Suturas Mecanicas Seminário TCCE I
-
Upload
ana-luchtenberg -
Category
Documents
-
view
17 -
download
1
Embed Size (px)
description
Transcript of Suturas Mecanicas Seminário TCCE I

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 1/14
UNIVERSIDADE FEDERAL DO PARANÁDISCIPLINA DE TÉCNICA CIRÚRGICA E CIRURGIA EXPERIMENTAL I
ANA KAROLINA LUCHTENBERG VARGASBÁRBARA LUIZA CHARNESKI
BRUNA CAROLINE MOREIRA DE CASTILHOSAMUEL ZANLORENZI BENZI
SUTURAS MECÂNICAS
Curiti!

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 2/14
"#$%
ANA KAROLINA LUCHTENBERG VARGASBÁRBARA LUIZA CHARNESKI
BRUNA CAROLINE MOREIRA DE CASTILHOSAMUEL ZANLORENZI BENZI
SUTURAS MECÂNICAS
Tr!!&'( !)r*+*,t!-( .(/( r*0ui+it( )!r.i!&1 .(,.&u+2( -! -i+.i)&i,! -* T3.,i.!
Cir4r5i.! * Cirur5i! E6)*ri/*,t!& I -( .ur+(-* 5r!-u!72( */ M*-i.i,! -! U,i8*r+i-!-*F*-*r!& -( P!r!,9:
Pr(;: Dr: <(2( H*,ri0u* F*&=.i( -* Li/!
"

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 3/14
Curiti!"#$%
>>>

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 4/14
SUMÁRIO
1 INTRODUÇÃO........................................................................................................1
2 HISTÓRICO............................................................................................................1
3 PRINCÍPIOS DA SUTURA MECÂNICA.................................................................2
>:$ GRAMPOS ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::>>:" GRAMPEADORES :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::?
4 UTILIZAÇÃO DOS GRAMPEADORES MECÂNICOS...........................................7
5 ARTIGO DEISC!NCIA ANASTOMÓTICA "AD# EM CIRURGIA DE CANCERCOLORRETAL$ ANASTOMOSE MECÂNICA %ERSUS ANASTOMOSE MANUAL&
%:$ INTRODU@O::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::%:" MÉTODOS::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::%:> RESULTADOS::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::%:? CONCLUSO:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
RE'ER!NCIAS........................................................................................................1(
$$$

