جراحی

Intraoperative bleeding is an unwanted and common complication in orthopedic surgeries, which can be aggravated by the preventive administration of anticoagulants to prevent deep vein thrombosis. The present study examines the effect of prophylactic enoxaparin to prevent thromboembolism on the amount of bleeding in femoral head surgeries where it is not possible to use a tourniquet.

A prospective descriptive-analytical study was conducted from July to March 2017 in Kashani Hospital, Isfahan, in 120 patients without a history of coagulation disorders who were candidates for reconstructive surgery for femoral head and neck fractures. Inclusion criteria involved age over 18, BMI less than 30, no history of coagulation disorders, no preoperative use of anticoagulant drugs, normal PT, PTT, and INR before starting enoxaparin. The patients didn’t have any coagulation disorder and all of them were under prophylactic dose of enoxaparin before surgery. The patients were subjected to spinal anesthesia with the same method. Signs related to degree of bleeding recorded during surgery and recovery care.  Data were collected and entered into SPSS software version 20, and central tendency and dispersion indices were calculated for quantitative variables. Descriptive tables and charts were utilized for qualitative variables. Correlation coefficient and linear regression analyses were performed for the final interpretation of results.

There was a significant relationship between mean arterial pressure and intraoperative bleeding (p-value=0.001). The dose of enoxaparin prescribed was associated with the volume of fluids received, the amount of bleeding, the amount of tranexamic acid, phenylephrine, labetalol, TNG and fentanyl administered during the operation with a p-value of less than 0.05. Also, there is a significant relationship between the prescribed dose of enoxaparin and the duration of surgery and duration of recovery care (p-value less than 0.05).

The study examines the impact of prophylactic enoxaparin on intraoperative bleeding, finding a significant correlation with dosage and duration. No notable difference in bleeding was observed in patients with a GFR below 30. Enoxaparin administration correlated with increased bleeding, MAP levels, fluid volume, tranexamic acid use, and hypotension medications during surgery.

The implementation of health information systems in hospitals not only ensures more accurate record-keeping but also improves workflow. The aim of this study was to examine the workflow in the surgical department of Khatam Al-Anbiya Hospital in Behshahr, Iran and to provide health information technology-based solutions for improving health care process.

This cross sectional study was conducted in 2022. The study included the following steps: mapping the workflow of surgical patients, time measurement and work measurement of processes, identifying existing infrastructure related to the processes, recognizing current issues, and proposing technology-based solutions. Data were collected using observation, interviews, and the Delphi method. Throughout different stages of the research, the participation of all stakeholders, including managers, staff, and patients, was secured. Additionally, a stopwatch was used for time measurement, and a data recording sheet was employed for work measurement. For quantitative data analysis, SPSS software and descriptive indices were utilized.

The existing problems in the workflow of the department included: "crowding of patients both in-person and via phone at the appointment scheduling section of the hospital," "delays in file formation," "retrieval of patient files," "confusion and delays in obtaining consent," "delays in providing paraclinical results," and "billing issues." To address these problems, IT-based interventions such as electronic scheduling, intelligent customer management systems, queue management, interactive voice response systems, and electronic health records were among the most significant recommendations provided.

Planning for the enhancement of infrastructure based on health information technology and creating a framework for improving workflow in the surgical processes of the hospital, according to the current working environment, is necessary and should be prioritized by hospital management.

 Bleeding is a serious complication of cesarean sections that can lead to decreased hemoglobin levels and increased maternal and neonatal mortality. This study aimed to compare the effects of tranexamic acid and position changes on the amount of bleeding and the satisfaction of the surgical team.

This study is a randomized, controlled, parallel clinical trial. The amount of bleeding, hemodynamic parameters, demographic data, clinical parameters, and surgical team satisfaction were measured using validated instruments. The study population consisted of patients aged 18 to 40 years who were candidates for cesarean sections under general anesthesia at Shohada Kargar Hospital in Yazd. The samples were randomly assigned to three groups each containing 33 participants: tranexamic acid, position change, and control. Data were analyzed using SPSS V.22 software.

A total of 99 pregnant women with a mean age of 31.20±5.82 years were included in the study. No significant differences were found in changes in hemoglobin, hematocrit, platelets, blood pressure, or oxygen saturation between the groups (P>0.05). The mean total bleeding in the tranexamic acid and position change groups was significantly lower than that in the control group (P<0.05). Additionally, satisfaction rates in the tranexamic acid and position change groups were higher than in the control group (P<0.001), but no significant difference was observed between the tranexamic acid and position change groups (P=0.472).

