{"id":12476,"date":"2025-05-16T09:19:54","date_gmt":"2025-05-16T13:19:54","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/pump-placement\/"},"modified":"2026-03-22T06:33:37","modified_gmt":"2026-03-22T10:33:37","slug":"colocacao-da-bomba","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/colocacao-da-bomba\/","title":{"rendered":"Coloca\u00e7\u00e3o da Bomba"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,104,105,116],"class_list":["post-12476","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis","glossary-product-testi10-testicular-prosthesis"],"acf":{"gt-definition":"<p>A coloca\u00e7\u00e3o da bomba refere-se a um procedimento cir\u00fargico que envolve a implanta\u00e7\u00e3o de um dispositivo m\u00e9dico, normalmente uma bomba, concebido para administrar medicamentos, fluidos ou criar efeitos mec\u00e2nicos no corpo. Estes sistemas consistem geralmente num reservat\u00f3rio de bomba e num cateter ou outro mecanismo para distribuir a subst\u00e2ncia ou efeito a um local alvo espec\u00edfico. Uma aplica\u00e7\u00e3o comum \u00e9 o sistema de administra\u00e7\u00e3o intratecal de medicamentos (IDDS), onde uma bomba \u00e9 implantada, geralmente na parede abdominal, com um cateter tunelado at\u00e9 o espa\u00e7o intratecal da medula espinhal para administrar analg\u00e9sicos (como morfina, ziconotida) ou antiespasm\u00f3dicos (como baclofeno) diretamente no l\u00edquido cefalorraquidiano (LCR).<sup>1<\/sup> Este m\u00e9todo permite uma terapia direcionada, potencialmente reduzindo os efeitos colaterais sist\u00eamicos e exigindo dosagens gerais mais baixas do medicamento em compara\u00e7\u00e3o \u00e0 administra\u00e7\u00e3o oral ou parenteral.1 O objetivo de tais coloca\u00e7\u00f5es de bombas pode ser o controle da dor cr\u00f4nica (dor relacionada ao c\u00e2ncer ou n\u00e3o oncol\u00f3gica), redu\u00e7\u00e3o da espasticidade ou administra\u00e7\u00e3o de quimioterapia (por exemplo, bombas de infus\u00e3o da art\u00e9ria hep\u00e1tica).<sup>1<\/sup> O procedimento \u00e9 normalmente eletivo e requer sele\u00e7\u00e3o cuidadosa do paciente e planejamento pr\u00e9-operat\u00f3rio em rela\u00e7\u00e3o ao local anat\u00f4mico para implanta\u00e7\u00e3o da bomba.<sup>1<\/sup><\/p>\n<p>A coloca\u00e7\u00e3o da bomba \u00e9 uma etapa cr\u00edtica da implanta\u00e7\u00e3o de pr\u00f3tese peniana infl\u00e1vel, envolvendo o posicionamento do mecanismo de controle no escroto. A bomba \u00e9 inserida atrav\u00e9s da incis\u00e3o cir\u00fargica e posicionada em um bolso criado no tecido subcut\u00e2neo escrotal, entre os test\u00edculos, preferencialmente no lado dominante do paciente para facilitar a opera\u00e7\u00e3o.<\/p>","gt-synonyms":"Implanta\u00e7\u00e3o de bomba intratecal, Implanta\u00e7\u00e3o de sistema implant\u00e1vel de administra\u00e7\u00e3o de medicamentos, Implanta\u00e7\u00e3o de bomba de dor, Coloca\u00e7\u00e3o de bomba espinhal, Coloca\u00e7\u00e3o de bomba de infus\u00e3o de medicamentos, Implanta\u00e7\u00e3o de dispositivo (espec\u00edfico para tipo de bomba, por exemplo, implanta\u00e7\u00e3o de bomba de Baclofen, implanta\u00e7\u00e3o de bomba de morfina).","gt-citation":"[1] Shah N, Di Napoli R, Padalia D. Implantable Intrathecal Drug Delivery System. [Updated 2024 Jul 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538237\/ PMID: 30855825.\n\n[2] George DD, Shao M, Brown JM, DiMarzio M, Weinand ME, Larson PS, Kassoff WS, Pilitis JG. Exploring Rates of Functional Neurosurgery Procedures in the Hispanic Population: A Single-Institution Analysis From 2017 to 2024. Neuromodulation: Technology at the Neural Interface. 