| Revista: | Revista do Colegio Brasileiro de Cirurgioes |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000283497 |
| ISSN: | 0100-6991 |
| Autores: | Christo, Marcelo Campos1 |
| Instituciones: | 1Hospital Felicio Rocho, Belo Horizonte, Minas Gerais. Brasil |
| Año: | 2005 |
| Periodo: | Sep-Oct |
| Volumen: | 32 |
| Número: | 5 |
| Paginación: | 279-282 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Estado del arte |
| Enfoque: | Analítico |
| Resumen en inglés | In the last fifty years evolution of scientific knowledge on the spleen provoked an entirely new approach to splenic surgery. It was shown that virulence may emerge as a significant consequence of environmental and evolutionary changes of some microbial communities, and devastating pathogenetic results of these changes become visible in human hosts without the splenic function. In other words: the spleen plays a pivotal role in the dynamic balance between biodiversity, microorganisms and immunogenecity in human hosts. Therefore, to preserve the "splenic immunologic repertoire" became an increasing commitment among surgeons. Understanding the integration of these multiple information on spleen, seems central to understand the new splenic surgery. Partial splenectomies (Réglées) - based on anatomical, experimental and clinical studies, developed at the University of Minas Gerais since the fifties - were successfully applied initially to treat the traumatic injuries of the spleen; in a following step, partial splenectomy were used to control hematological diseases. "Réglées" techniques on the spleen have conquered "ethical support, consilience status and clinical governance" to give birth to surgical therapeutic decisions on the spleen, in order to spare the structural integrity of the immune system. Splenic réglées procedures became a seminal achievement of splenic surgical practice. Initial results of "Partial splenectomies" - with conventional surgical armamentaria and techniques - were confi |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Hematología, Traumatología y ortopedia, Bazo, Esplenectomía, Laparoscopia, Sepsis |
| Keyword: | Medicine, Hematology, Surgery, Traumatology and orthopedics, Spleen, Splenectomy, Laparoscopy, Sepsis |
| Texto completo: | Texto completo (Ver HTML) |