The results indicated that tranexamic acid and position changes significantly reduced bleeding and increased surgical team satisfaction, without negatively affecting postoperative complications. Therefore, the use of tranexamic acid and position changes can be recommended as effective strategies for reducing bleeding and enhancing surgical team satisfaction during cesarean section procedures.

Inguinal hernia repair is performed in two ways, one without mesh and the other with mesh. Use of antibiotics is one of the major challenges in hernia mesh repair. The aim of this study was to investigate the effects of using and not using antibiotics on the infection of the site of operation.

This prospective double-blind cohort study performed in Kosar Hospital in Sanandaj. Patients were placed in three groups and examined for postoperative infection at the surgical site. Group A received no antibiotics, group B received preoperative antibiotics and group C received postoperative antibiotics.

Among 186 patients, 56 were in group A, 62 in group B and 68 in group C. A total of 8 patients (4.3 percent) in 3 groups developed complications, which included erythema and discharge from the operation site. In group A, two patients and in group C, 6 patients developed surgical site infection, which showed no significant difference among the three groups (P = 0.317). There was no significant relationship between the incidence of the complications (R = 135, Adj.R2 = 0.007, P = 0.187) and age, residential place and site of operation.

Based on the results of our study, antibiotics are not necessary in the patients undergoing inguinal hernia surgery with mesh. Therefore, routine antibiotic use should not be advocated. This viewpoint is very effective in reducing antibiotic resistance.

Infertility is defined as the inability to achieve conception after one year of unprotected intercourse. This study aimed to explore the factors associated with infertility in men referred to the infertility center at Imam Khomeini Hospital in Ahvaz.

This descriptive study utilized a cross-sectional questionnaire during March 2016 to September 2019, involving 800 infertile couples with complete records. We extracted demographic data, including age, occupation, duration of infertility, smoking habits, surgical history, semen analysis, and sperm condition and quality from the files of these men referred to the IVF department. The collected details were systematically entered into an information form. Quantitative results are presented as mean±standard deviation, with differences of p<0.05 between groups deemed statistically significant.

In this study, the average age of the men referred for evaluation was 33.5 years. The analysis of semen quality revealed a mean semen volume of 2.34 mL, which falls within the acceptable range for normal ejaculate volume, typically defined as being greater than 1.4 mL. The average sperm count recorded was 16,365,000 per mL. Additionally, our study demonstrated that only 5.8% of the sperm exhibited normal morphology. Sperm motility, another key factor in male fertility, averaged at 9.24%, significantly lower than the normal standard. Regarding employment status, a significant majority of participants were employed (89%), while 11% were unemployed. The surgical history among the referred men primarily included varicocelectomy (n=108), hemorrhoid surgery (n=29), urinary tract procedures (n=28), testicular hernia repairs (n=23), and appendectomies (n=18). Additionally, 24% of the subjects reported drug use, with a notable distinction made between smoking and other forms of drug use.

The findings from this study underscore significant concerns regarding male fertility among the referred men, particularly in terms of sperm count, motility, and morphology. These metrics suggest that many individuals may face challenges in achieving conception without medical intervention. Understanding these factors is crucial for developing effective treatment plans and improving reproductive outcomes for men facing infertility issues.

One of the known causes of delirium is hypoxia. Phase one cardiac rehabilitation program can improve pulmonary aerobic capacity and subsequently increase brain tissue perfusion. As a result, due to its hypoxia-reducing effects, it may be able to reduce delirium levels. The aim of this study was to determine the effect of phase one cardiac rehabilitation on the delirium level of patients after coronary artery bypass graft surgery.

This clinical trial study was performed on 60 patients in the cardiac intensive care unit of Imam Reza Hospital in Mashhad during 1398. After randomly assigning patients to two intervention and control groups, in patients in the intervention group, phase one of cardiac rehabilitation was performed. Patients in the control group received routine ward program. Delirium was measured by Nicham questionnaire in seven rounds, SPSS software version 20 was performed for analyzing data. Data were analyzed using Chi-square, independent t-test, Mann-Whitney and analysis of variance statistical tests. Pvalues less than 0.05 was considered as statistically significant.

Two groups were homogeneous in terms of contextual variables. Results of analysis variance with repeated measurement test showed a significant difference between two groups in terms of delirium. (P= 0.016) The difference between two groups on the first to fourth days was significant and daily delirium levels of two groups on different days were significantly different from each other.(P= 0/001). p

This study showed performing phase one cardiac rehabilitation effectively reduces delirium. Therefore, phase one rehabilitation can be used as an affordable and low-cost approach to prevent and reduce delirium.

