tag:blogger.com,1999:blog-36433272629429902322024-02-18T23:01:56.183-03:00GinecoUSPcezarhttp://www.blogger.com/profile/13951375405034534251noreply@blogger.comBlogger424125tag:blogger.com,1999:blog-3643327262942990232.post-23460510781870307572018-10-22T10:29:00.000-03:002018-10-23T10:29:40.381-03:00REUNIÔES CLÍNICAS OUTUBRO DE 2018<br />
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<span style="font-family: Arial, Helvetica, sans-serif;">ANFITEATRO BERILO LANGER</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Instituto Central, Hall Principal - 5o. andar</span></div>
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<span style="font-size: 12.0pt;"><span style="font-family: Arial, Helvetica, sans-serif;">Dia 24<o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
Mioma e infertilidade<span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante:
Carlos Roberto Izzo<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
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<span style="font-size: 12.0pt;"><span style="font-family: Arial, Helvetica, sans-serif;">Dia 31<o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<span style="background: white; color: #222222; mso-highlight: white;"><span style="mso-spacerun: yes;"> </span>Novas tecnologias e o diagnóstico por imagem:
radiogenomica e radiomica</span><span style="font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante:
Luciano Chala<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes</span><o:p></o:p></div>
<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-34591294318700302222018-10-09T13:00:00.000-03:002018-10-09T13:07:06.634-03:00III CURSO DE RECICLAGEM EM GINECOLOGIA ENDÓCRINA<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b style="background-color: white;">ATENÇÃO </b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>LINK PARA <a href="http://certificadoonline.com.br/">CERTIFICADOS</a> </b></span><br />
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<b><span style="color: red; font-family: "arial" , sans-serif; font-size: 9.5pt;">III
Curso de Reciclagem em Ginecologia Endócrina – FMUSP – 2018<o:p></o:p></span></b></div>
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<b><span style="background-color: white; color: #404040; font-family: "ebrima"; font-size: 10pt;">SINOPSE
DO EVENTO:<o:p></o:p></span></b></div>
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<b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;">Local:</span></b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"> Centro de
Convenções Rebouças – S.Paulo-SP</span><span style="color: #002060; font-family: "ebrima"; font-size: 11.0pt;"><o:p></o:p></span></div>
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<b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;">Data:</span></b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"> dias 14 e 15 de
setembro-2018<o:p></o:p></span></div>
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<b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;">Nº de participantes
presencia</span></b><b><span style="color: #1f497d; font-family: "ebrima"; font-size: 10.0pt;">i</span></b><b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;">s:</span></b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"> até <b>200 inscrições</b></span><span style="color: #002060; font-family: "ebrima"; font-size: 11.0pt;"><o:p></o:p></span></div>
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<b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;">Nº de Palestrantes:</span></b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"> até 20 Professores
de Ginecologia/Obstetrícia/RH.</span><span style="color: #002060; font-family: "ebrima"; font-size: 11.0pt;"><o:p></o:p></span></div>
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<b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;">Perfil:</span></b><span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"> Médicos de todo
o Brasil com interesse no Temas do Evento e no Certificado de
Participação-FMUSP<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>PROGRAMA CIENTÍFICO FINAL</b></span><br />
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<b><span style="font-size: 14.0pt; line-height: 115%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">14/09/2018 6ª. feira<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07:30 - 07:50 – Abertura da Secretaria<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07:50 - 08:00 – Abertura <o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">08:00 - 09:40 -
Módulo I - Ginecologia Endócrina <o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Coordenador: </b><b><span style="color: #222222; mso-bidi-font-family: Arial;">Geraldo Rodrigues de Lima</span> - EPM/UNIFESP<o:p></o:p></b></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Secretário(a):
Carolina Rebello da Costa - FMUSP<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08:00 - 08:20 - Insuficiência ovariana prematura: como
conduzir? – <o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Lucia Helena de Azevedo - FMABC<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08:20 - 08:40 - Uso de anabolizantes: impacto na saúde
feminina?<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Andrea Messias Britto Fioretti - EPM/UNIFESP<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08:40 - 09:00 - Hiperprolactinemia: o que fazer?<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Marcello Delano
Bronstein – FMUSP<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>0</b>9:00 - 09:20 -
Deficiência enzimática da supra renal: diagnóstico e conduta<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Tania
Aparecida Sartori Sanchez Bachega – FMUSP<o:p></o:p></span></b></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">09:20 - 09:40 –
Discussão <o:p></o:p></span></b></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">09:40 - 10:00 -
Coffee Break<o:p></o:p></span></b></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">10:00
-12:00 – Módulo II – Hormônios<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Coordenadora:</b> <b>Angela Maggio da Fonseca - FMUSP<o:p></o:p></b></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Secretário: Daniel
Zamudio Igami- FMUSP<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">10:00 – 10:20 </span><span style="color: #222222; mso-bidi-font-family: Arial;">- </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"> Anticoncepção e doenças reumáticas<b> <o:p></o:p></b></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Cristina Aparecida Falbo
Guazzelli – EPM/UNIFESP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">10:20 – 10:4</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Anticoncepção e trombofilia h<o:p></o:p></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Zsuzsanna Jármy Di Bella – EPM/UNIFESP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">10:40 – 11:00</span><span style="color: #222222; mso-bidi-font-family: Arial;"> - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Tratamento hormonal da disfunção
sexual feminina<o:p></o:p></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Flávia Fairbanks Lima de Oliveira – FMUSP <o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">11:00</span><span style="color: #222222; mso-bidi-font-family: Arial;"> </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">– 11:2</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Moduladores
seletivos do receptor de progesterona (SPREMs)<o:p></o:p></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Luis Guillermo
Bahamondes – UNICAMP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">11:20</span><span style="color: #222222; mso-bidi-font-family: Arial;"> </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">– 11:40</span><span style="color: #222222; mso-bidi-font-family: Arial;"> - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Moduladores
seletivos do receptor de estrogênio <o:p></o:p></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Sylvia Asaka
Yamashita Hayashida - FMUSP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">11:40 – 12:00 </span></b><b><span style="color: #222222; mso-bidi-font-family: Arial;"> - </span></b><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Discussão<o:p></o:p></span></b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">12:00 – 12:30 </span></b><b><span style="color: #222222; mso-bidi-font-family: Arial;">- </span></b><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"> Mini Conferência - Interferência da Biotina nos exames
laboratoriais<o:p></o:p></span></b></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Rosa Paula Mello Biscolla – EPM/UNIFESP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Presidente: Gustavo Arantes Rosa Maciel - FMUSP</span></b><b><span style="color: #222222; mso-bidi-font-family: Arial;"><o:p></o:p></span></b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: #222222; mso-bidi-font-family: Arial;">Secretária: Anna
Carolina Torquato Dantas - FMUSP</span></b><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>12:30
– 14:00 - </b><b><span style="color: #222222; mso-bidi-font-family: Arial;">Simpósio Patrocinado Amgen - Tratamento medicamentoso da Osteoporose: o que
o ginecologista deve saber.<o:p></o:p></span></b></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Luciano de Melo
Pompei - FMABC<o:p></o:p></span></span></b></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Coordenador: Nilson
Roberto de Melo - FMUSP<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Secretária:</b> <b>Ana Luiza Tonisi Pinto Helito - FMUSP<o:p></o:p></b></span></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">14:00
-16:00 – Módulo III – Climatério<o:p></o:p></span></b></div>
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<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Coordenador: José
Maria Soares Junior - FMUSP<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Secretária:</b> <b>Fernanda Borges Dijigow - FMUSP<o:p></o:p></b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">14:00 – 14:2</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"> Terapêutica hormonal no climatério na prática
diária<b><o:p></o:p></b></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Edmund Chada Baracat - FMUSP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">14:20 – 14:4</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"> Sindrome
urogenital: o que fazer?<o:p></o:p></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Luiz Francisco Cintra
Baccaro - UNICAMP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">14:40 – 15:0</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - Terapêutica hormonal
e sistema nervoso central<o:p></o:p></span></span></div>
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<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Lucia Helena
Costa Paiva - UNICAMP<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">15:00 – 15:2</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">Terapêutica hormonal em
mulheres de alto risco de câncer mamário e genital<o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white;">
<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Rodolfo Strufaldi - FMABC<o:p></o:p></span></span></b></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">15:20 – 15:4</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - Terapêutica hormonal e
síndrome metabólica<o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white;">
<b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Marcos Felipe Silva de Sá - FMRPUSP<o:p></o:p></span></span></b></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial;"> </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">15:40
– 16:0</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 - </span><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"> Discussão<o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;">16:00 – 16:1</span><span style="color: #222222; mso-bidi-font-family: Arial;">0 </span><b>- Coffee Break</b><b><span style="color: #222222; mso-bidi-font-family: Arial; mso-fareast-font-family: Calibri;"><o:p></o:p></span></b></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">16:10 -18:00 – Módulo IV – Infertilidade<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Coordenador: Paulo Cesar Serafini – FMUSP<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Secretária:</b> <b>Mayra Satiko
Lemos Nakano - FMUSP<o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">16:10<span style="color: #222222; mso-bidi-font-family: Arial;">– </span>16:30 – Avaliação da reserva ovariana.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Cristina Laguna Benetti Pinto – UNICAMP<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">16:30<span style="color: #222222; mso-bidi-font-family: Arial;">– </span>16:50 - <span style="color: #222222; mso-bidi-font-family: Arial;">SOP e infertilidade: como conduzir?<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Carlos Roberto
Izzo – FMUSP<o:p></o:p></span></span></b></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">16:50<span style="color: #222222; mso-bidi-font-family: Arial;">– </span>17:10<span style="color: #222222; mso-bidi-font-family: Arial;">- Inseminação intrauterina: quando,como e até quando?<o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white;">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Dani Ejzenberg – FMUSP<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial;"> </span>17:10 <span style="color: #222222; mso-bidi-font-family: Arial;">– 17:30 - Síndrome de
hiperestimulação ovariana: uma complicação do passado?<o:p></o:p></span></span></div>
<div class="MsoNormal">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Paulo Homem de Mello Bianchi - FMUSP<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: #222222; mso-bidi-font-family: Arial;"> </span>17:30<span style="color: #222222; mso-bidi-font-family: Arial;">– </span>17:50<span style="color: #222222; mso-bidi-font-family: Arial;">- Últimos avanços em
Reprodução Assistida: o que o ginecologista deve conhecer <o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white;">
<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Elvio Tognotti - FMUSP<o:p></o:p></span></span></b></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;">17:50<span style="color: #222222; mso-bidi-font-family: Arial;">–
18:00 - Discussão<o:p></o:p></span></span></div>
<div class="MsoNormal">
<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">18:00 - 18:30 - Mini
conferência: Terapêutica hormonal e
risco cardiovascular: Fato ou mito?<o:p></o:p></span></span></b></div>
<div class="MsoNormal" style="background: white;">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">César
Eduardo Fernandes - FMABC<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span style="color: #222222; mso-bidi-font-family: Arial;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Presidente: Edmund Chada Baracat
– FMUSP<o:p></o:p></span></span></b></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: #222222; mso-bidi-font-family: Arial;">Secretária:</span></b> <b><span style="color: #222222; mso-bidi-font-family: Arial;">Luisa Frerichs Chiavenato - FMUSP<o:p></o:p></span></b></span></div>
<div class="MsoNormal">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">18:30 – 19:00 - Mini conferência: a mulher
atual e o novo regime estendido planejado – LIBBS – <o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span style="font-family: "arial" , "helvetica" , sans-serif;">Eliana Nahas - UNESP<o:p></o:p></span></b></div>
<span style="font-family: "arial" , "helvetica" , sans-serif; white-space: pre;"> </span><br />
<br />
<br /></div>
<div class="xmsonormal" style="margin-bottom: .0001pt; margin: 0cm;">
<span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"><o:p><a href="https://www.inscricaofacil.com.br/hotsite/gineco_endocrina/">VEJA O HOTSITE DO EVENTO</a></o:p></span></div>
<div class="xmsonormal" style="margin-bottom: .0001pt; margin: 0cm;">
<span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"><o:p><br /></o:p></span></div>
<div class="xmsonormal" style="margin-bottom: .0001pt; margin: 0cm;">
<span style="color: #403152; font-family: "ebrima"; font-size: 10.0pt;"><o:p><br /></o:p></span></div>
<div class="xmsonormal" style="margin-bottom: .0001pt; margin: 0cm;">
<b><span style="color: red; font-family: "arial" , sans-serif; font-size: 9.5pt;">No
local: R$ 500,00 - médicos</span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: red; font-family: "arial" , sans-serif; font-size: 9.5pt;">
</span></b><span style="color: black; font-family: "arial" , sans-serif; font-size: 9.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: red; font-family: "arial" , sans-serif; font-size: 9.5pt;">
R$ 250,00 - residentes e
outros profissionais de saúde</span></b><span style="color: black; font-family: "arial" , sans-serif; font-size: 9.5pt;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-80372337926776927682018-10-09T11:50:00.001-03:002018-10-09T11:50:31.776-03:00REUNIÃO CLÍNICA INTERNACIONAL <div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="font-size: medium;">O Departamento de Obsterícia e Ginecologia da Faculdade de Medicina de São Paulo tem a honra de anunciar, e receber, o Prof. Kevin Elias, do staff da Harvard University, amanhã, na sua reunião de Departamento. </span></div>
<div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-size: 12.8px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;"><br /></span></div>
<div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-size: 12.8px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;">Data: 10 de outubro de 2018</span></div>
<div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-size: 12.8px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;">Horário: 08:00h</span></div>
<div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-size: 12.8px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;">Local: Auditório Berilo Langer</span></div>
<div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-size: 12.8px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<br style="-webkit-font-smoothing: antialiased;" /></div>
<div style="-webkit-font-smoothing: antialiased; background-color: white; border: 0px; color: #212121; font-family: "Segoe UI", "Segoe UI Web (West European)", "Segoe UI", -apple-system, BlinkMacSystemFont, Roboto, "Helvetica Neue", sans-serif; font-size: 12.8px; font-stretch: inherit; font-variant-east-asian: inherit; font-variant-numeric: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<div style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font-family: inherit; font-size: 12.8px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;">Tema:</span></div>
<div style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font-family: inherit; font-size: 12.8px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;">"Experience of the New England Trophoblastic Disease Center in managing Gestacional Trophoblastic Disease"</span></div>
<div style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;"><br style="-webkit-font-smoothing: antialiased;" /></span></div>
<div style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font-family: inherit; font-size: medium; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Palestrante</span></div>
<div style="-webkit-font-smoothing: antialiased; border: 0px; color: inherit; font-family: inherit; font-size: 12.8px; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">
<span style="-webkit-font-smoothing: antialiased; font-size: medium;">Prof. Kevin Elias (Harvard Medical School)</span></div>
<div>
<span style="-webkit-font-smoothing: antialiased; font-size: medium;"><br /></span></div>
</div>
Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-74650147370842646182018-09-04T18:57:00.003-03:002018-09-04T18:57:58.244-03:00REUNIÕES CLÍNICAS DE SETEMBRO DE 2018Reuniões ordinárias no Anfiteatro Berillo Langer<br />
<br />
<br />
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
05<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></div>
<div class="MsoNormal" style="background: white;">
08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência<span style="mso-bidi-font-size: 9.0pt;">: Demonstração e
treinamento do bisturi</span><span style="color: #222222; font-family: "Arial",sans-serif; font-weight: normal; mso-bidi-font-size: 9.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
Palestrante: Engenharia
Clinica<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
12</span><i style="mso-bidi-font-style: normal;"><u><span style="color: red; font-size: 14.0pt; mso-bidi-font-size: 13.5pt;"><o:p></o:p></span></u></i></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></div>
<div class="MsoNormal">
08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
O papel do ginecologista na saúde sexual<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; font-weight: normal;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
Palestrantes: Elsa
Gay Pereira<span style="font-size: 10.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"> </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
19 <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></div>
<div class="MsoNormal">
08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; font-weight: normal;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
Palestrante: Rosanne
Kho<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
26 – CONJUNTA OBSTETRÍCIA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></div>
<div class="MsoNormal">
08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
NIPT<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; font-weight: normal;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
Palestrante: Alexandra
Benachi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-44203645951330215672018-06-05T17:41:00.003-03:002018-06-26T16:41:54.807-03:00REUNIÕES CLÍNICAS DE JUNHO DE 2018 DA GINECOLOGIA USP<br />
<h1 align="center" style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Junho<o:p></o:p></span></h1>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
06 <o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência<span style="font-size: 12.0pt;">: </span><span style="mso-bidi-font-size: 9.0pt;">Tumor Phillodes da mama</span><span style="color: #222222; font-size: 9.5pt; font-weight: normal;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: Prof.
Dr. Marcos Desidério Ricci<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
13</span><i style="mso-bidi-font-style: normal;"><u><span style="color: red; font-size: 14.0pt;"><o:p></o:p></span></u></i></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
como tratar osteoporose na pós-menopausa<span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrantes: Rosa
Maria Pereira<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Dia 27</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">8h - </span><span style="background-color: white; color: #212121; font-family: wf_segoe-ui_normal, "Segoe UI", "Segoe WP", Tahoma, Arial, sans-serif, serif, EmojiFont; font-size: 15px;">Anticoncepção e Câncer Ginecológico</span><br />
<div style="background-color: white; color: #212121; font-family: wf_segoe-ui_normal, "Segoe UI", "Segoe WP", Tahoma, Arial, sans-serif, serif, EmojiFont; font-size: 15px;">
Prof. Dr. Nilson Roberto de Mello</div>
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<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-13660428102018352152018-05-09T17:04:00.000-03:002018-06-26T15:25:01.895-03:00I CURSO DE IMERSÃO EM DISFUNÇÃO DA SEXUALIDADE FEMININA<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkYufMIRBAtxnaq1cuqpEWPXbJUpEcqvRhSmwo_s8gxOVsUVdybIubtU5OZvSDKD5m4hQtygwRO85gp4-iNVyzovJpqUV31fzQXyto_S0JNWN5Z6__l1cDQTN-PzNmqI7A0qw3mtCwnro/s1600/save+the+date+imersao+pic.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1200" data-original-width="1600" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkYufMIRBAtxnaq1cuqpEWPXbJUpEcqvRhSmwo_s8gxOVsUVdybIubtU5OZvSDKD5m4hQtygwRO85gp4-iNVyzovJpqUV31fzQXyto_S0JNWN5Z6__l1cDQTN-PzNmqI7A0qw3mtCwnro/s320/save+the+date+imersao+pic.jpg" width="320" /></a></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></div>
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<span style="font-family: arial, helvetica, sans-serif; font-size: large;"><a href="http://certificadoonline.com.br/login">CERTIFICADOS ON LINE CLIQK AQUI</a></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Local Centro de Convenções do INRAD</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Instituto de Radiologia do </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Hospital das Clínicas</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: large;">Programa Científico</span><br />
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<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">I Curso de Imersão em Sexualidade Feminina <span style="white-space: pre;"> </span></span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">16/06/2018<span style="white-space: pre;"> </span>TEMA<span style="white-space: pre;"> </span>PALESTRANTE</span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">7:30 - 8:00<span style="white-space: pre;"> </span>Secretaria<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">8:00 - 10:00<span style="white-space: pre;"> </span>Módulo I - Disfunções Sexuais Femininas (DSFs): Definições e Etiologias<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Coordenador: Geraldo Rodrigues de Lima - UNIFESP<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Secretário: Carolina Fujimoto<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">8:00 - 8:20<span style="white-space: pre;"> </span>Disfunções Sexuais Femininas (DSFs): Conceitos Gerais e Classificação<span style="white-space: pre;"> </span>Lucia Alves da Silva Lara - FMRP/USP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">8:20 - 8:40<span style="white-space: pre;"> </span>Causas Ginecológicas das DSFs: Orgânicas<span style="white-space: pre;"> </span>Flávia Fairbanks - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">8:40 - 9:00<span style="white-space: pre;"> </span>Causas Ginecológicas das DSFs: Hormonais<span style="white-space: pre;"> </span>Eliano Pellini - FMABC</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">9:00 - 9:20<span style="white-space: pre;"> </span>Causas Não Ginecológicas das DSFs<span style="white-space: pre;"> </span>Nelson Gonçalves - FCMSC/Hosp. Pérola Byington</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">9:20 - 9:30<span style="white-space: pre;"> </span>Discussão<span style="white-space: pre;"> </span></span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">9:30 - 10:00<span style="white-space: pre;"> </span>Intervalo<span style="white-space: pre;"> </span></span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">10:00 - 11:00<span style="white-space: pre;"> </span>Módulo II - DSF no consultório do ginecologista<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Coordenador: Lucia Alves da Silva Lara - FMRP/USP<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Secretário: André Luis Costa Ennes<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10:00 - 10:20<span style="white-space: pre;"> </span>Avaliação das DSFs no consultório ginecológico: anamnese e exames complementares<span style="white-space: pre;"> </span>Elsa Aida Gay Pereyra - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10:20 - 10:40<span style="white-space: pre;"> </span>Abordagem Ginecológica ao casal homoafetivo<span style="white-space: pre;"> </span>Théo Lerner - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10:40 - 11:00<span style="white-space: pre;"> </span>Discussão <span style="white-space: pre;"> </span></span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">11:00 - 12:00<span style="white-space: pre;"> </span>Módulo III - Discussão de Casos Clínicos - Equipe Multidisciplinar<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Coordenador: Théo Lerner - FMUSP<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Secretário: Fernanda Dijigow<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">11:00 - 11:30<span style="white-space: pre;"> </span>Caso I<span style="white-space: pre;"> </span>Lamn Maria de Aguiar</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">11:30 - 12:00<span style="white-space: pre;"> </span>Caso II<span style="white-space: pre;"> </span>Lucivanda Fonteles Pontes</span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">12:00 - 13:00<span style="white-space: pre;"> </span>Intervalo<span style="white-space: pre;"> </span></span></div>
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">13:00 - 15:00<span style="white-space: pre;"> </span>Módulo IV - Tratamento das DSF<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Coordenador: Flávia Fairbanks - FMUSP<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Secretário: Juliana G. Sperandio<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">13:00 - 13:30<span style="white-space: pre;"> </span>Farmacoterapia hormonal das DSFs<span style="white-space: pre;"> </span>Flávia Fairbanks - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">13:30 - 14:00<span style="white-space: pre;"> </span>Psicoterapias e DSF<span style="white-space: pre;"> </span>Heloisa Fleury - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">14:00 - 14:30<span style="white-space: pre;"> </span>Fisioterapia do assoalho pélvico<span style="white-space: pre;"> </span>Elisabete Ferreira - FMUSP</span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">14:30 - 15:00<span style="white-space: pre;"> </span>Discussão<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">15:00 - 15:30<span style="white-space: pre;"> </span>Intervalo<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">15:30 - 16:30<span style="white-space: pre;"> </span>Módulo V - Discussão de Casos Clínicos - Equipe Multidisciplinar<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Coordenador: Théo Lerner - FMUSP<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Secretário: Liliana Teixeira<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">15:30 - 16:00<span style="white-space: pre;"> </span>Caso III<span style="white-space: pre;"> </span>Flávia Fairbanks - FMUSP</span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">16:00 - 16:30<span style="white-space: pre;"> </span>Caso IV<span style="white-space: pre;"> </span>Cristiane Lima Roa - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">16:30 - 17:00<span style="white-space: pre;"> </span>Caso V<span style="white-space: pre;"> </span>Théo Lerner - FMUSP</span></div>
<div style="text-align: left;">
<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">17:00 - 18:00<span style="white-space: pre;"> </span>Módulo VI - Aspectos psiquiátricos das DSFs<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Coordenador: Elsa Ainda Gay Pereyra<span style="white-space: pre;"> </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="white-space: pre;"> </span>Secretário: Edson Ferreira Filho<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">17:00 - 17:30<span style="white-space: pre;"> </span>Causas Psiquiátricas das DSFs<span style="white-space: pre;"> </span>Carmita Abdo - FMUSP</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">17:30 - 18:00<span style="white-space: pre;"> </span>Farmacoterapia psiquiátrica e DSF<span style="white-space: pre;"> </span>Carmita Abdo - FMUSP</span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">18:00 - 18:20<span style="white-space: pre;"> </span>Discussão<span style="white-space: pre;"> </span></span></div>
