فهرست مطالب

نشریه جراحی ایران
سال بیست و نهم شماره 4 (زمستان 1400)

تاریخ انتشار: 1401/01/30
تعداد عناوین: 10

فارسی
English

انتخاب همه

Qualitative Meta-Synthesis of Social-Psychological Studies of Women Cosmetic Surgeries in Iran

Hami Kargar F*, Niazi M, Farhadian A, Shirdel E, Saraee A Pages 1-15

Introduction & Objective

Cosmetic surgery has been on the rise, especially in recent decades, and the growing importance of beauty in women and their desire to manage the body, and especially cosmetic surgery beyond the medical dimension, has become a social issue that researchers in social and psychological sciences To conduct research on this issue, among which qualitative studies have each provided an in-depth explanation of part of this phenomenon. Given the importance of an in-depth and comprehensive look at the issue, this study aims to identify the main concepts and general categories of cosmetic surgery among women using the meta- synthesis method. For this purpose, qualitative studies in the field of cosmetic surgery were reviewed and analyzed, in which 14 main concepts and 4 general categories were extracted. It shows that cosmetic surgery in women is influenced by individual perceptions of beauty, family background and friends and socio-cultural and economic structures and leads to negative and positive consequences after surgery.

Keywords: Cosmetic Surgery, Women, Ugly Perception, Sociology of the Body, Meta-Synthesis

Abstract View Paper Research/Original Article Original: Persian
Evaluation the Prevalence and Risk Factors of Incisional Hernia following Laparotomy Surgery after one Year follow up in Esfahan Shariati Hospital in 2020

Yazdani Kh, Nasr Isfahani A. A*, Akhavan Taheri M, Abdollahi A. MD Pages 16-25

Introduction & Objective

Incisional hernia is one of the most common complications after abdominal surgery. This hernia occurs due to failure to repair the fascia of the abdominal wall muscles and the separation of the deep fascia from each other at the site of previous surgery. Therefore, the aim of this study was to investigate the prevalence and risk factors of incisional hernia following laparotomy after one year.

Materials & Methods

Inclusion criteria included all patients undergoing laparotomy, one year after their laparotomy, and willingness to participate in the study. Reluctance to participate in the study was considered as an exclusion criteria. Three hundred and sixty patients with inclusion criteria who undergoing laparotomy from April/16/2020, to September/20/2020, were included in the study by convenience sampling method. Data were collected using a demographic questionnaire and physical examination.

Results

The results of current study showed that the incidence of incisional hernia was 7.2%. The incidence of incisional hernia following laparotomy was not significantly different based on age, sex, hypertension, dyslipidemia, ischemic heart disease, type of surgery, suture type, incision type, smoking, addiction and length of hospital stay. However, it was found that the frequency of incisional hernia after laparotomy in overweight and obese patients was significantly higher than patients with normal BMI (12.2% vs. 2.2%), in patients with diabetes was significantly higher than patients without diabetes
(25% vs. 4.5%), and in patients with infection at the surgical site was significantly higher than patients without infection site of surgery (37.5% vs. 4.3%) (P < 0.001).

Conclusions

Considering the positive relationship between obesity and postoperative complications in incidence of Incisional hernia, it is recommended to reduce their BMI before surgery for all patients with risk factors and in need of elective surgery, and for all patients in need of surgery (emergency and Elective) prevents infection at the surgical site to reduce the incidence of Incisional hernia.

Keywords: Incisional Hernia, Predisposing Factors, Abdominal Surgery, Laparotomy

Abstract View Paper Research/Original Article Original: Persian
Evaluation of Urodynamic test Findings in Patients with Intervertebral Disc Herniation and Patients with Spinal Canal Stenosis in Shohada Tajrish Hospital

Allameh F, Shahmohammadi M. R, Oraee Yazdani S, Tadayon N* Pages 26-34

Introduction & Objective

In this study, we decided to investigate the urodynamic test abnormalities in patients with spinal canal stenosis and disc herniation who referred to the urology Clinic of Shohada-e-Tajrish Hospital in year 2017.

Materials & Methods

In this cross-sectional study, all patients with spinal canal stenosis and discs herniation referred to the Urology Clinic of Shohada-e-Tajrish Hospital in year 2017 were evaluated for demographic, clinical and Urodynamic findings.

Results

In this study, 220 patients (146 males) with mean age of 56.3 ± 8.06 were studied. Of these 220 (146 men) patients, 136 patients (89 men) had disc herniation with a mean BMI of 25.07 ± 2.1 and 84 patients (57 men) had spinal canal stenosis with a mean BMI of 24.7 ± 4.07. Among 136 patients with disc herniation, 81 had L4-L5 level herniation, 43 had L5-S1 level herniation and 12 had both L4-L5 and L5-S1 levels, and also, of 84 patients with spinal canal stenosis (57 men), the stenosis in 78 was at the lumbar spine level and in 6 in the thoracic spine level. The most common findings of urodynamic test in patients with spinal canal stenosis were detrusor underactivity and detrusor sphincter dyssynergia and in patients with disc herniation were detrusor underactivity, detrusor sphincter dyssynergia, and detrusor overactivity

Conclusions

It was found that patients with discs herniation especially in the lumbar and sacral levels, can develop urinary symptoms especially bladder underactivity and spastic neurogenic bladder with low back pain, especially in the lumbar and sacral levels, it is very important to pay attention to this cases. As a result, the necessary diagnostic tests should be performed and in order to treat urinary symptoms, the underlying cause should be eliminated so that the quality of life of these patients does not decrease.

