Almeida A M, Almeida T M, Gollner A M
Institute do Psiquiatria do Hospital das Clinicas da FMUSP, Departamento de Patologia da Faculdade de Medicina da Universidade Federal de Jiz de Fora, MG.
Rev Assoc Med Bras (1992). 2000 Jul-Sep;46(3):194-200. doi: 10.1590/s0104-42302000000300002.
A very popular modality with the media is psychic surgery which has received little scientific evaluation though. Such phenomena always raise the issues of fakery and deceit. Research has been scarce.
We report an investigation on one of the most famous psychic surgeons in Brazil, João Teixeira de Farias. 30 surgical interventions with cutting were studied, 6 patients undergoing history-taking, physical examination and analysis of the materials supposedly extracted from them.
We were struck by the fact that the surgeon really incisions skin or ocular epithelium in addition to scraping the cornea without identified anaesthetics or antiseptics being used. Just one woman complained of pain as she had her breast incised. Longer follow up of patients failed to notice any infection in the surgical sites. Histopathology found the specimens to be compatible with their site of origin and, apart from a 210g. lipoma, were healthy tissues without discernible pathology.
The surgerical procedures are real but we couldn't evaluate the efficacy. It didn't appear to have any specific effect. Our findings are undoubtedly more of an exploratory kind than conclusive ones. Further studies are clearly necessary to cast light on this unorthodox treatment.
心灵手术是媒体上一种非常流行的形式,但几乎没有得到科学评估。此类现象总是引发欺诈和欺骗的问题。相关研究一直很匮乏。
我们报告了对巴西最著名的心灵外科医生之一若昂·特谢拉·德·法里亚斯的一项调查。研究了30例有切割操作的手术干预,对6名患者进行了病史采集、体格检查以及对从他们身上取出的所谓物质进行分析。
我们惊讶地发现,这位外科医生除了在未使用已知麻醉剂或防腐剂的情况下刮擦角膜外,确实还切开了皮肤或眼上皮。只有一名女性在乳房被切开时抱怨疼痛。对患者进行更长时间的随访未发现手术部位有任何感染。组织病理学检查发现标本与其来源部位相符,除了一个210克的脂肪瘤外,均为健康组织,无明显病理改变。
手术操作是真实的,但我们无法评估其疗效。它似乎没有任何特定效果。我们的发现无疑更多是探索性的而非结论性的。显然需要进一步研究来阐明这种非正统的治疗方法。