RESUMO
This video shows the case of a 64-year-old morbidly obese woman, with a non-adjustable gastric band, who consulted for weight regain and gastroesophageal reflux disease (GERD) symptoms and was converted to Roux-en-Y gastric bypass (RYGB). The operative technique included extensive lysis of adhesions, complete band dissection, partial gastrectomy of the fundus and body due to band erosion and conversion to RYGB.
Assuntos
Cirurgia Bariátrica , Derivação Gástrica , Laparoscopia , Obesidade Mórbida , Feminino , Gastrectomia , Humanos , Pessoa de Meia-Idade , Obesidade Mórbida/cirurgia , Reoperação , Estudos Retrospectivos , Resultado do TratamentoRESUMO
La aparición de esta nueva enfermedad por coronavirus 2019 (COVID-19) ha generado un gran impacto dentro de los equipos de salud, obligando a realizar cambios profundos en la actividad diaria. Estas modificaciones están orientadas a promover un ambiente de trabajo seguro para el personal médico y no médico. Sin embargo, algunos de esos cambios pueden tener consecuencias sobre el proceso de aprendizaje de los médicos en formación. El desafío que enfrenta un Servicio de Cirugía de un Hospital Universitario es mantener la continuidad de los programas formativos asegurando a la vez la seguridad de los médicos residentes. En este comunicado se describen los cambios realizados en el Programa de la Residencia de Cirugía General en un Hospital Universitario, orientados a brindar la misma calidad educativa, en un entorno seguro durante el transcurso de esta pandemia.
The appearance of this new coronavirus 2019 disease (COVID-19) has generated a great impact within health teams, forcing profound changes in the daily activity. These modifications are aimed at promoting a safe work environment for medical and non-medical personnel. However, some of these changes may have consequences on the learning process of doctors in training. The challenge faced by a Surgery Service of a University Hospital is to maintain the continuity of the training programs while ensuring the safety of Residents. This report describes the changes made to the General Surgery Residency Program at a university hospital, aimed at providing the same educational quality, in a safe environment during the course of this pandemic.
