Patient undergoing radiotherapy receives tilapia implant – Metro



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Elisane Gusmão, a teacher, was diagnosed with bad cancer after only one year of marriage. It was April 2009. Bleeding during intercourse was the first symptom that led her to seek medical attention. The professional indicated radiotherapy and brachytherapy sessions. However, after the end of treatment, another surprise was not pleasant: the tissues of her badl cavity had been closed, which would prevent her from having her period and having bad. It was the beginning of an arduous saga in search of treatment that took him nearly ten years after the discovery of the disease in Ceará, pioneering the reconstruction of the badl cbad with tilapia skin.

Elisane, 41, is from Medina in Vale do Jequitinhonha (MG). Long before her arrival in Fortaleza, she first went to the south-east of the country, as in a pilgrimage from hospital to hospital, the educator having followed every consultation motivated by "Faith and hope" to reverse the health situation.

Belo Horizonte and the clinical schools of São Paulo have received.

"The doctor of my city said that it was not common to do it.I consulted a doctor from Bosnia and Herzegovina. they offered surgery, but I was in danger of piercing my bladder. " I was looking for a very famous doctor from the State University of Campinas (Unicamp), but he no longer practiced badl reconstruction. He gave me an acrylic prosthesis, which would shape my badl cbad with constant use, but it did not happen, "she says, excited

And now, where to go? It was perhaps the most recurrent questioning of every waking." In September 2018, I woke up in tears because that it was a burden that I carried with my husband, not knowing what to do. "The uncertainty that was dying in recent years, but was going to change in a few days with a divine sign." next week, in the morning, God sent me a sentence to play on the Internet: "doctor who redid the badl cbad." When I did the research, I imagined that this would be outside of Brazil, but then I found a report saying that Ceará is a pioneer of this operation, "recalls Elisane, smiling, as if she repeated the same reaction she had this month, knowing that she could heal.

Doctor and Patient Celebrate Positive Surgery Results
Photo: personal archives

Tilapia

The solution to the case of Elisane came from fresh water. Tilapia skin, which was already used as a biological prosthesis for burn patients, has another important goal. This time in the field of gynecology. Researchers from the Federal University of Ceara (UFC) have used the membrane of a fish to help women born with Rokitansky syndrome or badl agenesis, affecting one in five thousand women. In them, the outer part of the organ is normal, but the internal channel is short or does not exist.

However, the educator from Minas Gerais is not included in this profile as she was born with the normal functions of the bad and developed the problem that after the discovery of cancer. On the other hand, it is from Elisane Gusmão that UFC research evolved to another level, more precisely on November 21, 2018. In an unprecedented way, a health team carried out the surgery of reconstruction of the bad with a tilapia skin. in women undergoing pelvic radiotherapy

"This is the first time in history that an aquatic animal prosthesis is used instead of natural skin, in this particular case in women after radiotherapy, which destroys the tissues, thus generating a complete closure The tilapia skin functions as a new tissue, stimulating the growth of new cells and reconstructing the badl cbad ", explains the professor of medicine and surgeon Leonardo Bezerra [19659002 Cura [19659002] If, for science, the feat is evaluated as a progress since, from studies, tilapia skin has shown concrete results n the surgical field, as Elisane has a "transformation value". After obeying the preoperative with a thorough blood test, ultrasound, pelvic resonance and mammogram, the teacher noted the schedule and recorded this date in memory, not just as a new bet, but especially as the end of A cycle of sadness. distress and uncertainties. It was time to welcome the dream.

According to the doctor Leonardo Bezerra, the operation "was a success". Unlike the conventional method, which involves removing a portion of the gut or groin grafts from the patient for badl cbad reconstruction, the procedure with tilapia skin is less invasive. "In this particular case, we have to individualize the organs, because everything was literally very blocked by radiotherapy." We first needed this laparoscopic abdominal time, where we separated the structures from the bladder and rectum and, at the second moment, we made the badl cbad. "

The teacher was hospitalized for ten days in Meac. To attach the tilapia skin to the new badl cbad, an acrylic mold was placed inside the organ and later replaced with a latex. And Elisane, how did the surgery respond? Nearly two months after the procedure, the doctor returns to her usual appointment condemning her to what she expected the most to hear in recent years.

"You lead a normal life, still without badual activity, because we think of a release between three and six months, but at the physical examination, she has a badl cavity, of normal length and width, c & # 39; That is, if she were examined by a professional who did not know what had happened, she would not even notice any change, "says Leonardo Bezerra.

"I'm still dreaming … It seems like the record has not fallen yet, but it's still a dream."

Finally, for the joy of Elisane Gusmão, the most cultivated desire became real, even though it was still a dream. because it has been nine years of suffering, tears, sometimes lack of faith, then, in one click, God has prepared me incredible doctors to take care of me in a beautiful hospital. "

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