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Objective Evaluation of effectiveness of the use of the Pectus Press (PP) on patients with Pectus Excavatum (PE) as initial and post-operative of the Nuss procedure forthe correction of posture, reduction of pain and prevention of bar displacement. Methods Between August 2015 and January 2016, a total of 48 patients (children and adults) with PE were treated with PP in the Division of Thoracic Surgery and Occupational Therapy (University of São Paulo, Brazil). On first visit patients received the orthotic equipment and were oriented to follow a home exercise program and physical activities. Nineteen (39.5%) patients underwent surgery with the Nuss procedure during this period of time. The main characteristics of the PP are: correction and preservation of posture avoiding thoracic kyphosis, associated shoulder anteversion and light circular compression and extra pressure over the prominent costal flaring. All patients easily adapted to this single piece with axillary padding and also the back rest rigid plastic. All parts have cushioned supports. We also checked the correct size, position of the thoracic supports and the pressure of the shoulder straps on each visit every 30-60 days. Valsalva manouver and a program of exercises to increase thoracic flexibility. Results Better posture and more flexibility of the thorax were observed by patients and parents after the first three weeks including reduction of costal flaring in 39 (81.2%) that used the device for more than 12 hours a day including nightime use. In the first 30-60 days of post-operative period, it also helped to reduce the pain and the possibility of bar bending, with the maintenance of a better corrected posture of patients. No bar displacement was observed in the operated group and less pain medication was prescribed after discharge from hospital. Conclusions Treatment using orthosis for PE has been very well described (Haje Method). Pectus Press is a flexible low profile orthosis, a promising alternative and has shown to be a useful tool in the pre- and post-operative periods of the Nuss procedure. It provides thoracic chest wall flexibility, less pain and no bar displacement in this pilot study with a short period of time. The success of treatment was directly linked to the patient age, time and frequency of use of the device. [ABSTRACT FROM AUTHOR]

Objective: To describe an experience in the preoperative localization of small pulmonary nodules and ground-glass lesions to guide minimally invasive thoracic surgery; in addition, a literature review was conducted, including the main advantages and disadvantages of the different agents used, and site marking in a hybrid operating room. Methods: A retrospective search was conducted in a Interventional Radiology Department database, between March 2015 and May 2019, to identify patients undergoing preoperative percutaneous marking of lung injuries measuring up to 25mm. Results: A total of 20 patients were included and submitted to descriptive analysis. All patients were marked in a hybrid room, at the same surgical-anesthetic time. Most often used markers were guidewire, Lipiodol® and microcoils. Despite one case of coil displacement, two cases of pneumothorax, and one case of hypotension after marking, all lesions were identified and resected accordingly from all patients. Conclusion: Preoperative percutaneous localization of lung injuries in hybrid room is an effective and a safe technique, which can have decisive impact on surgical resection. The choice of marker and of the operating room scenario should be based on availability and experience of service. Multidisciplinary discussions with surgical teams, pathologists, and interventional radiologists are crucial to improve outcome of patients. [ABSTRACT FROM AUTHOR]

Objective: To assess the results of palmar and axillary hyperhidrosis treatment in males and females using low doses of oxybutynin. Methods: A retrospective analysis was conducted in 395 women and 170 men followed up in our service with complaint of palmar and axillary hyperhidrosis. Results: A total of 70% of patients in both groups presented partial or great improvement in the level of hyperhidrosis after treatment. The best results were obtained in the female group, in which 40% classified their improvement as "great". Approximately 70% of the patients in both groups improved their quality of life after medical therapy and 30% presented no change in condition. Conclusion: Gender is not a factor that significantly interferes in oxybutynin treatment results. Quality of life indices and clinical improvement level were similar in men and women. [ABSTRACT FROM AUTHOR]