فهرست مطالب

نشریه جراحی ایران
سال بیست و نهم شماره 3 (پاییز 1400)

تاریخ انتشار: 1400/10/04
تعداد عناوین: 10

فارسی
English

انتخاب همه

Evolution and Future of Bioabsorbable Coronary Stents

Sadeghabadi A*, Sadrnezhaad S. K, Hassanzadeh Nemati N, Asefnejhad A, Ghasemi M Pages 1-16

Bioabsorbable stent is new technology that has been developed to solve problems and reduce the limitations of existing stents. The scaffold made of Bioabsorbable biomaterial after releasing the drug and coronary artery scaffolding, is degradation and disappear in the body at a certain time. These stents have opened a new horizon in interventional cardiology and have long term benefits such as positive remodeling, reducing the incidence of late and very late scaffold thrombosis, no need long term anti-platelet therapy, reducing restenosis and do not create obstacles for future treatment. The development of this technology is progressing rapidly due to its importance, so that many research centers and medical engineering companies in the world are currently researching on these stents. The purpose of this paper is to review the development process and introduce approved or developing biodegradable coronary scaffolds.

Keywords: Bioabsorbable Coronary Scaffold, Coronary Artery Disease (CAD), Stent, Restenosis

Abstract View Paper Research/Original Article Original: Persian
Investigation of Thoracic Skeleton Asymmetry and its Effects on Breast Asymmetry

Hafezi F*, Jafari A, Kazemi Ashtiani A Pages 16-26

Introduction & Objective

Breast asymmetry and chest wall asymmetry are common but there is no comprehensive classification and relative distribution in the research literature. This asymmetry can be caused by various issues such as diseases, abnormalities and complications of surgery. The aim of this study was to investigate the chest wall asymmetry and its effects on breast asymmetry.

Materials & Methods

In this cross-sectional study, which was performed retrospectively, the records of patients applying for mammoplasty from 2013 to 2020 were reviewed. Preoperative frontal imaging is performed on these patients. The frontal photograph of the breast and chest was examined before the operation. Distance between right nipple to midline of chest, distance between left nipple to midline of chest, length of right midclavicular distance to right nipple and length of left midclavicular distance to left nipple, right chest width, chest width Left breast, sternal notch distance to right nipple and sternal notch to left nipple distance were calculated by software and analyzed using chi-square test.

Results

Based on the results obtained in measuring chest wall width and nipple to midline distance, 256 cases (56.4%) and 283 cases (62.3%) of the left breasts were larger, respectively. In nipple to ant axillary line measurements, the frequency of people with a larger right was higher. In the chest wall width variable, only in the prosthesis group, there was a statistically significant difference between left and right size (P-value <0.05). There was a statistically significant difference between left and right size in nipple to midline distance and nipple to ant axillary line variables (P -value <0.05); But in SNN variable, there was no statistically significant difference between left and right size in any of the groups (P -value >0.05).

Conclusions

Based on the results, the breast and chest wall asymmetry is common . Therefore, patients should be reminded that due to the difference in the width of the chest and breast on both sides and their asymmetry, this asymmetry will also exist after breast cosmetic surgery. This influences decisionmaking and planning to reduce this asymmetry using surgical and non-surgical methods.

Keywords: Breast Asymmetry, Chest Wall Asymmetry, Mammoplasty

Abstract View Paper Research/Original Article Original: Persian
Evaluation of Patients with Esophageal Perforation in Babol Hospitals Concerning Clinical Factors, Treatment and Complications during Years 2002-2015

Nikbakhsh N*, Noorbaran A, Kamali Ahangar S, Asghari Y, Yalme H Pages 27-35

Introduction & Objective

Esophageal perforation is a life threatening condition, which is considered as a surgical emergency. Delayed diagnosis can cause a significant increase in mortality. Therefore, it requires early diagnosis and appropriate treatment but due to the similarity to other diseases, diagnosis remains difficult and despite the many studies, treatment is still controversial. The Purpose of this study is Evaluation of patients with esophageal perforation concerning clinical factors, treatment and complications in Babol hospitals during years 2002-2015.

Materials & Methods

In this descriptive cross-sectional study, all patients with esophageal rupture who have been hospitalized in the affiliated hospitals of Babol city from 2002-2015 were studied. Inclusion criteria in this study are all patients with esophageal rupture for various reasons. Exclusion criteria are lack of access to patients' files. Diagnosis is based on medical history, clinical studies, and paraclinical information, including radiology. Patients' files were extracted from the hospital archives and patient information was entered in the form of a checklist. Data were analyzed by SPSS software version 16 by T-Test and chi-square tests.

