{"id":2897,"date":"2018-07-15T18:05:05","date_gmt":"2018-07-15T21:05:05","guid":{"rendered":"https:\/\/doctorhoogstra.com\/?p=2897"},"modified":"2024-07-22T06:24:52","modified_gmt":"2024-07-22T09:24:52","slug":"hernia-umbilical","status":"publish","type":"post","link":"https:\/\/doctorhoogstra.com\/pt\/hernia-umbilical\/","title":{"rendered":"H\u00e9rnia umbilical"},"content":{"rendered":"<p><strong>Di\u00e1stase dos m\u00fasculos retos abdominais.<\/strong><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/pt\/hernia-umbilical\/#Cuadro-clinico\" >Quadro cl\u00ednico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/hernia-umbilical\/#Tratamiento\" >Tratamento<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/hernia-umbilical\/#Testimonio-de-pacientes\" >Depoimento do paciente<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/pt\/hernia-umbilical\/#Consultas-via-internet\" >Consultas pela internet<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2><span class=\"ez-toc-section\" id=\"Cuadro-clinico\"><\/span>Quadro cl\u00ednico<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Uma h\u00e9rnia umbilical \u00e9 uma protrus\u00e3o do conte\u00fado da cavidade abdominal atrav\u00e9s de um ponto fraco.<br \/>\nOcorre frequentemente em mulheres que deram \u00e0 luz.<\/p>\n<p>As v\u00edsceras e o omento podem sair pela h\u00e9rnia, quanto menor o anel herni\u00e1rio, maiores as chances de danos aos \u00f3rg\u00e3os internos.<\/p>\n<p>O conte\u00fado abdominal, seja v\u00edscera ou omento, sai pelo anel, mas depois tem dificuldade de retornar \u00e0 cavidade.<\/p>\n<p>Isso pode causar dor de diferente intensidade que \u00e9 aliviada quando o paciente ou o m\u00e9dico, por meio de manobras manuais, reintroduz o conte\u00fado herni\u00e1rio na cavidade.<\/p>\n<p>Em casos mais graves, acaba gerando necrose, ou danos ao intestino, o que exige uma interven\u00e7\u00e3o emergencial.<\/p>\n<p>A di\u00e1stase dos m\u00fasculos retos do abdome \u00e9 outra situa\u00e7\u00e3o frequente em mulheres ap\u00f3s a gravidez, tamb\u00e9m \u00e9 observada com frequ\u00eancia em pacientes obesas e naquelas que perderam muito peso.<\/p>\n<p>Quando a parede abdominal \u00e9 palpada, a separa\u00e7\u00e3o entre um m\u00fasculo reto do abdome e o outro \u00e9 facilmente percebida.<\/p>\n<p>Externamente se manifesta porque o paciente perde o contorno da cintura.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamiento\"><\/span>Tratamento<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Essas situa\u00e7\u00f5es s\u00e3o facilmente revers\u00edveis, geralmente combinando a Lipomodelagem a Laser com a Cirurgia Pl\u00e1stica dos m\u00fasculos retos abdominais.<\/p>\n<p>Poucos dias ap\u00f3s a interven\u00e7\u00e3o podemos ver um corpo harmonioso, com uma cintura fina e uma forte circunfer\u00eancia abdominal, o que a ajudar\u00e1 a fazer os esfor\u00e7os da vida di\u00e1ria e alguns exerc\u00edcios que antes eram dif\u00edceis.<\/p>\n<p>Este procedimento \u00e9 realizado na unidade cir\u00fargica de\u00a0<strong>Centro M\u00e9dico Hoogstra Caballito<\/strong>.<\/p>\n<p>\u00c9 realizado com anestesia local e seda\u00e7\u00e3o; Com isso conseguimos seguran\u00e7a e conforto, pois para o paciente \u00e9 como uma anestesia geral e ele n\u00e3o sente dor.<\/p>\n<p>\u00c9 ambulatorial, ou seja, no mesmo dia \u00e9 retirado para sua casa.<\/p>\n<p>No dia seguinte voc\u00ea pode tomar banho e ap\u00f3s 7 dias os pontos s\u00e3o retirados.<\/p>\n<p>Dependendo da h\u00e9rnia, do grau de di\u00e1stase muscular e da flacidez da pele, o tipo de incis\u00e3o \u00e9 utilizado.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Testimonio-de-pacientes\"><\/span>Depoimento do paciente<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A seguir, uma jovem paciente que teve seu segundo filho h\u00e1 um ano. H\u00e1 3 meses foi colocada uma pr\u00f3tese mam\u00e1ria e agora ela nos consulta porque a cintura larga \u00e9 vis\u00edvel, ela se refere a ela como batraciforme, \u00e0 palpa\u00e7\u00e3o verifica-se uma h\u00e9rnia umbilical e uma grande di\u00e1stase dos m\u00fasculos retos abdominais. N\u00e3o h\u00e1 flacidez da pele.