2025. DOI: 10.1016\/j.neurom.2025.03.077.\n\n[3] Li M, Nistal D, Komatsu R, Wu J. Case Report: Portable X-Ray Guided Blood Patch in Treating Post Dural Puncture Headache Status Post Intrathecal Pump Placement. Int Med Case Rep J. 2025;18:387-393. DOI: 10.2147\/IMCRJ.S513641.\n\n[4] Shin B, Kwon Y, Mittaz M, et al. All-in-one wearable drug efficacy assessment systems for bulbar muscle function using amyotrophic lateral sclerosis animal models. Nat Commun. 2024;15:6803. DOI: 10.1038\/s41467-024-51300-1.","gt-clinical-context":"<p>A coloca\u00e7\u00e3o da bomba \u00e9 clinicamente indicada para diversas condi\u00e7\u00f5es refrat\u00e1rias a tratamentos menos invasivos. Para sistemas de administra\u00e7\u00e3o intratecal de medicamentos, as indica\u00e7\u00f5es incluem dor cr\u00f4nica relacionada ao c\u00e2ncer, dor persistente n\u00e3o oncol\u00f3gica (por exemplo, s\u00edndrome de dor regional complexa, s\u00edndrome de falha na cirurgia nas costas) e espasticidade grave (por exemplo, de esclerose m\u00faltipla, les\u00e3o medular, paralisia cerebral) n\u00e3o tratada adequadamente com medicamentos orais.<sup><span class=\"citation-ref\">1<\/span><\/sup>\u00a0A sele\u00e7\u00e3o do paciente envolve uma avalia\u00e7\u00e3o completa da condi\u00e7\u00e3o subjacente, tratamentos anteriores, avalia\u00e7\u00e3o psicol\u00f3gica e expectativas realistas. O procedimento cir\u00fargico para uma bomba intratecal normalmente envolve a cria\u00e7\u00e3o de uma bolsa subcut\u00e2nea para a bomba (geralmente no abd\u00f4men) e a coloca\u00e7\u00e3o cuidadosa de um cateter no espa\u00e7o intratecal, geralmente sob orienta\u00e7\u00e3o fluorosc\u00f3pica.<sup><span class=\"citation-ref\">1<\/span><\/sup>\u00a0O manejo p\u00f3s-operat\u00f3rio inclui a programa\u00e7\u00e3o da bomba, o monitoramento da efic\u00e1cia e dos efeitos colaterais (como infec\u00e7\u00e3o, problemas relacionados ao cateter ou dor de cabe\u00e7a p\u00f3s-pun\u00e7\u00e3o dural<sup><span class=\"citation-ref\">3<\/span><\/sup>) e acompanhamento de longo prazo para reabastecimentos e ajustes da bomba. Os resultados esperados incluem redu\u00e7\u00e3o significativa da dor, melhora da fun\u00e7\u00e3o e redu\u00e7\u00e3o da espasticidade, melhorando assim a qualidade de vida do paciente.<sup><span class=\"citation-ref\">1<\/span><\/sup>\u00a0As taxas de sucesso variam dependendo da indica\u00e7\u00e3o e da popula\u00e7\u00e3o de pacientes, mas a administra\u00e7\u00e3o intratecal de medicamentos geralmente \u00e9 considerada eficaz para pacientes adequadamente selecionados.<sup><span class=\"citation-ref\">1,2<\/span><\/sup><\/p>\n<p>O posicionamento adequado da bomba \u00e9 fundamental para a funcionalidade e satisfa\u00e7\u00e3o do paciente. Deve ser acess\u00edvel ao toque, posicionada na por\u00e7\u00e3o inferior do escroto para evitar deslocamento superior. Complica\u00e7\u00f5es incluem migra\u00e7\u00e3o da bomba (2-3%), dificuldade de palpa\u00e7\u00e3o em pacientes obesos e hematoma escrotal. O treinamento do paciente na localiza\u00e7\u00e3o e opera\u00e7\u00e3o da bomba inicia-se 4-6 semanas ap\u00f3s a cirurgia.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":66},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Coloca\u00e7\u00e3o da Bomba: Implante de Pr\u00f3tese Peniana | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre a coloca\u00e7\u00e3o da bomba escrotal durante a cirurgia de pr\u00f3tese peniana infl\u00e1vel. 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