<div style="text-align: left;">
<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></span></div>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: medium;"></span><br />
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">18:20 - 18:30<span style="white-space: pre;"> </span>Encerramento<span style="white-space: pre;"> </span></span></div>
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</div>
Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-55596971888792369152018-05-08T05:30:00.000-03:002018-05-08T09:50:48.940-03:00VII JORNADA DE UROGINECOLOGIA 2018 - CERTIFICADOS<div class="separator" style="clear: both; text-align: center;">
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>VII Jornada Internacional de Uroginecologia da USP</b></span></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: large;"><b>26 a 28 de abril de 2018</b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Telefone/fax: <b>(</b></span><b style="background-color: white; font-family: arial, helvetica, sans-serif; font-size: 16px;">11) 2272-4301 </b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">e-mail: <a href="mailto:eventos.secretaria@uol.com.br">eventos.secretaria@uol.com.br</a></span></div>
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<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">CENTRO DE ESTUDOS AVANÇADOS EM GINECOLOGIA</span></div>
<div style="text-align: left;">
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">GINECOLOGIA DA UNIVERSIDADE DE SÃO PAULO</span></div>
<div style="text-align: left;">
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<div style="text-align: left;">
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<div style="text-align: center;">
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Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-39609863372781427122018-05-04T10:59:00.000-03:002018-05-04T10:59:03.838-03:00ASSOCIAÇÃO BRASILEIRA DE UROGINECOLOGIA E ASSOALHO PÉLVICO<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Associe-se à ASSOCIAÇÃO BRASILEIRA DE UROGINECOLOGIA E ASSOALHO PÉLVICO</span><br />
<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;"><br /></span>
<a href="http://inscricaofacil.com.br/cadastro/uroginap"><span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">CLIQUE AQUI E C</span><span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">ADASTRE-SE</span></a><span style="font-size: large;">!!!</span>Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-71292432184195184292018-05-03T10:41:00.000-03:002018-05-04T11:34:04.233-03:00Reuniões Clínicas da Ginecologia USP Maio de 2018<br />
<h1 align="center" style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Maio<o:p></o:p></span></h1>
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<br /></div>
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<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
02 <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência<span style="mso-bidi-font-size: 9.0pt;">: Corrimento
genital recidivante – como proceder</span><span style="color: #222222; font-size: 9.5pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: Lana
Maria Aguiar<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
09</span><i style="mso-bidi-font-style: normal;"><u><span style="color: red; font-size: 14.0pt;"><o:p></o:p></span></u></i></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<i style="mso-bidi-font-style: normal;"><span lang="PT" style="mso-ansi-language: PT;">Sorologia para Doenças Autoimunes no âmbito da Ginecologia e Obstetrícia</span></i><span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrantes:<span style="font-variant: small-caps; line-height: 200%; mso-bidi-font-size: 12.0pt;">
Luis Eduardo Coelho Andrade</span><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
16 <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
TPM<span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: Claudio
Emilio Bonduki<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="mso-list: l0 level1 lfo1;"><span style="font-size: 10.0pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">COFFEE BREAK – LABORATÓRIO GRUNENTHAL<o:p></o:p></span></span></li>
</ul>
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<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
23 <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
Ca de endométrio em mulheres jovens – como diagnosticar e tratar<span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: Jesus
Paula Carvalho<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
30 <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-35161877591218633362018-04-18T09:56:00.002-03:002018-04-18T10:26:17.874-03:00Próximos cursos: Disfunções Sexuais e Reciclagem em Gineco Endócrino<span style="font-family: "arial" , "helvetica" , sans-serif;">PAUTA CIENTÍFICA</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: arial, helvetica, sans-serif;"><b>I CURSO DE IMERSÃO EM SEXUALIDADE FEMININA</b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b> </b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b> 16 DE JUNHO DE 2018</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b> AUDITÓRIO DO INRAD</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Disfunções sexuais femininas: conceitos gerais e classificação</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Causas ginecológicas das DSF: orgânicas e hormonais</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Avaliação das DSFs no consultório: anamnese e exames complementares</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Abordagem ginecológica do casal homoafetivo</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Farmacoterapia hormonal para as diferentes DSFs</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Farmacoterapia psiquiátrica para as DSFs</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Principais técnicas não farmacológicas para o tratamento das DSFs</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Discussão de casos clínicos com diferentes etiologias de DSF: equipe multiprofissional e multidisciplinar</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span><span style="font-family: arial, helvetica, sans-serif;"><b><br /></b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b>III CURSO DE RECICLAGEM EM GINECOLOGIA ENDÓCRINA</b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b> </b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b> 14 e 15 DE SETEMBRO DE 2018</b></span><br />
<span style="font-family: arial, helvetica, sans-serif;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b> CENTRO DE CONVENÇÕES REBOUÇAS</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;">Anticoncepção hormonal e câncer de mama</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Anticoncepção hormonal e tromboembolismo</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Anticoncepção de longa duração</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Sangramento uterino anormal</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">SOP e hiperandrogenismo</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Distúrbios do desenvolvimento sexual</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Terapia hormonal na transição menopáusica e na pós – menopausa. Situações especiais</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Amenorreias</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Hiperprolactinemia</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Distúrbios da tireoide e disfunção menstrual</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Moduladores seletivos do receptor de estrogênio e progesterona</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Novos estrogênios</span><br />
<div>
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Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-84139290553504823482018-04-07T16:06:00.000-03:002018-04-10T16:08:03.075-03:00Reuniões Clínicas da Clínica no mês de Abril de 2018<br />
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<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
04 <o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência<span style="mso-bidi-font-size: 9.0pt;">: </span><span style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-weight: bold;">Cirurgia
plástica no processo transexualizador</span><span style="color: #222222; font-weight: normal;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: <span style="font-size: 10.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Rodrigo Itocazo Rocha</span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;">Dia
11</span><i style="mso-bidi-font-style: normal;"><u><span style="color: red; font-size: 14.0pt;"><o:p></o:p></span></u></i></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<span style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-weight: bold;">Tratamento
atual de MIPA</span><span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrantes:<span style="font-size: 10.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;"> Eduardo Viera da Motta</span><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
18 <o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<span style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-weight: bold;">Diagnóstico
e tratamento atual da Bexiga Hiperativa</span><span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: <span style="font-size: 10.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Jorge Milhem Haddad</span><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; mso-bidi-font-size: 13.5pt;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia
25 <o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 84.5pt;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">07h00-08h00<span style="mso-tab-count: 1;"> </span>Residentes e internos<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;">08h00-09h30<span style="mso-tab-count: 1;"> </span>Conferência:
<span style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-weight: bold;">Investigação
do casal infértil – Análise crítica</span><span style="font-size: 12pt; font-weight: normal;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: <span style="font-size: 10.0pt; font-weight: normal; line-height: 200%; mso-bidi-font-weight: bold;">Elvio Tognoti</span><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00<span style="mso-tab-count: 1;"> </span>Curso residentes</span><o:p></o:p></div>
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<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-37233099925674736912018-04-02T23:30:00.000-03:002018-04-10T16:14:21.965-03:00<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEik6kkwPdfRe1U_KHFNFjtb2LZ5AuPBfXvKGPkmEpTl81cfRT2G7Dgpz-BufbavnhHSMkyUyhMLNw77H_Tteyq2pGzXUhALCVrL9vABwPui6NIstff2epbQJ9bDDcFuRHdX99wa-PUWCiM/s1600/12+jornada+GO+2018.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1108" data-original-width="1600" height="221" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEik6kkwPdfRe1U_KHFNFjtb2LZ5AuPBfXvKGPkmEpTl81cfRT2G7Dgpz-BufbavnhHSMkyUyhMLNw77H_Tteyq2pGzXUhALCVrL9vABwPui6NIstff2epbQJ9bDDcFuRHdX99wa-PUWCiM/s320/12+jornada+GO+2018.jpg" width="320" /></a></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><b>AGRADECIMENTOS</b></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">A Comissão Organizadora, em nome do Departamento de Obstetrícia e Ginecologia da Universidade de São Paulo vem tornar público seu agradecimento a:</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">- Todos os participantes do evento que fizeram o brilho dessa edicção da JOGUSP;</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">- Os professores que deixaram seus afazeres e lazer para compartilhar ensinamentos e prática de suas unidades e serviços no Hospital das Clínicas;</span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">- Os nossos fiéis PATROCINADORES que abrilhantam e alavancam a concretização do evento, literalmente na ponta do lápis; </span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
<span style="font-family: Arial, Helvetica, sans-serif;">- Aos colaboradores anônimos internos e externos que tornaram possível o evento. </span><br />
<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span>
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<span style="font-family: Arial, Helvetica, sans-serif;"><b>MUITO OBRIGADO A TODOS!!!</b></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i>Homero Gustavo de Campos Guidi</i></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i>Coordenador Comissão Organizadora</i></span></div>
<div style="text-align: right;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><i>Editor do site ginecousp.com.br</i></span></div>
Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-73415176263252819512018-04-02T15:15:00.000-03:002018-04-26T12:59:59.341-03:00PROGRAMA CIENTÍFICO DA VII JORNADA INTERNACIONAL DE UROGINECOLOGIA DA UNIVERSIDADE DE SÃO PAULO<br />
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<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Sexta-feira
- 27 de Abril de 2018</span></b><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">07:45 - 08:00 Abertura</span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">08:00 - 09:10 Mesa-Redonda - O tratamento
cirúrgico da IUE está mudando de novo?<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Manoel João
Batista Castelo Girão e Homero de Campos <span style="mso-spacerun: yes;"> </span>Guidi</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretária: <span style="mso-spacerun: yes;"> </span></span><span style="background: white; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt;">Cilmário
Leite da Silva Filho<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">08:00 - 08:10 - O TOT está
perdendo espaço? Zsuzanna Jarmy Di Bela<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">08:10 - 08:20 - Fisioterapia
pré e pós-operatória: qual a evidência? Fatima Fani Fitz</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">08:20 - 08:30 - Ainda há espaço
para Burch?<span style="mso-spacerun: yes;"> </span>Luiz Gustavo Oliveira Brito</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">08:30 - 08:40 - Quando indicar
“sling” retropúbico? <span style="mso-spacerun: yes;"> </span>Fernando Almeida<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">08:40- 09:10 – Discussão-
3 Professores de regiões diferentes do Brasil- o qu<span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;"> </span>de diferente?<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><span style="mso-spacerun: yes;"> </span>Thais Guimarães Santos - Porto Alegre<span style="mso-spacerun: yes;"> </span>(RS)<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><span style="mso-spacerun: yes;"> </span>Aljerry Rego -<span style="mso-spacerun: yes;">
</span>Macapá <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(AM)<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><span style="mso-spacerun: yes;"> </span>Julio Resplande de Araújo Filho – Goiania<span style="mso-spacerun: yes;"> </span>(GO)<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">09:10-10:00- Novos Tratamentos em atrofia e
IUE leve . <o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Simone dos Reis
Brandão da Silveira e Marair Gracio Ferreira Sartori</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretário: Debora Amorin Oria Fernandes</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">09:10- 09:20 - <span style="mso-spacerun: yes;"> </span>Laser – em atrofia e IUE – Lucilia Carvalho da
Fonseca </span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">09:20- 09:30 - <span style="mso-spacerun: yes;"> </span>Radio frequência- em atrofia e IUE leve –
Celso Luis Borrelli<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;">09:30- 09:40 - A
fisioterapia tem alguma ação adjuvante `a RF ou Laser na <o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><span style="mso-spacerun: yes;"> </span>IUE?<span style="mso-spacerun: yes;"> </span>Elizabeth Ferreira<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">09:40- 10:00 -
Discussão- 3 Professores de regiões diferentes do Brasil- o que <span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;"> </span>de diferente?<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Valéria B. Pontes- Belem<span style="mso-spacerun: yes;"> </span>(PA)<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;">Rachel Silviano
Brandão Correia Lima -<span style="mso-spacerun: yes;"> </span>(MG)<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;">Samantha Conde Rocha-
Rio de Janeiro (RJ)</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">10:00 -10:20 – Visita
aos Stands<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">10:20- 10:50 -
Conferência <span style="mso-spacerun: yes;"> </span>:</span></b><span lang="EN-US" style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> <b style="mso-bidi-font-weight: normal;">OASIS- </b></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">Obstetric
Anal Sphincter Injuries-<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
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</span>The story so far</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Conferencista : Ranee Thakar (UK)</span></b><b style="mso-bidi-font-weight: normal;"><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores : Edmund Chada
Baracat e Jorge M. Haddad</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretaria: Fernanda
Pipetone</span><span style="background: white; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt;"> Rodrigues</span><span style="font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">10:50 -11:10 – Debatedores: <o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Mara Salum<span style="mso-spacerun: yes;"> </span>( SP)<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Viviane Herrmann ( Campinas)<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">11:10 -12:00 - Mesa Redonda 2 – Tratamento
atual nas disfunções miccionais<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: </span><span style="background: white; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;">Rogério Simonetti Alves <span style="mso-spacerun: yes;"> </span>e Aparecida Maria Pacetta</span><span style="font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretária : <span style="mso-spacerun: yes;"> </span></span><span style="background: white; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;">Silvia
Cristiane Alvarinho</span><span style="font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">11:10- 11:20 - <span style="mso-spacerun: yes;"> </span>BH- até onde a fisioterapia pode ir?<span style="mso-spacerun: yes;"> </span>Adriana Saraiva dos Santos</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">11:20- 11:30 - <span style="mso-spacerun: yes;"> </span>quando considerar Bexiga hiperativa refratária
e como tratar? – José Carlos Truzzi<o:p></o:p></span></div>
<div class="Padro" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 42.8pt; margin-top: 0cm;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; padding: 0cm;">11:30- 11:40 - <span style="mso-spacerun: yes;"> </span>ITU recorrente – tratamento e </span><span style="font-family: "arial" , sans-serif;">Guideline “Febrasgo” e Latino-americano -
Emerson de Oliveira<span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">11:40- 12:00- Discussão – </span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">3 Professores de regiões diferentes do Brasil-
o que<span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;"> </span>de diferente?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">João Luiz Amaro - <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(SP)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Alexandre Fornari -<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(RS)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Daniela Siqueira Prado - <span style="mso-spacerun: yes;"> </span>(SE)</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">12:00 -13:00 - Lunch Meeting</span></b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> – <b>SIMPOSIO SATELITE<span style="mso-spacerun: yes;"> </span>PROMEDON<o:p></o:p></b></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Jorge M. Haddad
e Silvia Helena Coletti</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretária:<span style="mso-spacerun: yes;"> </span>Renato Sugahara Hosoume<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">Um olhar científico e atual
para o tratamento transobturatório da iue</span></b><span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;"> <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">Lançamento
Steema TOT – abordagem in-out e out-in<o:p></o:p></span></b></div>
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<br /></div>
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<span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">12:00-
12:10 -Biotecnologia aplicada à uroginecologia - Osvaldo Griguol – ( Eng-ARG)<o:p></o:p></span></div>
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<span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">12:10-
12:30-Atualização no tratamento Trasnsobturatório da IUE- Carlos Rondini –
(CHI)<o:p></o:p></span></div>
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<span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">12:30-
12:50- A contribuição médica no desenvolvimento do novo sling STEEMA –<o:p></o:p></span></div>
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<span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;"><span style="mso-spacerun: yes;"> </span>Enrique
Ubertazzi – (ARG)<o:p></o:p></span></div>
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<span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">12:50-
13:00- Discussão</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">13: 00-14:10 - Mesa Redonda – Prolapso
genital<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Antonio Pedro
Auge e Rodrigo Aquino Castro</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretária: Luiza Sviesk Sprung<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">13:00 - 13:10 – </span><span style="border: none 1.0pt; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">IUE com prolapso acentuado: o que fazer?- Priscila Katsumi
Matsuoka Locali<span style="color: #1a1a1a;"><o:p></o:p></span></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">13:10 - 13:20 – Prolapso X
atletas- Maita Poli <span style="mso-spacerun: yes;"> </span>Araujo<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">13:20 - 13:30 – Tratamento
apical: qual a melhor via?- Edilson B. Castro<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">13:30 - 13:40 – Pessário:
quando, qual e como indicar?- Cassia Juliato</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">13:40 - 14:10: Discussão : 2
Professores de regiões diferentes do Brasil- o que<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;">
</span>de diferente?<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">José Carlos Conceição – Rio de
Janeiro (RJ)<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Artur Eduardo de Oliveira Rangel – Recifeb (PE)</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<br /></div>
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<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">
</span></b><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">14:10 -14:40 - Conferência:
Conservative Management for female sexual <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;">
</span>dysfunction and chronic pelvic pain <o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">Conferencista : Bary Berghman (NE)<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 11.0pt;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores- Maura Seleme e
Aparecida Maria Pacetta<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretário: </span><span style="color: black; font-family: "arial" , sans-serif; font-size: 11.0pt;">Hellen Cristina Souza de Carvalho Fusco<i> </i><o:p></o:p></span></div>
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<br /></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">14:40-15:00- Debatedores:<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Elizabeth Alves Ferreira<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Christine Ploger Schor<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">15:00-15:30- Visita aos stands<o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">15:30-17:30 - Cirurgias ao
vivo- Correção do prolapso apical com FSE pelo <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;">
</span>acesso posterior</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">
<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Cirurgião- Willy Davila ( Cleaveland
Clinic Florida – USA)<o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Jorge M. Haddad
e Enrique Ubertazzi</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretaria:<span style="mso-spacerun: yes;"> </span>Lisa Fontes Cariello<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Sábado
– 28 de Abril de 2018<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-TRAD" style="font-family: "arial" , sans-serif; mso-ansi-language: ES-TRAD;">08:00-09:00
- Mesa-Redonda: </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">Alterações do assoalho pélvico e gestação<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores- Carlos W.
Sobrado e Thais Vilella Peterson <o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretária: </span><span style="font-family: "arial" , sans-serif; font-size: 11.0pt;">Fernanda Bacchi Ambrosano Giarreta<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">08:00-08:10 </span><span style="font-family: "arial" , sans-serif;">– Qual é a verdadeira evidência sobre a influência da
gestação e da via de parto nas disfunções do assoalho pélvico? Virginia Celia
de Carli Roncatti</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">08:10-08:20 </span><span style="font-family: "arial" , sans-serif;">– Tratamento da incontinência fecal no pós parto - quando
tratar? Como? <span style="mso-spacerun: yes;"> </span>Rodrigo Ambar Pinto</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">08:20 - 08:30 -<span style="mso-spacerun: yes;">
</span></span><span style="font-family: "arial" , sans-serif;">Fisioterapia na
gestação e pós parto: quando, como e por que? Mara de Abreu Etienne<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">08:30 - 08:40 </span><span style="font-family: "arial" , sans-serif;">– Prolapso genital em pacientes com desejo reprodutivo: o
que fazer? Lilian Renata Fiorelli <o:p></o:p></span></div>
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<span lang="IT" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">08:40 - 09:10: Discuss</span><span lang="PT" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">ã</span><span style="font-family: "arial" , sans-serif; font-size: 11.0pt;">o: </span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">2 Professores de regiões diferentes do Brasil-
o<span style="mso-spacerun: yes;"> </span>que<span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;">
</span>de diferente?<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Janio Serafim de Souza - <span style="mso-spacerun: yes;"> </span>(DF)<o:p></o:p></span></div>
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<span style="background: white; color: #212121; font-family: "verdana" , sans-serif; font-size: 11.0pt;">Pedro Sergio Magnani- (SP)</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">09:10 -09:40-<span style="mso-spacerun: yes;"> </span>Confer</span></b><b style="mso-bidi-font-weight: normal;"><span lang="FR" style="font-family: "arial" , sans-serif; mso-ansi-language: FR;">ê</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">ncia</span></b><span style="font-family: "arial" , sans-serif;">–
<b style="mso-bidi-font-weight: normal;">Necessitamos de uma opção de tratamento
para IU sem mobilidade uretral. Quais as evidências atuais dos injetáveis
uretrais?<o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">Conferencista: Willy Davila ( USA)<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">Coordenadores:
Jorge Haddad e Silvia Carramão<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">Secretária
: Veronica Faria Queiroz Dias<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">09:40-10:00
– Debatedores:<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">Silvia
Carramão – (SP)<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">Cassio
Luis Zanettini<span style="mso-spacerun: yes;"> </span>Riccetto – (SP)<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">10:00 – 10:20 - Visita aos Stands <o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="PT" style="font-family: "arial" , sans-serif; mso-ansi-language: PT;">10:20-12:00
Cirurgias ao vivo: Tratamento do prolapso posterior<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="PT" style="font-family: "arial" , sans-serif; mso-ansi-language: PT;"><span style="mso-spacerun: yes;">
</span>(retopexia) <span style="mso-spacerun: yes;"> </span>por Laparoscopia<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Cirurgião- Bruno Deval ( FR)<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Carlos Rondini e
Sergio Araújo</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretaria: Janilva Fernandes
Amorim<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">12:00-13:00 Lunch Meeting-<span style="mso-spacerun: yes;"> </span>Apresentação da Sociedade Brasileira de
Uroginecologia (UROGINAP-Br) com todos os benefícios e o porquê? Benefícios da
IUGA - Promoções<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">Apresentação – Jorge M. Haddad, Marair
G. Sartori, Homero GC Guidi, Luiz G O Brito, Virginia C Roncatti (Executive
Board)<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-TRAD" style="font-family: "arial" , sans-serif; mso-ansi-language: ES-TRAD;">13:00
-14:00 Mesa Redonda: Disfun</span></b><b style="mso-bidi-font-weight: normal;"><span lang="PT" style="font-family: "arial" , sans-serif; mso-ansi-language: PT;">ções
miccionais</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;"> e algia pélvica<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores- José Alaor de
Figueiredo e Carlos Antonio Del Roy<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretária: Luisa Frerichs
Chiavenato<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">13:00
- 13:10 .- Quais as evidências da neuromodulação na bexiga hiperativa
refratária? Sacral (Interstim<sup>®</sup>) ou PTNS (tibial) – Cristiano Mendes
Gomes</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">13:10
– 13:20 –<span style="mso-spacerun: yes;"> </span>Síndrome da bexiga dolorosa: papel
atual da instilação vesical – <span style="mso-spacerun: yes;"> </span>Luis
Seabra Rios</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">13:20-13:30-
Como e até quando fazer o tratamento fisioterapêutico na algia pélvica crônica?