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 5/14
1 INTRODUÇÃO
N( +3.u&( XIX !+ +utur!+ /*.,i.!+ +ur5*/ .(/( u/! +*5u,-! ()72( )!r!
-*t*r/i,!-(+ )r(.*-i/*,t(+ .ir4r5i.(+ */ 0u* !+ +utur!+ /!,u!i+ ,2( )!r*.i!/
+*r ( +u;i.i*,t*: T!/!,'! ! +u! !)&i.!i&i-!-* -i8*r+!+ !tu!&i!7*+ */ +*u
/!t*ri!& ,! /*t(-(&(5i! * */ (utr(+ -*t!&'*+ tr(u6*r!/ !+ +utur!+ /*.,i.!+ )!r!
( )!,(r!/! */ 0u* +* *,.(,tr!/ !tu!&/*,t*: L!,7!,-( /2( -! t*.,(&(5i! ;(i
)(++=8*& !)*r;*i7(!r t!,t( (+ 5r!/)(+ 0u!,-( (+ 5r!/)*!-(r*+ /*&'(r!,-( (+
r*+u&t!-(+ * -i/i,ui,-( !+ .(/)&i.!7*+ )+.ir4r5i.!+:
O (J*ti8( -*+t* tr!!&'( 3 *8i-*,.i!r ! tr!J*tri! *8(&uti8! -*+t! t*.,(&(5i!
0u!i+ (+ ti)(+ /!i+ uti&i!-(+ 0u!,-( +2( u+!-!+ * 0u!i+ !+ /*&'(r*+ !)&i.!7*+:
2 HISTÓRICO
E/ $" D*,!,+ * H*,r( -*+*,8(&8*r!/ -i+)(+iti8(+ )!r! !,!+t(/(+*+
*,tr* !&7!+ i,t*+ti,!i+ 0u* .(,+i+ti!/ */ !,3i+ !.()&98*i+: Mur)' */ $"
-*+*,8(&8*u u/ (t2( !,!+t(/ti.( i,i.i!&/*,t* -*+ti,!-( )!r! uti&i!72( */
.(&*.i+t(-u(-*,(+t(/i!+ +*,-( /!i+ t!r-* */)r*5!-( */ !,!+t(/(+*+5!+tr(i,t*+ti,!i+ t*,-( r*.*i-( 89ri!+ /(-i;i.!7*+ ,(+ !,(+ +u+*0u*,t*+:
Hu/*r Ht& .irur5i2( '4,5!r( */ $# ;(i ( )ri/*ir( ! uti&i!r +utur!
/*.,i.! */ 5!+tr*.t(/i!+ -i+t!i+: Ht& *&!(r(u (+ )ri,.=)i(+ 0u* !t3 '(J*
;u,-!/*,t!/ (+ -i+)(+iti8(+ -* 5r!/)*!/*,t( /*.,i.( 0u* 3 ! uti&i!72( -*
5r!/)(+ -* ;i,( -i/*tr( -i+)(+t(+ */ ;i&*ir! -u)&! * !)+ +*u ;*.'!/*,t( ;i.!/ *
;(r/! -* B: A)*+!r -( 5r!,-* +u.*++( ,! 3)(.! ( -i+)(+iti8( ;(i !!,-(,!-( )(r
+u!+ -*+8!,t!5*,+ )*+( *6.*++i8( * .(/)&*6i-!-* -* u+(:Outr( .irur5i2( '4,5!r( */ $"? P*t A&!-!r -*+*,8(&8*u u/ !)!r*&'( -*
+utur! /*.,i.! 0u* ;(i .(,'*.i-( .(/( )i,7!+ -* V(, P*t )!r! r*!&i!72( -*
+utur!+ ,( !)!r*&'( -i5*+tri( )!r! !,!+t(/(+*+ -* !&7!+ 5!+tr(i,t*+ti,!i+ */ 0u*
(+ 5r!/)(+ *r!/ /!i+ &!r5(+ * .(&(.!-(+ i,-i8i-u!&/*,t* */ u/! ;i&*ir! -u)&!:
A)*+!r -* !/)&! !.*it!72( */ +u! 3)(.! t!/3/ .!iu */ -*+u+( )(r +*r -*
/!,u+*i( .(/)&*6( * t!/3/ /uit( )*+!-( Ju,t( .(/ ! uti&i!72( -* 5r!/)(+
&!r5(+:
H: Fri*-ri.' ,! A&*/!,'! */ $>? u+(u ( )ri/*ir( i,+tru/*,t( -* +utur!
-( ti)( 5r!/)*!-(r 0u* )(-i! +*r r*uti&i!-( )(r +*r r*.!rr*598*&: A)*r;*i7((u (
$

