1.4 µg L(-1), and the characteristic mass was 1.0 pg and 19 pg for Cd and Pb, respectively. With the developed methods it was possible to determine accurately cadmium and lead by direct analysis in these liquids and to evaluate the leaching of these metals from pewter cups. The results presented in this work show that pewter cups are not cadmium- and lead-free; this point goes against the manufacturers' declaration that their products are lead-free.

Socioepidemiological screening of serologically ineligible blood donors due to Chagas disease for the definition of inconclusive cases

Epidemiological screening combined with serological tests has become an important tool at blood banks for the characterization of donors with or without Trypanosoma cruzi infection. Thus, the objective of the present study was to describe the sociodemographic and epidemiological characteristics of blood donors with non-negative serology for T. cruzito determine possible risk factors associated with serological ineligibility. Sociodemographic and epidemiological data were collected by analysis of patient histories and interviews. The data were analyzed descriptively using absolute and relative frequencies and odds ratio (OR) evaluation. The frequency of serological ineligibility was 0.28 percent, with a predominance of inconclusive reactions (52 percent) and seropositivity among first-time donors (OR = 607), donors older than 30 years (OR = 3.7), females (OR = 1.9), donors from risk areas (OR = 4) and subjects living in rural areas (OR = 1.7). The risk of seropositivity was higher among donors who had contact with the triatomine vector (OR = 11.7) and those with a family history of Chagas disease (OR = 4.8). The results demonstrate the value of detailed clinical-epidemiological screening as an auxiliary tool for serological definition that, together with more specific and more sensitive laboratory methods, will guarantee a higher efficacy in the selection of donors at blood centres.

Diretrizes para o diagnóstico, classificação, profilaxia e tratamento da doença enxerto contra hospedeiro crônica / Guidelines for the diagnosis, classification, prophylaxis and treatment of chronic graft-versus-host disease

A falta de critérios diagnósticos padronizados, amplamente utilizados, pode comprometer tanto a avaliação real da incidência da doença contra hospedeiro crônica bem como a correlação de sua gravidade com a taxa de mortalidade pós-transplante. Na I Reunião de Diretrizes da Sociedade Brasileira de Transplante de Medula Óssea, realizada em junho de 2009, o Grupo de Estudos de DECH Brasil - Seattle (GEDECH), baseado na realidade dos Centros brasileiros, apresentou as recomendações para diagnóstico, classificação, profilaxia e tratamento da doença enxerto contra hospedeiro crônica propostas pelo National Institutes of Health. Estas propostas incluíram padronização das características utilizadas no diagnóstico e ferramentas para a pontuação dos órgãos envolvidos e avaliação global da gravidade a serem utilizados em estudos clínicos da doença enxerto contra hospedeiro crônica. Estes critérios são úteis para uma melhor análise da incidência desta doença, além de poder avaliar a gravidade do comprometimento de um órgão ou sítio envolvido e a influência na mortalidade tardia do transplante. A profilaxia e os tratamentos propostos para esta importante complicação dos transplantes de células-tronco hematopoéticas foram discutidos e graduados de acordo com níveis de evidência estabelecidos pelo National Institutes of Health.

The lack of widely-used standardized diagnostic criteria may impair both the true evaluation of chronic graft-versus-host disease and the correlation of its severity with transplant-related mortality. At the I Consensus of the Brazilian Society of Bone Marrow Transplantation - SBTMO that took place in June 2009, the Group of GVHD Studies Brazil-Seattle (GEDECH), presented the guidelines for diagnosis, classification, prophylaxis and treatment of chronic GVHD as proposed by the National Institutes of Health and based on the reality in Brazilian Centers. These proposals, including standardization of features used in diagnosis and tools to score involved organs and to assess the overall severity, should be used in clinical studies of chronic graft-versus-host disease. These criteria are useful to better analyze the incidence of this disease, in addition to evaluate the extension of the involvement of organs or the site affected and its influence on late transplantation mortality. Prophylaxis and treatment proposed for this important complication of hematopoietic stem cell transplantations were discussed and graded according to the levels of evidence established by the National Institutes of Health.