The pre-operative evaluations of patients should not cause any mental or physical harm to the patient or waste the financial resources of the patient or the public health system by unnecessary actions. Health spending is one of the issues of concern in developed and developing countries. In Iran, 5–10% of government spending is allocated to this sector. The purpose of the present study was to compare the current process of preparing surgical candidates with accepted clinical guidelines.

  In this cross-sectional study, sampling was performed by the judgmental/purposive method among the mentioned population; finally, 134 patients were evaluated in this study. The data were categorized as 3 x 4 tables. On one side of the table, patients were divided into small, intermediate, and large surgical groups according to surgical complexity, and on the opposite side of the table, they were assigned to four groups at low, intermediate, high, and very high risk. As a result, each patient was housed in one of the houses on a 12-hole table. The clinical findings and evaluation results before surgery were extracted and evaluated retrospectively.

  The mean age of the patients was 49.68 ± 16.96 years, and 74.6% were male. The most common type of surgery was transurethral lithotripsy. The incidence of hypertension (21.4%) among underlying diseases and comorbidities was the highest recorded item. The procedures were selected relatively in the same population size from three groups, namely, small, intermediate, and large procedures, with a frequency of 50 (37.3%), 34 (25.4%), and 50 (37.3%) cases, respectively.

  In the present study, the majority of patients with minor surgeries did not comply with the valuations recommended by guidelines. Among the patients with intermediate surgeries, in nearly half of the cases, and in the major or complex surgery group, most of the time, the evaluations were performed in accordance with the guidelines.

In addition to its challenges, modern methods of education can greatly improve the quality of education by involving students in educational processes. Peer education as one of the new educational methods has shown that it can have an impact on university education and can be more effective compared to the classical teaching method with the lecture method. Therefore, this study was designed and implemented to compare the effectiveness and feasibility of peer education in surgical department discussions.

In this interventional study, 120 surgical externship students were selected by census method and were evaluated randomly in two groups during two months of training in the surgery department. Both groups received routine training, and in the intervention group, some topics were taught in the form of compiling and presenting class conferences by groups of students. To evaluate the clinical knowledge, the final exam score and the degree of satisfaction, feasibility, and validity of the training were used from a researcher-made questionnaire that was psychometrically evaluated after completing the internship. To validate the tool, the content validation method was used, and reliability according to experts and psychometrics was evaluated by the professors of the group. The data was analyzed using statistical tests by SPSS software version 21.

A significant difference was found between the two control and intervention groups in terms of satisfaction, validity, and applicability, and the level of satisfaction, as well as the level of learning, was significantly higher compared to the observation group that was trained by the lecture method(p<0.05); was higher It has also achieved its educational goals, including satisfaction and learning, as well as self-efficacy. Another finding of this study is the difference in the final grade, which was significantly higher in the peer education group than in the classical education group (13.44 vs. 15.21 (p<0.001)).

Based on the results obtained in this study, peer-to-peer teaching in the teaching of surgery topics can have a more effective role than classical teaching in terms of gaining satisfaction, ease of implementation, and improving students' grades. However, in this matter, the limitations and special characteristics of learners should be considered.

Razi is one of the greatest physicians in the history of medicine, and his book, Al-Hawi, is one of the most reliable medical resources. The structure of Al-Hawi is such that in each section, Razi expresses the opinion of his predecessors and contemporary physicians after mentioning the name of each physician and also expresses his first-hand experiences after the phrase “My View”. To date, ten original papers have explored the surgical points raised in Razi’s works; however, none of these studies have extensively reviewed the entire scientific approach of Razi to surgical sciences in Al-Hawi.

The source of the present library research was the original text of Al-Hawi compiled by Ehsan Moqaddas and its Persian translation by Mohammad Ibrahim Zaker. In this study, Razi’s views, which are discussed in the "My View" sections, were collected, and his ideas about the principles and knowledge of surgery were investigated.

A total of 48 topics in surgical sciences were found in Al-Hawi, most of which (23 out of 48) were in the therapeutic domain, and ophthalmic surgery was the most frequently-discussed topic (in 12 out of 48). In 26 (54%) of the cases, Razi addressed the topic independently, without discussing any opinions from his predecessors or contemporary physicians.

Not only did Razi have a comprehensive understanding of the position, precautions, necessary subtleties and contraindications of surgical measures, but also in various examples, he presented original ideas on diagnosis and treatment with regard to topics in surgery.

