{"id":945,"date":"2022-01-27T10:23:05","date_gmt":"2022-01-27T13:23:05","guid":{"rendered":"https:\/\/beritpress.com.br\/?p=945"},"modified":"2022-01-27T10:23:08","modified_gmt":"2022-01-27T13:23:08","slug":"entrevista-com-o-dr-washington-lima","status":"publish","type":"post","link":"https:\/\/beritpress.com.br\/index.php\/2022\/01\/27\/entrevista-com-o-dr-washington-lima\/","title":{"rendered":"ENTREVISTA COM O DR. WASHINGTON LIMA"},"content":{"rendered":"\n
\"\"
Dr. Whashington Lima \u2013 CRM 153723.<\/figcaption><\/figure>\n\n\n\n

Dr. Washington Lima<\/a> \u00e9 cirurgi\u00e3o pl\u00e1stico com especializa\u00e7\u00e3o em microcirurgia reconstrutiva e doutorado pela Universidade de S\u00e3o Paulo (USP). \u00c9 assistente do S\u00e3o Camilo Oncologia, refer\u00eancia no tratamento do c\u00e2ncer de mama, e atua no Hospital S\u00edrio-Liban\u00eas e Hospital Albert Einstein.<\/p><\/blockquote>\n\n\n\n

Dr. Washington, ajude-nos a entender, o que \u00e9 e quando recomenda-se a microcirurgia reconstrutiva?<\/strong><\/p>\n\n\n\n

Quando a reconstru\u00e7\u00e3o de alguma regi\u00e3o do corpo est\u00e1 indicada, pode ser utilizado o pr\u00f3prio tecido do paciente para reconstituir a estrutura perdida. Nesta situa\u00e7\u00e3o, a microcirurgia torna poss\u00edvel a transfer\u00eancia (ou transplante) de tecidos de uma regi\u00e3o espec\u00edfica do paciente para outra mais distante.<\/p>\n\n\n\n

Com o aux\u00edlio do microsc\u00f3pio, \u00e9 restabelecida a circula\u00e7\u00e3o de vasos sangu\u00edneos de aproximadamente 1 mm de di\u00e2metro no tecido que foi transferido. O fio utilizado para reconectar os vasos \u00e9 mais fino que um fio de cabelo.<\/p>\n\n\n\n

A microcirurgia tem papel importante na reconstru\u00e7\u00e3o mam\u00e1ria, reconstru\u00e7\u00e3o de defeitos oncol\u00f3gicos, reimplantes, reconstru\u00e7\u00e3o de nervos perif\u00e9ricos e de feridas complexas.<\/p>\n\n\n\n

Uma das melhores aplica\u00e7\u00f5es da microcirurgia \u00e9 na reconstru\u00e7\u00e3o mam\u00e1ria, permitindo que pacientes possam ter a mama reconstru\u00edda com o seu pr\u00f3prio tecido, sem implantes, a fim de se obterem resultados mais naturais e est\u00e1veis a longo prazo.<\/p>\n\n\n\n

Por que a microcirurgia \u00e9 t\u00e3o pouco conhecida?<\/strong><\/p>\n\n\n\n

Por ser um procedimento complexo, \u00e9 necess\u00e1rio treinamento diferenciado, estrutura adequada e material cir\u00fargico especial. A t\u00e9cnica exige refinamento de habilidades espec\u00edficas e a curva de aprendizado \u00e9 longa. Assim, a maioria dos cirurgi\u00f5es pl\u00e1sticos n\u00e3o despertam interesse por esta t\u00e9cnica e preferem se concentrar somente na \u00e1rea est\u00e9tica. Al\u00e9m disso, a quantidade de informa\u00e7\u00e3o dispon\u00edvel para profissionais e pacientes \u00e9 limitada. Na maioria das vezes, esta op\u00e7\u00e3o nem sequer \u00e9 informada aos pacientes.<\/p>\n\n\n\n

Em que \u00e1reas do corpo humano pode ser utilizada a microcirurgia?<\/strong><\/p>\n\n\n\n

A microcirurgia \u00e9 uma excelente ferramenta na cirurgia pl\u00e1stica reconstrutiva, pois amplia as op\u00e7\u00f5es de reconstru\u00e7\u00e3o. A aplica\u00e7\u00e3o \u00e9 muito ampla e pode abranger diversas regi\u00f5es do corpo. \u00c9 poss\u00edvel reconstruir a mama com o tecido do abdome ou coxas, reimplantar um membro ou extremidade, reparar uma ferida extensa com tecido da coxa ou do bra\u00e7o, por exemplo.<\/p>\n\n\n\n