Stabilization and solidification of Pb in cement matrices.

Pb was incorporated to a series of cement matrices, which were submitted to different testes of solidified/stabilized product. The leaching behaviors of aqueous solution were monitored by graphite furnace atomic absorption spectroscopy (GF-AAS). The mechanical strengths were evaluated by unconfined compressive strength (UCS) at 7 and 28 ages. Data are discussed in terms of metal mobility along the cement block monitored by X-ray fluorescence (XRF) spectrometry. Complementary techniques, namely, diffuse reflectance infrared Fourier transform spectroscopy (DRIFTS), thermal gravimetric analysis (TGA), small angle X-ray scattering (SAXS) and X-ray diffraction spectroscopy (XRD) were employed in the characterization of the modified matrices. The Pb incorporated matrices have shown that a long cure time is more suitable for avoiding metal leaching. At pH 8 lower Pb leaching took place both for both short and long cure time. For a longer cure period there is a decreasing in the compressive strength. TGA and DRIFTS analyses show that the resistance fall observed in the UCS tests in the sample with Pb are not caused by hydration excess. XRF analyses show that there is a lower Ca concentration in the matrix in which Pb was added.

Comparison of direct solid sampling and slurry sampling for the determination of cadmium in wheat flour by electrothermal atomic absorption spectrometry.

Two analytical methods for the determination of cadmium in wheat flour by electrothermal atomic absorption spectrometry without prior sample digestion have been compared: direct solid sampling analysis (SS) and slurry sampling (SlS). Besides the conventional modifier mixture of palladium and magnesium nitrates (10 microg Pd+3 microg Mg), 0.05% (v/v) Triton X-100 has been added to improve the penetration of the modifier solution into the solid sample, and 0.1% H(2)O(2) in order to promote an in situ digestion for SS. For SlS, 30 microg Pd, 12 microg Mg and 0.05% (v/v) Triton X-100 have been used as the modifier mixture. Under these conditions, and using a pyrolysis temperature of 800 degrees C, essentially no background absorption was observed with an atomization temperature of 1600 degrees C. About 2 mg of sample have been typically used for SS, although as much as 3-5 mg could have been introduced. In the case of SlS multiple injections had to be used to achieve the sensitivity required for this determination. Calibration against aqueous standards was feasible for both methods. The characteristic mass obtained with SS was 0.6 pg, and that with SlS was 1.0 pg. The limits of detection were 0.4 and 0.7 ng g(-1), the limits of quantification were 1.3 and 2.3 ng g(-1) and the relative standard deviation (n=5) was 6-16% and 9-23% for SS and SlS, respectively. The accuracy was confirmed by the analysis of certified reference materials. The two methods were applied for the determination of cadmium in six wheat flour samples acquired in supermarkets of different Brazilian cities. The cadmium content varied between 8.9+/-0.5 and 13+/-2 ng g(-1) (n=5). Direct SS gave results similar to those obtained with SlS using multi-injections; the values of both techniques showed no statistically significant difference at the 95% confidence level. Direct SS was finally adopted as the method of choice, due to its greater simplicity, the faster speed of analysis and the better figures of merit.

Fotoferese extracorpórea / Extracorporeal photopheresis

Fotoferese extracorpórea é uma modalidade de terapia celular que tem demonstrado eficácia e segurança em pacientes portadores de doenças auto-imunes e mediadas por células T, incluindo esclerodermia, linfoma de células T cutâneo/ Síndrome de Sézary e doença enxerto-contra-hospedeiro após transplante de células-tronco hematopoiéticas. Tem sido empregada, ainda, com o intuito de induzir tolerância em transplantes de órgãos sólidos. O tratamento se baseia no efeito biológico de uma substância fotossensibilizante, o 8-metoxipsoraleno, e da radiação ultravioleta A, nas células mononucleares coletadas por aférese e reinfundidas ao paciente. O mecanismo de ação parece ser devido à indução de imunidade anticlonotípica direcionada a clones patogênicos de células T. O tratamento induz a apoptose de células T patogênicas, e a ativação de células apresentadoras de antígenos desempenha papel importante no processo imunomodulador.