This study aims to investigate the necessity of simultaneous cholecystectomy in thalassemia major patients undergoing splenectomy, in light of reports regarding the prevalence of gallstones in these patients and the overall incidence of the disease in Mazandaran.

This study was conducted on all 247 patients with beta-thalassemia major, who underwent splenectomy surgery during 2010-2020 for any indication in medical centers affiliated to Babol University of Medical Sciences (without a history of this procedure). Their percentage was determined and a decision was made regarding simultaneous surgery of cholecystectomy and splenectomy. Sampling was done by census method and all cases were reviewed and patients were followed up by phone and the necessary information was extracted and recorded in the checklist. Data were described using SPSS 22 software and analyzed at a significance level of 0.05.

A total of 247 patients with an average age of 20.13 ± 3.98 years (minimum age 10 and maximum age 29) were included in the study. The frequency of simultaneous cholecystectomy was reported in 33 cases (13.4%). Out of 214 patients who did not need simultaneous cholecystectomy (57.9%), 183 patients underwent cholecystectomy after splenectomy (85.5%).In 28 people (11.3 percent) had normal ultrasound and 3 people (1.3 percent) died. The prevalence of gallstones was reported as 87.4 percent. It is The average time for cholecystectomy compared to splenectomy in 183 patients who underwent cholecystectomy was 13.41±6.94 months (minimum time interval 3 and maximum 28 months) and in the examination of ultrasound findings, 219 patients (88.7%) had stones. They had a gall bladder and normal ultrasound was reported in 28 people (11.3%).

The study results indicate a high prevalence of gallstones in patients with thalassemia major. Therefore, it suggests that simultaneous cholecystectomy and splenectomy should be considered, even in asymptomatic cases.

Hydatid cyst is a type of parasitic infection that causes damage to liver, lung and other body organs. A person who gets a hydatid cyst usually experiences severe complications and cysts develop in his body that must be treated as soon as possible. This study was conducted with the aim of epidemiological investigation of hydatid cyst surgery patients in hospitals of Qom province during 2001-2016.

This study was conducted in a descriptive-cross-sectional manner. The files of all patients with hydatid cysts operated on in educational and medical centers of Qom city (public and private) were examined by census. Then, the information related to the desired variables (age, sex, place of residence, occupation, involved organ, disease recurrence, serology and ultrasound for cyst) were recorded in the patient information registration form and then subjected to statistical analysis.

In this study, 72 women (51.8%) and 67 men (48.2%) were examined. The average age of the patients was 39.58 ± 15.18 years. The length of hospitalization of the patients was 5.58 ± 3.46 days. The most diagnostic method was CT scan 70 (50.4%) and the most serological method used for indirect hemagglutination patients was 124 cases (90.5%). The most involved organ in patients was the right lobe of the liver in 68 cases (48.9%). No significant statistical relationship was found between age, gender, occupation and location of hydatid cyst (P > 0.05).

Considering the importance of hydatid cyst disease in Qom city, it is felt necessary to conduct more comprehensive and updated studies. Also, it is felt necessary to educate and inform the society about this disease and to control and stop the parasite cycle.

Complete intraspinal anesthesia is a rare but life-threatening complication and is characterized by decreased level of consciousness, drop in blood pressure, bradycardia and respiratory failure. The present study reported a case of complete spinal anesthesia in caesarean section surgery.

The patient, a 33-year-old woman with gravid 2, referred to Motahari Hospital in Jahrom city for a cesarean section. Spinal anesthesia was performed in a sitting position with a spinal needle size 25and with the first attempt at the L3-L4 level, and then the patient was placed in the supine position and with a brief Trendelenburg position, the level of anesthesia was increased to T4, and after ensuring the sensory block and Motor (T8), the patient's bed was placed in a flat state without position. The patient's blood pressure 3 minutes after spinal anesthesia was 103.72 mmHg and heart rate was 84 times per minute. At this moment and before making the surgical incision, suddenly the patient's level of consciousness dropped drastically; so that she did not respond to verbal commands and breathing stopped completely and respiratory apnea occurred and the patient's saturation decreased to about 78%, but the patient's blood pressure and heart rate did not decrease significantly. Immediately and without delay and without giving any anesthetic, the patient was intubated with a size 7 tracheal tube and connected to the anesthesia machine and saturation reached 98%. The operation started and the baby was born with fifth minute Apgar score of 9 and the patient woke up completely at the end of the operation and was extubated and transferred to recovery without any special complications.