Christine Pogler Schor </span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">13:30
- 13:40 – Neuromodulação sacral<span style="mso-spacerun: yes;"> </span>no
tratamento da algia pélvica- evidências atuais<span style="mso-spacerun: yes;">
</span>- Carlos Alberto Ricetto Sacomani</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">13:40
– 13:50 – Quando recorrer ao tratamento cirúrgico no tratamento da algia
pélvica crônica? Como fazer?<span style="mso-spacerun: yes;"> </span>Paulo Francisco
Ramos Margarido</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">13:50-14:10
– </span><span lang="IT" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">Discuss</span><span lang="PT" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">ã</span><span style="font-family: "arial" , sans-serif; font-size: 11.0pt;">o: </span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">3 Professores de regiões diferentes do Brasil -
o que<span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;"> </span>de diferente?<o:p></o:p></span></div>
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<br /></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Rogério de Fraga – Curitiba ( PR)</span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Monica Suzana Costa Diniz- Recife (PE)<o:p></o:p></span></div>
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<span style="background: white; color: #212121; font-family: "arial" , sans-serif; font-size: 11.0pt;">Marilene
V.de Castro Monteiro- Belo Horizonte (MG)</span><span style="font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">14:10-
14:50- </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Conferência</span></b><span lang="EN-US" style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">-<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">The
evolution of minimally invasive surgery for <o:p></o:p></b></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;">
</span>genital prolapse by laparoscopic approach</span></b><b><span lang="EN-US" style="color: #3a3a44; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Conferencista - Bruno<span style="mso-spacerun: yes;"> </span>Deval<o:p></o:p></span></b></div>
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<br /></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores-<span style="mso-spacerun: yes;"> </span> Jorge M. Haddad e Rodrigo Aquino Castro <o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Secretaria: Fernanda
Borges Dijigow </span><span style="color: #222222; font-family: "arial" , sans-serif; font-size: 11.0pt;"><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">Debatedores: <o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">Paulo Feldner (SP)<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;">Raquel Martins Arruda (SP)<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">14:50 -15:10- Visita aos Stands <o:p></o:p></span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">15:10 -16:00-<span style="mso-spacerun: yes;"> </span>Ví</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ES-TRAD" style="font-family: "arial" , sans-serif; mso-ansi-language: ES-TRAD;">deos interativos 1- Cirurgias com resultado pós <o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES-TRAD" style="font-family: "arial" , sans-serif; mso-ansi-language: ES-TRAD;"><span style="mso-spacerun: yes;">
</span>operatório em Disfunção miccional <o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; padding: 0cm;">Coordenadores: FlavioTrigo Rocha <span style="mso-spacerun: yes;"> </span>e Luciana Pistelli Gomes de Freitas<o:p></o:p></span></div>
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<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> 15:10- 15:20- <span style="mso-spacerun: yes;"> </span>Uretroplastia
com retalho de pequeno lábio vaginal para o tratamento<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;"> </span>de
estenose de uretra - Cassio Luis Zanettini<span style="mso-spacerun: yes;">
</span>Riccetto <span style="mso-spacerun: yes;"> </span></span><span style="color: #222222; font-family: "helvetica neue"; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">15:20 - 15:30- Tratamento de cistite intersticial com Ulcera de
Hunner recorrente-<span style="mso-spacerun: yes;"> </span>Jose <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;">
</span>Carlos Truzzi<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; tab-stops: right 425.2pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> 15:30- 15:40- Tratamento
de fistula vesico-vaginal realizado pelo Dr Willy Davila há 3 anos e como ela
está atualmente -</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; padding: 0cm;"> Luciana
Pistelli Gomes de Freitas</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">15:40- 16:00 - </span><span lang="IT" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">Discuss</span><span lang="PT" style="font-family: "arial" , sans-serif; font-size: 11.0pt;">ã</span><span style="font-family: "arial" , sans-serif; font-size: 11.0pt;">o: </span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">2 Professores de regiões diferentes do Brasil<span style="mso-spacerun: yes;"> </span>- o<span style="mso-spacerun: yes;">
</span>que<span style="mso-spacerun: yes;"> </span>fazem<span style="mso-spacerun: yes;"> </span>de diferente?<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;"> </span> <o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif; font-size: 11.0pt;">Ju<em><span style="font-family: "arial" , sans-serif;">ssara Maria Valentim Cavalcante Nunes</span></em></span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> -</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> <span style="mso-spacerun: yes;"> </span>(PI)<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Andreisa<span style="mso-spacerun: yes;"> </span>Paiva Monteiro
Bilhar-<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(CE)<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">16:00
– 16:50 Ví</span><span lang="ES-TRAD" style="font-family: "arial" , sans-serif; mso-ansi-language: ES-TRAD;">deos interativos 2- Cirurgias com resultado pós<span style="mso-spacerun: yes;"> </span>operatório em Disfunção de Assoalho Pélvico<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">Coordenadores: Jorge M. Haddad e Homero G C Guidi <o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> </span></b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">16:00- 16:10- Tratamento de
agenesia de colo do útero por laparoscopia e de neovagina com pele de Tilapia -
Andreisa<span style="mso-spacerun: yes;"> </span>Paiva Monteiro Bilhar <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"><span style="mso-spacerun: yes;"> </span>16:10- 16:20- Tratamento de
colpocleise realizado pelo Dr willy Davila há 1 ano e como<span style="mso-spacerun: yes;"> </span>ela está atualmente - Thais Vilella Peterson <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;"> 16:20- 16:30- Tratamento de prolapso apical e anterior
realizado por histeropexia com apenas agulha de Capio e<span style="mso-spacerun: yes;"> </span>correção sitio especifica realizado pelo Dr
Roger Goldberg há 1 ano e como ela está atualmente – Priscila Matsuoka</span><span style="color: #222222; font-family: "helvetica neue"; font-size: 11.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.5pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , sans-serif; font-size: 11.0pt; padding: 0cm;">16:30-16:50- Discussão <o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">16:50
– </span><span lang="PT" style="font-family: "arial" , sans-serif; mso-ansi-language: PT;">Encerramento</span><span style="font-family: "arial" , sans-serif; mso-fareast-font-family: Arial;"><o:p></o:p></span></div>
<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-71687433618725304182018-04-01T15:47:00.000-03:002018-04-10T15:48:29.852-03:00VII JORNADA DE UROGINECO USP - PROGRAMA DOS WORKSHOPS<br />
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<span lang="EN-US" style="font-family: Algerian; font-size: 16.0pt; mso-ansi-language: EN-US;">Diagnosis
& Repair of 3rd & 4th degree<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Algerian; font-size: 16.0pt; mso-ansi-language: EN-US;">San Paulo
<span style="background: yellow; mso-highlight: yellow;">26</span> de April 2018<o:p></o:p></span></div>
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<h6 style="background: white; mso-line-height-alt: 8.25pt;">
<strong><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-weight: normal;">Local:</span></strong><span lang="EN-GB" style="font-weight: normal;"> Hotel Pullman – Rua das Olimpíadas,
205 - Vila Olímpia, São Paulo – SP<o:p></o:p></span></h6>
<h6 style="background: white; mso-line-height-alt: 8.25pt;">
<strong><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-weight: normal;">Horário:</span></strong><span lang="EN-GB" style="font-weight: normal;"> 15:00 as 19:00 - Mezzanino<o:p></o:p></span></h6>
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<b><span lang="EN-GB" style="color: navy; font-family: "Arial",sans-serif; font-size: 26.0pt; mso-bidi-font-size: 12.0pt;">Hands-on Workshop<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="color: red; font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 12.0pt; text-shadow: auto;">www.perineum.net</span></b><b><span lang="EN-GB" style="color: red; font-family: "Arial",sans-serif; font-size: 36.0pt; mso-bidi-font-size: 12.0pt; text-shadow: auto;"><o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 16.0pt; mso-bidi-font-size: 12.0pt;">Chairpersons<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 10.0pt;">Mr Abdul H
Sultan, MB.ChB, MD, FRCOG</span><span lang="EN-US" style="font-family: "Arial",sans-serif;"><o:p></o:p></span></h3>
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<span lang="EN-GB">Consultant Obstetrician & Urogynaecologist
<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 10.0pt;">Miss Ranee
Thakar, MB.BS, MD, FRCOG</span><span lang="EN-US" style="font-family: "Arial",sans-serif;"><o:p></o:p></span></h3>
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<i><span lang="EN-GB" style="font-family: "Arial",sans-serif;">Consultant
Obstetrician & Urogynaecologist<o:p></o:p></span></i></div>
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<h1 style="margin-left: 108.0pt; text-indent: 36.0pt;">
<span lang="EN-GB" style="font-size: 18.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> <o:p></o:p></span></h1>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 12.0pt;">Croydon
University Hospital<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 12.0pt;">Croydon,
Surrey, UK<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 12.0pt;">Email: abdulsultan@nhs.net<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 12.0pt;"> ranee.thakar@nhs.net<o:p></o:p></span></b></div>
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</span>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 18.0pt; mso-bidi-font-size: 12.0pt;">Obstetric anal sphincter injuries (OASIS)<o:p></o:p></span></b></div>
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<span lang="EN-US">HANDS ON WORKSHOP<o:p></o:p></span></div>
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<h2>
<span lang="X-NONE">Program (subject to change)<o:p></o:p></span></h2>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">15- 00 Introduction Abdul
Sultan<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">15-15 Applied
Anatomy & Physiology Ranee
Thakar<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;"> <o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">15-45 Endoanal
ultrasound Ranee
Thakar<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">16- 00 Diagnosis
of OASIS Abdul
Sultan<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">16- 30 Video
on diagnosis<o:p></o:p></span></div>
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<b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 12.0pt;">17-00 Coffee<o:p></o:p></span></i></b></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">17-30 Repair
Techniques Abdul
Sultan<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;"> <o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">18-00 Video
diagnosis & repair Abdul
Sultan<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif;"> <o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif;"> </span></b><span lang="EN-GB" style="font-family: "Arial",sans-serif;">Video repair - pig sphincters Ranee Thakar<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 12pt;">18-30h Hands-on repair on
pig sphincters <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial",sans-serif;">19-00h <i>Close </i><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 12.0pt; mso-bidi-font-size: 10.0pt;">Applied anatomy and physiology of the
perineum and anorectum<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif;">Ranee Thakar/
Abdul Sultan<o:p></o:p></span></b></div>
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<h2>
<span lang="X-NONE" style="font-size: 12.0pt; mso-bidi-font-family: Arial;">Anatomy
of the anorectum (Fig 1)</span><span lang="X-NONE"><o:p></o:p></span></h2>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif;">The anorectum is the most distal part of
the gastrointestinal tract and consists of two parts: the anal canal and
rectum. The anal canal measures about 3.5 cms (2.5 cm anteriorly in female) and
lies below the anorectal junction formed by the puborectalis muscle. The
striated external anal sphincter (EAS) is made up of three parts (subcutaneous,
superficial and deep) and is inseparable from the puborectalis dorsally. The
internal anal sphincter (IAS) is a thickened continuation of the circular
smooth muscle of the rectum. It is separated from the EAS by the conjoint
longitudinal coat which is a continuation of the longitudinal smooth muscle of
the rectum. <o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif;">EAS:<o:p></o:p></span></b></div>
<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Striated muscle in a state of
tonic contraction<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Innervated by the Pudendal
nerve<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Up to 30% of resting pressure.<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Most of the squeeze pressure.<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Contraction maintained for
< 2 minutes<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Reflex contraction with sudden
increase in intra-abdominal pressure<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Relaxes during straining<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Damage results in urge faecal incontinence</span><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US;"><o:p></o:p></span></li>
<li class="MsoNormal" style="color: white; display: none; mso-list: l9 level1 lfo6; tab-stops: list 36.0pt;"><span lang="EN-GB" style="display: none; font-family: "Arial",sans-serif; mso-hide: all;"><o:p> </o:p></span></li>
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<b><span lang="EN-GB">IAS:<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Smooth muscle<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Autonomic control<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Contributes up to 70% of
resting pressure<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Damage results in passive
soiling and flatus incontinence</span><span lang="EN-GB"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="display: none; font-family: Symbol; font-size: 16pt;">·</span><!--[endif]--><span lang="EN-US" style="display: none; font-family: Arial, sans-serif; font-size: 16pt;"><o:p> </o:p></span></div>
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<h1 align="center" style="text-align: center;">
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<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image001.jpg"
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 240px; left: 0px; margin-left: 60px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 444px; z-index: 251656192;"><img height="240" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" v:shapes="_x0000_s1026" width="444" /></span><!--[endif]--><span lang="EN-GB">Figure 1: Anatomy of the anal sphincter <br clear="all" style="page-break-before: always;" />
</span><span lang="EN-GB" style="font-size: 14.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> </span><span lang="EN-US" style="font-size: 16.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-fareast-language: EN-GB;">Episiotomy & 2nd
degree tears </span><span lang="EN-US"><br />
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<!--[endif]--><o:p></o:p></span></h1>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Introduction<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">85%
women who have a vaginal birth sustain some form of perineal trauma<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Approximately
350,000 women per year in the UK need sutures for perineal injury after
spontaneous vaginal delivery<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">The
morbidity associated with perineal injury and repair is a major health problem
worldwide<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Indications for episiotomy<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Minimise multiple & extensive tears<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Thick & inelastic perineum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Forceps delivery<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Expedite delivery<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Suspected fetal distress<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Shoulder dystocia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Breech<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Benefits
of midline episiotomy<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Decreased blood loss <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Easier to recognise OASIS <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Easier to repair
<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Better anatomical result <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Reduced pain
<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Decreased risk of infection <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Decreased dyspareunia<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Disadvantage
of midline episiotomy<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: Symbol; mso-ansi-language: EN-US; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-char-type: symbol; mso-fareast-language: EN-GB; mso-hansi-font-family: Arial; mso-symbol-font-family: Symbol;"></span><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;"> OASIS
<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Episiotomy<br />
</span></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Andrews V et al BJOG 2004, Andrews V et al Birth
2006<o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">254 primips<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">No midwife and only 13 (22%) doctors performed a
truly mediolateral episiotomy (between 40 to 60 degrees from the midline) <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Episiotomies angled closer to the midline
significantly associated with OASIS (26 vs 37 degrees)</span><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Episiotomy</span></b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><br />
<i>Eogan et al BJOG 2006<o:p></o:p></i></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Case-control study (54 versus 46 controls)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Mean angle of episiotomy smaller <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">(30% versus 38% p<0.001)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">50% risk reduction for every 6</span><span lang="ZH-CN" style="font-family: SimSun; mso-ansi-language: EN-US; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-fareast-language: ZH-CN; mso-hansi-font-family: Arial;">°</span><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">from midline<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: ZH-CN;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">The relationship of
episiotomy angle with risk of OASIS was sig (p<0.001)<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Angle of episiotomy before and after repair<br />
</span></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Kalis V et al 2008 (IJGO)<o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">50
women undergoing first delivery<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Mediolateral
episiotomy during crowning at 40 degrees away from midline<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Angle
of scar measured after delivery = 22.5 degrees <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Should
aim for 60 degrees at crowning</span><span lang="EN-GB" style="font-family: "Calibri",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri; mso-no-proof: yes;"> </span><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><o:p></o:p></span></div>
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<br /></div>
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o:spid="_x0000_i1025" type="#_x0000_t75" style='width:4in;height:150.75pt;
visibility:visible'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image003.jpg"
o:title=""/>
<o:lock v:ext="edit" aspectratio="f" grouping="t"/>
</v:shape><![endif]--><!--[if !vml]--><img height="201" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" v:shapes="Content_x0020_Placeholder_x0020_3" width="384" /><!--[endif]--></span><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><a href="http://www.medinvet.net/">www.medinvet.net</a><o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">email:info@medinvent.net<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;"><br />
Episiotomy & 2nd degree tears<br />
</span></b><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Suture
Materials</span></b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"> <br />
<i>Dexon</i> vs<i>Vicryl </i></span><i><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Kettle
C, Dowswell T, Ismail K 2010<o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Cochrane systematic review of 9 RCT’s (n = 4017) </span><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">A</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">bsorbable synthetic materials (<i>Dexon</i> and <i>Vicryl</i>)
versus catgut <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-GB;">¯<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Perineal pain <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-GB;">¯<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: Symbol; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-char-type: symbol; mso-fareast-language: EN-GB; mso-hansi-font-family: Arial; mso-symbol-font-family: Symbol;">¯</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">
Analgesic use <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-GB;">¯<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Dehiscence wounds<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: EN-GB;">¯<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Resuturing<o:p></o:p></span></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><br />
<b>Vicryl Rapide <i>vs</i> Vicryl Suture
Material<br />
</b></span><b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;"> </span></i></b><b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><o:p></o:p></span></i></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">5
RCT (n = 2349 women) <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Similar
rates of short and long-term pain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Fewer
women in the rapidly absorbing suture group reported the need for pain relief
at 10 days <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">More
women in the standard suture material group required suture removal<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Suture material<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Standard
polyglactin 910 (Vicryl)- not totally absorbed from the wound until 60–90 days.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Rapid
absorption polyglactin 910 (Vicryl Rapide)- completely absorbed from the tissue
by 42 days<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Evidence based practice<o:p></o:p></span></b></div>
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<span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Repair Techniques <br />
<i>Kettle C, Dowswell T, Ismail K 2012 </i></span><i><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;"><o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Cochrane systematic review - 16 RCT’s (n = 8184)
found that continuous stitches compared to interrupted is associated with : -<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Less short term pain at 10 days <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Reduction in analgesia use <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Reduction in suture removal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">No significant difference in dyspareunia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-US; mso-fareast-language: EN-GB;">Reduction in pain is even greater if continuous
technique used for all layers compared to only skin<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Technique of repair<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"> Prior to commencing the repair <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Check
extent of perineal trauma – perform per vaginal and per rectal examination<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Check
equipment - suture pack, materials <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">If
needed ensure that appropriate supervision/support is available prior to
commencing the repair<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Ensure
that the wound is adequately anaesthetised (10-20mls Lignocaine 1%) - don’t
inject local through the skin<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Step 1 - suturing the vagina<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Identify
the apex of the vaginal wound<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Close
the vaginal trauma with a loose continuous stitch<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Continue
to suture the vagina until the hymenal remnants are reached and re-approximated<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">At
the fourchette insert the needle through the skin to emerge in the centre of
the perineal trauma<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Step 2 - suturing the muscle layer<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Check
the depth of the trauma - it may be necessary to insert two layers of sutures<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Continue
to close the perineal muscle with a continuous non-locking stitch - taking care
not to leave any dead space<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-outline-level: 2; mso-pagination: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-outline-level: 2; mso-pagination: none; text-autospace: none;">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Step 3 - suturing the perineal skin<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">At
the inferior end of the wound bring needle out under the skin surface<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">The
stitches are placed below the skin surface in the subcutaneous layer - thus
avoiding the profusion of nerve endings<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Continue
taking bites of tissue from each side of the wound until the hymenal remnants
are reached<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Secure
the finished repair with a loop knot tied in the vagina<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-outline-level: 1; mso-pagination: none; text-autospace: none;">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Finally<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Check
the finished repair is anatomically correct<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">No
bleeding<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">PV
- insert two fingers<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">PR<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Check
swabs & instruments<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Complete
documentation<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-outline-level: 2; mso-pagination: none; text-autospace: none;">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Conclusion</span></b><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">It
is imperative that women receive high quality evidenced based care wherever
childbirth takes place<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Practices
that reduce the adverse effects of perineal trauma and make vaginal birth more
desirable are to be encouraged<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l10 level1 lfo14; mso-outline-level: 2; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: EN-GB;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-fareast-language: EN-GB;">Improved
perineal care may decrease the escalating interest in caesarean section as an
alternative mode of delivery<o:p></o:p></span></div>
<h1 align="center" style="text-align: center;">
<span lang="EN-GB" style="font-size: 14.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> </span></h1>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-ansi-language: EN-GB; mso-bidi-font-size: 12.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span></b>
</div>
<h1 align="center" style="text-align: center;">
<span lang="EN-GB" style="font-size: 14.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Diagnosis of
obstetric anal sphincter injuries (OASIS)<o:p></o:p></span></h1>
<h1 align="center" style="text-align: center;">
<span lang="EN-GB">Abdul H Sultan<o:p></o:p></span></h1>
<div class="MsoBodyText" style="margin-left: 0cm; mso-list: l9 level1 lfo6; tab-stops: 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt;">Until the advent of anal ultrasound, the
development of anal incontinence was attributed largely to pelvic neuropathy.<o:p></o:p></span></div>
<div class="MsoBodyText" style="margin-left: 0cm; mso-list: l9 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt;">However prospective studies before and after
childbirth have shown that up to one third of women sustain anal sphincter
damage that is not recognised at delivery (Sultan AH et al 1993). <o:p></o:p></span></div>
<div class="MsoBodyText" style="margin-left: 0cm; mso-list: l9 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt;">Andrews et al (2006) performed a study in which
241 women having their first vaginal delivery had their perineum re-examined by
an experienced research fellow and endoanal ultrasound was performed
immediately after delivery and repeated 7 weeks postpartum. When OASIS were
identified by the research fellow, the injuries were confirmed and repaired by
the duty registrar or consultant. The prevalence of clinically diagnosed OASIS
increased from 11% to 25% (n=59). Every clinically diagnosed injury was
identified by postpartum endoanal ultrasound. At 7 weeks no <i>de novo</i>
defects were identified by ultrasound. This study concluded that most if not
all sphincter defects that have previously been designated as “occult” injuries
were in fact injuries that should have been recognisable at delivery. It was alarming to find that 87% and 27% of
OASIS were not identified by midwives and doctors respectively. Although it is
likely that some of these would have been detected at the time of suturing the
tear, it is of concern that clinical recognition of OASIS is suboptimal. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">This finding is not
unique as <span style="letter-spacing: -.15pt;">Groom and Patterson found that
the rate of third degree tears rose to 15% when all “2<sup>nd</sup> degree
tears” were re-examined by a second experienced person. </span> <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">It has been shown
that only 16% of doctors and 39% of midwives feel that they were trained
adequately to identify OASIS (Sultan et al 1995). <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l2 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">On the other hand it
is possible that the sphincter tear had been recognised but classified as a
second-degree tear. A questionnaire sent to all UK consultants (Fernando et al
2002) and trainees (Sultan et al 1995) confirmed that up to 40% are still
classifying partial and even complete disruption of the sphincter as a second
degree. The reason for this confusion is partly due to previous teachings (Sultan
& Thakar 2002) and therefore for the sake of clarification and consistency
Sultan<sup> </sup>(1999) proposed a comprehensive classification that is now
accepted by RCOG (Greentop guideline 2007), NICE (NICE.org.uk) and the
International Consultation on Incontinence (Norton et al 2002) (Fig 2):<o:p></o:p></span></div>
<div class="MsoBodyText" style="text-align: justify;">
<br /></div>
<div align="center" class="MsoBodyText" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt;">Fig 2: Classification
of OASIS (Sultan 2007 Springer)<o:p></o:p></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="6" width="168"></td>
</tr>
<tr>
<td></td>
<td><img height="173" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image006.jpg" v:shapes="_x0000_s1028" width="264" /></td>
</tr>
</tbody></table>
<div class="MsoBodyText" style="text-align: justify;">
<!--[if gte vml 1]><v:shape
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z-index:251658240'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image005.jpg"
o:title="sultan tear classif"/>
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<!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif;"> </span></div>
<div align="center" class="MsoBodyText" style="text-align: center;">
<br /></div>
<div align="center" class="MsoBodyText" style="text-align: center;">
<br /></div>
<div align="center" class="MsoBodyText" style="text-align: center;">
<br /></div>
<div align="center" class="MsoBodyText" style="text-align: center;">
<br /></div>
<h1>
<span lang="EN-US" style="font-size: 16.0pt; layout-grid-mode: line; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 10.0pt;"> </span></h1>
<div class="MsoNormal">
<br /></div>
<h1>
<span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 18.0pt;"> </span></h1>
<h1>
<span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 18.0pt;"> </span></h1>
<div align="center" class="MsoNormal" style="text-align: center;">
<br clear="ALL" />
</div>
<h1>
<span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 18.0pt;">OASIS – Classification (See
Fig 2)<br />
</span><i><span lang="EN-US" style="font-size: 10.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Sultan
AH, Clinical Risk 1999; RCOG GreenTop Guidelines 2001; ICI 2002; NICE 2007;
ACOG 2014</span></i><span lang="EN-US" style="font-size: 18.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></h1>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;"> </span></h2>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">1st
degree = vaginal epithelium<o:p></o:p></span></h2>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">2nd
degree = perineal muscles<o:p></o:p></span></h2>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">3rd
degree = anal sphincter<o:p></o:p></span></h2>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;"> </span><span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">3a = <50% external sphincter
thickness<o:p></o:p></span></h2>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> 3b = > 50% external
sphincter thickness<o:p></o:p></span></h2>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> 3c = internal sphincter
torn<o:p></o:p></span></h2>
<div class="MsoBodyText">
<span lang="EN-US" style="font-family: "Arial",sans-serif;">4th
</span><span lang="EN-US" style="font-family: "Arial",sans-serif; mso-bidi-font-size: 14.0pt;">degree</span><span lang="EN-US" style="font-family: "Arial",sans-serif;"> = 3<sup>rd</sup> degree +
anal epithelium torn<o:p></o:p></span></div>
<div class="MsoBodyText">
<span lang="EN-GB" style="font-family: "Arial",sans-serif; mso-ansi-language: EN-GB;"><!--[if gte vml 1]><v:shape id="_x0000_i1026" type="#_x0000_t75"
style='width:244.5pt;height:183pt'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image007.emz"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img border="0" height="244" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" v:shapes="_x0000_i1026" width="326" /><!--[endif]--></span><span lang="EN-US" style="font-family: "Arial",sans-serif;"><o:p></o:p></span></div>
<div align="center" class="MsoBodyText" style="text-align: center;">
<br /></div>
<div class="MsoBodyText">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-ansi-language: EN-GB; mso-bidi-font-size: 10.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1027" type="#_x0000_t75" style='width:244.5pt;height:183pt'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image009.emz"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img border="0" height="244" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" v:shapes="_x0000_i1027" width="326" /><!--[endif]--><o:p></o:p></span></b></div>
<div class="MsoBodyText">
<br /></div>
<div class="MsoBodyText">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-ansi-language: EN-GB; mso-bidi-font-size: 10.0pt;"><!--[if gte vml 1]><v:shape
id="_x0000_i1028" type="#_x0000_t75" style='width:244.5pt;height:183pt'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image011.emz"
o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img border="0" height="244" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" v:shapes="_x0000_i1028" width="326" /><!--[endif]--></span></b><b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-bidi-font-size: 10.0pt;"><br clear="all" style="page-break-before: always;" />
Repair techniques of obstetric anal sphincter injuries (OASIS)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Abdul
Sultan<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 11pt;">Anal
incontinence after primary repair of OASIS </span></b><b><span lang="EN-US" style="font-family: Arial, sans-serif;"> </span></b><i><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 9pt;">Sultan AH,Thakar R 2007</span></i><i><span lang="EN-US" style="color: #a2ffa3; font-family: "Arial",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span></i><span lang="EN-GB" style="color: white; display: none; font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-hide: all;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 11pt;">35 studies in the last 25
years<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 11pt;">• Anal incontinence mean
39% </span><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 11pt;">(range 15 to 61%) <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 11pt;">• Faecal incontinence mean
14% </span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">(range 2-29%)</span><span lang="EN-GB" style="font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"> <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Internal sphincter defects </span></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;">Mahony
R et al 2007</span></i><b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"> <o:p></o:p></span></i></b></div>
<div class="DefinitionTerm" style="margin-left: 0cm; mso-list: l0 level1 lfo10; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 14.0pt; layout-grid-mode: both; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·</span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; layout-grid-mode: both; mso-bidi-font-size: 12.0pt;">500 consecutive OASIS<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 0cm; mso-list: l0 level1 lfo10; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 14pt;">·</span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Persistent
IAS defect independently associated with severe anal incontinence. OR 5.1 (95%
CI = 1.5 – 22.9)<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 14.0pt;">Fecal incontinence after vaginal