Em que ano e onde surgiu a microcirurgia?<\/strong><\/p>\n\n\n\n

Dr. Harry J. Buncke, de S\u00e3o Francisco, Calif\u00f3rnia, foi um dos pioneiros no desenvolvimento de t\u00e9cnicas de transplante de tecidos com pequenos vasos. Em 1967, ele realizou o primeiro transplante microvascular com sucesso usando o omento para cobrir um extenso defeito no cr\u00e2nio de um paciente.<\/p>\n\n\n\n

Quanto tempo \u00e9 necess\u00e1rio para um m\u00e9dico se tornar um microcirurgi\u00e3o?<\/strong><\/p>\n\n\n\n

Ap\u00f3s as resid\u00eancias em cirurgia geral (2 anos) e cirurgia pl\u00e1stica (3 anos), \u00e9 necess\u00e1rio treinamento complementar (chamado de fellowship) em microcirurgia reconstrutiva, com dura\u00e7\u00e3o de um ano.<\/p>\n\n\n\n

Quanto tempo o senhor permanece em um centro cir\u00fargico realizando o processo restaurativo em um paciente?<\/strong><\/p>\n\n\n\n

O tempo \u00e9 muito vari\u00e1vel. Depende da complexidade do caso e do tipo de reconstru\u00e7\u00e3o indicada. Um procedimento que envolve microcirurgia pode durar de 4 at\u00e9 12 horas, aproximadamente.<\/p>\n\n\n\n

Como o senhor se sente em poder ajudar uma pessoa a retomar a condi\u00e7\u00e3o mais pr\u00f3xima do normal ap\u00f3s um processo de enfermidade?<\/strong><\/p>\n\n\n\n

A microcirurgia \u00e9 uma \u00e1rea fascinante.<\/p>\n\n\n\n

Minha principal \u00e1rea de atua\u00e7\u00e3o dentro da microcirurgia reconstrutiva \u00e9 a reconstru\u00e7\u00e3o mam\u00e1ria, que \u00e9 justamente onde a cirurgia est\u00e9tica e a cirurgia reparadora se encontram. A reconstru\u00e7\u00e3o da mama utilizando microcirurgia \u00e9 a t\u00e9cnica mais sofisticada dispon\u00edvel. \u00c9 tamb\u00e9m a que proporciona os resultados mais naturais. \u00c9 poss\u00edvel reconstruir a mama com o tecido proveniente de uma abdominoplastia, por exemplo. A felicidade das pacientes \u00e9 recompensadora e a nossa satisfa\u00e7\u00e3o \u00e9 imensa.<\/p>\n\n\n\n

\u00c9 necess\u00e1rio que o hospital tenha um centro cir\u00fargico espec\u00edfico para realizar uma microcirurgia?<\/strong><\/p>\n\n\n\n

\u00c9 necess\u00e1rio que o centro cir\u00fargico seja equipado com um microsc\u00f3pio adequado e instrumental espec\u00edfico. Sobretudo, a presen\u00e7a de uma equipe bem treinada \u00e9 essencial para o sucesso do procedimento.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr. Washington Lima \u00e9 cirurgi\u00e3o pl\u00e1stico com especializa\u00e7\u00e3o em microcirurgia reconstrutiva e doutorado pela Universidade de S\u00e3o Paulo (USP). \u00c9 assistente do S\u00e3o Camilo Oncologia, refer\u00eancia no tratamento do c\u00e2ncer de mama, e atua no Hospital S\u00edrio-Liban\u00eas e Hospital Albert Einstein. Dr. Washington, ajude-nos a entender, o que \u00e9 e quando recomenda-se a microcirurgia reconstrutiva? Quando … <\/p>\n

Continue lendo “ENTREVISTA COM O DR. WASHINGTON LIMA”<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":946,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-945","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-revista-afeto","entry"],"yoast_head":"\nENTREVISTA COM O DR. WASHINGTON LIMA - Berit Press<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/beritpress.com.br\/index.php\/2022\/01\/27\/entrevista-com-o-dr-washington-lima\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ENTREVISTA COM O DR. 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