Extracorporeal photopheresis is a method of cell therapy that has demonstrated efficacy in autoimmune diseases, cutaneous T-cell lymphoma/Sézary syndrome and graft-versus-host disease after hematopoietic stem-cell transplantation. This technique has also been employed as a treatment strategy to induce tolerance after solid organ transplants. Treatment is based on the biological effect of ultraviolet A radiation and a photosensitizing drug, 8-methoxypsoralen, on mononuclear cells collected by apheresis and reinfused into the patient. The suggested mechanism of action is related to the induction of anticlonotypic immunity directed against pathogenic clones of T lymphocytes. Treatment induces apoptosis of pathogenic T-cells, and it appears that activation of antigen-presenting cells has an important role in this process.

Determination of volatile and non-volatile nickel and vanadium compounds in crude oil using electrothermal atomic absorption spectrometry after oil fractionation into saturates, aromatics, resins and asphaltenes.

In recent work, it has been shown that electrothermal atomic absorption spectrometry (ET AAS) can be used to differentiate between volatile and non-volatile nickel and vanadium compounds in crude oil. In the present work, the distribution of these two groups of compounds over different fractions of crude oil was investigated. For this purpose two crude oil samples were separated in two steps: firstly, the asphaltenes were precipitated with n-heptane, and secondly, the maltenes were loaded on a silica column and eluted with solvents of increasing polarity. The four fractions of maltenes eluted from silica column were: F1, saturated and light aromatics; F2, polyaromatics; F3, resins; and F4, polar compounds. Fractions F1 and F2 were further investigated using gas chromatography, and all fractions were characterized by CHN analysis, confirming the increase of aromatics in the fractions 2, 3, 4 and asphaltenes. For the determination of Ni and V by ET AAS, oil-in-water emulsions were prepared. The speciation analysis was carried out measuring without chemical modifier (stable compounds) and with 20 microg palladium (total Ni and V) and the volatile fraction was calculated by difference. The limits of detection were 0.02 microg g(-1) and 0.06 microg g(-1), for Ni and V, respectively, based on an emulsion of 2g of oil in 10 mL. The volatile species of Ni and V were associated with fractions F3 and F4, while only thermally stable Ni and V was precipitated in part together with the asphaltenes.

Feasibility of using solid sampling graphite furnace atomic absorption spectrometry for speciation analysis of volatile and non-volatile compounds of nickel and vanadium in crude oil.

A method for the direct determination of volatile and non-volatile nickel and vanadium compounds in crude oil without previous treatment using direct solid sampling graphite furnace atomic absorption spectrometry is proposed. The crude oil samples were weighed directly onto solid sampling platforms using a microbalance and introduced into a transversely heated solid sampling graphite tube. In previous work of our group losses of volatile nickel and vanadium compounds have been detected, whereas other nickel and vanadium compounds were thermally stable up to 1300 and 1600 degrees C, respectively. In order to avoid this problem different chemical modifiers (conventional and permanent) have been investigated. With 400microg of iridium as permanent modifier, the signal started to drop already after two atomization cycles, possibly because of an interaction of nickel (which is a catalyst poison) with iridium. Twenty micrograms of palladium applied in each determination was found to be optimum for both elements. The palladium was deposited on the platform and submitted to a drying step at 150 degrees C for 75s. After that the sample was added onto the platform and submitted to the furnace program. The influence of sample mass on the linearity of the response and on potential measurement errors was also investigated using four samples with different nickel content. For the sample with the lowest nickel concentration the relationship between mass and integrated absorbance was found to be non-linear when a high sample mass was introduced. It was suspected that the modifier had not covered the entire platform surface, which resulted in analyte losses. This problem could be avoided by using 40microL of 0.5g L(-1) Pd with 0.05% Triton X-100. Calibration curves were established with and without modifier, with aqueous standards, oil-in-water emulsions and the certified reference material NIST SRM 1634c (trace metals in residual fuel oil). The sensitivity for aqueous standards and emulsions was close to that for SRM 1634c, making possible the use of aqueous standards for calibration. The limits of detection and quantification obtained for nickel and vanadium under this condition were found to be 0.02 and 0.06microg g(-1), respectively, for both elements, based on 10mg of sample. Nickel and vanadium were determined in the samples with (total Ni and V) and without the use of Pd (thermally stable compounds), and the concentration of volatile compounds was calculated by difference. The results were compared with those obtained by high-resolution continuum source graphite furnace atomic absorption spectrometry by emulsion technique; no significant differences were found for total Ni and V at the 95% confidence level according to a Student's t-test.