delivery </span></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 9.0pt; mso-bidi-font-size: 10.0pt;">Fenner DE et al AJOG 2003</span></i><b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 8.0pt; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></i></b></div>
<div class="DefinitionTerm" style="margin-left: 36.0pt; mso-list: l6 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; layout-grid-mode: both; mso-bidi-font-size: 12.0pt;">831
primips completed bowel questionnaire 6 months after delivery<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">20%
sustained OASIS <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 14pt;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">30% OASIS vs 20% of
controls had poor bowel control.</span><b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l6 level1 lfo5; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Symptoms 10x higher
in 4<sup>th</sup> degree tears<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<h1>
<span lang="EN-GB">Immediate –vs- delayed repair </span><i><span lang="EN-GB" style="font-size: 11pt; font-weight: normal;">Nordenstam J et al 2008<o:p></o:p></span></i></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">RCT of 161 women<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">Team of 3 obstetricians and 3 colorectal
surgeons<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">At 12 months 40% reported any anal
incontinence (17% flatus > 1 per week) <o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">No difference in outcome between
immediate and delayed (8 to 12 hours) repair<o:p></o:p></span></h2>
<div class="MsoNormal">
<b><i><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">No justification in delaying
repair until the next day.</span></i></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></i></div>
<div class="MsoNormal">
<br /></div>
<h1>
<span lang="EN-GB">Delayed and
early secondary anal sphincter repair <o:p></o:p></span></h1>
<h1>
<i><span lang="EN-GB" style="font-size: 11pt; font-weight: normal;">Soerensen MM et al 2008</span></i><span lang="EN-GB" style="font-size: 16pt;"> <o:p></o:p></span></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">21 female patients and 21 controls<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">Delayed primary repair (<72 hours postpartum)<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">Early secondary repair (<14 days postpartum)<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">Repaired by 2 senior obstetricians<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">Mean follow up of 4 years<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">No post-op complications and none needed
colostomy<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">No significant difference in QoL with 19
controls <o:p></o:p></span></h2>
<div class="MsoNormal">
<b><i><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">25% vs 5% of controls had
faecal incontinence<o:p></o:p></span></i></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;">Anal canal length & good outcome</span></b><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;"> <i>Hool GR et al DCR 1998<o:p></o:p></i></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l13 level1 lfo18; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10pt;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;">Secondary overlap sphincter
repair (n=51)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l13 level1 lfo18; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10pt;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;">Mean follow-up = 16 months<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l13 level1 lfo18; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10pt;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;">Post-operative anal canal
length best predicted continence</span><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt;"> <o:p></o:p></span></div>
<h1>
<span lang="EN-US" style="font-size: 11pt;">Secondary anal sphincter repair </span><span lang="EN-US" style="font-size: 8pt; font-weight: normal;"> <i>Engel AF et al 1994</i></span><i><span lang="EN-US" style="font-size: 8pt;">; </span></i><i><span lang="EN-US" style="font-size: 8pt; font-weight: normal;">Malouf AJ et al 2000<o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo2; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Prospective
study (n= 55) of overlap repair.<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo2; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">80%
success at 18 months<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo2; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">50%
at 5 years (n=46)<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo2; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">But one third had more than one
repair</span><span lang="EN-US" style="font-size: 10pt;"><o:p></o:p></span></h2>
<h1>
<span lang="EN-GB" style="font-size: 10pt;"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 14pt;"> </span><span lang="EN-US">overlap vs end-to-end
primary repair </span><span lang="EN-US" style="font-size: 11pt;"> </span><i><span lang="EN-US" style="font-size: 8pt; font-weight: normal;">Sultan AH et al 1999<o:p></o:p></span></i></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Anal
incontinence: reduced from 42% to 8% (flatus)<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">External
sphincter defects: reduced from 85% to 15%<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Technique or operator? randomised
study needed</span><span lang="EN-US" style="font-size: 10pt;"><o:p></o:p></span></h2>
<h1 style="text-indent: 36.0pt;">
<span lang="EN-US"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 11pt;">End-to-end vs overlap RCT </span><i><span lang="EN-GB" style="font-size: 10pt; font-weight: normal;">Fernando R et al 2004<o:p></o:p></span></i></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">64 randomised<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">At one year compared to the end-to-end repair,
significantly fewer women with overlap EAS repair suffered faecal incontinence <o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">9 of 15 who had 3c/4<sup>th</sup> degree tear had FU scans<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-size: 12.0pt;">All
9 had intact IAS.</span><span lang="X-NONE" style="font-size: 11.0pt; font-weight: normal; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt;">
<span lang="X-NONE" style="font-size: 11.0pt; font-weight: normal; mso-bidi-font-size: 12.0pt;"> <o:p></o:p></span></h2>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">End-to-end
vs Overlap </span></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Rygh AB and Korner H
2010</span></i><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">
</span></b><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">119
primips 3b tear </span><b><span lang="EN-GB" style="font-family: "Arial",sans-serif;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Primary
outcome = solid stool leakage at least once per week</span><b><span lang="EN-GB" style="font-family: "Arial",sans-serif;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">No
significant difference</span><b><span lang="EN-GB" style="font-family: "Arial",sans-serif;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 11pt;">End-to-end vs overlap RCT </span></b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Farrell SA et al 2012</span></i><b><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">3
year follow-up<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">No
significant difference<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Methods
of repair for OASIS</span></b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"><br />
<i>Fernando R et al 2013 (Cochrane Review)</i><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">6
RCTs of EAS overlap –vs- end-to-end<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<u><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Conclusions<o:p></o:p></span></u></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo16; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Overlap
</span><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">appears to be
associated with lower risks of developing urgency and anal incontinence
symptoms. </span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo16; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">At 36 months there was no difference in flatus or
faecal incontinence between the two techniques. </span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo16; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">However, since this evidence is based on only two
small trials, more research evidence is needed in order to confirm or refute
these findings</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<i><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Is the overlap repair more robust over time???</span></i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></div>
<h2>
<span lang="EN-US" style="font-size: 11pt;">Suture materials (</span><i><span lang="EN-US" style="font-size: 10pt;">www.perineum.net)</span></i><span lang="EN-US" style="font-size: 11pt; font-weight: normal;"><o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Do NOT use figure-of-eight
sutures for the mucosa or muscles <o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Anal Mucosa</span><span lang="EN-US" style="font-size: 10.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;"> - </span><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Single interrupted or non
locking continuous Vicryl 3-0 <o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Internal Anal Sphincter </span><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">- </span><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Mattress end-to-end PDS 3-0 </span><span lang="EN-US" style="font-size: 10pt; font-weight: normal;"><o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 10.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">External Anal Sphincter -
Mattress/Overlap PDS 3-0</span><span lang="EN-US" style="font-size: 11.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"> <o:p></o:p></span></h2>
<h1>
<span lang="EN-GB" style="font-size: 11pt;"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 11pt;">Suture material </span><i><span lang="EN-GB" style="font-size: 8pt; font-weight: normal;">Williams et al 2006<o:p></o:p></span></i></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">112 women – 4x4 randomised study<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;">No difference in suture related morbidity between Vicryl
and PDS<o:p></o:p></span></h2>
<h3 style="margin-left: 36.0pt; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 11pt; font-weight: normal;">–<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt; font-weight: normal;">But 70% were 3a
tears and only 54% 12 month follow-up</span><span lang="EN-US" style="font-size: 9pt;"><o:p></o:p></span></h3>
<h1>
<span lang="EN-GB" style="font-size: 14pt;"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 11pt;">Operating Theatre</span><span lang="EN-GB" style="font-size: 14pt;"><o:p></o:p></span></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;"> Sterile environment<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;"> Good lighting, exposure
and assistance<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;"> Appropriate
instrument tray, sutures<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Wingdings; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10pt; font-weight: normal;"> Anaesthesia –
spinal, epidural, General<o:p></o:p></span></h2>
<h2 style="margin-left: 18.0pt;">
<span lang="X-NONE" style="font-size: 11pt;"> </span></h2>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Antibiotic prophylaxis for
OASIS </span></b><i><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Duggal N et al 2008</span></i><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<span lang="EN-GB" style="font-family: Wingdings; font-size: 10pt;">Ø</span><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Prospective placebo controlled RCT (n=147)<o:p></o:p></span></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<span lang="EN-GB" style="font-family: Wingdings; font-size: 10pt;">Ø</span><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Single IV dose of cephalosporin<o:p></o:p></span></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<span lang="EN-GB" style="font-family: Wingdings; font-size: 10pt;">Ø</span><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Perineal wound infection 8% vs 24% in placebo<o:p></o:p></span></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Forceps vs Vacuum</span></b><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;"> <i>Eason
and Thakar 2007</i></span><i><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;">4</span></i><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;">FF<o:p></o:p></span></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<sup><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;">t</span></sup><span lang="EN-GB" style="font-family: "Calibri",sans-serif; font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: Calibri; mso-no-proof: yes;"> </span><sup><span lang="EN-US" style="color: white; font-size: 9.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;"><!--[if gte vml 1]><v:shape
id="Picture_x0020_2" o:spid="_x0000_i1029" type="#_x0000_t75" alt="Description: CH VACUUM FIG6-5"
style='width:270pt;height:170.25pt;visibility:visible'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image013.png"
o:title="CH VACUUM FIG6-5"/>
</v:shape><![endif]--><!--[if !vml]--><img alt="Description: CH VACUUM FIG6-5" border="0" height="227" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image014.jpg" v:shapes="Picture_x0020_2" width="360" /><!--[endif]--></span></sup><sup><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></sup></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="text-indent: 21.3pt;">
<sup><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;">h</span></sup><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;">
degree tears </span><span lang="EN-GB" style="color: white; font-family: Symbol; font-size: 9.0pt; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 12.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">¯</span><span lang="EN-GB" style="color: white; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;"> 12 to
< 1 per year</span><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 11pt;"><o:p></o:p></span></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Other Interventions to reduce OASIS</span></b><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;"> Laine K et al 2008<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 38.65pt; mso-list: l11 level1 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10pt;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">Third and 4th degree tears 4.03% to 1.17%<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 38.65pt; mso-list: l11 level1 lfo17; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10pt;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: Arial, sans-serif; font-size: 10pt;">4th degree tears 12 to < 1 per year<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<h1>
<i><span lang="EN-GB" style="font-size: 10pt; font-weight: normal;"> </span></i></h1>
<h1>
<span lang="EN-US" style="font-size: 11pt;">OASIS repair - recommended practice </span><i><span lang="EN-US" style="font-size: 8pt; font-weight: normal;">Sultan AH, Thakar R 2007<o:p></o:p></span></i></h1>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Experienced
obstetrician<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Repair
in operating theatre <o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Regional
or general anaesthesia<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">IV antibiotics +/- oral for 3 days <o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">EAS <o:p></o:p></span></h2>
<h3 style="text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10pt; font-weight: normal;">®</span><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt; font-weight: normal;">
End-to-end for all 3a<o:p></o:p></span></h3>
<h3 style="text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 10pt; font-weight: normal;">®</span><span lang="EN-US" style="font-family: Arial, sans-serif; font-size: 10pt; font-weight: normal;">
End-to-end or overlap for full thickness and full length 3b</span><span lang="EN-US" style="font-size: 10pt; font-weight: normal;"><o:p></o:p></span></h3>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">IAS
</span><span lang="EN-US" style="font-family: Symbol; font-size: 10pt; font-weight: normal;">®</span><span lang="EN-US" style="font-size: 10pt; font-weight: normal;"> End–to-end
mattress<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Monofilament
sutures (PDS) for the sphincter (Vicryl
2-0 can also be used)<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Rectal
examination before and after repair<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Foleys
catheter for 12 hours<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Lactulose
15mls bd for 7 to 10 days<o:p></o:p></span></h2>
<h2 style="margin-left: 36.0pt; mso-list: l0 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; font-weight: normal;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-size: 10pt; font-weight: normal;">Clinic Follow up in 2 to 3 months</span><span lang="EN-US" style="font-size: 10pt;"><o:p></o:p></span></h2>
<h2>
<span lang="X-NONE" style="font-size: 11pt;"> <o:p></o:p></span></h2>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Labour Ward Protocol See website <i><a href="http://www.perineum.net/">www.perineum.net</a><o:p></o:p></i></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Also refer to RCOG Green-top guideline
2015<o:p></o:p></span></i></b></div>
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<br /></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Fig 3 External sphincter defect (between
arrows) on 3d endoanal ultrasound</span></b><!--[if gte vml 1]><o:wrapblock
pagebreak="t">
<v:group id="_x0000_s1029" style='position:absolute;margin-left:54pt;
margin-top:17.75pt;width:306pt;height:234pt;z-index:251659264;
mso-position-horizontal-relative:text;mso-position-vertical-relative:text'
coordorigin="1248,1488" coordsize="3954,2496">
<v:shape id="_x0000_s1030" type="#_x0000_t75" style='position:absolute;
left:1248;top:1488;width:3954;height:2496'>
<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image015.png"
o:title="snapshot1" cropbottom="2427f"/>
</v:shape><v:line id="_x0000_s1031" style='position:absolute;flip:x y'
from="4032,2592" to="4176,2832" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1032" style='position:absolute;flip:x y' from="4128,2448"
to="4272,2688" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1033" style='position:absolute;flip:x y' from="4176,2256"
to="4320,2496" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1034" style='position:absolute;flip:x y' from="4176,2064"
to="4320,2304" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1035" style='position:absolute' from="3360,2016"
to="3552,2208" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1036" style='position:absolute' from="3456,1920"
to="3648,2112" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1037" style='position:absolute' from="3600,1872"
to="3792,2064" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line><v:line id="_x0000_s1038" style='position:absolute' from="3696,1728"
to="3888,1920" strokecolor="white" strokeweight="3pt">
<v:stroke endarrow="block"/>
<v:shadow color="#919191"/>
</v:line></v:group><![endif]--><!--[if !vml]--><span style="height: 312px; margin-left: 72px; margin-top: 23px; mso-ignore: vglayout; position: absolute; width: 408px; z-index: 251659264;"><img height="312" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image016.jpg" v:shapes="_x0000_s1029 _x0000_s1030 _x0000_s1031 _x0000_s1032 _x0000_s1033 _x0000_s1034 _x0000_s1035 _x0000_s1036 _x0000_s1037 _x0000_s1038" width="408" /></span><!--[endif]--><!--[if gte vml 1]></o:wrapblock><![endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 9.0pt; mso-bidi-font-size: 12.0pt;"><br clear="all" style="page-break-before: always;" />
</span><b><span lang="EN-GB" style="font-family: "Arial",sans-serif;">Management of
OASIS after subsequent pregnancy<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt;">Abdul Sultan <o:p></o:p></span></b></div>
<h2>
<i><span lang="EN-US" style="font-size: 8.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; text-shadow: auto;"> </span></i></h2>
<h2 align="center" style="text-align: center;">
<i><span lang="EN-US" style="font-size: 8.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; text-shadow: auto;"> </span></i></h2>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Mode of delivery after OASIS </span><span lang="EN-GB" style="font-size: 8.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></h1>
<h2>
<span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 20.0pt;">Caesarean section or Vaginal
delivery?</span><span lang="X-NONE" style="font-size: 12.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 20.0pt;"><o:p></o:p></span></h2>
<h1>
<span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 18.0pt;"> </span></h1>
<h1>
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;">Recurrence risks with
previous OASIS </span><i><span lang="EN-US" style="font-size: 9.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">Peleg D et al 1999</span></i><i><span lang="EN-GB" style="font-size: 8.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;">Primips,
ceph, term, 3<sup>o</sup>/4<sup>o</sup> (n=704); Incidence = 19% (midline
episiotomy)<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;">Recurrence
rate = 12% vs 7 % if no previous OASIS (P=0.001)<o:p></o:p></span></h2>
<div class="MsoNormal">
<br /></div>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 18.0pt;">Previous OASIS - </span><i><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;">is
recurrence predictable? </span></i><i><span lang="EN-GB" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">Harkin
R et al 2003</span></i><i><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;"> <o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;">Mediolateral
episiotomy<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;">2 of
45 (4.4%) in subsequent vaginal
deliveries developed a repeat OASIS<o:p></o:p></span></h2>
<h1>
<span lang="EN-GB" style="font-size: 9.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Previous OASIS </span><i><span lang="EN-GB" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">Poen AC et al 1998<o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">43 of 110 women studied<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Anal
incontinence 56% -v- 34% in women with no subsequent delivery. (RR = 1.6, CI =
1.1-2.5)</span><span lang="X-NONE" style="font-size: 9.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></h2>
<h2>
<span lang="X-NONE" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> </span></h2>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Previous OASIS </span><i><span lang="EN-GB" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">Sangalli MR et al 2000<o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">177 women 13 years </span><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">FU<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-size: 12.0pt;">Faecal
Incontinence in 114 subsequent deliveries (3<sup>o </sup> tears = 2.5% ; </span><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> 4<sup>o</sup> tears
= 26.5%<o:p></o:p></span></h2>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"> </span></h1>
<h1>
<i><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Can OASIS be prevented ? </span></i><span lang="EN-GB" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Can only minimise the risk of OASIS</span><span lang="EN-GB" style="font-size: 8.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Episiotomy<o:p></o:p></span></h2>
<h3 style="margin-left: 45.0pt; mso-list: l0 level1 lfo10; text-indent: -11.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 14.0pt; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 8.0pt; font-weight: normal; mso-bidi-font-size: 10.0pt;">Restrictive
vs Liberal<o:p></o:p></span></h3>
<h3 style="margin-left: 45.0pt; mso-list: l0 level1 lfo10; text-indent: -11.25pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-size: 14.0pt; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 8.0pt; font-weight: normal; mso-bidi-font-size: 10.0pt;">Mediolateral
vs Midline <o:p></o:p></span></h3>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="X-NONE" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt;">Instrumental delivery - forceps vs vacuum<o:p></o:p></span></h2>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol; font-size: 14.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Perineal support Laine K et al 2012; Hals E et al 2010<o:p></o:p></span></div>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 20.0pt;"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 20.0pt;">Performing mediolateral episiotomy </span><i><span lang="EN-GB" style="font-size: 9.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">Andrews et al 2004;
Andrews et al 2006<o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: SimSun;">254 primips, 41% mediolateral episiotomy<o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: SimSun;">No midwife and only 13 (22%) doctors performed a
truly mediolateral episiotomy (between 40 to 60 degrees from the midline) <o:p></o:p></span></h2>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="X-NONE" style="font-family: Symbol; font-weight: normal; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: SimSun;">Episiotomies angled closer to the midline
significantly associated with OASIS (26 vs 37 degrees)</span><span lang="X-NONE" style="font-size: 11.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt;"><o:p></o:p></span></h2>
<h1>
<span lang="EN-GB" style="font-size: 11.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 20.0pt;"> </span></h1>
<h1>
<span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-family: Arial; mso-bidi-font-size: 20.0pt;">Episiotomy </span><i><span lang="EN-GB" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 14.0pt;">Eogan et al 2006<o:p></o:p></span></i></h1>
<h2 style="margin-left: 15.0pt; mso-list: l0 level1 lfo10; text-indent: -15.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="X-NONE" style="font-size: 10.0pt; font-weight: normal; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: SimSun;">50% risk reduction of third degree tears for every 6</span><span lang="EN-US" style="font-family: SimSun; font-size: 10.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt; mso-hansi-font-family: Arial;">°</span><span lang="EN-US" style="font-size: 10.0pt; font-weight: normal; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-font-size: 16.0pt; mso-fareast-font-family: SimSun;">away
from midline<o:p></o:p></span></h2>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;">Management of subsequent pregnancy after OASIS</span></b><span lang="EN-GB" style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;"> <i>Scheer I et al 2009</i></span><span lang="EN-GB"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l5 level1 lfo13; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;">56 deliveries 2002 –2006<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;">38 (70%) vaginal deliveries<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 11.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;">No significant deterioration in:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times",serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Times;">–<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;"> bowel or bladder symptoms<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times",serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Times;">–<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;">quality of life<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: "Times",serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Times;">–<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;"> resting and squeeze pressures<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 11.0pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: SimSun;">No significant new scan defects</span><span lang="EN-US"><o:p></o:p></span></div>
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Treatment of anal incontinence<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Conservative
management: Biofeedback<o:p></o:p></span></b></div>
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<b><i><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Norton
1999, BJS</span></i></b><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">67% cure and improvement<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Most successful in urge incontinence<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Improvement even if structural damage<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Management of anal incontinence<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Antidiarrhoeal agents <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: PT-BR; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: PT-BR; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">e.g. Loperamide (Imodium),
Codeine, diphenoxylate (Lomotil) <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Reduces intestinal
transit <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Increases rectal compliance
& resting pressure of IAS<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Codeine causes drowsiness
and dependence<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Anterior anal sphincter repair<o:p></o:p></span></b></div>
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<b><i><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Engel AF et al 1994, Malouf et al 2000</span></i></b><b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Prospective study (n=55) of
overlap repair.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Successful outcome at 15
months in 80%.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">5 year follow-up = 50%
success<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Dynamic Graciloplasty<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Multicentre trial <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">139 patients<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">60% success and improved QoL<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">74% complication<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">40% reoperation<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Dynamic Graciloplasty<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Complications<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Technical problems with
muscle wrap and stimulation<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Infection<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Anorectal dysfunction<o:p></o:p></span></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Sacral
nerve modulation<br />
<i>Altomare DF et al 2009<o:p></o:p></i></span></b></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">52 patients with fecal incontinence<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Minimum of 5y FU<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Wexner score </span><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-char-type: symbol; mso-hansi-font-family: Arial; mso-symbol-font-family: Symbol;">¯</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;"> from 15</span><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-char-type: symbol; mso-hansi-font-family: Arial; mso-symbol-font-family: Symbol;">±</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">4 to 5</span><span lang="EN-GB" style="font-family: Symbol; font-size: 10.0pt; mso-ascii-font-family: Arial; mso-bidi-font-family: Arial; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-char-type: symbol; mso-hansi-font-family: Arial; mso-symbol-font-family: Symbol;">±</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">5 (P<0.001)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Significant improvement in QoL<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Minor complications 13%<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Injectable biomaterials<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Collagen<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">PTQ implants<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Carbon coated Zirconium
oxide beads<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Polyacrylamide hydrogel<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Small case series show
variable short term <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">Efficacy</span><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></div>
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<!--[if gte vml 1]><v:shape id="_x0000_s1027" type="#_x0000_t75"
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<v:imagedata src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image027.jpg"
o:title="book" croptop="1872f" cropbottom="1872f" cropleft="4073f"
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</v:shape><![endif]--><!--[if !vml]--><span style="height: 197px; margin-left: 348px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 137px; z-index: 251657216;"><img height="197" src="file:///C:/Users/Homero/AppData/Local/Temp/msohtmlclip1/01/clip_image028.jpg" v:shapes="_x0000_s1027" width="137" /></span><!--[endif]--><b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">For pictures,
DVD, bibliography <o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">and suggested reading<o:p></o:p></span></b></div>
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<b><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">See Website: <a href="http://www.perineum.net/">www.perineum.net</a><o:p></o:p></span></b></div>
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<b><i><span lang="EN-US" style="font-family: "MyriadPro-SemiCn",serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 8.0pt;">2009. XII, 196 p. 82 illus., 32 in color. Softcover</span></i></b><span lang="EN-US" style="font-family: "MyriadPro-SemiCn",serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 8.0pt;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "MS Gothic"; mso-ansi-language: EN-US; mso-bidi-font-family: "MS Gothic"; mso-bidi-font-size: 10.0pt;">▶</span><span lang="EN-US" style="font-family: MinionPro; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt;"> </span><b><span lang="EN-US" style="font-family: "MyriadPro-BoldSemiCn",serif; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "MyriadPro-SemiCn",serif; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt;">ISBN 978-1-84800-996-7</span><span lang="EN-GB" style="color: #333333; font-family: "Arial",sans-serif; font-size: 12.5pt;"><o:p></o:p></span></div>
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<span lang="EN-GB">Take Home Messages</span><span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 14.0pt;"><o:p></o:p></span></div>
</div>
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<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Every woman who has a vaginal
delivery has a 3<sup>rd</sup> or 4<sup>th</sup> degree tear until proved
otherwise <o:p></o:p></span></li>
</ul>
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<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">A 3<sup>rd</sup> or 4<sup>th</sup>
degree tear (as well as an isolated buttonhole tear of the rectum) cannot
be excluded without a rectal examination<o:p></o:p></span></li>
</ul>
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<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Therefore a careful digital
rectal examination with good exposure, adequate lighting and analgesia is
mandatory. </span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
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<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">There is Level 1a evidence that second degree tears
and episiotomies should be repaired using the continuous technique of
repair for all three layers with Vicryl Rapide<o:p></o:p></span></li>
</ul>
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<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Restoration of normal
sphincter length best predicts continence and therefore the full length of
the torn sphincter must be repaired</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
</ul>
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<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">The torn internal sphincter
should be identified and repaired separately using an end- to-end repair
technique</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
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<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Partially torn external
sphincter tears must be repaired using the end-to-end technique.</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
</ul>
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<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Full thickness and full length
external sphincter tears can be repaired by either the overlap or
end-to-end technique. However the superiority of the overlap repair has
only been demonstrated in one study where all repairs were conducted by
only two operators. The Cochrane review does not recommend one technique
over the other.</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
</ul>
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<li class="MsoNormal"><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">The anal mucosa and anal
sphincter muscles must not be repaired using figure-of- eight sutures as
they can cause ischaemia and necrosis of tissue</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
</ul>
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<ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"> </span><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">The best chance of successful
repair of OASIS is at the time of delivery; secondary sphincter repair
(especially of the internal sphincter) is comparatively poor</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></li>
</ul>
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<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">In terms of subsequent pregnancy management: <o:p></o:p></span></li>
<ul style="margin-top: 0cm;" type="circle">
<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Compare like with like ie. the worst scenarios of CS
and VD</span><b><span lang="EN-US" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></b></li>
<li class="MsoNormal" style="color: #333333; mso-list: l12 level2 lfo1; tab-stops: list 72.0pt;"><span lang="EN-GB" style="color: windowtext; font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Risks following
CS is not just for one CS but cumulative with each subsequent CS</span><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 12.5pt;"><o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">The risk of recurrence of OASIS is about 7%<o:p></o:p></span></li>
<li class="MsoNormal"><span lang="EN-GB" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-bidi-font-size: 12.0pt;">Outcome of vaginal delivery after OASIS is good in
selected patients<o:p></o:p></span></li>
</ul>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><br /></span></b></div>
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<b>OBS - FIGURAS E SLIDES ORIGINAIS SÓ DISPONÍVEIS PARA OS INSCRITOS</b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><br /></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">===========================================================</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><br /></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">WORKSHOP – USO DE PESSÁRIOS EM UROGINECOLOGIA <o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">VII JORNADA INTERNACIONAL DE UROGINECOLOGIA DA FMUSP<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">26 de abril de 2018 das 8:00 às 12:00h<o:p></o:p></span></b></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Organização<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Dra.