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 6/14
!)!r*&'( -* V(, P*t )*r/iti,-( /4&ti)&(+ -i+)!r(+ */ u/! /*+/! ()*r!72( t*,-(
u/ /*.!,i+/( 9+i.( )!r*.i-( !( -(+ 5r!/)*!-(r*+ &i,*!r*+ ,2(.(rt!,t*+ !tu!i+:
O+ *0ui)!/*,t(+ -* 5r!/)*!/*,t( *r!/ uti&i!-(+ .(/( r*+*r8! * *r!/
.(,+i-*r!-(+ )r(.*-i/*,t(+ t*/)(r9ri(+ )(i+ )r(/(8i!/ ! ;i6!72( -(+ t*.i-(+ !t3
! ,*.r(+* * ;(r/!72( -* .i.!tri!72( )(r +*5u,-! i,t*,72(:
N! -3.!-! -* ?# .irur5i*+ ru++(+ ,( I,+titut( Ci*,t=;i.( -* A)!r!t(+ *
I,+tru/*,t(+ )!r! Cirur5i! E6)*ri/*,t!& -* M(+.(u i,i.i!r!/ )*+0ui+!+ 0u*
&*8!r!/ !( -*+*,8(&8i/*,t( -* 5r!/)*!-(r*+ /!i+ *;i.i*,t*+: O )ri/*ir( ! +*r
uti&i!-( ;(i )!r! .irur5i! 8!+.u&!r:
O+ )*+0ui+!-(r*+ A,-r(+(8 * Gu-(8 !)r*+*,t!r!/ ,(8(+ 5r!/)*!-(r*+
.!)!*+ -* r*!&i!r +utur!+ &i,*!r*+ -u)&!+ +utur!+ &i,*!r*+ .(/ +*.72( *!,!+t(/(+*+ t3r/i,(t*r/i,!i+: O+ !)!r*&'(+ *r!/ i,-i8i-u!i+ * -*+*,8(&8i-(+
*+)*.i!&/*,t* )!r! u+( */ .!-! ti)( *+)*.i;i.( -* .irur5i!:
E/ $% R!8it.' -*+*,8(&8*u *6t*,+! )*+0ui+! .(/ (+ !)!r*&'(+ ru++(+
-!,-( i,=.i( 1 -i;u+2( -! uti&i!72( -* i,+tru/*,t(+ &i,*!r*+ ,2( .(rt!,t*+ &i,*!r*+
.(rt!,t*+ i,tr!&u/i,!i+ * 5r!/)*!-(r*+ )!r! ! )*&*: C(/ !+* ,(+ *+tu-(+ -*
R!8it.' * St*i.'*, */ $% */)r*+!+ ,(+ EUA *,tr!r!/ ,( /*r.!-( (;*r*.*,-(
5r!/)*!-(r*+ /!i+ &*8*+ * -* .(,.*)72( /!i+ /(-*r,! .(/ /!i(r +*5ur!,7! ,!+utur! 0u* ;(r!/ !+*!-(+ ,(+ /(-*&(+ ru++(+: L(5( */ +*5ui-! -*+*,8(&8*r!/
+i+t*/!+ -* .!rtu.'(+ -*+.!rt98*i+ .(/ 89ri!+ !)&i.!7*+: A++i/ (+ !)!r*&'(+ */
+i )(-i!/ +*r u+!-(+ /!i+ -* u/! 8* /u-!,-(+* !)*,!+ ! u,i-!-* -* r*.!r5!
0u* )(-*ri! .(,t*r 5r!/)(+ -* t!/!,'(+ -i;*r*,t*+:
A )!rtir -! -3.!-! -* $Q# ( u+( +* t(r,(u !+t!,t* -i;u,-i-( t*,-( +*
.(,+(&i-!,-( ,! -3.!-! -* $# .(/ ! .(/*r.i!&i!72( -* 5r!/)*!-(r*+
-*+.!rt98*i+ +*,-( 0u* */ $Q" ;(i u+!-( ( 5r!/)*!-(r -*+.!rt98*& )!r! ! )*&* *! )!rtir -! -3.!-! -* $# +ur5ir!/ (+ 5r!/)*!-(r*+ )!r! u+( i,tr!&u/i,!&:
3 PRINCÍPIOS DA SUTURA MECÂNICA
A +utur! /*.,i.! t*/ .(/( )ri,.=)i( -* ;u,.i(,!/*,t( ! !)r(6i/!72( -!+
(r-!+ -! !,!+t(/(+* )*&( u+( -* 5r!/)*!-(r*+ .ir4r5i.(+ * )*0u*,(+ 5r!/)(+:
O+ 5r!/)(+ +2( )(+i.i(,!-(+ -* /!,*ir! ! +* .(,+*5uir u/! +utur! +i/3tri.!
)(rt!,t( (+ 5r!/)(+ +2( .(&(.!-(+ .(/ *+)!7!/*,t(+ i5u!i+ *,tr* +i: E++!
-i+)(+i72( -(+ 5r!/)(+ )*r/it* u/! .i.!tri!72( *;i.i*,t* -(+ t*.i-(+ '9 89ri(+
"