Keywords: Urodynamic Test, Spinal Canal Stenosis, Disc Herniation, Overactive Bladder, Underactive Bladder

Abstract View Paper Research/Original Article Original: Persian
Efficacy of Drain after Laparoscopic Cholecystectomy Surgery in Affiliated Hospitals of Babol University of Medical Sciences during the Years 2014-2017

Nikbakhsh N, Zahedian A*, Darzi A. A, Kamali Ahangar S, Ahmadi Hajikolaei F Pages 35-44

Introduction & Objective

Although laparoscopic cholecystectomy gains wide acceptance as a treatment of choice, but it is a controversial case of routine drain insertion after laparoscopic surgery. Therefore, the aim of this study was to evaluate the efficacy and outcome of drainage after laparoscopic cholecystectomy surgery in Babol University of Medical Sciences hospitals during 2014-2017.

Materials & Methods

A total of 219 patients candidate for cholecystectomy surgery were evaluated after meeting the inclusion criteria in hospitals affiliated to Babol University of Medical Sciences during 2014-2017. In this case-control study, patients undergoing laparoscopic cholecystectomy were enrolled with informed and available. The surgeon accidentally inserted a drain during surgery. The case and control groups were reviewed to gather the following different parameters: age, sex, BMI, length of stay, pain level, bile leak, abscess, bleeding, infection, and Hematoma.

Results

In this study, 109 patients (49.8%) were received a drain and 110 patients (50.2%) were without drain. Of the 109 patients who were received drain, only 6 patients (5.5%) had suffered from drain site infection and 103 patients (94.5%) had no infection. Comparison of pain and complications of surgery revealed that there was no significant difference between cases of pain, bleeding and bile leakage in patients with and without drain. There was no statistically significant difference between the time of operation between patients with drain and without drain (P=0.35). However, the duration of hospitalization of patients with drain was significantly longer than patients without drain (P= 0.009).

Conclusions

The present study showed that the use of drain in patients undergoing laparoscopic cholecystectomy had no significant effect on prevention of bile leaks, bleeding and pain reduction.

Keywords: Cholecystectomy, Drain, Laparoscopy, Complications, Efficacy, Pain

Abstract View Paper Research/Original Article Original: Persian
Effect of Magnesium Corrosion on Everolimus Release Kinetics for Bioabsorbable Nano Hybrid Coronary Stent

Sadeghabadi A, Sadrnezhaad S. K*, Asefnejhad A, Hassanzadeh Nemati N Pages 45-62

Introduction & Objective

Magnesium alloy-based bioabsorbable cardiac stents have shown broad prospectives for the replacement of current scaffolds, but for complete use and replacement, it is necessary to determine the interaction between the magnesium alloy substrate and the drug loading system. The purpose of this study was to understand the effect of stents made of magnesium alloy on the speed and amount of drug release from it.

Materials & Methods

In this study, Everolimus was loaded on poly-L-lactic acid and coated as a nano-hybrid coating on a sample of magnesium alloy and cobalt-chromium alloy to investigate release in the simulated body fluid system. Also, the effect of pH and released hydrogen on drug release, corrosion and mass reduction of the sample with magnesium alloy base was measured and the efficiency of the drug-carrying polymer coating in reducing the corrosion rate of magnesium alloy sample was evaluated. For this purpose, UV / VIS spectrophotometer, hydrogen measurement system and scanning electron microscope were used.

Results

The drug diffusion coefficient for magnesium base sample was calculated 6.06×10-10 and for sample with cobalt-chromium base was calculated 3.64×10-11 during the period of 50-100 days from the beginning of release, which was due to the production of hydrogen and corrosion products in magnesium stents. It was also found that the polylactic acid coating, is a good drug carrier and also it reduces the corrosion rate of magnesium stents. In addition, pH changes do not have much effect on drug release.

Conclusions

Magnesium stents have more drug release than conventional stents and are more capable to preventing re-stenosis.

Keywords: Magnesium, Stent, Bioabsorbable, Diffusion, Kinetics, Everolimus

Abstract View Paper Research/Original Article Original: Persian
Investigation of electrical properties of graphene nanosheets used in biodegradable composite nanostructures based on polylactic acid-polycaprolactone reinforced with Hydroxyapatite nanoparticles for use in bone tissue surgery

Dehghani Firoozabadi F, Ramazani Saadat Abadi A*, Asefnejad A Pages 63-78

Introduction & Objective

Metal implants are used when bone tissue is damaged. Implants available for use in bone tissue that are implanted in the body due to trauma injuries and bone injuries require a second surgery to remove the implant from the body after repairing the damaged tissue. Therefore, the purpose of this study is to design a biodegradable implant suitable for bone tissue that, in addition to having biodegradability, has sufficient mechanical strength to be used in hard tissue. In this study, mechanical properties, surface morphology, electrical properties, surface wettability and bioactivity were investigated. Finally, a scaffold was found that was suitable for use in bone tissue surgery.