The present study adds a special and uncommon case of complications of spinal anesthesia to the previously reported limited cases and shows the clinical characteristics and appropriate treatment performance in the face of complete spinal anesthesia during cesarean section. Therefore, by knowing the effective factors in reducing this complication, an effective step can be taken to reduce it as much as possible.

Considering the importance of patient safety, it is necessary to monitor the current state of surgeries in terms of patient safety-related issues based on the safe surgery checklist. This monitoring helps estimate the distance from the standard level. The purpose of this study was to assess the compliance level with the principles of safe surgery, as outlined in the WHO checklist, in the operating rooms of Ahvaz teaching hospitals.

Methods & Materials :

This cross-sectional descriptive study was conducted on 118 nurses anesthetists and surgical technologists of teaching hospitals at Ahvaz Jundishapur University of Medical Sciences who were included in the study via stratified random sampling. Data were collected using "demographic information" and "Surgical Safety Checklist" of the WHO in 2009. Data were analyzed using descriptive statistics, independent t-test, and one-way ANOVA, in SPSS-22.

The mean score of compliance with safe principles by circulars, scrubs and anesthesia experts was 10.65±3.36, 9.31±1.70, and 14.45±3.03, respectively. No significant difference was found in terms of gender, work experience, and type of employment. A significant difference was observed in terms of age in scrub nurses upon entering the operating room (P<0.0001) and in terms of marital status in anesthesia nurses when the patient left the operating room (P=0.04). In terms of the type of hospital, there was a significant difference between the performance scores of scrub nurses at patient entry (p=0.005), anesthesia at patient entry (p=0.03), and the total performance score of anesthesia nurses (p=0.04).

Checklist of principles of safe surgery is vital to maintain a patient's health. Most of its items are being implemented, but several items are ignored, which requires the review and implementation of corrective plans to increase adherence to these principles by personnel.

Controlling postoperative pain by interfering with the pathophysiological changes that occur during surgery reduces the complications and shortens the recovery period after surgery and after discharge from the hospital. The present study was conducted with the aim of determining the effect of low dose intravenous ketamine on pain intensity after appendectomy in Bandar Abbas Shahid Mohammadi Hospital in 2016.

Methods & Materials: 

This study was conducted using a double-blind clinical trial method on 90 patients between 18-50 years of age with anesthesia class (ASA l, ll), candidates for appendectomy surgery, who visited Shahid Mohammadi Bandar Abbas Hospital in 2016. Patients were randomly assigned to two equal groups of ketamine (A) and placebo (B). At the end of the operation and after removing the endotracheal tube, one group received ketamine and one placebo group. The level of pain was evaluated based on the visual pain measurement tool (VAS) at the beginning of recovery, 10 minutes later, 30 minutes later, 2 hours later, 4 hours later and 6 hours later. Data analysis was done using SPSS version 21 software and using descriptive statistics (mean, standard deviation, percentage) and inferential statistical tests (independent t, Mann-Whitney and chi-square).

The results of the present study showed that only in the 60th minute, there was a significant difference in the amount of pain between the two groups, and in the ketamine group, the patients experienced less pain (P=.027). The pain intensity of the two groups was also significant at 10 and 30 minutes (P=.001 and P=.049). The results also showed; There was no statistically significant difference in the duration of anesthesia and recovery time in the two groups.

The results of this study showed that the use of ketamine in appendectomy surgery significantly reduces the incidence of pain in the first 60 minutes after the operation. Also, this study showed that low-dose ketamine had a statistically significant decrease in pain intensity in the first 30 minutes after surgery. It is suggested to conduct more studies in this field with a larger sample size.

Currently, sleeve gastrectomy (SG) is a surgical procedure performed for the treatment of obesity. Post-operative leakage is considered a rare but devastating complication of this surgery, with an incidence of gastric leakage and fistula after sleeve gastrectomy ranging from 1 to 2.4%. Most cases respond well to supportive treatment and rarely require surgery. This research presents a rare case of gastrocutaneous fistula caused by sleeve surgery, which did not respond to supportive treatment and ultimately required fistulogenostomy.
The research was approved by the Research Ethics Board of the University, with the ethics code IR.AJUMS.HGOLESTAN.REC.1402.466. A 30-year-old female patient who underwent sleeve gastrectomy surgery experienced severe epigastric pain two days post-operation and was admitted to the hospital five days later. Endoscopic findings revealed a large defect filled with pus at the site of the previous sleeve. Initially, collection drainage was performed under CT scan guidance, followed by the placement of a Double Pigtail Stent in the leakage area. As the patient did not respond to supportive and endoscopic treatments, laparotomy fistulojejunostomy and jejunostomy tube insertion were performed with a diagnosis of gastroesophageal junction (GEJ) leakage. Following the operation, the patient was transferred to the special care department of the hospital. The day after the procedure, the patient was conscious with stable vital signs and showed no signs of bleeding, hemoglobin drop, or sepsis. One week later, the patient was discharged in good general condition with the necessary recommendations. This study highlights the importance of considering surgical treatments for gastrocutaneous fistulas caused by sleeve surgery if they do not respond well to supportive and endoscopic interventions