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 7/14
*+tu-(+ 0u* .(/)r(8!/ ! *;i.9.i! -*+t* ti)( -* +utur! +*,-( .(,+i-*r!-! t2(
r*+i+t*,t* 0u!,t( !+ u+u!i+ ;*it!+ )(r ;i(:
C(/( 8!,t!5*,+ !)r*+*,t! ! r!)i-* * ;!.i&i-!-*: <9 +(r* ! t3.,i.! ! +*r
uti&i!-! t*/(+ ! /*+/! uti&i!-! ,! +utur! )(r ;i(+ /!,i)u&!72( +u!8* -( r52(
'*/(+t!+i! .ui-!-(+! (! 8i!i&i-!-* -(+ t*.i-(+ !)(rt* +!,5u=,*( !-*0u!-( *
!u+,.i! -* t*,+2( -(+ +*5/*,t(+ *,8(&8i-(+:
>:$ GRAMPOS
O+ 5r!/)(+ uti&i!-(+ ,!+ +utur!+ /*.,i.!+ +2( .(/)(+t(+ )(r /!t*ri!& -*
&i5! -* tit,i( 0u* 3 r*+i+t*,t* * /!&*98*& !( /*+/( t*/)(: É .(,+i-*r!-( t!/3/)(u.( r*!5*,t* !(+ t*.i-(+: Outr(+ /!t*ri!i+ u+!-(+ )!r! .(,;*.72( -* 5r!/)(+
+2( !7( * )(&i5&!.ti,!:
A -i+)(+i72( ;i,!& -( 5r!/)( !)+ ( -i+)!r( -( 5r!/)*!-(r t*,-* ! +*r i5u!&
)!r! t(-(+ (+ ti)(+ -* 5r!/)*!-(r*+: A)+ ( -i+)!r( ! ;u,72( -( 5r!/)( 3 .(,;*rir
/96i/! ;i6!72( .(/ ! /*,(r i+0u*/i! )(++=8*&: A ;(r/! -(+ 5r!/)(+ 3 r*t!,5u&!r
0u!,-( !*rt(+ * t(r,!/+* !r0u*!-(+ ,!+ *6tr*/i-!-*+ !)+ ( )r(.*++(: P(r3/
,2( )(-*/ -(r!r+* .(/)&*t!/*,t* )!r! 0u* ( t*.i-( !)r**,-i-( ,2( +(;r!*+/!5!/*,t(: A++i/ 5!r!,t*+* ! /i.r(.ir.u&!72( ,! 9r*! 5r!/)*!-! )(i+ (+
)*0u*,(+ 8!+(+ )(-*/ +* )(+i.i(,!r *,tr* !+ -(r!+ -(+ 5r!/)(+ * ,(+ *+)!7(+
*,tr* *&*+:
FIGURA $ GRAMPOS:
MARUES "##$
P!r! !+ -i;*r*,t*+ *+)*++ur!+ -* t*.i-(+ ;(r!/ .ri!-(+ -i8*r+(+ t!/!,'(+-* 5r!/)(+ * t(-(+ +2( .!r!.t*ri+ti.!/*,t* ;i,(+ .(/ .!&ir* 8!ri!,-( *,tr* #"# *
>

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 8/14
#># // -* -i/*tr(: O /*,(r &!-( -( r*t,5u&( )(-* 8!ri!r -* > ! ? // J9 (+
&!-(+ /!i(r*+ t/ -* " ! %% //: C!-! t*.i-( -*8* +*r 5r!/)*!-( .(/ u/ ti)(
*+)*.=;i.( -* 5r!/)( -* !.(r-( .(/ ! +u! *+)*++ur!: P(r i++( (+ .!rtu.'(+ (,-*
*+t2( .(,ti-(+ (+ 5r!/)(+ t/ -i;*r*,t*+ .(r*+ )!r! ! +u! -i;*r*,.i!72( 8*r-* 3
u+!-( )!r! (+ t*.i-(+ /!i+ *+)*++(+ !u& ,(+ t*.i-(+ -* /3-i! *+)*++ur! *
r!,.( ,(+ t*.i-(+ /!i+ ;i,(+:
A+ ;i&*ir!+ -(+ 5r!/)(+ +2( -i+)(+t!+ )!r! ;!.i&it!r ! ;i6!72( * )!r! 0u* '!J!
( /=,i/( -* .(/)r(/*ti/*,t( -! irri5!72( +!,5u=,*!: P!r! t!,t( ,!+ ;i&*ir!+
-u)&!+ (+ 5r!/)(+ +2( )(+i.i(,!-(+ -* /(-( !&t*r,!-( */ r*&!72( 1 ;i&*ir!
!-J!.*,t*:
>:" GRAMPEADORES
A&5u,+ +2( -*+*,8(&8i-(+ )!r! r*!&i!r -i+)!r(+ -* ;i&*ir!+ -u)&!+ -*
5r!/)(+ -* ;(r/! &i,*!r * !&t*r,!-!: S2( *+t*+ (+ 5r!/)*!-(r*+ &i,*!r*+
FIGURA > GRAMPEADOR LINEAR NO CORTANTE
MARUES "##$
H9 (+ /(-*&(+ .'!/!-(+ -* 5r!/)*!-(r*+ &i,*!r*+ .(rt!,t*+ *&!(r!-(+
)!r! 0u* u/! ;i&*ir! -u)&! -* 5r!/)(+ ;(++* +*5ui-! -* u/ *+)!7( * -* (utr! ;i&*ir!
-u)&! -* 5r!/)(+ )!r! 0u* ( *+)!7( *,tr* !+ ;i&*ir!+ )(++! +*r .(rt!-( )(r u/!
&/i,! !.i(,!-! */ .(,Ju,t( .(/ ( /*.!,i+/( -* 5r!/)*!/*,t(:
?