Thais Villela Peterson (FMUSP)<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Dra.
Cássia Raquel Teatin Juliato (UNICAMP)<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Dra.
Marilene Monteiro (UFMG)<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US">Dr. José
Ananias Vasconcelos Neto (UFC)<o:p></o:p></span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="color: black; font-family: "Verdana",sans-serif; font-size: 7.5pt;">Avenida
Dr. Enéas de Carvalho Aguiar, 255, 10º andar -<span style="mso-spacerun: yes;">
</span>Cerqueira César, Cidade de São Paulo, Estado de São Paulo, Cep 05403-000</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Programa<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Parte
Teórica<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">8:00-8:20<o:p></o:p></span></b></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Tipos
de pessários, indicações e contra-indicações<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-US">Cássia Raquel Teatin Juliato<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">8:20-8:40<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Como
escolher o modelo e o tamanho adequado<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-US">Cássia Raquel Teatin Juliato<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">8:40-9:00<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Cuidados
pós inserção e seguimento<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-US">Thaís Villela Peterson/Marilene Monteiro<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">9:00-9:20<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Complicações
do uso de pessários e indicadores prognósticos<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="EN-US">José Ananias Vasconcelos Neto<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">9:20-9:40<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Q&A<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">9:40-10:00<o:p></o:p></span></b></div>
<div class="MsoNormal">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Coffee
break<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td colspan="3" style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Parte
Prática<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">10:00-10:30<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
1<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários em modelos de
pelve (Dra. Cássia)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
2<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Vídeo (Dr. Ananias)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
3<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários internos (Dra.
Thais)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
4 <o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários externos (Dra.
Marilene)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">10:30-11:00<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
1<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Vídeo (Dr. Ananias)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
2<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários em modelos de
pelve (Dra. Cássia)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
3<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários externos (Dra.
Marilene)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
4 <o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários internos (Dra.
Thais)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">11:00-11:30<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
1<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários internos (Dra.
Thais)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
2<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários externos (Dra.
Marilene)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 20;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
3<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Vídeo (Dr. Ananias)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 21;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
4 <o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários em modelos de
pelve (Dra. Cássia)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 22;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 23;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">11:30-12:00<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
1<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários externos (Dra.
Marilene) <o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 24;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
2<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários internos (Dra.
Thais)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 25;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
3<o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Colocação de pessários em modelos de
pelve (Dra. Cássia)<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 26; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Grupo
4 <o:p></o:p></span></b></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt;" valign="top">
<div class="MsoNormal">
<span lang="EN-US">Vídeo (Dr. Ananias)<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<br /><br />
==============================================================<br />
<br />
<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u><span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: PT-BR; mso-no-proof: yes;">WORKSHOP “ SUTURA LAPAROSCOPICA” VII JORNADA
INTERNACIONAL DE UROGINECOLOGIA DA DISCIPLINA DE GINECOLOGIA DA FMUSP<o:p></o:p></span></u></b></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Local:<span style="mso-spacerun: yes;"> </span>KARL STORZ ENDOSKOPE – SÃO PAULO – BRASIL<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Rua Joaquim
Floriano, 413 -<span style="mso-spacerun: yes;"> </span>20º. andar<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Data: 26 de
Abril de 2018.<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Training <span style="mso-spacerun: yes;"> </span>Supervisor: Armando Romeo<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<br />
<div class="MsoNormal">
<u>Turma l<o:p></o:p></u></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
8:30hs
– Teórica<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Introdução da Técnica de Sutura e seus princípios pedagógicos; M.ROSIM<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Técnica de Suturas Intra e Extra Corpórea;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Classificação dos Nós e Sequências Bloqueadoras;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Romeo’s Gladiador Rule;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Teoria do Ponto Perfeito; <o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Eixos e Angulos de Sutura;<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Modelos de Suturas e Exercícios de Treinamento.<o:p></o:p></div>
<div class="MsoNormal">
09:30
– Coffee break<o:p></o:p></div>
<div class="MsoNormal">
10:00hs
– Treinamento Prático de Suturas<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Técnicas de Anodamento, nós mão manual;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Técnicas de Posicionamento da Agulha e Orientação;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Mão direita - Trocar Direito – Regra Gladiador – movimento sentido horário;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Mão direita - Trocar Direito – Regra Gladiador – movimento sentido
anti-horário;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Mão direita - Trocar Central – Sentido horário e anti-horário – Posição
Suprapúbica;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Treinamento Prático PONTOS;<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Passos simples;<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;">·<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]-->Pontos Fáceis.<o:p></o:p></div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
12:30hs
– Encerramento<o:p></o:p></div>
<br />
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;"><span style="mso-spacerun: yes;"><br /></span></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;"><span style="mso-spacerun: yes;"><br /></span></span></div>
<div class="MsoNormal">
<u><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Turma
ll<o:p></o:p></span></u></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">13:30hs
– Teórica<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Introdução da Técnica de Sutura e seus princípios pedagógicos<span style="mso-spacerun: yes;"> </span>;<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>C.ROCHA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Técnica de Suturas Intra e Extra Corpórea;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Classificação dos Nós e Sequências Bloqueadoras;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Romeo’s Gladiador Rule;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Teoria do Ponto Perfeito; <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Eixos e Ângulos de Sutura;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Modelos de Suturas e Exercícios de Treinamento.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">14:30
–<span style="mso-spacerun: yes;"> </span>Coffee break<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">15:00hs
– Treinamento Prático de Suturas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Técnicas de Anodamento, nós mão manual;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Técnicas de Posicionamento da Agulha e Orientação;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Mão direita - Trocar Direito – Regra Gladiador – movimento sentido horário;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Mão direita - Trocar Direito – Regra Gladiador – movimento sentido
anti-horário;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Mão direita - Trocar Central – Sentido horário e anti-horário – Posição
Suprapúbica.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Treinamento Prático<span style="mso-spacerun: yes;"> </span>PONTOS;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Passos simples;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo3; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-no-proof: yes;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">Pontos Fáceis.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">17:30hs
– Encerramento<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;"><br /></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: PT-BR; mso-no-proof: yes;">===========================================================</span></div>
<div class="MsoNormal">
<b><span style="font-size: 14.0pt; line-height: 107%;">Workshop: Fraxx a Nova Tecnologia - Alta Frequência
Fracionada Microablativa (AFFMA) e Pulsada para Estética e Rejuvenescimento
Íntimo, com Melhora Funcional<o:p></o:p></span></b></div>
<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Dia 26 de Abril de 2018<o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Hotel Pullman Vila Olímpia<o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>Rua Olimpíadas , 203<o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b>08:30 – 12:00<o:p></o:p></b></div>
<div class="MsoNormal">
<b>Horário:<o:p></o:p></b></div>
<div class="MsoNormal">
9h às 12 – com 15 minutos de intervalo (tolerância de 5
minutos para assentarem**)<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>Coordenadora:<o:p></o:p></b></div>
<div class="MsoNormal">
Dra. Priscila Katsumi Matsuoka<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="color: #ed7d31;">8h30 – 10h30<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b>Palestrante: Dr. Celso L. Borrelli<o:p></o:p></b></div>
<div class="MsoNormal">
Programação Teórica: <b>Duração de</b> <b>2h</b><o:p></o:p></div>
<div class="MsoNormal">
1h30<o:p></o:p></div>
<div class="MsoNormal">
30 minutos para debates<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="color: #ed7d31;">10h30 – 10h45<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b>Intervalo de 15 minutos<o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="color: #ed7d31;">10h45 – 12h00<o:p></o:p></span></b></div>
<div class="MsoNormal">
Programação Prática: <b>Duração de</b> <b>1h15</b><o:p></o:p></div>
<div class="MsoNormal">
Uso do sistema FRAXX em simuladores
com tecido animal e aberto a dúvidas.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>Temas:<o:p></o:p></b></div>
<div class="MsoListParagraph" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]-->Princípios
Biofísicos da Alta Frequência Fracionada Microablativa (AFFMA);<o:p></o:p></div>
<div class="MsoListParagraph" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]-->Evidências
dos efeitos da Energia Fracionada Microablativa;<o:p></o:p></div>
<div class="MsoListParagraph" style="mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]-->Aplicação
da AFFMA no TGI – Estimulando Neocolagenese/ Neoelastogenese e
Neovascularização;<o:p></o:p></div>
<div class="MsoListParagraph" style="margin-left: 58.5pt; mso-list: l0 level2 lfo1; text-indent: -22.5pt;">
<!--[if !supportLists]-->3.1<span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Vagina – Periuretral;<o:p></o:p></div>
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<!--[if !supportLists]-->3.2<span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]-->Vulva;<o:p></o:p></div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span><!--[endif]-->Literatura
com evidências sobre o tema.<o:p></o:p></div>
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<b>Monitores:<o:p></o:p></b></div>
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Dr. Celso L. Borrelli<o:p></o:p></div>
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Uriel Binembaum<o:p></o:p></div>
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Margot Rohwedder<o:p></o:p></div>
<div class="MsoNormal">
Nilton Rocha<o:p></o:p></div>
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Bruna Moraes<o:p></o:p></div>
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</div>
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<br /></div>
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<o:p>=============================================================</o:p></div>
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<o:p><br /></o:p></div>
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<b><span style="font-family: "Verdana",sans-serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">Programa do WS da Urodinâmica:
Alacer<o:p></o:p></span></b></div>
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<span style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";"> Local: Hotel Pullman – Rua das Olimpíadas, 205 -
Vila Olímpia, São Paulo – SP - Mezzanino<o:p></o:p></span></div>
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<span style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman";">Horário: 08:00 as 12:00<o:p></o:p></span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">8:00-8:10 - Introdução (Dra
Simone Brandao e Dr. Rogerio Fraga)<o:p></o:p></span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">8:10-8:30 - Fisiologia
Urinária - Dr. Rogerio Fraga<o:p></o:p></span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">8:30-8:50 - Boas Praticas em
Urodinâmica - Dra Simone Brandao<o:p></o:p></span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">8:50-9:00 – Perguntas<o:p></o:p></span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">9:00-9:20 – Intervalo<o:p></o:p></span></div>
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<o:p>
</o:p></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">9:20-12:00 - Discussão de
casos clínicos e traçados de Urodinamica<o:p></o:p></span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";">=========================================</span></div>
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<span style="font-family: "Verdana",sans-serif; mso-bidi-font-family: Helvetica; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
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<b><span style="color: #404040; font-family: "Cambria",serif; font-size: 16.0pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">WORKSHOP LASER DE CO<sub>2</sub><o:p></o:p></span></b></div>
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<b><span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">LOCAL: LBT Rua Itajobi, 54 – Pacaembu- São Paulo/SP <o:p></o:p></span></b></div>
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<b><span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; line-height: 115%; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">26.04.2018<o:p></o:p></span></b></div>
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<b><span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">MANHÃ <o:p></o:p></span></b></div>
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<table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">8:00 -8:20 <b>Aspectos físicos , modo de ação do laser
de CO<sub>2</sub><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> Engº Martin Sabado<o:p></o:p></span></div>
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<br /></div>
</td>
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<td style="height: 42.85pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">8:20-8:40 <b>Laser
CO<sub>2</sub> e sua aplicabilidade em uroginecologia <o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> Dra. Lucília
Carvalho <o:p></o:p></span></div>
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<br /></div>
</td>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">8:40-9:00 <b>Laser
de CO<sub>2</sub> na atrofia vulvovaginal<o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> Dra. Elsa Gay<o:p></o:p></span></div>
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<br /></div>
</td>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">9:00-9:40 <b>Procedimentos
cirúrgicos e estética genital <o:p></o:p></b></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> Dr. Gabriel Femopase<o:p></o:p></span></div>
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<br /></div>
</td>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">9:40-10:00 <b>O papel do ginecologista na saúde sexual<o:p></o:p></b></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> Dra. Elsa Gay e Dra
Lucília Carvalho<o:p></o:p></span></div>
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<br /></div>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">10:00-10:30 <b>Coffee Break</b><o:p></o:p></span></div>
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<br /></div>
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<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 432.2pt;" width="576">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">10:30-12:00 <b>Demonstração prática<o:p></o:p></b></span></div>
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<br /></div>
</td>
</tr>
</tbody></table>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">- Aplicação
do laser de CO2 para tratamento da Incontinência Urinária <o:p></o:p></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">Dra. Lucília
Carvalho<o:p></o:p></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">-Aplicação do
Laser de CO2 para tratamento da Atrofia Genital <o:p></o:p></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> Dra. Elsa Gay<o:p></o:p></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">- Aplicação
do laser de CO2 para Vulvoplastia <o:p></o:p></span></div>
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</div>
<div class="MsoNormal" style="line-height: normal;">
<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">Dr. Gabriel
Femopase</span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"><br /></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">============================================================</span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"><br /></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"> WORKSHOP FISIOTERAPIA - Aguardando programa dos responsáveis.<o:p></o:p></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;"><br /></span></div>
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<span style="color: #404040; font-family: "Cambria",serif; font-size: 12.0pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: text1; mso-themetint: 191;">nota do editor / Dr. Homero Guidi</span></div>
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<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-7289219260800326162018-03-22T07:30:00.000-03:002018-04-10T16:07:22.088-03:0012 JOGUSP 2018<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiofZppli_w9rzA6J3PriMIMl7ugOZdB8c2UOa2F4ked5cCaxT3hyphenhyphenB4teuXzfsxWO_2Uasjp1GbfWy_Dod3auRwQ7pjI9lyhg9amY5a7Ln9H3EWEIIGeKnJwPOmRijnEEb2tc88HpSSc-A/s1600/12+jornada+GO+2018.jpg" imageanchor="1"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLvQDblOed5EAV_P7eIq_ucP2-A1_C1oy_PK-zfkWU5DbtjNeSErYvDevypK_El_QSq8BRazmGIqfv6qvc9RRKStwqLNiaMEbjSSXOiJwtydEUglsRYtUkSFoty5m4yNFf0wQSN0zs4xw/s1600/12+jornada+GO+2018+B.png" imageanchor="1"><img border="0" height="162" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLvQDblOed5EAV_P7eIq_ucP2-A1_C1oy_PK-zfkWU5DbtjNeSErYvDevypK_El_QSq8BRazmGIqfv6qvc9RRKStwqLNiaMEbjSSXOiJwtydEUglsRYtUkSFoty5m4yNFf0wQSN0zs4xw/s400/12+jornada+GO+2018+B.png" width="400" /></a><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b><a href="http://www.certificadoonline.com.br/">CERTIFICADOS DIGITAIS COM AUTENTICAÇÃO IMPRIMA O SEU</a></b></span><br />
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-O-O-O<br />
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<b style="color: #073763; font-family: "helvetica neue", arial, helvetica, sans-serif; font-size: x-large;">12ª Jornada de Obstetrícia e Ginecologia</b></div>
<div style="text-align: center;">
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>CENTRO DE CONVENÇÕES REBOUÇAS</b></span></div>
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<b style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"> </b></div>
<div style="text-align: center;">
<span style="color: red; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><a href="https://www.inscricaofacil.net.br/congressos/jornada_obst17/">INSCRIÇÕES NOVAS SÓ NO LOCAL</a></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>SE VOCÊ TEM UM CUPOM DE DESCONTO/CORTESIA </b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>NÃO DEIXE DE PREENCHER A FICHA DIGITAL</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><br /></b></span>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>O CUPOM NÃO É SUA SENHA SÓ DEVERÁ SER USADO NA ETAPA FINAL DO PAGAMENTO.</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>LOGIN E SENHA SÃO CRIADOS NO COMEÇO DA FICHA.</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>SÃO PERMANENTES PARA TUDO, CERTIFICADO APÓS O EVENTO, INSCRIÇÃO EM OUTROS EVENTOS DA CLÍNICA.</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>É SEU CADASTRO INDIVIDUAL </b></span><br />
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<a href="https://www.inscricaofacil.net.br/congressos/jornada_obst17/" style="font-family: "helvetica neue", arial, helvetica, sans-serif;"><b><span style="font-size: large;">FAÇA-O AQUI</span></b></a></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="font-size: large;">OBSERVAÇÕES : </span></b></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="font-size: large;">1 - A partir do dia 20 de fevereiro não há mais devolução ou cancelamento de inscrições já realizadas</span></b>. </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="font-size: large;">2 - Inscrições cortesia devem OBRIGATÓRIAMENTE seguir o procedimento de cadastro no site de inscrição. NÃO SERÃO FEITOS CADASTROS NO LOCAL</span></b></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="font-size: large;">3- Expositores deverão registrar previamente os seus representantes para credenciamento prévio.</span></b> </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b style="font-size: x-large;">P R O G R A M A F I N A L </b></span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="font-size: large;">DIA 23/03/2018 - 6ª feira </span></b> </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>HORÁRIO TEMA/PALESTRANTE</b></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">07:30 - 08:00 Secretaria </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:00 - 09:30 <b>Mesa Redonda 1 - Ginecologia no dia a dia do consultório: como conduzir </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador: Laudelino de Oliveira Ramos</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Juliana Girotti Sperandio </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:00 - 08:15 <b>Puberdade precoce e tardia</b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> José Alcione Macedo Almeida - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:15 - 08:30 <b> Anticoncepção hormonal e câncer de mama </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Nilson Roberto de Melo - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:30 - 08:45 <b>TH na pós menopausa </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Edmund Chada Baracat - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:45 - 09:00 <b> TH em situações especiais </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> José Maria Soares Junior</span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">09:00 - 09:30 Discussão </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">09:30 - 10:00 Intervalo </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:00 - 10:30 <b>Conferência: Estudo citogenético das perdas fetais: aplicação das </b></span><br />
<b><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> melhores </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">técnicas e discussão de achados clínicos </span></b><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Conferencista: Juliana Cuzzi - Igenomix</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Presidente: </span><span style="background-color: white; font-family: "verdana" , "geneva" , sans-serif , "emojifont" , "apple color emoji" , "segoe ui emoji" , "notocoloremoji" , "segoe ui symbol" , "android emoji" , "emojisymbols";">Pedro Augusto Araújo Monteleone</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Carolina Yumi Fujimoto </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:30 - 12:00 <b>Mesa Redonda 2 - Terapêutica clínica em complicações pré-natais</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador: Maria Rita Bortolotto</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Danielle Rodrigues Domingues</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:30 - 10:45 <b>Uso da progesterona na ameaça de </b></span><b style="font-family: "helvetica neue", arial, helvetica, sans-serif;">abortamento: evidências para prática clínica </b><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Pedro Paulo Pereira </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:45 -11:00 <b>Papel do pessário na prevenção da prematuridade </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Roberto Eduardo Bittar</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">11:00 - 11:15 <b> Tratamento medicamentoso das síndromes hipertensivas: </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> opções terapêuticas </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Shoubi Kahhle</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">11:15 - 11:45 <b>Tratamento medicamentoso do diabetes na gestação: </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> insulia e antidiabéticos orais </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Rafaela Alkmin da Costa</span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">11:45 - 12:00 Discussão </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">12:00 - 13:00 <b>Seminário p</b></span><b style="font-family: "helvetica neue", arial, helvetica, sans-serif;">atrocinado Bayer</b><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> Contracepção em situações espec</b></span><b style="font-family: "helvetica neue", arial, helvetica, sans-serif;">iais </b><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> Luciano de Melo Pompei</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> </b></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador - Vicente Renato Bagnolli </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário - </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Maria Cândida Pinheiro Baracat Resende</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">13:00 - 14:00 Intervalo </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">14:00 - 15:30 <b>Mesa Redonda 3 - Ginecologia no dia a dia do consultório: </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> como conduzir </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador:Nilo Bozzini</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Fernanda Pipitone Rodrigues </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">14:00 - 14:15 <b>Hirsutismo e acne na SOP </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Gustavo Arantes Rosa Maciel - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">14:15 - 14:30 <b>Sangramento uterino anormal não estrutural </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Paulo Francisco Ramos Margarido - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">14:30 - 14:45 <b>Endometriose e Infertilidade </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Maurício Simões Abrão - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">14:45 - 15:00 <b>Mioma e Infertilidade </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Pedro Augusto Aráujo Monteleone - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">15:00 - 15:30 Discussão </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">15:30 - 16:00 Intervalo </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">16:00 - 16:30 <b>Conferência </b>- Atualização sobre a Febre Amarela</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Ho Yeh Li</span></span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador :Antonio Jorge Salomão</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Mayra satiko Lemos Nakano </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">16:30 - 18:00 <b> Mesa Redonda 4 - Cuidados intraparto e tratamento de </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> complicações do parto </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador: Rossana Pulcinelli Vieira Francisco </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Tiago Pedromonico Arym </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">16:30 - 16:45 <b>Clampeamento de cordão umbilical: qual melhor momento? </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Maria Augusta Giberlli </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">16:45 - 17:00 <b>Hemorragia pós-parto: diagnóstico e conduta </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Cristiane de Freitas Paganotk</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">17:00 - 17:15 <b>Partograma: ferramenta para acompanhamento e tomada</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> de decisões no trabalho de parto </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Rodrigo Rocha Codarin</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">17:15 - 17:30 <b>Lesões do assoalho pélvico após o parto </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Aparecida Maria Pacetta</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">17:30 - 18:00 Discussão </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">18:00 - 19:00 <b>Mesa Redonda 5 - Ginecologia no dia a dia do consultório </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordendor Domingos Auricchio Petti</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretária: Mila Trementosa Garcia </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">18:00 - 18:15 <b>Dignóstico por imagem em lesões mamárias</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> José Roberto Filassi - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">18:15 - 18:30 <b>Câncer do colo uterino em pacientes jovens</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> João Paulo Mancusi de Carvalho</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">18:30 - 19:00 Discussão </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span><br />
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<b style="font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;"><span style="font-size: large;">DIA 24/03/2018 - Sábado</span></b><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>HORÁRIO TEMA/PALESTRANTE</b></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:00 - 09:30 <b>Mesa Redonda 6 - Ginecologia no dia a dia do consultório:</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> como tratar </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador:Angela Maggio da Fonseca</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Edson Santos Ferreira Filho </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; vertical-align: inherit;"><span style="vertical-align: inherit;">08:00 - 08:15 </span></span><b><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Vulvovaginite atrófica</span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></span></span></b><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Iara Moreno Linhares </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:15 - 08:30 <b>Úlceras genitais </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Lana Maria de Aguiar - FMUSP</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:30 - 08:45 <b> Lesões intraepiteliais do trato genital inferior</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Maricy Tacla - FMUSP</span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">08:45 - 09:00 <b> Prolapso genital: tratamento cirúrgico atual </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Jorge Milhem Hadad </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">09:00 - 09:30 Discussão </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">09:30 - 10:00 <b>Conferência patrocinada AMGEN </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> - Alto risco de fratura osteoporótica. Como conduzir </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span style="font-family: "arial" , "helvetica" , sans-serif;"> Luciano de Melo Pompei</span></span></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Presidente: Edmund Chada Baracat</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Ricardo dos Santos Simões </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:00 - 10:30 Intervalo </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:30 - 12:00 <b>Mesa Redonda 7 - Pós-parto: cuidados e condutas puerperais </b> </span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador: Marco Aurélio Knippel Galleta</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Secretário: Ligia de Castro Rodrigues</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:30 - 10:45 <b>Amamentação: quando há dificuldade e situações especiais </b> Mônica Fairbanks Barros</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">10:45 - 11:00 <b> Febre após o parto: infecção puerperal e diagnósticos diferenciais </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Ursula encontrou Gomez</span></span></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">11:00 - 11:15 <b>Blues e depressão pureperal: como diferenciar e como agir? </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Marco Aurelio Knippel Galleta</span></span></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">11:15 - 11:30 <b> Profilaxia de TEV no puerpério: quem precisa e como fazer? </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Venina Isabel Poco Viana Leme de Barros</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">11:30 - 12:00 Discussão </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">12:00 - 12:30 <b>Mesa Redonda 8 - Vacinação na mulher nas diferentes fases</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> da vida e na gestação</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b> </b>Marta Heloisa Lopes<b> </b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> Coordenador: Isabel Cristina Espósito Sorpreso </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Secretário: Fernanda Borges Dijigow</span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">12:30 - 13:00 Discussão </span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>13:00 Encerramento</b></span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Registro 123762</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Telefone fax 11 2272 4301</span></div>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><b>TEMAS - ESCOPO - DEZEMBRO 17</b></span><br />
