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Mar, 2015Optimismo among doctors in Cuba with tecnology for videosurgery

There is optimism among doctors in Cuba at the prospect of the end of the US embargo. This was the sentiment expressed by the participants of an event for which Dr Mirandolino Mariano was the invited speaker, held at the Hermanos Ameijeiras Hospital in Havana last February. "They started to get technology in Cuba, as video towers from Germany, the same as we have here in the Santa Casa de Porto Alegre", noted Dr Mirandolino. The "National Workshop" was organized by the "Cuban Society of Endourology, Laparoscopy y Shockwaves", coordinated by Prof. Mariano Castillo Rodríguez, who knows Dr. Mirandolino from scientific meetings of the American Confederation of Urology(CAU).

Dr. Mirandolino lectured on laparoscopic surgery in the current treatment of urolithiasis and showed his technique in BPH surgery (BPH). "A doctor expressed her surprise as I do with laparoscopy what they do in open surgery. The technology is to do what we did but better because laparoscopic surgery has to be higher than the open, otherwise it is not justified ", he explains.They are planning in the next six months an event with live surgery so we can demonstrate the worldwide advances there.

Cubans make a very good basic medicine, but the advanced they do not have conditions to do, evaluates Dr Mirandolino. "They have the basics in percutaneous surgery for kidney stones: a very good extracorporeal lithotripsy machine, the first one that arrived in Latin America, even before Brazil. Percutaneous surgery is very good too, they did training in Spain and use the latest equipment. In ureter calculation part, they only have the hard ureteroscope and the source of energy is cheaper there, just have the tire, has neither laser or ultrasonic. The expectation is to have everything next year.

At hospital discharge, his colleague Dr. Rodriguez showed a transatlantic with tourists anchored in Havana, and said, "Look, things will get better here."

Dr Mirandolino was surprised by what he found on that first visit to Cuba. "The people live very happy there, they seem to be satisfied with what they have. Has no requirement level as we do have in Brazil. I really enjoyed the music, the singing of the people telling the facts of life."
He also saw that Cuba invests in differentiated tourism. As he was in Varadero, famous Caribbean beach for tourists, he had to rent a car to go to Havana. But they only had a 1958 car! "I was a bit afraid until I find out that the model has a motor 2014." Come better than our best here in Brazil. On the outside is a car, inside is another, "he jokes. And like a lot of the roads. "They are better than ours," found.

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ROBOTIC SURGERY

Na década de 1980 as cirurgias endoscópicas e laparoscópicas deram um grande salto com o advento das microcâmeras.

Surgiram os primeiros robôs médicos, como o braço robótico PUMA 560, que em 1985 auxiliou uma biópsia durante uma neurocirurgia.

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MIRANDOLINO'S TECHNIQUE

Em 1999 o Dr. Mirandolino Mariano faz a primeira cirurgia por laparoscopia, publicando o relato de caso da técnica pioneira em 2002, no Journal of American Urological Association.

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