Breast cancer is one of the most common types of cancer in women. Locoregional treatment of this disease includes surgery and radiotherapy. Placement of surgical clips to determine the tumor bed is very helpful in radiotherapy planning. It seems that in southwest of Iran, surgeons are less familiar with this issue or have not realized its importance, leading to their insufficient use of this technique. Therefore, our study was conducted to determine the frequency of clips placement in breast cancer patients in this region.

This retrospective study was performed on all women with breast cancer referring to the department of clinical oncology at Golestan Hospital from April 2016 to March 2017. The frequency of clips placement was determined among patients who had undergone breast conserving surgery in this 2-year period. The demographic and clinicopathological data of these patients were reviewed and analyzed.

Out of a total of 1059 patients with breast cancer, 944 (89.14%) underwent breast-conserving surgery, of whom 89 (8.40%) had undergone surgical clips placement. The mean number of clips was 3, and in 58 patients (65.17%) more than 3 clips were placed.

Considering the small number of clipped cases in this region (and probably throughout Iran), it is recommended that training workshops be held for surgeons so that they become more familiar with the importance and necessity of surgical clips placement and its technique.

Cauterization is a surgical technique that has been used for various treatments throughout Islamic period. Many Muslim physicians, like Rhazes, Avicenna, Abū al-Qāsim al-Zahrāwī, and Şerefeddin Sabuncuoğlu, mentioned the use of cauterization for various medical treatments and described its procedure. For example, low back pain is one of the most common types of pain that cauterization has been used to treat, and it has been described in the works of various scholars in the Islamic period. One of the most complete explanations of the process of cauterization has been described by Al-Zahrāwī in the 30th chapter of the book Al-Tasrif Liman 'Ajaz 'Aan al-Taleef”. In the first part of the 30th chapter of Al-Tasrif, which contains information related to surgery, he describes the procedure of cauterization in 56 sub-chapters. Şerefeddin Sabuncuoğlu is a Turkish physician of the 9th century AH in the Ottoman Empire, who is generally known for his surgical book Cerrâhiyyetü’l-Hâniyye. This work is considered to be one of the first illustrated and colored books of surgery in the Turkish language, although some researchers believe that Cerrâhiyyetü’l-Hâniyye is only a translation of Al-Tasrif. Al-Zahrāwī and Sabuncuoğlu used the same segmentation in describing the operation of cauterization for the lower back and described a similar method for this procedure, which, considering the time precedence of writing the book of Al-Tasrif, can be a valid reason for Sabuncuoğlu's benefit from the book of Al-Tasrif and translating it. This research has investigated the method of cauterization recommended by Abū al-Qāsim al-Zahrāwī and compared it with the method of cauterization suggested by Şerefeddin Sabuncuoğlu for the treatment of back pain.

Abdominoplasty due to the two maneuvers of fascia plication and flap resection is associated with the possibility of increased intra-abdominal pressure and its related complications. This study was conducted to evaluate the changes in intra-abdominal pressure during abdominoplasty, as well as its variables and possible complications.

This research was conducted as a cohort study on 20 female patients who underwent lipoabdominoplasty in 2022-2023 at Taleghani and Ghaem hospitals, Mashhad City, Iran. Patient information was collected in both demographic and clinical sections. Intra-abdominal pressure was recorded after anesthesia, plication, at the end of the operation, and the day after the operation, along with monitoring complications for one month.

There was a statistically significant difference in the mean changes in intra-abdominal pressure after anesthesia, plication, at the end of the operation, and the day after the operation. The increase in intra-abdominal pressure after anesthesia and after plication was only significantly related to the increase in the weight of the surgical specimen, but it wasn’t related to plication width.

Plication width was not related to increased intra-abdominal pressure in our study. Despite the significant increase in intra-abdominal pressure, no significant systemic complications were observed. In addition to monitoring the patient, the correct technique will ensure the safety and satisfaction of the patient.