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>Ginecologia Endócrina</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Osteopenia/Osteoporose; Cefaléia e Depressão; Hirsutismo e acne na SOP; Sangramento Uterino Anormal; Rastreamento de Co-morbidades na Pós-Menopausa; Puberdade Precoce; TPM.</span><br />
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>Reprodução</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Insuficiência Ovariana Precoce; Endometriose e Infertilidade; Transplante de ovário</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #0b5394;"><b>Oncologia Ginecológica</b></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Rastreamento do Câncer de Mama; Pacientes de alto risco; Tumores císticos de ovário - abordagem cirúrgica convencional e laparoscópica.</span><br />
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<b style="color: #0b5394; font-family: "Helvetica Neue", Arial, Helvetica, sans-serif;">Ginecologia de consultório</b><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Tratamento hormonal do Mioma - novas perspectivas; Violência Sexual; Disfunção sexual feminina; Anosgarmia; Vulvodinia; Vulvo-vaginite atrófica.</span><br />
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b>Obstetrícia</b></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Vitaminas; Vacinação; Saúde fetal; Gravidez de alto risco; Zika vírus e outros temas .</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="color: red;">Obs - </span></b>O temário, definido em dezembro de 2017, como acima, não está definido em virtude dos convites feitos aos palestrantes e eventuais ajustes, considerando obviamente, o acórdão entre a Organização e os convidados. </span>Cezinha Galhardohttp://www.blogger.com/profile/12265049041092545538noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-31433987116492431142018-03-08T10:04:00.002-03:002018-03-08T10:07:06.239-03:008 DE MARÇO DE 2018 - DIA INTERNACIONAL DA MULHER<div style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">NÃO É NO MUNDO TODO QUE AS MULHERES TEM </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">O QUE COMEMORAR NO SEU DIA. </span></div>
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<a href="https://cdn.cnn.com/cnnnext/dam/assets/140512094252-nigeria-girls-boko-haram-story-top.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: 1em;"><img alt="Resultado de imagem para boko haram" border="0" height="225" src="https://cdn.cnn.com/cnnnext/dam/assets/140512094252-nigeria-girls-boko-haram-story-top.jpg" width="400" /></a></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>ALGUMAS NÃO TEM E NÃO PODEM...</b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Homenagem da Clínica Ginecológica ao Dia Internacional da Mulher, nossa razão de ser.</b></span></div>
<a href="https://cdn.cnn.com/cnnnext/dam/assets/140512094252-nigeria-girls-boko-haram-story-top.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><br /></a>Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-68811907821879061682018-02-27T12:59:00.004-03:002018-02-27T12:59:35.568-03:00Reunião Clínica 28 de fevereiro de 2018<span style="font-family: Arial, Helvetica, sans-serif; font-size: large;">Anfiteatro Berilo Langer</span><br />
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<span style="background-color: white; color: #212121; font-size: medium;"><span style="font-family: Arial, Helvetica, sans-serif;">Dia 28/02 - 8:30hs</span></span><br />
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: medium;"><u>Conferência</u>: <b>Conhecendo seu Conselho de Ética</b></span></div>
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<u>Palestrante</u>:<b> Dr. <span style="background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Lavínio Nilton Camarim</span> – </b></span></span><div>
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="background-color: white; color: #212121; font-size: medium;"> Presidente do Conselho Regional de Medicina do</span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: medium;"> Estado de São Paulo</span></span><div>
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Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-14528245169672273202017-12-04T16:58:00.000-02:002017-12-05T09:32:56.280-02:00Reuniões Clínicas 2017<span style="font-family: "arial" , "helvetica" , sans-serif;">Finalizando as reuniões clínicas da Ginecologia da USP em 2017.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPqS9Rg8wKZRPYOxFN6xbVZYpoguuorkyj2Nvb93FzkpkGSP7AFUn5xoDszuY_FmhM8g_qrWQL3MGT-de1p2J4zzpo7FTk86b9LOdP4juDvet4rxkTaq0c85xQbliUWbccuX4Y96iH4y0/s1600/GRLima.bmp" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="132" data-original-width="89" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPqS9Rg8wKZRPYOxFN6xbVZYpoguuorkyj2Nvb93FzkpkGSP7AFUn5xoDszuY_FmhM8g_qrWQL3MGT-de1p2J4zzpo7FTk86b9LOdP4juDvet4rxkTaq0c85xQbliUWbccuX4Y96iH4y0/s1600/GRLima.bmp" /></a><span style="font-family: "arial" , "helvetica" , sans-serif;">Dia 6 de dezembro, quarta-feira, as 8 e 30 h. no Anfiteatro Berillo Langer, entrada pelo hall nobre do Hospital das Clínicas, receberemos, mais uma vez o decano Prof. Geraldo Rodrigue de Lima que vai discorrer sobre: "O papel do estresse na Função Reprodutiva". </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Não perca!</span><br />
<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-48229529192758004462017-11-14T11:43:00.002-02:002017-11-15T15:25:06.646-02:005o. SEMINÁRIO NACIONAL DO PROGRAMA TELESSAÚDE BRASIL REDES<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhP8ly6CSR78xgmnOJQZFcBGOmdTtqtFOn_0zu6re9Rm9XfcafP5y9YfefBdIqpkwEprnQHfydGNEVOwO1C1aDEWejrWgcPjMa2W7ZXe3BHZmWJHs9oNQM7aB-otDVqOeo_9f2KPKyYA2M/s1600/IMG-20171114-WA0006.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhP8ly6CSR78xgmnOJQZFcBGOmdTtqtFOn_0zu6re9Rm9XfcafP5y9YfefBdIqpkwEprnQHfydGNEVOwO1C1aDEWejrWgcPjMa2W7ZXe3BHZmWJHs9oNQM7aB-otDVqOeo_9f2KPKyYA2M/s320/IMG-20171114-WA0006.jpeg" width="320" /></a></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">O Programa Telessaúde Brasil Redes, mantido pelo Ministério da Saúde e com participação da Rede Universitária de Telemedicina e a Rede Nacional de Pesquisa estão comemorando no seu 5o. Seminário Nacional, juntamente com o <a href="https://www.youtube.com/watch?v=rsUiEgAmTpE">8o. Congresso Brasileiro de Telemedicina e Educação à Distância</a>, em Gramado, nas dependências da Universidade Federal do Rio Grande do Sul, os 10 anos de sua criação. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">É há o que comemorar. Um exemplo enorme são alguns programas que vem sendo implantados na área. Um deles é o de <a href="https://www.youtube.com/results?search_query=telessaude+acre">Telediagnóstico</a> a Distância e o Segunda Opinião que colocam pontos remotos do país em contato com os centros de excelência médica no diagnóstico de exames e fornecem uma segunda opinião, ambos envolvendo especialistas em regime de teleconferência iterativa. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Parece pouco ou prosaico, mas oferecer um laudo de eletrocardiograma em poucas horas na rede básica de uma localidade na região norte do país é um avanço notável e um dos escopos da 20 metas acordadas pelas Nações Unidas como um programa de melhoria da vida no nosso mundo. Precisamente a 3a. meta. </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Isso não é novidade no resto do mundo, e mesmo em países desenvolvidos é um filão a mais para grandes instituições médicas universitárias que disponibilizam essa consultoria de experts em real time com quem demandar uma assessoria desse tipo. Aqui no Brasil algumas entidades particulares de diagnose já vem implantando isso do mesmo jeito, tornando-se uma unidade de negócios a mais no seu portfólio de serviços lucrativos. Felizmente para um país pobre a parte pública também se mobiliza para oferecer no sistema universalizado do Sistema Único de Saúde, a mesma coisa, notadamente na assistência primária. Doenças crônicas prevalentes como hipertensão, diabetes e outras mais já estão no mesmo caminho desse tipo de recurso valioso. O programa é um exemplo feliz da comunhão entre Universidades, entidades governamentais e a tecnologia em prol de um incremento na qualidade de vida, notadamente de quem mais precisa. Todos cumprem o seu papel social, num exemplo cabal da Medicina Translacional (da bancada, da academia à prática essencial nos pontos mais humildes e difíceis do continente Brasil). </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">A Disciplina de Ginecologia da FMUSP e a Clínica Ginecológica do HCFMUSP estão presentes nesse evento, através do editor desse site. Na Universidade de São Paulo existe um centro no assunto, inclusive com programa de residência médica nessa área. A Gineco USP está ciente de seu papel social e da sua responsabilidade e disposição em participar ativamente dessas inovações que devem mudar substancialmente, senão o exercício da Medicina, mas notadamente uma necessidade diuturna de atualização e renovação do conhecimento ginecológico e também a assistência médica no século XXI. É um dever da Universidade e nós estamos presentes e ciosos de sua consecução no melhor possível, numa dimensão social e cidadã dos impostos que todos nós pagamos. </span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1wQSud1_CcftXeylpjyOWvw_jfFvIf7xe2Fj9eJrF7t4Qhq74Rs1gE1ZZ5z3sFdOQDizsHHwZywNdu15-tPqWYsxTDqFiNs_XlFqHMqiS4bhPtsnfq8g9or_zjyBYK2T0auqThmrMyWU/s1600/IMG-20171114-WA0008.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1wQSud1_CcftXeylpjyOWvw_jfFvIf7xe2Fj9eJrF7t4Qhq74Rs1gE1ZZ5z3sFdOQDizsHHwZywNdu15-tPqWYsxTDqFiNs_XlFqHMqiS4bhPtsnfq8g9or_zjyBYK2T0auqThmrMyWU/s320/IMG-20171114-WA0008.jpeg" width="320" /></a></div>
<span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span>Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-21403276395790188612017-11-08T07:05:00.001-02:002017-11-08T07:05:10.851-02:00Reuniões clínicas Novembro de 2017<div class="MsoNormal">
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08</span><i><u><span style="color: red; font-size: 14.0pt; mso-bidi-font-size: 13.5pt;"><o:p></o:p></span></u></i></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h30-10h00 Conferência: Diagnóstico da infecção pelo HPV<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrantes: Maricy
Tacla<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">10h30-12h00 Curso residentes<o:p></o:p></span></div>
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22 <o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">07h30-08h15 Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h30-10h00 Conferência: <span style="background: white; color: #222222; font-size: 9.5pt; line-height: 115%;">Comparação entre
uma transferência eletiva de dois embriões e duas transferências eletivas
sequenciais de um embrião: impacto nas taxas de sucesso e de gestação múltipla<o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante: Pedro
Monteleone<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">10h30-12h00 Curso residentes<o:p></o:p></span></div>
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29 <o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h30-10h00 Conferência: Apneia do Sono <o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante: Prof. Dr. Geraldo Lorenzi-Filho<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Diretor do Laboratório do Sono<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Livre Docente – Disciplina de
Pneumologia<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">10h30-12h00 Curso residentes</span><o:p></o:p></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Local - Anfiteatro Berillo Langer - Hall Central ICHC </span></div>
Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-9836871946955940132017-10-24T13:43:00.000-02:002017-10-25T06:16:15.593-02:00Reuniões clínicas da Ginecologia em Outubro de 2017<div align="center" class="MsoNormal" style="text-align: center;">
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<o:p><span style="font-family: "arial" , "helvetica" , sans-serif;">Anfiteatro Berilo Langer ICHC 5o. andar </span></o:p></div>
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<img alt="Rosanne M Kho, MD" src="https://my.clevelandclinic.org/provider/image?id=20580&width=235" /></div>
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<span style="font-size: 12pt;">Dia 18 REUNIÃO INTERNACIONAL</span></div>
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07h30-08h15</div>
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Residentes e internos</div>
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<b>08h30-10h00</b></div>
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<span lang="EN-US"><b>Conferência: Advancing vaginal hysterectomy with surgical innovation</b></span></div>
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<b>Palestrante:<a href="https://my.clevelandclinic.org/staff/20580-rosanne-m-kho"> <span lang="EN-US">Dr. Rosanne Kho</span></a></b></div>
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10h30-12h00</div>
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Curso residentes</div>
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<span style="font-size: 12pt;">Dia 25</span></div>
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07h30-08h15</div>
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Residentes e internos</div>
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08h30-10h00</div>
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Conferência: Dificuldades de uma vida acadêmica”.</div>
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Palestrante: Prof. Dr. Bernardo Boris Vargaftig (Professor Associado Sênior do ICB).</div>
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10h30-12h00</div>
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Curso residentes</div>
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04 <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h30-08h15 Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08h30-10h00 Conferência: Alterações citológicas: como interpretar e conduzir<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrante: Dra.
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00 Curso residentes<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">07h30-08h15 Residentes e internos<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">08h30-10h00 Conferência: Tratamento cirúrgico atual do prolapso genital<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Palestrantes: Dr.
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<span style="font-family: "arial" , "helvetica" , sans-serif;">10h30-12h00 Curso residentes</span><o:p></o:p></div>
Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-30498533207818649462017-10-22T16:00:00.000-02:002017-11-17T00:35:24.450-02:00VII JORNADA DE UROGINECO PROGRAMA PRELIMINAR 1 - 2018<div style="text-align: center;">
<span style="font-family: "arial" , "helvetica" , sans-serif;">VII JORNADA INTERNACIONAL DE UROGINECOLOGIA DA GINECOLOGIA DA FACULDADE DE MEDICINA DA UNIVERSIDADE DE SÃO PAULO - 2018</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">26 a 28 de abril de 2018</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif;">Hotel Pullmann Vila Olímpia - São Paulo</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgW0zjzkm_szHCE9Zt6dtBAmuv3f_q03pkDWAkmSPSq0h0myYdDhBLtStWjJcqRFcdqE_ImUWgCoCl-qQB2YRVDZ_Ez-gVqLi2y5Tkwx4HvJ-g7mJp5Jsip0Zf0RWuu_IXwiDHJJpFCzvA/s1600/mini+logo.bmp" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="81" data-original-width="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgW0zjzkm_szHCE9Zt6dtBAmuv3f_q03pkDWAkmSPSq0h0myYdDhBLtStWjJcqRFcdqE_ImUWgCoCl-qQB2YRVDZ_Ez-gVqLi2y5Tkwx4HvJ-g7mJp5Jsip0Zf0RWuu_IXwiDHJJpFCzvA/s1600/mini+logo.bmp" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjH97fM4zFQ9ChaTzh-evSOQ3iW3MggxlaZPnoBHfOojXxwG1Kaau2mxRWQ-lOY0Pq9uBvTi1AawTuliusw3qA71HVVAoLoHxLwve5ivocfJVblocxlReUVIMqF8CeVdgS1H5zIRphlb3E/s1600/Logo+verde+Uroginecousp.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="129" data-original-width="413" height="99" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjH97fM4zFQ9ChaTzh-evSOQ3iW3MggxlaZPnoBHfOojXxwG1Kaau2mxRWQ-lOY0Pq9uBvTi1AawTuliusw3qA71HVVAoLoHxLwve5ivocfJVblocxlReUVIMqF8CeVdgS1H5zIRphlb3E/s320/Logo+verde+Uroginecousp.jpg" width="320" /></a></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>PROGRAMA PRELIMINAR (1)</b></span></div>
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<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; font-size: 14.0pt; padding: 0cm;">Sexta-feira - 27 de Abril de 2018</span></b><span style="color: #222222; font-family: "arial" , "sans-serif"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">07:45 - 08:00 Abertura</span></b><b><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">08:00 - 09:10 Mesa-Redonda 1- O tratamento cirúrgico da IUE está
mudando de novo?<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretária: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">08:00 - 08:10 - O TOT está
perdendo espaço?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">08:10 - 08:20 - Fisioterapia
pré e pós-operatória: qual a evidência?</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">08:20 - 08:30 - Ainda há espaço
para Burch?</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">08:30 - 08:40 - Quando indicar
“sling” retropúbico?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">08:40- 09:10 – Discussão-
3 Professores de regiões diferentes do Brasil- o que <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
fazem de diferente?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">09:10-10:00- Ponto e Contra-ponto:<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;"> Fisioterapia X Laserterapia no tratamento da
IUE leve</span></b><b><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretário: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">09:10- 09:25 - Fisioterapia - </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">09:25- 09:40 – Laser-</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">09:40- 10:00 -
Discussão- 3 Professores de regiões diferentes do Brasil- o que <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
fazem de diferente?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">10:00 -10:20 – Visita aos Stands<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal">
<b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">10:20- 10:50 - Conferência :</span></b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;"> <b>OASIS- </b></span><b><span style="font-family: "arial" , sans-serif;">Obstetric Anal Sphincter Injuries-
<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span style="font-family: "arial" , sans-serif;">
</span></b><b><span lang="EN-US" style="font-family: "arial" , sans-serif;">The story so far</span></b><b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Conferencista : Ranee Thakar </span></b><b><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores : </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretaria:
</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">10:50 -11:10 – Discussão: 3
Professores de regiões diferentes do Brasil- o que <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;"> fazem de diferente?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">11:10 -12:00 - Mesa Redonda 2 – Tratamento atual nas disfunções
miccionais<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretária : </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">11:10- 11:20- BH- até onde a fisioterapia pode ir?</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">11:20- 11:30- quando considerar Bexiga hiperativa refratária
e como tratar? - <o:p></o:p></span></div>
<div class="Padro" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 0cm; margin-right: 42.8pt; margin-top: 0cm;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%; padding: 0cm;">11:30- 11:40- </span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Guideline “Febrasgo” e Latino-americano
no Tratamento da ITU recorrente <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">11:40- 12:00- Discussão – </span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">3 Professores de regiões diferentes do Brasil- o que <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">,
fazem de diferente?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">12:00 -13:00 - Lunch Meeting</span></b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
- <b>PROMEDON</b></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Enrique Ubertazzi (Argentina</span></b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;"><b>) </b></span><b><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretária: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">13: 00-14:10 - Mesa Redonda 3 – Prolapso genital<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretária: <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">13:00 - 13:10 – </span><span style="border: none 1.0pt; font-family: "arial" , "sans-serif"; padding: 0cm;">IUE
com prolapso acentuado: o que fazer? <span style="color: #1a1a1a;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">13:10 - 13:20 – Prolapso X
atletas<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">13:20 - 13:30 – Tratamento
apical: qual a melhor via?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">13:30 - 13:40 – Pessário:
quando, qual e como indicar?</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">13:40 - 14:10: Discussão : 3
Professores de regiões diferentes do Brasil- o que <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">,
fazem de diferente?<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
</span></b><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span lang="EN-US" style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">14:10 -14:40 - Conferência:
Conservative Management for female sexual <o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span lang="EN-US" style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
dysfunction<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<b><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">Conferencista
: Bary Berghman<o:p></o:p></span></b></div>
<div class="MsoNormal" style="background: white; line-height: 12.25pt; text-align: justify; vertical-align: baseline;">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">
</span><span style="font-family: "arial" , "sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores-<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretário</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">14:40-15:00-
Discussão: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">15:00-15:30- Visita aos stands</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">15:30-17:30 - Cirurgias ao
vivo- Correção do prolapso apical com FSE pelo <o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
acesso posterior com Capio</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Cirurgião- Willy Davila (
Cleaveland Clinic Florida – USA)</span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretaria:<o:p></o:p></span></div>
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<b><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">Sábado – 28 de Abril de 2018<o:p></o:p></span></b></div>
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<b><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">08:00-09:00 - Mesa-Redonda: </span></b><b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Alterações do assoalho pélvico e gestação<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores-<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretário</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">08:00-08:10
</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">–
Qual é a verdadeira evidência sobre a influência da gestação e da via de parto
nas disfunções do assoalho pélvico?</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">08:10-08:20
</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">–
Tratamento da incontinência fecal no pós parto - quando tratar? Como?</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">08:20 - 08:30
- </span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Fisioterapia na gestação e
pós parto: quando, como e por que?<o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">08:30 - 08:40
</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">–
Prolapso genital em pacientes com desejo reprodutivo: o que fazer?<o:p></o:p></span></div>
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<span lang="IT" style="font-family: "arial" , "sans-serif"; mso-ansi-language: IT;">08:40 - 09:10: Discuss</span><span lang="PT" style="font-family: "arial" , "sans-serif"; mso-ansi-language: PT;">ã</span><span style="font-family: "arial" , "sans-serif";">o: </span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">3
Professores de regiões diferentes do Brasil- o <o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;">
que fazem de diferente?<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">09:10
-09:40- Confer</span></b><b><span lang="FR" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">ê</span></b><b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">ncia</span></b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">– <b>Necessitamos de uma opção de tratamento
para IU sem mobilidade uretral. Quais as evidências atuais dos injetáveis
uretrais?<o:p></o:p></b></span></div>
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<b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Conferencista:
Willy Davila ( USA)<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">09:40-10:00 - Discussão <o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">10:00
– 10:20 - Visita aos Stands <o:p></o:p></span></b></div>
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<span lang="PT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">10:20-12:00
Cirurgias ao vivo: Tratamento do prolapso genital por <o:p></o:p></span></div>
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<span lang="PT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">
Laparoscopia</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">12:00-13:00
Lunch Meeting( a confirmar)<o:p></o:p></span></b></div>
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<b><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:00 -14:00 Mesa Redonda: Disfun</span></b><b><span lang="PT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">ções
miccionais</span></b><b><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"> e algia
pélvica<o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores-<o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretário</span><span style="border: none 1.0pt; color: #1a1a1a; font-family: "arial" , "sans-serif"; padding: 0cm;"><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:00 - 13:10 .- Quais as evidências da
neuromodulação na bexiga hiperativa refratária? Sacral (Interstim<sup>®</sup>)
ou PTNS (tibial) </span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:10 – 13:20 – Síndrome da bexiga dolorosa: papel atual da instilação
vesical </span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:20-13:30- Como e até quando fazer o
tratamento fisioterapêutico na algia pélvica crônica?</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:30 - 13:40 – Neuromodulação
sacral no tratamento da algia pélvica-
evidências atuais</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:40 – 13:50 – Quando recorrer ao
tratamento cirúrgico no tratamento da algia pélvica crônica? Como fazer?</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">13:50-14:10 – </span><span lang="IT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Discuss</span><span lang="PT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">ã</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">o: </span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<b><span style="font-family: "arial" , "sans-serif";">14:10- 14:50- </span></b><b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Conferência</span></b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;"> : </span><strong><span style="color: #3a3a44; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";">Estado da arte da
histerectomia vaginal- dificuldades , abertura
peritônio posterior e útero grandes</span></strong><b><span style="color: #3a3a44; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
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<b><span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Conferencista - Rosanne Kho <o:p></o:p></span></b></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Coordenadores- <o:p></o:p></span></div>
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<span style="border: none 1.0pt; color: #222222; font-family: "arial" , "sans-serif"; padding: 0cm;">Secretaria: </span><span style="color: #222222; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">14:50 -15:10- Visita aos Stands <o:p></o:p></span></div>
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<br /></div>
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<a href="https://www.blogger.com/null" name="_GoBack"></a><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">15:10 -16:00- Ví</span><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">deos interativos 1</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">16:00 – 16:50 Ví</span><span lang="ES-TRAD" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">deos interativos 2</span><span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">16:50 – </span><span lang="PT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">Encerrament</span></div>
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<br /></div>
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<span style="font-family: "arial" , sans-serif;">Obserevações - O Programa é preliminar porque depende da confirmação dos convidados e eventuais ajustes, propostos pelos mesmos, em detalhes dos assuntos centrais imutáveis. </span></div>
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<span style="font-family: "arial" , sans-serif;">Comissão Organizadora/ Científica.</span></div>
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<span lang="PT" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">(22.10.17)</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">a</span></div>
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<br />Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-74425724368348242622017-09-19T09:53:00.002-03:002017-09-19T09:53:25.561-03:00MIOMA E FITOTERAPIA<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-size: 14.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b></div>
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<b><span style="line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: large;">Há tratamento fitoterápico para miomas uterinos?</span><span style="font-size: 14pt;"><o:p></o:p></span></span></span></b></div>
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<b><span style="line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: large;"><br /></span></span></span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">Ceci Mendes
Carvalho Lopes*</span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Um número muito grande de
mulheres é de portadoras de miomas uterinos, algo como um quinto delas! Porém a
maioria dos casos nem pede tratamento, pois são de pequena monta, não causam
sintomas e, com alguma frequência, são descobertos por casualidade. No entanto,
um certo contingente deles exige alguma intervenção. Às vezes, medicamentos dão
conta, pois basta tratar os sintomas desagradáveis associados à presença desses
tumores benignos. Por outro lado, outros exigem tratamento cirúrgico, que pode,
inclusive, ser radical. Cada caso é diferente do outro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Muitas vezes somos
procurados por pacientes que já souberam da possibilidade de tratamento
‘natural’, por ouvir falar, ou porque viram na mídia. Faz-se mister ‘separar o
joio do trigo’ e checar o que é fato e o que é mera crendice.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Tratando sintomas mais
incômodos, geralmente, como já dissemos, não há necessidade de intervenções
mais agressivas. Assim, solucionando a dor (é comum a associação com fortes
cólicas menstruais), ou o sangramento excessivo (que pode comprometer
seriamente a saúde), em muitos casos é o bastante, uma vez que o mioma é um
tumor benigno, cuja expectativa é que permaneça benigno.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">As principais
preocupações são o sangramento, a anemia e, quando possível, a redução tumoral:
tópicos a serem levados em conta.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> Como
a cólica menstrual tem sido associada à liberação de prostaglandina e
vasopressina, causando contratura miometrial, isquemia uterina, com conseqüente
sensibilização das fibras sensitivas, é possível tratamento com analgésicos,
ou, ainda melhor, com antiinflamatórios não-esteroidais e contraceptivos
hormonais<sup>1</sup>. Resolve-se, assim, a dor e regulariza-se a perda
sanguínea.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 115%;"><span style="font-family: Arial, Helvetica, sans-serif;">Mas há vários fitoterápicos úteis na sua terapêutica, com
resultados variados.<span style="color: red;"><o:p></o:p></span></span></span></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">1-Ácidos graxos essenciais<o:p></o:p></span></span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><b><span style="font-size: 11.0pt; line-height: 150%;"> </span></b><span style="font-size: 11.0pt; line-height: 150%;">Por atuar deflagrando a cascata das
prostaglandinas, as gorduras Omega-6 podem desencadear a cólica. Considerando
que a dieta pode ser rica em Omega-6, recomenda-se
aumento da ingestão de omega-3 (presentes em peixes e nozes), a fim de que a
relação omega-3/omega-6 seja mais favorável. Além disso, a ingestão de vitamina
B12 (7µg ao dia) potencializa o efeito dos omega-3. Essa medida pode favorecer a
diminuição do uso de analgésicos e anti-inflamatórios<sup>3</sup>.<b> </b><span style="color: red;"><o:p></o:p></span></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Estudo realizado com 42
mulheres utilizando óleo de peixe mostrou-se efetivo na redução da dor
menstrual. As autoras consideram que a dosagem usual de omega-3, de <st1:metricconverter productid="3 a" w:st="on">3 a</st1:metricconverter> 4g por dia é bem tolerada e
segura. Aconselham seu uso, embora reconheçam a necessidade de mais estudos<sup>4</sup>.