<\/p>\n<p>O procedimento que realizamos foi uma lipomodelagem a laser do abdome anterior, lateral e dorso.<\/p>\n<p>Para evitar cicatrizes, foi realizada uma cirurgia pl\u00e1stica abdominal, ou seja, a plicatura dos m\u00fasculos abdominais e das f\u00e1scias por via endosc\u00f3pica atrav\u00e9s de uma incis\u00e3o m\u00ednima no umbigo.<\/p>\n<p>Para aqueles pacientes que apresentam flacidez e di\u00e1stase, geralmente \u00e9 necess\u00e1rio fazer uma incis\u00e3o pr\u00f3xima aos pelos pubianos, cujo comprimento depender\u00e1 da quantidade de pele a ser ressecada.<\/p>\n<p><strong>Clique nas imagens para ampliar<\/strong><\/p>\n<p><a href=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/07\/hernia_umbilical2.jpg\" target=\"blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"\" src=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/07\/hernia_umbilical2.jpg\" alt=\"H\u00e9rnia umbilical\" width=\"249\" height=\"179\" \/><\/a>\u00a0<a href=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/07\/hernia_umbilical.jpg\" target=\"blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"\" src=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/07\/hernia_umbilical.jpg\" alt=\"H\u00e9rnia umbilical\" width=\"223\" height=\"177\" \/><\/a>\u00a0<a href=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/07\/hernia_umbilical3.jpg\" target=\"blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"\" src=\"https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/07\/hernia_umbilical3.jpg\" alt=\"H\u00e9rnia umbilical\" width=\"205\" height=\"177\" \/><\/a><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Consultas-via-internet\"><\/span>Consultas pela internet<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div>Se voc\u00ea tiver d\u00favidas ou perguntas sobre o procedimento, digite <a title=\"Contato\" href=\"https:\/\/doctorhoogstra.com\/pt\/consultas\/\">aqui<\/a>.<\/div>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/udGKKYDo4Q4?rel=0&amp;controls=0&amp;showinfo=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/L3fnl7ApN-s?rel=0&amp;controls=0&amp;showinfo=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n\n\t\t<div id=\"fws_6ac2c1529ca91\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"nectar-fancy-box using-img\" data-style=\"default\" data-animation=\"\" data-hover-o=\"default\" data-border-radius=\"default\" data-border=\"\" data-box-color-opacity=\"1\" data-delay=\"\" data-alignment=\"left\" data-color=\"accent-color\" ><div class=\"box-bg\" role=\"presentation\"  style=\"background-image: url('https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/06\/caballito.jpg'); \"><\/div> <div class=\"inner\" style=\"min-height: 200px\"><i class=\"icon-default-style fa fa-calendar\" data-color=\"accent-color\" style=\"font-size: 40px!important; line-height: 40px!important;\"><\/i>\n<h2>Agendar consulta<\/h2>\n<p>Reserve um turno em nossos centros m\u00e9dicos localizados em <strong>Caballito<\/strong>, <strong>Belgrano<\/strong> e <strong>Pilar<\/strong><\/div> <div class=\"link-text\">Agendar consulta<span class=\"arrow\"><\/span><\/div> <a target=\"_blank\" href=\"https:\/\/doctorhoogstra.com\/pt\/turnos\/\" class=\"box-link\"><\/a> <\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Diastasis de los m\u00fasculos recto abdominales. Cuadro cl\u00ednico Una hernia umbilical es una protrusi\u00f3n del contenido de la cavidad abdominal por un punto d\u00e9bil. Se produce frecuentemente en mujeres que&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[66,46],"tags":[],"class_list":["post-2897","post","type-post","status-publish","format-standard","category-abdomen","category-cirugias-esteticas-reparadoras"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/posts\/2897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=2897"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/posts\/2897\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=2897"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=2897"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=2897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}