Breve revisão sobre doença celiaca / Celiac disorder brief revision

Doença celíaca (DC), também conhecida como enteropatia glúten-sensível, é uma causa comum de má absorção que pode acometer qualquer faixa etária, mas principalmente a faixa etária pediátrica. Sua etiologia não está totalmente esclarecida, mas sabe-se que inúmeros fatores contribuem para o desenvolvimento da doença. A maioria das manifestações clínicas decorrem da síndrome de má absorção.

Perfil sorológico para doença de Chagas dos doadores de sangue do Hemocentro Regional de Uberaba / Serological profile concerning Chagas' disease of blood donors at Uberaba Blood Center

Atualmente, um dos maiores problemas na triagem sorológica de doadores de sangue para doença de Chagas é a alta freqüência de reações indeterminadas, o que faz com que muitos indivíduos sadios sejam rotulados como portadores de uma doença grave. O presente trabalho tem o objetivo de analisar o comportamento sorológico para doença de Chagas dos doadores do Hemocentro Regional de Uberaba, MG e propor mecanismos para reduzir o índice de inaptidão sorológica para essa doença. Através de estudo retrospectivo, foi analisado o resultado sorológico de 79.729 amostras obtidas de doações de sangue realizadas neste Serviço entre janeiro de 2000 e dezembro de 2004. Os resultados foram analisados quanto às variáveis: tipo de doador (novo e de retorno), gênero e idade (inferior ou igual a 30 anos e superior a 30 anos). Para a análise estatística foram realizados os testes do Qui-Quadrado e de comparação de proporções (Z). A ocorrência de doações com sorologia não negativa para doença de Chagas entre doadores novos foi significativamente superior aos de retorno, com p< 0,0001. Quanto à idade, a proporção de positivos no grupo maior de 30 anos foi significativamente superior à do grupo com idade igual ou inferior a 30 anos (p< 0,0001). O elevado número de reações indeterminadas nesse Serviço está de acordo com estudos recentes, reforçando a necessidade da implementação de testes sorológicos 100 por cento específicos ou de exames confirmatórios práticos e rápidos, passíveis de serem introduzidos nas rotinas dos serviços de hemoterapia, reduzindo o descarte desnecessário de bolsas de sangue.

Currently one of the major problems in the serological selection of blood donors in respect to Chagas' disease is the high incidence of indeterminate reactions, making a large number of healthy individuals incorrectly diagnosed as seriously ill. This paper aims at evaluating the serological pattern of Chagas' disease of donors of the Uberaba Blood Center and also to propose mechanisms to reduce the rate of serological ineligibility due to suspicion of this disease. A retrospective study of the serological results of 79,729 samples of blood was carried out between January 2000 and December 2004. The results were analyzed according to the following variables: type of donor (first-time and multiple), gender and age (less than or equal to 30 or more than 30 years old). The statistical analysis was made using the chi-square test and a comparison of proportions (Z). Indeterminate results in respect to Chagas' disease among first-time donors were significantly higher than those of multiple donations with p < 0.0001. As for age, the proportion of positivity in the over 30-year-old group was significantly higher to that of the under or equal to 30-year-old group (p < 0.0001). The high number of indeterminate reactions at this center is in accordance with recent studies, highlighting the need of implementing serological tests with 100 percent specificity or the use of practical and fast confirmation tests to be routinely introduced in hemotherapy services, reducing the unnecessary rejection of blood bags.