O estudo foi feito com óleo de peixe, por ser rico em Omega-3, mas a ingestão
de sementes oleaginosas é uma opção. <o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Revisão de vários estudos
controlados por placebo atesta a eficácia dos omega-3 no tratamento da cólica
menstrual, porque o ácido eicosapentanóico (EPA) e o docosaexanoico (DHA)
competem com o ácido araquidônico, interferindo na cascata, o que vai resultar
em menor produção de prostaglandinas e leucotrienos, resultando, em
conseqüência, sintomas de menor intensidade. Dados epidemiológicos demonstram que a baixa ingestão de alimentos
ricos em omega-3 eleva a possibilidade de cólica menstrual. Não mencionando fitoterápicos, os autores recomendam
a ingestão de peixe, em vez de óleo de peixe, porque a estabilidade do óleo varia
muito no correr dos dias<sup>5</sup>. No mercado existem cápsulas de óleo de
peixe, que não são fitomedicamentos, por não terem origem vegetal. Não há
produtos padronizados de origem vegetal, que sejam fonte de Omega-3, portanto
recomenda-se a adequada providência alimentar, se o objetivo for tratar com
produtos vegetais: linhaça, castanha do Pará, amêndoas, etc.</span><o:p></o:p></span></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">2- Rosa<o:p></o:p></span></span></b></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Em vários países asiáticos é comum o
uso do chá de rosa, feito com botões da flor, ou com folhas dela (<i>Rosa gallica</i>), como tratamento da cólica
menstrual. Foi feita uma revisão bibliográfica, buscando informações sobre a
rosa, e foi encontrado um único estudo controlado, realizado em Taiwan, com 130
pacientes adolescentes às quais foi administrado o chá (2 xícaras ao dia, por
12 dias), com eficácia<sup>5</sup>. <o:p></o:p></span></span></div>
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</span><br />
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">É importante ressaltar,
portanto, a escassez de referências, além do que, habitualmente a flor, salvo
as dos nossos jardins, costuma ser encontrada em floriculturas, e seu cultivo
pode incluir aditivos agrícolas, desconhecidos do público comum, com possíveis
efeitos sobre a saúde. E também faz-se mister cosiderar que há muitos tipos de
rosa, além da estudada, e sempre existe a possibilidade de que atuem de forma
muito diferente. Além disso, não há fitomedicamento disponível. </span><o:p></o:p></span></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">3-<i>Harpagophyton procumbens (garra
do diabo)<o:p></o:p></i></span></span></b></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKdSWsEahGYOPctV20kjThMd8AQ7njSnUWDHbZHoNvS3pdfevn8Ufmh1duFjVLeQdjns-m6ZgniUAERgICFaPnGqdKqp9CvO8PHnPg4vYiZktun07i_N72MWEqHeRcyyALW_RXcE02yls/s1600/CECI+GARRA+DO+DIABO+2.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="46" data-original-width="132" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKdSWsEahGYOPctV20kjThMd8AQ7njSnUWDHbZHoNvS3pdfevn8Ufmh1duFjVLeQdjns-m6ZgniUAERgICFaPnGqdKqp9CvO8PHnPg4vYiZktun07i_N72MWEqHeRcyyALW_RXcE02yls/s1600/CECI+GARRA+DO+DIABO+2.png" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEitzJHklOgQ_7av1Mnb-Caio2rdpY8xAQyt5zcBkzQLvMsyLPgRsCdH1RAI2cHArd4rT2Mx2zdu168xKbNPeoSx4q1M5M682t7_0X4PEnW5rNseEJZMV7pC-bnizaTy0Pan5UASvsx2sRk/s1600/CECI+GARRA+DO+DIABO+1.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="89" data-original-width="131" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEitzJHklOgQ_7av1Mnb-Caio2rdpY8xAQyt5zcBkzQLvMsyLPgRsCdH1RAI2cHArd4rT2Mx2zdu168xKbNPeoSx4q1M5M682t7_0X4PEnW5rNseEJZMV7pC-bnizaTy0Pan5UASvsx2sRk/s1600/CECI+GARRA+DO+DIABO+1.png" /></a><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Esta é uma das 12 plantas liberadas
pelo Ministério da Saúde para uso no SUS. É um poderoso antiinflamatório, e
atua de forma bem similar aos antiinflamatórios não-hormonais, reduzindo</span></span><span style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"><span style="font-family: Arial, Helvetica, sans-serif;"> a inibição
da síntese de leucotrienos e de tromboxano, dose-dependente, atribuindo-se essa
ação ao harpagosíde<sup>6</sup>. Se estamos imaginando utilizá-lo no tratamento
da cólica menstrual, parece paradoxal, pois
em monografia cita-se seu uso como ocitócico, sem, no entanto entrar <st1:personname productid="em detalhes. Ressalta-se" w:st="on">em detalhes. Ressalta-se</st1:personname>
sua atividade anti-inflamatória e analgésica. O que se menciona é ação
estimulante da musculatura miometrial, e se recomenda não utilizar durante a
gestação. Confirma-se esse efeito, através de estudo, em ratas, em que se
comprovou propriedade uterotônica, espasmogênica, justificando, assim, o uso
folclórico no trabalho de parto e na retenção placentária<sup>8</sup>. Não
encontramos estudos especificamente sobre a cólica menstrual. Parece fazer mais
sentido, por ser ocitócico, seu uso no tratamento do sangramento profuso, em
casos de miomas. Mas também não há referências, no caso.</span><o:p></o:p></span></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">4-Lotus-da-neve<o:p></o:p></span></span></b></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUhGR9RKItP7Vd53BCM0sKWI34fHTFf36fbUGK_hA0ZseNnG5vb-OgoGCx61mtyrzAGXlF7mP79vOm7bZJSfUja8eSAVgwXXO9lzplwxU9AbMm-4cmsW3RlAv8eWAE1ow9ubqWcNc0Or8/s1600/CECI+LOTUS+DA+NEVE.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="488" data-original-width="650" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUhGR9RKItP7Vd53BCM0sKWI34fHTFf36fbUGK_hA0ZseNnG5vb-OgoGCx61mtyrzAGXlF7mP79vOm7bZJSfUja8eSAVgwXXO9lzplwxU9AbMm-4cmsW3RlAv8eWAE1ow9ubqWcNc0Or8/s320/CECI+LOTUS+DA+NEVE.png" width="320" /></a></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: 11pt;"> </span><span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: 11pt;">Tibetanos usam o lótus-da-neve (</span><i style="font-size: 11pt;">snow lotus</i><span style="font-size: 11pt;">), que, na realidade
corresponde a qualquer uma de 3 plantas semelhantes (</span><i style="font-size: 11pt;">Saussurea involucrata, Saussurea laniceps, Saussurea medusa),</i><span style="font-size: 11pt;"> para
problemas reumáticos, gastrites e dismenorréia. Estudo em camundongos,
demonstrando efetividade nas 3 plantas, porém nitidamente melhor com </span><i style="font-size: 11pt;">S. laniceps</i><sup>9</sup><span style="font-size: 11pt;">. Na medida que
seu uso é indicado para dismenorréia, talvez seja útil no controle doloroso
menstrual em portadoras de miomas. Só que não é um produto usualmente
disponível em nosso meio, embora possa ser encontrado pela internet (sem
referências confiáveis).</span></span><br />
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<span style="font-size: 11.0pt; line-height: 150%;"><sup><span style="font-family: Arial, Helvetica, sans-serif;"><o:p></o:p></span></sup></span></div>
<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: 11pt;"> </span><span style="font-size: 11pt;">Entre
os uigures, tibetanos, habitantes da cadeia do Himalaia, é difundido o uso do
lótus-da-neve (</span><i style="font-size: 11pt;">snow lotus</i><span style="font-size: 11pt;">), que, na
realidade corresponde a qualquer uma de 3 plantas semelhantes (</span><i style="font-size: 11pt;">Saussurea involucrata, Saussurea laniceps,
Saussurea medusa).</i><span style="font-size: 11pt;"> Seu uso é indicado para problemas reumáticos, gastrites
e dismenorréia. Para avaliar seu efeito, foi realizado estudo em camundongos,
demonstrando efetividade nas 3 plantas, porém nitidamente melhor com </span><i style="font-size: 11pt;">S. laniceps</i><sup style="font-family: Arial, Helvetica, sans-serif;">9</sup><span style="font-size: 11pt;">. Na medida que
seu uso é indicado para dismenorréia, talvez seja útil no controle doloroso
menstrual em portadoras de miomas. De qualquer modo, não é um produto
correntemente utilizado entre os ocidentais, e as referências são muito
escassas.</span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Há produto comercial
disponível em sites da internet, mas sem referência farmacológica.<o:p></o:p></span></span></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">5-Combinações herbáceas<o:p></o:p></span></span></b></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> Medicações
que incluem várias plantas são comuns em alguns países, especialmente os
asiáticos.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Muito utilizado na Coreia
e China, há uma formulação muito tradicional denominada <i>Gyejibongneyong-hwan</i>, ou <i>Ghizhi
Fulling formula</i>, com cinco componentes, em proporções iguais (<i>Cynnamomi ramulus, Poria, Moutan cortex,
Persicae semen, Peoniae radix). </i>Autores coreanos o estão estudando, mas
ainda não dispomos dos resultados <sup>10, 11 </sup>.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> No
Japão, utiliza-se uma mistura herbácea denominada toki-sakuyaku-san, contendo 6
plantas (<i>Angelica sinensis</i>, raízes, <i>Paeonia lactiflora, </i>raízes, <i>Lingusticum, </i>rizoma, <i>Atractiloides, </i>rizoma, <i>Alismatis, </i>rizoma, <i>Sclerotia poria</i>), mas que podem ser utilizadas em proporções
diferentes, e não há padronização. Pertence ao arsenal da Medicina Kampo
(geralmente exercida por não-médicos), tradicional no Japão, e usada para
tratamento de cólica menstrual e sintomas climatéricos, com boa efetividade. Há
estudo que demonstra melhora de dismenorréia, hipermenorréia, tonturas,
sensação de frio, cefaléia<sup>12</sup>. Portanto, talvez se aplique ao
objetivo de tratamento que procuramos.<span style="color: red;"><o:p></o:p></span></span></span></div>
<br />
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> Relata-se
que curandeiros dominicanos recomendam preparado de beterraba (<i>Beta vulgaris L, Chenopodiaceae</i>) e
melaço (produzido a partir de <i>Saccarum
officinarum</i>, a cana de açúcar) como tratamento para os miomas, como também
para endometriose, menorragia e calores da menopausa. A quantidade de fibras
vegetais contidas na beterraba pode afetar, ao menos teoricamente, os níveis
estrogênicos, pois altos níveis de fibras reduzem a recirculação enteroepática
de estrogênios, aumentando a excreção urinária e fecal. Como os estrogênios
influem sobre o crescimento dos miomas, a sua redução seria um fator inibidor.
Além disso, as folhas de beterraba contêm fitoestrogênios que, durante a
menacma, atuam como antiestrogênios, e já foi demonstrado que gado alimentado
com essas folhas apresentou infertilidade (por ser antiestrogênica), mas também
se demonstrou crescimento do volume uterino em camundongas (atuação
estrogênica). A beterraba é rica em carotenóides, que também se sabe podem
reduzir o crescimento de miomas, uma vez que se demonstrou em culturas de
tecidos que as células do músculo liso contêm receptores do ácido retinóico, e
que há redução dose-dependente de seu crescimento com ácido trans-retinóico. Relata-se
ainda que a coloração da urina após ingestão dessa raiz é mais comum em pacientes
anêmicos, e que a coloração diminui com a suplementação de ferro, sugerindo que
possa ser usado esse dado, inclusive, como indicador da redução da deficiência
em ferro de pacientes tratados. Como os miomas podem causar anemia ferropriva,
em função do sangramento genital, essa seria mais uma aplicação do tubérculo,
especialmente se associada ao melaço, rico em ferro. Apesar de inexistirem
estudos clínicos que confirmem o benefício desse tratamento popular, ele merece
ser considerado e, como tal, estudado<sup>13</sup>. Em nosso meio, também não é
incomum encontrarmos referências populares quanto a esse uso da beterraba.</span><o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpY7jSIf_vjaLnUcqq6Xl53oPUEkEYTzTj7M9MbiXbiM90hS0P3HHs4v_NJu24KoMNhR8cSXgjwJUVTn5rqh8RZlZkSAng4mDxcJI5_qi3FeV0gszTpyC3SDt2zDWZfN-5m7NTTJznceM/s1600/CECI+BETERRABA.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="223" data-original-width="226" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpY7jSIf_vjaLnUcqq6Xl53oPUEkEYTzTj7M9MbiXbiM90hS0P3HHs4v_NJu24KoMNhR8cSXgjwJUVTn5rqh8RZlZkSAng4mDxcJI5_qi3FeV0gszTpyC3SDt2zDWZfN-5m7NTTJznceM/s1600/CECI+BETERRABA.png" /></a></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">C- Plantas citadas especificamente para tratamento dos miomas</span></span></b></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">1- Unha de gato (<i>Uncaria tomentosa</i>)<o:p></o:p></span></span></b><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhz-sK5fexPLr8tnSF3cv22SWYziAZhGYxgdzhMhBQkMXQuYQkDClYsuFTKEPhX_0GzCE_YImdexpm1-EEuhQkxObNTiRXWoYsrvOUdhi7TB7aERQr8eSk-zffF-YpPNJB4Ogk_WTim0vM/s1600/CECI+UNHA+DE+GATO1.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="169" data-original-width="299" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhz-sK5fexPLr8tnSF3cv22SWYziAZhGYxgdzhMhBQkMXQuYQkDClYsuFTKEPhX_0GzCE_YImdexpm1-EEuhQkxObNTiRXWoYsrvOUdhi7TB7aERQr8eSk-zffF-YpPNJB4Ogk_WTim0vM/s1600/CECI+UNHA+DE+GATO1.png" /></a></div>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcLr8PE3hswd914YtSqjNhcxoc0hm64emthYguazCbvhxf50zjAQzVKobLkodmenGODGRBYpFC69iAmtvZGy3uzMhG5CCpqR_FgGy8DetcHmf7_hGFqRh4ugciubKEgAhPJLEIdEZOUk8/s1600/CECI+UNHA+DE+GATO2.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="137" data-original-width="146" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcLr8PE3hswd914YtSqjNhcxoc0hm64emthYguazCbvhxf50zjAQzVKobLkodmenGODGRBYpFC69iAmtvZGy3uzMhG5CCpqR_FgGy8DetcHmf7_hGFqRh4ugciubKEgAhPJLEIdEZOUk8/s1600/CECI+UNHA+DE+GATO2.png" /></a><b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b><br />
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><!--[if gte vml 1]><v:shape id="_x0000_i1030" type="#_x0000_t75" style='width:74.25pt;
height:74.25pt'>
<v:imagedata src="file:///C:\Users\HOMERO~1.GUI\AppData\Local\Temp\msohtmlclip1\01\clip_image010.png"
o:title="uncaria-garras"/>
</v:shape><![endif]--><!--[if !vml]--><!--[endif]--> </span></span></b><span style="font-family: Arial, Helvetica, sans-serif;"><b style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: 11pt; line-height: 150%;"> </span></b><span style="font-size: 11pt;">Essa planta tem uso popular no
tratamento de miomas na região amazônica. Não há referências científicas a
respeito. Muitas são as menções a ela na mídia eletrônica</span><sup>14</sup><span style="font-size: 11pt;">. Por
outro lado, seu efeito antiinflamatório é conhecido e reportado, e se trata de
uma das doze espécies liberadas para uso no SUS; além disso, existem
fitomedicamentos que a contêm. Assim, eventualmente a sua fama como útil no
tratamento de miomas poderia ser focada nesse aspecto, apenas minorando o
quadro doloroso, e talvez valesse a pena utilizá-la como recurso terapêutico,
pela sua disponibilidade. Pela sua atividade antiinflamatória, talvez tenha boa
aplicação para diminuir a cólica menstrual, mas também não há menção em
literatura.</span></span><br />
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Autores da UNIFESP
estudaram, em ratos, sua ação, visando a endometriose. Essa doença tem em comum
com os miomas o fato de se desenvolver na dependência da atividade hormonal.
Administraram extrato da planta, ou acetato de leuprolide (antagonista do
GnRH), ou placebo, a ratas. Observaram que o extrato levou a anovulação equivalente
(quiçá superior) ao leuprolide, demonstrando a supressão da atividade ovariana<sup>15</sup>.
Esse estudo nos aguça a curiosidade
sobre a possível eficácia na redução volumétrica dos miomas, que também se
obtém com antagonistas do GnRH, que é um tratamento que, se não faz os tumores
desaparecerem, ao menos propicia, por causarem sua diminuição, maior facilidade
num posterior tratamento cirúrgico.</span><o:p></o:p></span></div>
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<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif;">2-uxi amarelo (<i>Endopleura uchi Cuatrec)</i></span></span></b></div>
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type="#_x0000_t75" style='width:2in;height:108pt'>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: 11pt;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC9guWqwmZyP66nmecQu0uWxBRLpXlNapixyk1L3d_Eyj2I5zpj05J7aaJyG20d0VrnlFe2YSKxJYH-lds7oJZvSI5OuQ60bDUfsESWBrJK1JnBZppRoZAyH5DwUyGVAdJblKDcvEraUk/s1600/CECI+UXI.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="600" data-original-width="797" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC9guWqwmZyP66nmecQu0uWxBRLpXlNapixyk1L3d_Eyj2I5zpj05J7aaJyG20d0VrnlFe2YSKxJYH-lds7oJZvSI5OuQ60bDUfsESWBrJK1JnBZppRoZAyH5DwUyGVAdJblKDcvEraUk/s320/CECI+UXI.png" width="320" /></a></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">A referência ao uso dessa planta
amazônica é basicamente popular, e existem chás disponíveis à venda. É uma
planta característica da Amazônia brasileira, e é conhecida por vários nomes,
como uxi, uxi amarelo, cumatê, axuá, pururu, uxi-ordinário ou uxi-pucu. É
disseminado seu uso folclórico para tratar artrite, colesterol, diabete,
diarreia, e como antiinflamatório e inclusive como anticancerígeno<sup>16</sup>.
<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Quanto aos miomas, o
tratamento é de utilizar o chá, diariamente, geralmente no período da manhã,
alternando com chá de unha de gato à tarde, ou vice-versa.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> A literatura é escassa. Os constituintes de
sua casca, potencialmente terapêuticos, são predominantemente taninos,
cumarínicos e saponinas. Foram analisados os efeitos dos taninos: atividade
antioxidante, ausência de citotoxicicidade, baixo efeito antimicrobiano. Seu
uso é bastante seguro. Há boa perspectiva, em se fazendo novos estudos, como possível
antineoplasico <sup>16</sup>. <o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><span style="font-size: 11.0pt; line-height: 150%;">O arabinogalactano
encontrado no seu chá, na concentração de <st1:metricconverter productid="25 a" w:st="on">25 a</st1:metricconverter> 500</span><span style="font-size: 11pt; line-height: 150%;">m</span><span style="font-size: 11.0pt; line-height: 150%;">g/ml, inibiu aproximadamente 20% das células HeLa, em <st1:metricconverter productid="48 a" w:st="on">48 a</st1:metricconverter> 72 horas, porém sem
efeito dose-dependente. E também, na dose de 100</span><span style="font-size: 11pt; line-height: 150%;">m</span><span style="font-size: 11.0pt; line-height: 150%;">g/ml reduziu em 25% a proliferação celular. Não parece
haver influência do arabinogalactano, devendo estar envolvidos outros mecanismos,
na inibição celular<sup>17</sup>.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Os estudos demonstram a
boa potencialidade medicamentosa do uxi, mas em nenhum deles há menção à
possível atuação sobre os miomas, embora todos mencionem esse uso de cunho
tradicional.<o:p></o:p></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><b><span style="font-size: 11.0pt; line-height: 150%;">Miscelânea</span></b><span style="font-size: 11.0pt; line-height: 150%;"><o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Reunimos neste tópico
informações não tão precisas, ou seja, que demandam mais estudos, porém que
indicam possibilidades na terapêutica.<o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span style="font-family: Arial, Helvetica, sans-serif;"><b><span style="font-size: 11.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-size: 11.0pt; line-height: 150%;">Medicina chinesa<o:p></o:p></span></b></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Foi realizada revisão de
múltiplos estudos duplo-cegos, abrangendo um total de 3475 mulheres. Os autores
avaliaram em especial o controle da dismenorréia, comparando com os tratamentos
convencionais, como antiinflamatórios não-hormonais, ou contraceptivos, e
concluíram que os diferentes produtos herbáceos abrangidos na medicina chinesa
são efetivos, inclusive às vezes melhores até que a acupuntura, porém a
qualidade da maioria dos estudos deixa a desejar. Não foram mencionados efeitos
adversos significativos<sup>1</sup>.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Grupo de pesquisadores
chineses pesquisou, em ratos, o efeito de fórmula tradicionalmente utilizada em
medicina chinesa (já a mencionamos como tratamento de dismenorréia), a <i>Guizhi Fuling</i>, demonstrando redução
acentuada do útero, diminuição da proliferação celular miometral, decréscimo de
estradiol e de progesterona séricos. O efeito foi dose-dependente<sup>18</sup>.<o:p></o:p></span></span></div>
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<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Autores de Taiwan pesquisaram
em um milhão de prontuários aqueles que se referiam a mulheres portadoras de
mioma, chegando a cerca de 46mil casos, dos quais selecionaram aqueles
atendidos entre 2002 e 2010 (37.786 casos). Entre esses, 31.161 mulheres
utilizavam a medicina chinesa tradicional, e as demais eram tratadas pela
medicina ocidental. As técnicas chinesas abrangiam acupuntura, moxabustão e
outras. Cerca de dois quintos delas foram tratadas com medicamentos herbáceos.