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 9/14
FIGURA ? GRAMPEADOR LINEAR CORTANTE
MARUES "##$
O+ 5r!/)*!-(r*+ i,tr!&u/i,!i+ t/ .(/( )ri,.i)!& .!r!.t*r=+ti.! !)&i.!r (+
5r!/)(+ ,u/! -i+)(+i72( .ir.u&!r .(/ 9r*! -* .(rt* t!/3/ .ir.u&!r /!i+ i,t*r,!
FIGURA % GRAMPEADOR INTRALUMINAL
MARUES "##$
A )!rtir -*+t*+ 5r!/)*!-(r*+ i,tr!&u/i,!i+ ;(i .ri!-! u/! 8!ri!72( 0u* 3
uti&i!-! *+)*.i;i.!/*,t* */ .irur5i!+ -* '*/(rr(i-!+ ( .'!/!-( PPH
)r(.*-i/*,t( )!r! )r(&!)+( * '*/(rr(i-!+: S*u (J*ti8( 3 r*++*.!r u/! ;!i6!
/u.(+! r*t!& * +i/u&t!,*!/*,t* ;!*r ! !,!+t(/(+* *,tr* !+ (r-!+ /u.(+!+:
%

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 10/14
FIGURA GRAMPEADOR INTRALUMINAL PARA MUCOSECTOMIA
MARUES "##$
F(r!/ .ri!-(+ t!/3/ -i+)(+iti8(+ )!r! +*r*/ uti&i!-(+ */ &!)!r(+.()i!+
0u* )(-*/ +*r i,tr(-ui-(+ ,! .!8i-!-* !-(/i,!& (u t(r9.i.!:
FIGURA Q GRAMPEADOR LINEAR PARA VIDEOLAPAROSCOPIA
MARUES "##$