Results

From 2002 to 2015, 63% of 27 patients with esophageal perforation has been treated late (>24 hours). The predominant etiology was foreign body 18cases 66.7% followed by iatrogenic 4 cases 14.8%, and in 74% the localization was thoracic, in 14 cases 51.9% and 13 cases 48.1% clinical symptoms were chest pain and disphagia at the time of admittion. In 11cases 40.7% and 10cases 37% primary repair and conservative therapy, respectively, was considered the first choice. There was only one death 3.7% in a Patient who had referred 10 days after the onset of symptoms with aortoesophageal fistula.

Conclusions

In this study, the main cause of mortality was esophageal rupture due to delayed treatment of patients and the choice of appropriate treatment according to the patient's condition (interval between onset of symptoms and time of referral, location of rupture, cause of rupture of clinical symptoms and underlying pathology Mary) has been.

Keywords: Esophageal Perforation, Early Diagnosis, Conservative Therapy, Primary Repair

Abstract View Paper Research/Original Article Original: Persian
Evaluating the Frequency of Selection of Anesthesia Methods for Cesarean Section and Influencing Factors among Patients Referring to Al-Zahra Hospital during 2020

Biazar G, Naghdipour Mirsadeghi M*, Mirmoazen Z, Habibi M.R, Tayefeh Ashrafiyeh M Pages 36-42

Introduction & Objective

Cesarean section (CS) is performed under two methods local anesthesia and general anesthesia. Each of these methods has advantages and disadvantages. Considering the role of mothers in choosing the type of anesthesia, the present study was conducted to determine the pattern of choosing the type of anesthesia for cesarean section based on the desire of mothers and related factors.

Materials & Methods

This cross sectional study was conducted at AL Zahra hospital during 2020. Pregnant women who were admitted to this hospital enrolled the survey and underwent a face-to-face interview. The questionnaire included questions about the patient's demographic data, her choice of method for anesthesia in cesarean section and some related factors. Data were collected, coded and entered into SPSS 22 software. Mean and standard deviation (95% confidence interval) were used to describe quantitative variables with normal distribution and for quantitative variables with abnormal distribution; the median and amplitude (interquartile range) were used. Qualitative variables were also described based on number and percentage. The normal distribution of the quantitative variables was measured using Kurtosis and Skewness, Q-Q Plot, Box plot and Shapiro-Wilk test. Chi Square test was used to analyze the data and Fisher's Exact Test was used if it was not valid. The significance level was
considered (P < 0.05).

Results

A total of 133 pregnant women participated the study with the mean age of 31.45 ± 6.91 years. Among them 57.9% preferred general anesthesia (GA). The main reason of avoiding GA was fear of not awaking from anesthesia (98.2%), while the main one for spinal anesthesia was concern of low back pain (92.2%). Fear of awaking while performing the procedure (61%) and hearing the surrounding voices (42.9%) were other reasons. A significant relationship was observed between the source of information and the choice of anesthesia procedure. The choice of general anesthesia in pregnant women whose source of information were those around them (P = 0.024) and other patients (P < 0.001) was significantly higher. In women whose source of information was a gynecologist (P < 0.001) and the Internet (P = 0.004), the choice of spinal anesthesia was significantly higher. But there was no statistically significant relationship between education level, previous anesthesia history and knowledge of anesthesia technique with the choice of anesthesia method.

Conclusions

Based on the effect of the type of information source on the choice of anesthesia by pregnant women, it is concluded that during pregnancy visits and anesthesia visits, doctors should give more explanations about the advantages and disadvantages of anesthesia methods.

Keywords: Anesthesia Methods, Cesarean Section, Influencing Factors

Abstract View Paper Research/Original Article Original: Persian
The Effect of a Six-Month Combined Care Program with Garlic Supplementation on Coagulation Factors (Fibrinogen and Platelets) in Middle-Aged Men with Deep Vein Thrombosis

Pages 45-59

Introduction & Objective

Lack of evidence is very important in preventing exacerbation in patients with deep vein thrombosis. Contradictory information about the effect of various sports activities on physiological factors affecting the body. Therefore, the aim of the present study was to compare the effect of a six-month combined care program with garlic supplementation on coagulation factors (fibrinogen and platelets) in middle-aged men with DVT.