Diabetes mellitus tipo 2 na terceira idade / Diabetes mellitus type 2 in third age

O diabetes mellitus é um crescente problema de saúde entre os idosos. O controle da hipertensão e da hiperlipidemia, a seleção cuidadosa de metas de controle glicêmico e a educação dos pacientes são as pedras angulares do tratamento desses casos. Não obstante, o cuidado do paciente diabético também deve englobar estratégias de promoção de qualidade de vida e bem-estar, o que não é apenas conseqüência da intensificação do cuidado. Faz-se necessária uma melhoria na natureza e qualidade do cuidado, e isto só poderá ser obtido quando os responsáveis pelo planejamento e organização dos serviços de saúde reconhecerem as características peculiares aos idosos diabéticos.

Method development for the determination of iron in milligram amounts of rice plants (Oryza sativa L.) from cultivation experiments using graphite furnace atomic absorption spectrometry.

The amount of sample that is available for analysis in laboratory plant cultivation experiments is usually very limited. Highly sensitive analytical techniques are therefore required, even for elements that are present in the plants at mg g(-1) concentrations, and graphite furnace atomic absorption spectrometry (GFAAS) was chosen in this work because of its micro-sampling capability, and its relatively simple operation. Four micro-methods were investigated for the determination of iron in roots and leaves of rice plants: i) a micro-digestion with nitric and hydrochloric acids, ii) a slurry procedure using tetramethylammonium hydroxide (TMAH) tissue solubilizer, iii) a slurry prepared in 1.4 mol L(-1) nitric acid, and treated in an ultrasonic bath, and iv) the direct analysis of solid samples. The micro-digestion was suffering from high blank values and contamination problems, so that it could not be recommended for routine purposes. The TMAH method exhibited poor precision and occasional low recoveries, particularly for real samples. Direct solid sampling analysis gave results similar to those obtained with the slurry technique with ultrasonic agitation for the determination of iron in certified reference materials with iron content up to about 100 microg g(-1), but was too sensitive for the investigated rice plants, which had an iron content up to several mg g(-1). The slurry technique with ultrasonic treatment of the samples, suspended in dilute nitric acid, was finally adopted as the method of choice. The method was then applied for the determination of iron in the leaves and in different compartments of the roots of two rice cultivars, one sensitive to iron toxicity, an important nutritional disorder, and the other one resistant to iron toxicity. The results suggest that the higher resistance to iron toxicity of the second cultivar is due to a smaller uptake of iron from the soil, resulting in lower iron levels in all compartments of the plant.

Colectomia laparoscópica versus minilaparotomia: estudo comparativo / Laparoscopic colectomy versus minilaparotomy: comparative study

O objetivo deste estudo foi de comparar o tratamento cirúrgico do megacólon chagásico, realizado por via laparoscópica e utilizando-se minilaparotomia. A técnica utilizada em ambos os grupos foi uma modificaçäo da cirurgia de Duhamel-Haddad realizada em um só tempooperatório. Foram estudados 44 pacientes divididos aleatoriamente em dois grupos, sendo em 23 empregada a via laparoscópica (LPR) e em 21 a minilaparotomia (MNL). Os grupos eram homogêneos quanto ao sexo, idade e raça. O tempo operatório foi maior no grupo LPR (165,38 ñ 40,14) minutos em relaçäo ao MNL (109,24 ñ 25,38)(p < 0,01). O tamanho das incisöes utilizadas em ambos os grupos foi em média de 8,0 (6-11,0) cm. Passagem de flatus ocorreu em média de 1,8 dias no grupo LPR e 1,3 dias no MNL; dieta oral foi introduzida no segundo dia de pós-operatório no grupo LPR, e no primeiro dia no grupo MNL (p < 0,01); 39 por cento dos pacientes do grupo LPR necessitaram de analgesia venosa no pós-operatório, enquanto que apenas 10 por cento dos pacientes MNL solicitaram este tipo de analgesia (p < 0,05); o tempo de permanência hospitalar foi em média de 5,8 dias para o grupo LPR, e de 3,4 dias para o MNL (p < 0,05). Complicaçöes pós-operatórias foram mais frequentes no grupo LPR (7) que no grupo MNL (2) näo sendo esta diferença estatisticamente significante