Foram identificadas 5 fórmulas que tinham várias ervas, e 5 ervas utilizadas
exclusivamente. As fórmulas foram Ghi-zhi-fu-ling-wan, a Guizi fulling, (<i>Cinnamomi ramulus, Poria, Peoniae radix, Moutan
cortex, Persicae semen</i>), Jia-wei-xiao-yao-san (<i>Angelicae sinensis radix, Peoniae radix, Atractylodis macrocephalae
rhizoma, Bupleuri radix, Moutan córtex, Gardeniae fructus, Glycirrhizae radix
preparata, Menthae haplocalycis herba, Zingiberis rhizoma)</i>, Dang-gui-shao-yao-san
(<i>Angelicae sinensis rdix, Peoniae radix,
Poria, Atractylodis macrocephalae rhizoma, Alismatis rhizoma, Chuanxiong
rhizoma)</i>, San-zhong-kui-jian-tang (<i>Eckloniae
thalus, Phellodendri cortex, Anemarrhenae rhizoma, Trichosanthis radix,
Platycodiradix, Sparganii rhizoma, Curcumae rhizoma, Gentianae radix, Coptidis
rhizoma, Scutellariae radix, Puerariae radixPeoniae radix Alba). </i>Os autores
atribuem ação metabólica redutora de estrogênio, ou inibidora de
prostaglandinas, antiproliferativa, e outras,<i> </i>que explicariam a redução dos miomas, e também a ação que muitas
dessas fórmulas têm sobre a endometriose<sup>19</sup>. No entanto, como se
associam muitas plantas, é muito difícil definir qual delas produz o efeito, nem
qual das associações delas, nem se alguma delas tem até efeito antagônico. No
mesmo estudo, foram identificadas 5 plantas utilizadas isoladamente: San-leng (<i>rhizoma Sparganii)</i>, com a qual se
descreveu supressão da proliferação celular e aumento da apoptose, E-zhu (<i>rhizoma Curcumae)</i>, inibindo a
proliferação celular, Xiang-fu (<i>rhizoma
Cyperi)</i>, com atividade antioxidante e inibição de radicais livres, Yi-mu-cao
(<i>herba Leonuri)</i>, da qual se descreve
atividade antioxidante, analgésica, vasodilatadora e sedativa, Yan-hu-suo (<i>rhizoma Corydalis)</i>, analgésica. Com
todos esses produtos, ervas únicas ou combinadas, descreveu-se algum efeito,
sendo a mais utilizada a fórmula citada acima em primeiro lugar, a Ghizi
fulling<sup>19</sup>.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 18pt;">
<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> O uso dos medicamentos da medicina tradicional chinesa, de
forma indireta, demonstram sua eficácia, pois as pacientes que os utilizam precisam de muito menos apoio
de agentes terapêuticos utilizados na medicina ocidental, conforme estudo
realizado em Taiwan. Isso inclui antianêmicos, hemostáticos e drogas de
influência sobre os hormônios. Os autores do estudo concluem pelo benefício,
abrangendo, como vantagem, mais baixo custo<sup>20</sup>.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18pt; text-indent: -18pt;">
<!--[if !supportLists]--><span style="font-family: Arial, Helvetica, sans-serif;"><b><span style="font-size: 11.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2-<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span style="font-size: 11.0pt; line-height: 150%;">Plantas utilizadas por imigrantes dominicanos nos Estados Unidos<o:p></o:p></span></b></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 18pt;">
<span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">Foi feito um levantamento
procurando verificar sobre que plantas havia estudos e quais eram mencionadas entre
curandeiros usualmente consultados por imigrantes dominicanas radicadas <st1:personname productid="em New York" w:st="on">em New York</st1:personname>, Estados Unidos,
para alívio de várias condições relacionadas, tais como miomas, menorragia,
endometriose e calores da menopausa. Foram anotadas ainda outras aplicações,
descritas nos estudos, como emenagogos (reguladores menstruais) e abortifacientes
(e, muitas vezes, estas duas aplicações significavam o mesmo). Como muitas
plantas não são fáceis de obter nos centros urbanos, e mesmo em alguns lugares na
própria República Dominicana, esses curandeiros muitas vezes acabam adaptando
suas prescrições às disponibilidades, incluindo, até, em algumas
circunstâncias, plantas não-nativas da região caribenha, européias e africanas.
Foram relacionadas 87 plantas, dentre as quais algumas se destacaram. Espécies
de <i>Agave</i> foram mencionadas no
tratamento de miomas uterinos, cólica menstrual e regulação menstrual. <i>Aloe vera</i> também foi referida como
adequada para remover miomas e ‘limpar o corpo’, com sugestão de que regule a
quantidade menstrual, e também como abortivo. Já mencionamos acima a beterraba.
Dezenove plantas eram de uso corrente <st1:personname productid="em New York" w:st="on">em New York</st1:personname>, e foram citadas especificamente no
tratamento de miomas, 6 delas sendo consideradas adequadas para tratar
menorragia também. Os autores consideram que, embora todas tenham algum tipo de
estudo, ao menos na literatura local, há necessidade de mais investigação<sup>21</sup>.<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoNormal">
<b><u><span style="font-size: 11.0pt; line-height: 115%;"><span style="font-family: Arial, Helvetica, sans-serif;">Considerações finais<o:p></o:p></span></span></u></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;"> </span></span></b><span style="font-size: 11.0pt; line-height: 150%;"><span style="font-family: Arial, Helvetica, sans-serif;">A fitoterapia é um campo em que a
necessidade de mais investigação é enorme. Como pudemos ver, há muitos recursos
com possíveis aplicações no tratamento de miomas. Não esgotamos o tema, pois há
muitas menções, às vezes, até, ‘escondidas’ em textos que se referem a outro
assunto. No entanto, mesmo os que parecem mais eficazes carecem de embasamento.
Assim, parece ser um campo muito promissor, porque inclusive pode permitir, em
alguns casos, até mesmo economia, pois muitas das opções são acessíveis
facilmente. Só depende do empenho em investir na pesquisa. </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">Referências bibliográficas<o:p></o:p></span></span></b></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><b><span lang="EN-US" style="line-height: 115%;">1-</span></b><span lang="EN-US" style="line-height: 115%;">- Zhu X, Proctor M, Bensoussan
A, Wu E, Smith CA- Chinese herbal medicine for primary dysmenorrhoea. Cochrane
Database of Systematic Reviews 2008 Issue 2. Art No.: CD005288 DOI:
10.1002/14651858.pub3<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span style="line-height: 115%;">2-<span style="color: red;"> </span>Proctor M, Farquar C-
Dysmenorrhoea. </span><span lang="EN-US" style="line-height: 115%;">Clin Evid 2002; 7: 1639-53<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">3-<span style="color: red;"> </span>Saldeen
P, Saldeen T- Women and omega-3 fatty acids. Obstetrical and Gynecological
Survey 2004; 59(10): 722-30<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">4- Lloid KB, Hornsby LB- Complementary and
alternative medications for women’s health issues. Nutr Clin Pract 2009; 24:
589-608<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">5- Zoorob RJ, Sidani M,
Williams J, Grief SN- Women’s health: selected topic. Prim Care Clin Office
Pract 2010; 37: 367-87<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span lang="EN-US" style="line-height: 115%;">6- </span><span style="line-height: 115%;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/11372004?ordinalpos=10&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum"><span lang="EN-US" style="color: windowtext; line-height: 115%; text-decoration-line: none;">Loew D, Möllerfeld J, Schrödter A, Puttkammer S, Kaszkin
M.</span></a></span><span lang="EN-US" style="line-height: 115%;">
-Investigations on the pharmacokinetic properties of Harpagophytum extracts and
their effects on eicosanoid biosynthesis in vitro and ex vivo. Clin Pharmacol
Ther. 2001 May;69(5):356-64.<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span style="line-height: 115%;">7-<span style="color: red;"> </span>Sem autor mencionado. Harpagophyton procumbens
(Devil’s claw). </span><span lang="EN-US" style="line-height: 115%;">Monograph. Alt Med Rev 2008; 13(3): 248-52<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">8- Mahomed IM, Ojewole JAO- Uterotonic effect
of Harpagophyton procumbens DC (Pedaliaceae) secondary root aqueous extract on
rat isolated uterine horns. J Smooth Muscle Res 2009; 45(5): 231-9<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span lang="EN-US" style="line-height: 115%;">9- </span><span lang="EN-US" style="line-height: 115%;">Yi T, Zhao ZZ, Yu ZL, Chen HB- Comparison of the anti-inflamatory
and anti-nociceptive effects of three medicinal plants known as “Snow lotus”
tradicional Uigur and Tibetan medicines. 2010; 128(2): 405-11<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span lang="EN-US" style="line-height: 115%;">10- </span><span lang="EN-US" style="line-height: 115%;">Jung
J, Lee JA, Ko MM, You S, Lee E, Choi J, Kang BK, Lee MS- Gyejibongneyoung-hwan,
a herbal medicine for the teratment of dysmenorrhoea with uterine fibroids: a
protocol for a randomised controlled Trial. </span><span style="background: white; line-height: 115%;"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5168531/"><span lang="EN-US" style="color: windowtext; mso-ansi-language: EN-US;">BMJ Open</span></a></span><span lang="EN-US" style="background: white; line-height: 115%;">. 2016; 6(11): e013440.<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span lang="EN-US" style="background: white; line-height: 115%;">11-</span><span lang="EN-US" style="color: red; line-height: 115%;"> </span><span lang="EN-US" style="line-height: 115%;">Jung J, Lee JA, Ko MM, You S, Lee E,
Choi J, Kang BK, Lee MS- Gyejibongneyoung-hwan, a herbal medicine for the
teratment of dysmenorrhoea with uterine fibroids: a protocol for a randomised
controlled Trial. </span><span style="background: white; line-height: 115%;"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5168531/"><span lang="EN-US" style="color: windowtext; mso-ansi-language: EN-US;">BMJ Open</span></a></span><span lang="EN-US" style="background: white; line-height: 115%;">. 2016; 6(11): e013440.</span><span lang="EN-US" style="line-height: 115%;"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span lang="EN-US" style="line-height: 115%;">12-</span><span lang="EN-US" style="color: red; line-height: 115%;"> </span><span lang="EN-US" style="line-height: 115%;">Akase T, Akase T, Onodera S, Jobo T,
Matsushita R, Kaneko M, Tashiro S- A comparative study of the usefulness of <i>Toki-shakuyaku-san</i> and an oral iron
preparation in the treatment of hypochromic anemia in cases of uterine myoma.
Yakugaku Zasshi 2003; 123(9): 817-24</span><span lang="EN-US" style="line-height: 115%;"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">13- Fugh-Berman A, Balick MJ,
Kronenberg F, Osoki AL, O´Connor B, Reiff M, Roble M, Lohr P, Brosi BJ, Lee R-
Letter to the editor. J Ethnopharmacol 2004; 92: 337-9<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="line-height: 115%;"><span style="font-size: x-small;">14-<a href="http://www.beneficiosnaturais.com.br/"><span style="color: windowtext;">www.beneficiosnaturais.com.br</span></a> Chás para tratar miomas<span style="color: red;">.<o:p></o:p></span></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span style="line-height: 115%;">15-</span><span style="line-height: 115%;">
Nogueira Neto J, Cavalcante FLLP, Carvalho RAF, Rodrigues TGPM, Xavier MS,
Furtado PGR, Schor E- Contraceptive effect of <i>Uncaria tomentosa</i> (cat’s claw) in rats with experimental
endometriosis. Acta Cir Bras 2011; 26(suppl 2): 15-9 <o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span style="line-height: 115%;">16- Politi FAZ, Melo JCP, Migliato KF, Nepomuceno ALA,
Moreira RRD, Pietro RCLR. </span><span lang="EN-US" style="line-height: 115%;">Antimicrobial,
cytotoxic and antioxidant activitoes and determination of the total tannin
contento f bark extracts <i>Endopleura uchi.</i>
Int J Mol Sci 2011; 12(4): 2757-68<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">17-Bento JF, Noleto GR,
Petkowicz CLO- Isolation of na arabinogalactan from <i>Endopleura uchi </i>bark decoction and its effect on HeLa cell.Carbohydrate
Polymers 2014;101:871-7<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">18-Heng QQ, Cao L, Ding G,
Wang ZZ, Xiao W- Effect of Guizhi Fuling capsule and combination of active
ingredients with uterine myoma. Zhongguo Zhong <st1:place w:st="on"><st1:city w:st="on">Yao</st1:city></st1:place> Za Zhi 2015; 40(11): 220609<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">19-Yen HR, Chen YY, Huang TP,
Chang TT, Tsao JY, <st1:city w:st="on">Chen</st1:city> <st1:state w:st="on">BC</st1:state>,
Sun MF- Prescription patterns of Chinese herbal products for patients with
uterine fibroid im <st1:place w:st="on"><st1:country-region w:st="on">Taiwan</st1:country-region></st1:place>:
a Nationwide population-based study. J Ethnopharmacol 2015; 171: 223-30<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">20-<span style="color: red;"> </span>Su
SY, Muo CH, Morisky DE- Use of Chinese medicine correlates negatively with the
consumption of conventional medicine and medical cost in patients with uterine
fibroids: a population-based retrospective cohort study in <st1:place w:st="on"><st1:country-region w:st="on">Taiwan</st1:country-region></st1:place>. BMC Complement Altern Med
2015; 15:129<o:p></o:p></span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 115%;"><span style="font-size: x-small;">21-Ososki A, Lohr P, Reiff M,
Balick M, Kronenberg F, Fugh-Berman A, O’Connor B- Ethnobotanical literature
survey of medicinal plants in the Dominican Republic used for women’s health
conditions. 2002; 79: 285-98</span><span style="font-size: 6pt;"><o:p></o:p></span></span></div>
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<span style="line-height: 150%;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><i><b>* Ceci Mendes Carvalho Lopes é Assistente Doutora, Especialista em Fito-Ginecologia, da Clínica Ginecológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. </b></i></span></span></div>
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Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-13219809338488583152017-09-14T04:00:00.000-03:002017-09-14T11:53:49.208-03:00Gineco-endócrino 2017<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgw8RbwvZcEKkdLbiqDoZyipDQ3Kk1U1DFA_K-OFN765E29awCxoBTZGHIEbtsDlh1DGpQW3ZbgAiB4br7z3GgDOWkwquaRmpNKmM3ba5PnGDR5YHBi68x9Mr7Flt4pt6eE2U_oIM_oN4/s1600/logo+reciclagem+endoc+17.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="567" data-original-width="1223" height="148" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgw8RbwvZcEKkdLbiqDoZyipDQ3Kk1U1DFA_K-OFN765E29awCxoBTZGHIEbtsDlh1DGpQW3ZbgAiB4br7z3GgDOWkwquaRmpNKmM3ba5PnGDR5YHBi68x9Mr7Flt4pt6eE2U_oIM_oN4/s320/logo+reciclagem+endoc+17.png" width="320" /></a></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: #3b3b3b; font-size: 15px;"><strong>I<span style="font-size: small;">mportante: </span></strong></span><span style="color: #3b3b3b;"><span style="font-size: x-small;">A qualidade da transmissão de áudio e vídeo, estará diretamente</span></span></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">relacionada à capacidade do seu computador e conexão de sua Internet*. A</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">falha momentanêa na conexão poderá acarretar num congelamento da</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">imagem. Caso isto ocorra, aperte a tecla F5 ou a tecla de atualização do</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">navegador. Este procedimento irá normalizar a visualização de áudio e vídeo.</span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">1. Requisitos técnicos mínimos</span></div>
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Internet</div>
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Link com mínimo 2MB de velocidade (de preferência cabeada);</div>
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Computadores: MAC ou PC</div>
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Sistema operacional Windows, Linux ou OSx com no mínimo 2MB</div>
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de memória RAM</div>
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Placa de áudio e vídeo simples (de preferência dos fabricantes NVIDIA </div>
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ou AMD com <span style="text-align: center;">aceleração gráfica).</span></div>
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Programas no computador - Navegadores</div>
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Navegadores: Google Chrome, Apple Safari, Firefox, Microsoft Internet Explorer 11</div>
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ou Microsoft Edge</div>
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Plugins nos navegadores:</div>
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<span style="font-family: Verdana, serif, EmojiFont; font-size: x-small;">Adobe Flash (</span><span style="color: blue; font-family: Verdana, serif, EmojiFont; font-size: x-small;"><a href="https://get.adobe.com/br/flashplayer/" rel="noopener noreferrer" target="_blank">https://get.adobe.com/br/flashplayer/</a></span><span style="font-family: Verdana, serif, EmojiFont; font-size: x-small;">)</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><b>-o-o-o-</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><b>Coordenação Geral </b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><b>Edmund Chada Baracat</b></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><br /></span>
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><u>Comissão Científica</u></span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">José Maria Soares Júnior</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">Gustavo Arantes Maciel</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">Sylvia Yamashita</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">Nilson Roberto de Melo</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">Walter Pinheiro</span><br />
<span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;">Homero Guidi</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Secretaria Executiva </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white;">Tel/fax 11 2272-4301 </span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="background-color: white; border: 0px; margin: 0px; padding: 0px; vertical-align: baseline;"> email: eventos.secretaria@uol.com.br</span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Comercialização PONTOLINE </span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Eventro Credenciado</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Agencia oficial de viagens LEVITATUR</span><br />
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<span style="font-size: 9.0pt;"><span style="font-family: "arial" , "helvetica" , sans-serif; font-size: x-small;"><a href="https://www.thefork.com.br/cidade/sao-paulo/494740" target="_blank">GASTRONOMIA SÃO PAULO</a></span></span><br />
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<span style="font-size: 12px;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><b>COMISSÃO DE APOIO EXECUTIVO</b></span></span></div>
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<span style="font-size: 12px;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><b>Sras. Eunice Del Gaudio e Silvia Mancini</b></span></span></div>
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<span style="color: red; font-family: "arial" , "helvetica" , sans-serif;"><b>PROGRAMA CIENTÍFICO FINAL</b></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;">15/09/2017<span style="white-space: pre;"> SEXTA-FEIRA</span></span><br />
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HORÁRIO
07:30 - 08:00 Secretaria
08:00 - 08:10 Abertura </span></span><br />
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<span style="white-space: pre;"><span style="font-family: "arial" , "helvetica" , sans-serif;">clique aqui para ver todo o programa
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08:10 - 09:50 Módulo I - Hormônios
Coordenador: Laudelino de Oliveira Ramos (FMUSP)
Secretário: Juliana Girotti Sperandio
08:10 - 08:30 Androgênios: quando indicar e como fazer José Maria Soares Junior (FMUSP)
08:30 - 08:50 SERMs e SPRMs: quando indicar Lucia Helena Costa Paiva (UNICAMP)
08:50 - 09:10 Progestagênios: indicações não contraceptivas Zsuzsanna Ilona de Jármy Di Bella (UNIFESP)
09:10 - 09:30 Hormônios Bioidênticos: há vantagens? Rodolfo Strufaldi (FMABC)
09:30 - 09:50 Discussão
09:50 - 10:10 Cofee Break
10:10 - 11:50 Módulo II - Climatério / Osteoporose
Coordenador: Angela Maggio da Fonseca (FMUSP)
Secretário: Carolina Malhone
10:10 - 10:30 TH no climatério: como, quando e até quando? Edmund Chada Baracat (FMUSP)
10:30 -10:50 Espessamento endometrial na pós menopausa: como proceder Ricardo Santos Simões (FMUSP)
10:50 - 11:10 Atrofia vaginal: estrogênio, hidratante e laser/radiofrequência: quando indicar?Luciano de Melo Pompei (FMABC)
11:10 - 11:30 TH na paciente com fatores de risco para câncer de mama José Roberto Filassi (FMUSP)
11:30 - 11:50 Discussão
12:00 - 14:00 Simpósio Amgen :Tratamento medicamentoso da osteoporose: quando, como e até quando? Luciano de Melo Pompei (FMABC)
14:00 - 16:00 Modulo III - Infertilidade
Coordenador:Pedro Augusto Araujo Monteleone (FMUSP)
Secretário: Fernanda de Oliveira Ramos Monici
14:00 - 14:20 AMH: o que há de novo? Gustavo Arantes Rosa Maciel (FMUSP)
14:20 - 14:40 Inseminação Intrauterina: quando indicar e como fazer Carlos Roberto Izzo (FMUSP)
14:40 - 15:00 FIV: há limite na transferência embrionária? Pedro Augusto Araujo Monteleone (FMUSP)
15:00 - 15:20 Testes genéticos Caio Robledo Quaio (Fleury)
15:20 - 15:40 Tratamento da endometriose na mulher que deseja engravidar Sergio Podgaec (FMUSP)
15:40 - 16:00 Dicussão
16:00 - 16:20 Coffee Break
16:20 - 18:00 Modulo IV - Anticoncepção
Coordenador: Nilson Roberto de Melo (FMUSP)
Secretário: Edson Santos Ferreira Filho
16:20 - 16:40 LARCs: quando e para quem indicar? Isabel Esposito Sorpreso (FMUSP)
16:40 - 17:00 Anticoncepção hormonal e risco de câncer genital e mamário Cristina Aparecida Falbo Guazzelli (UNIFESP)
17:00 - 17:20 Anticoncepção hormonal e doenças autoimunes Ilza Maria Urbano Monteiro (UNICAMP)
17:20 - 17:40 Anticoncepção hormonal e HPV Iara Linhares (FMUSP)
17:40 - 18:00 Discussão
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16/09/2017 - SÁBADO
08:00 - 10:00 Módulo V - Ginecologia Endócrina
Coordenador:Vicente Renato Bagnoli (FMUSP)
Secretário: Yedda Nunes Reis
08:00 - 08:20 Sangramento uterino anormal e trombofilia Paulo Francisco Ramos Margarido (FMUSP)
08:20 - 08:40 Testes hormonais: quando indicar e como interpretar Marcos Felipe Silva de Sá (FMUSP)
08:40 - 09:00 Insuficiência ovariana prematura: o que pode ser feito quando há reserva ovariana baixa Cristina Laguna Benetti Pinto (UNICAMP)
09:00 - 09:20 Impacto reprodutivo após cirurgia bariátrica: como proceder Nilson Roberto de Melo (FMUSP)
09:20 - 09:40 Discussão
09:40 - 10:00 Coffee Break
10:00 - 11:20 Módulo VI - Sindrome dos Ovários Policísticos
Coordenador: Edmund Chada Baracat (FMUSP)
Secretário: Fernanda Pipitone Rodrigues
10:00 - 10:20 Hirsutismo: diagnóstico e tratamento Sylvia Asaka Yamashita Hayashida (FMUSP)
10:20 - 10:40 SOP e resistência insulínica: como proceder José Maria Soares Junior (FMUSP)
10:40 - 11:00 Anticoncepção na mulher com ovários policísticos Rogério Bonassi Machado (FM JUNDIAÍ)
11:00 - 11:20 Discussão
11:20 - 12:10 Conferência : Cosmiatria em Ginecologia Endócrina Convidada Especial - Denise Steiner - SBD - Sociedade Brasileira de Dermatologia.
12:10 - 12:20 Encerramento
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Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.comtag:blogger.com,1999:blog-3643327262942990232.post-59478700400227142482017-09-04T22:40:00.003-03:002017-09-12T15:16:51.670-03:00Reuniões da Clínica Ginecológica<span style="font-family: arial, helvetica, sans-serif;">Onde - Anfiteatro Berilo Langer ICHC 5o. andar</span><br />
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Como diminuir a morbidade do tratamento do câncer do colo do útero<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante: Prof. Dr. Jesus Paula Carvalho<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Dia 13<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h30-10h00 Conferência:
Como lidar com as disfunções sexuais no atendimento em ginecologia geral<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrantes: Elsa Ainda Gay<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Dia 20 <o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h30-10h00 Conferência:
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante: José Alcione Macedo Almeida/Roberto
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<span style="font-family: Arial, Helvetica, sans-serif;">Dia 27 <o:p></o:p></span></div>
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e internos<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">08h30-10h00 Conferência:
Quando liberar a gravidez após câncer de mama<o:p></o:p></span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Palestrante: Prof. Dr. José Roberto Filassi<o:p></o:p></span></div>
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residentes</span><o:p></o:p></div>
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Dr. Homero Guidihttp://www.blogger.com/profile/08451544906908063427noreply@blogger.com