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 11/14
4 UTILIZAÇÃO DOS GRAMPEADORES MECÂNICOS
P!r! u,ir !+ (r-!+ -(+ t*.i-(+ 3 ;*it! !)(+i72( -* .!/!-!+ +*/*&'!,t*+
-!+ *6tr*/i-!-*+ ! +*r*/ 5r!/)*!-!+: A)+ *+t!r 5r!/)*!-! *++! u,i2( )(-* t*r
(ri*,t!72( */ r*&!72( 1 &u -( r52( .(/( i,tr!&u/i,!& (u i,8*rti-! +*r(+! .(/
+*r(+! * *6tr!&u/i,!& (u *8*rti-! /u.(+! .(/ /u.(+!: A+ r*!&i!-!+ .(/
5r!/)*!-(r*+ i,tr!&u/i,!i+ +2( *6*/)&(+ -* !,!+t(/(+*+ i,8*rti-!+ * !+ *8*rti-!+
+2( t=)i.!+ -* 5r!/)*!-(r*+ &i,*!r*+ ,2( .(rt!,t*+:
Gr!/)*!-(r*+ &i,*!r*+ .(rt!,t*+ r*!&i!/ -(i+ ti)(+ -* !,!+t(/(+* ! +*
.(,+i-*r!r ! t3.,i.! uti&i!-!: A+ !,!+t(/(+*+ /*.,i.!+ i,8*rti-!+ * *8*rti-!+ t/
( /*+/( ,=8*& -* +*5ur!,7! +*,-( 0u* !)+ tr+ /*+*+ -* +u! r*!&i!72( ,2( +2(
-i+ti,5u=8*i+ 'i+t(&(5i.!/*,t*:
A uti&i!72( -(+ 5r!/)*!-(r*+ .ir4r5i.(+ &i,*!r*+ ,2( .(rt!,t*+ )(-* +*r
)!r! )r(/(8*r ( ;*.'!/*,t( -* !&7!+ i,t*+ti,!i+ (u )!rt*+ -* r52(+ (u */
!,!+t(/(+*+ ti)( t3r/i,(t*r/i,!&: u!,-( ( (J*ti8( .(,+i+t* ,( ;*.'!/*,t( -*
+*5/*,t(+ -* !&7! i,t*+ti,!& +*.72( * !,!+t(/(+* !)r*+*,t! /*&'(r !)&i.!72( .(/
( 5r!/)*!-(r &i,*!r .(rt!,t* &i,*!r ,2( .(rt!,t* * i,tr!&u/i,!&:
A-*/!i+ 3 )(++=8*& !i,-! uti&i!r ( 5r!/)*!-(r &i,*!r .(rt!,t* )!r! r*!&i!r
!,!+t(/(+*+ ti)( &9t*r(&!t*r!& i+()*ri+t9&ti.! (u !,i+()*ri+t9&ti.!: É i,t*r*++!,t*
t!/3/ .(/i,!r (+ /(-*&(+ &i,*!r*+ -* i,tr!&u/i,!i+ )!r! *6*.u72( -* -i8*r+(+
(utr(+ ti)(+ -* !,!+t(/(+*+:
Q

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 12/14

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 13/14
%:? CONCLUSO
A +utur! /*.,i.! ,2( 3 i-*!& )!r! ! r*!&i!72( -* +utur!+ -i5*+ti8!+: C(/
*6.*72( -* !,!+t(/(+*+ .(&(rr*t!i+ !i6!+ (,-* ! +utur! /*.,i.! 3 )r*;*r=8*&
,2( 3 )(++=8*& .(/)r(8!r u/! +u)*ri(ri-!-* -! +utur! /*.,i.! */ r*&!72( 1
/!,u!& ,(+ .!+(+ -* ,*()&!+i! -* .(&(rr*t!&:
A D*i+.,.i! !,!+t(/ti.! 3 /!i+ .(/u/ !)+ ()*r!7*+ .(,+i-*r!-!+ -*
*/*r5,.i!: A A,!+t(/(+* /*.,i.! !)r*+*,t! /!i(r .'!,.* -* !)r*+*,t!r DA
.(/)!r!-! ! /!,u!& -ur!,t* ()*r!7*+ -* */*r5,.i!:

7/21/2019 Suturas Mecanicas Seminário TCCE I
http://slidepdf.com/reader/full/suturas-mecanicas-seminario-tcce-i 14/14
RE'ER!NCIAS
MARUES R: G: C)*+*,)-$ I/0*+0- '+-0/ T6)/: YS:&:
CULTURA MEDICA "##$:
TO[NSEND COURTNE\ M: A0-/ 06)-/ )*8*,)-/ Ri( -* J!,*ir(
E&+*8i*r "#$":
DUARTE T:R: A: M:] SANTOS T:R: E: G: -(+: SUTURAS MECÂNICAS: R*8i+t!
-( C(&35i( Br!+i&*ir( -* Cirur5i*+ Ri( -* <!,*ir( 8: " ,: % ): >## >#>
S*t*/r(Outur( "##":
OPRESCU C: *t !&: A-/00) 9)/ "AD# ) *0- -* /+*,*:$
9-)---/0/)/ ;*/+/ -+- --/0/)/.<+*- = M)) -
L)= D**/r( "#$":
$#