Materials & Methods

The present study was an experimental study with a clinical trial design (with clinical trial code: IRCT20210718051924N1 from Iran Clinical Trial Registration Center). The statistical population included middle-aged men with deep vein thrombosis. Samples: 40 middle-aged men with deep vein thrombosis in Kermanshah who participated in this study as a sample available and voluntarily. The method of assigning the subjects to the groups was an alternative randomization that was divided into four groups: 1. Combined exercise, 2. Combined exercise +garlic supplement, 3. Garlic supplement 4. Controls were divided. The time of conducting the research was winter of 2021. Combined exercise was performed for 24 weeks with 3 sessions per week. 1200 mg daily garlic supplement was used. Fibrinogen and platelets factors were measured before and after 24 weeks. Covariance, paired t-test and Tukey post hoc test were used at a significant level (α = 0.05).

Results

The results showed that both combined exercise and garlic consumption had a significant effect on reducing fibrinogen levels and platelet count (α < 0.001), but these changes were not significant in the control group (α = 0.863, α = 0.434 respectively). Also, 24 weeks of combined training with garlic consumption had the highest reduction in fibrinogen content and platelet count compared to other groups in people with deep vein thrombosis (α < 0.001).

Conclusions

Garlic combined with combined exercises (resistance-aerobic) intensified the fibrinogen levels and platelet count in DVT Iran who were undergoing drug treatment. Therefore, these individuals should be used in combination exercises with garlic due to the effect on fibrinogen levels and platelet count and the useful and important role of these factors in rebalancing homeostasis.

Keywords: Combined Exercise, Deep Vein Thrombosis (DVT), Coagulation Factors, Garlic Supplement

Abstract View Paper Research/Original Article Original: Persian
Survey of Life Satisfaction and Mental Health of Operating Room Staff of Shahid Faghihi Hospital in Shiraz during the Pandemic of Covid 19

Hosseini S. M. V, Koohi Saadi F* Pages 60-67

Introduction & Objective

The aim of this study was to evaluate the life satisfaction and mental health of the operating room staff of Shahid Faghihi Hospital in Shiraz since the beginning of Covid 19 pandemic.

Materials & Methods

The study was descriptive-analytical and the research method was survey using a questionnaire. The statistical population consisted of all operating room staff of Shaheed Faghihi Hospital in Shiraz, which has 120 people. Using Morgan table, a statistical sample of 92 people were selected. For data analysis, SPSS software version 22 was used.

Results

Hypothesis testing there was a significant positive relationship between life satisfaction and dimensions of mental health such as "self-acceptance", "positive relationship with others", "self-control and control environment" and "purpose in life". With increasing life satisfaction score among the personnel of the study population, four dimensions of mental health also increase and vice versa.

Conclusions

In explaining the research hypotheses, it can be said that life satisfaction has a significant and close relationship with the dimensions of mental health, so it seems that these factors are decisive in mental health and life satisfaction among the study population. Also, considering that the present study was conducted on the operating room staff of Shahid Faghihi Hospital, it is suggested that this study be conducted in a larger volume and with other sampling methods so that it can be generalized to a wider community.

Keywords: Mental Health, Life Satisfaction, Dimensions of Mental Health

Abstract View Paper Research/Original Article Original: Persian
Case Report of Patient Disposition over Surgical Bolsters

Mottaghi K, Safari F, Nashibi M, Ahmadi H, Sezari P* Pages 68-72

Patient positioning is always a challenge for anesthesiologists. Hemodynamic changes during surgery could be indirectly related to patient positioning. Here we report hypotension and tachycardia in a prone position spinal surgery which improved immediately after returning to supine position.

Keywords: Prone Position, Surgical Bolster, Hypotension, Tachycardia

Abstract View Paper Case Report Original: Persian

علمی مصوب

نشریه جراحی ایران

Iranian Journal of Surgery

فصلنامه پزشکی

آخرین شماره | آرشیو

ISSN: 1735-4099

صاحب امتیاز:

جامعه جراحان ایران

مدیر مسئول:

دکتر ایرج فاضل

سردبیر:

دکتر مصطفی جابرانصاری

تلفن نشریه: ۰۲۱-۲۶۷۵۵۴۱۱

اطلاعات بیشتر نشریه

درباره نشریه پیام به نشریه سایت اختصاصی نشریه پذیرش الکترونیکی مقاله راهنمای نویسندگان

به جمع مشترکان مگیران بپیوندید!

فهرست مطالب

نشریه جراحی ایران سال بیست و نهم شماره 3 (پاییز 1400)

نشریه جراحی ایران

Iranian Journal of Surgery

نشریه جراحی ایران
سال بیست و نهم شماره 3 (پاییز 1400)