Laparoscopic surgery and coronavirus disease: What do we know now?

Questions regarding the transmissibility of the novel coronavirus disease (COVID-19) remain unanswered. It is known that the transmission of the severe acute respiratory syndrome coronavirus (SARS-CoV) occurs predominantly through droplets and contact. However, aerosols can be generated in some situations, such as orotracheal intubation, ventilation, and the use of electric or ultrasonic scalpels, and can therefore potentially contaminate the care team if adequate protection is not used. It is therefore necessary to assess issues of transmissibility of COVID-19 during surgery in infected patients. This review gathers the recent research pertaining to this topic. A search of the literature was performed using the PubMed and UpToDate databases with the search terms "surgery" and "covid-2019," in addition to other MeSH variants of these terms. We do not have consistent evidence on the exposure of healthcare professionals assisting patients with COVID-19 undergoing laparoscopy or the impact of such exposure. In view of the evidence obtained and drawing parallels with other infectious and contagious diseases, medical personnel must wear complete protective attire for proper protection against the generated aerosol. Further studies are required to assess the impact of such surgeries on healthcare professionals conducing or assisting with these procedures.

Laparoscopic surgery and coronavirus disease: What do we know now?

Questions regarding the transmissibility of the novel coronavirus disease (COVID-19) remain unanswered. It is known that the transmission of the severe acute respiratory syndrome coronavirus (SARS-CoV) occurs predominantly through droplets and contact. However, aerosols can be generated in some situations, such as orotracheal intubation, ventilation, and the use of electric or ultrasonic scalpels, and can therefore potentially contaminate the care team if adequate protection is not used. It is therefore necessary to assess issues of transmissibility of COVID-19 during surgery in infected patients. This review gathers the recent research pertaining to this topic. A search of the literature was performed using the PubMed and UpToDate databases with the search terms "surgery" and "covid-2019," in addition to other MeSH variants of these terms. We do not have consistent evidence on the exposure of healthcare professionals assisting patients with COVID-19 undergoing laparoscopy or the impact of such exposure. In view of the evidence obtained and drawing parallels with other infectious and contagious diseases, medical personnel must wear complete protective attire for proper protection against the generated aerosol. Further studies are required to assess the impact of such surgeries on healthcare professionals conducing or assisting with these procedures.

Mitos y errores en el diseño de dietas para la recuperacion de un peso saludable / No disponible

Se ha realizado un estudio crítico de los principales gruposde dietas milagro o mágicas, de su aparición, del por quétienen una gran incidencia en muchos núcleos de la población,haciendo especial mención de los errores más gravesque existen en las de mayor significación y llegando a laconclusión de que no son útiles y debemos luchar para queno tengan la importancia que hoy por hoy poseen(AU)

There have carried out a critical study of the principalgroups of diets miracle or magic, of their appearance, ofwhy they have a great incident in many nucleuses of thepopulation, doing special mention of the most seriousmistakes that exist in those of major meaning and comingto the conclusion from that are not useful and that we mustfight in order that they do not have the importance thattoday they possess(AU)

Microlaparoscopy vs. conventional laparoscopy for the management of early-stage pelvic endometriosis: a comparison.

OBJECTIVE: To evaluate the advantages and disadvantages of microlaparoscopy vs. conventional laparoscopy in the management of patients with early-stage pelvic endometriosis. STUDY DESIGN: In this prospective, randomized study we evaluated 54 patients with a clinical diagnosis of stage I and II pelvic endometriosis according to the classification of the American Society for Reproductive Medicine, revised in 1996. The patients were divided into 3 groups and underwent, respectively, microlaparoscopy under sedation, microlaparoscopy under general anesthesia and conventional laparoscopy for definitive diagnosis and treatment of the disease. RESULTS: Microlaparoscopy caused less pain, required lower consumption of analgesics and permitted a faster return to daily activities. Sedation decreased the incidence of nausea, vomiting and oropharyngeal pain. Microlaparoscopy under sedation led to a shorter hospital stay and reduced cost. CONCLUSION: Microlaparoscopy under sedation is a viable alternative for the management of patients with suspected early-stage pelvic endometriosis.

[Management of gestational diabetes]. / Tratamento do diabetes melito gestacional.

The authors go review recent advanes in the treatment of gestational diabetes, giving emphasis to the peculiarities of this both clinical and obstetric disease. The covered topics covered include diet, exercise, metabolic control, insulin therapy and new therapeutic approaches, such as the use of oral hipoglycaemic agents.

Tratamento do diabetes melito gestacional / Management of gestational diabetes

Neste artigo, os autores analisam os mais recentes avanços no tratamento do diabetes gestacional, enfatizando pontos importantes na abordagem terapêutica: dieta, exercícios, controle glicêmico, utilizaçäo da insulina, assim como a utilizaçäo de hipoglicemiantes orais. O artigo traz propostas atuais para o tratamento do diabetes melito gestacional bem como ressaltar suas peculiaridades quanto patologia clínico-obstétrica

Diabetes melito gestacional: uma analise do emprego do teste de tolerancia oral a glicose (TTOG 100g) em dois tempos na gestacao / Gestational diabetes mellitus: an analisys of the oral glucose tolerance test (100-g OGTT) was realized twice in pregnancy

O objetivo deste trabalho foi analisar retrospectivamente a utilizacao de tolerancia oral a glicose de 100 gramas (TTOG 100g) realizado em dois tempos na gestacao. Foram estudadas 102 gestantes...

Repercussoes do diabetes no feto e recem-nascido / The effects of diabetes to the fetus and newborn

Nesse artigo, os autores analisam as principais complicacoes ao feto e recem-nascido da gestante diabetica. Descrevem as complicacoes, tais como: mortalidade perinatal, malformacoes congenitas, macrossomia, hipoglicemia, policitemia, hiperbilirrubinemia, sindrome do desconforto respiratorio e tambem...