Materials & Methods

In this study, nano composites were fabricated by solution casting. Tensile test was taken from the samples to evaluate the mechanical properties. Field emission scanning electron microscopy was used to examine the surface morphology of the nanocomposites and to evaluate the bioactivity before and after immersion in SBF solution. The electrical conductivity test was performed by four probes to check the electrical conductivity of the samples and the surface wettability was measured by measuring the contact angle of water. Data were obtained as mean standard deviation (MEAN ± SD) and for statistical analysis SPSS software (version 16) was used and one-way analysis of variance (ANOVA) was used, the level of significant differences with (P < 0.005) was calculated.

Results

It was found that the nanocomposite contained 1% graphene with a Young's modulus of 1540.5 ± 169.426MPa and the pure sample had a Young's modulus of 1194.81±215.342MPa. The rate of elongation at break of the nanostructure contained 1% graphene was 5.1±0.816%. This value was 3.8±0.944% for the pure sample. The improvement in elongation at break is due to the presence of polycaprolactone in the polymer matrix. Also, the electrical conductivity increased from 0.00158±0.0008 S / M for the graphene-free sample to 0.0092±0.0021 S / M for the sample containing 1% Graphene, which indicates that the graphene plates have opened well in the polymer field and have created electrical conduction channels. Also, the wettability of the nanostructured surface containing 1% graphene was higher than that of the polymer matrix and increased from 88° to 84°. The growth of apatite crystals on the surface of nanocomposites indicates the bioactivity of nanocomposites.

Conclusions

Findings of this study showed that the presence of graphene nanoparticles in addition to improving the mechanical properties of the matrix has improved the electrical conductivity and also improved the hy<font>drop</font>hilicity of the surface. The findings of this study showed that the optimal nanocomposite is suitable for use in spongy bone tissue surgery. Due to the Young's modulus of optimal nanostructure, this nanocomposite is suitable for use in spongy bone tissue surgery and can be a suitable alternative as biodegradable screws and plates and scaffolds for bone tissue engineering.

Keywords: Biodegradable Nanocomposites, Graphene, Hydroxyapatite, Electrical Conductivity, Biodegradable Screw

Abstract View Paper Research/Original Article Original: Persian
Medical Ethics in Accidents, Surgical Emergencies and Disasters

Fazel I, Mirza Hesabi A, Bahadoori M, Sehhat S, Abbassioun K, Hafizi M, Shamimi K, Saeedi F, Mir A, Akashe Gh, Shiva H., Jaberansari M., Mohagheghi M. A* Pages 79-120

Introduction & Objective

Accidents, Natural and man-made disasters are rising around the world. The first and most significant concern in critical situations is managing the human damages and their health effects. Ethical considerations influence virtually all aspects of disaster response. The objective of response is achieving greatest results for the greatest number of casualties.

Materials & Methods

Focused group discussion, interviews, and literature review, were used in this study.

Results

In disasters and accidents, the most important ethical concerns are: Respect for human dignity in all circumstances, adherence to the scientific and professional principles, adherence to triage principles, immediate and timely decision making, preventing violation of ethical standards, respect to human rights and protecting dignity of vulnerable groups, timely consultation, team–working, Managing conflicts of interest in all situations, Confidentiality and protection of information and respecting to other ethical issues.

Conclusions

Based on Islamic values, adherence to principles and values of medical ethics is essential in all accidents, surgical emergencies and disasters.

Keywords: Medical Ethics, Professionalism, Surgical Ethics, Emergency, Disaster, Disaster Management, Disaster Ethics

Abstract View Paper Research/Original Article Original: Persian
Medical Law, from Conceptual Investigation and Fundamentals to Function in the Area of Health and Society

Abbasi M* Pages 128-149

Introduction & Objective

Today, Medical law is considered as an independent and important field, which needs to be clarified and recognized in terms of conceptual framework and enlightment of scientific and practical functions. Accordingly, the present article has been developed with the goal of conceptual investigation and study of the fundamentals of knowledge of medical law and its function in the area of health and society.

Materials & Methods

The present study was conducted by applying the descriptive-analytical method based on the logic of legal researches and the library method was used to collect data.

Results

Medical law has developed corresponding to development and muptiplicity of medical knowledge and its position in human society, according to innate roots of morality, custom and religion, reason and justice and social interests and based on the need to control and prevent medical crimes and offenses, to protect the rights of the patients, to distinguish the do’s and don’ts in the medical practices and secure the social and economic interests, as a distinguished and vast field with subdisciplines, and it has supported the development of mutual duties, responsibilities and support and protection of rights of patients and medical society and the public in confrontation with the health system in the area of health and society.

Ethical Considerations

In this study, the principles of ethics in research, especialy maintaing the originality of the work and fidelity in references have been considered.

Conclusions

Applying the knowledge of medical law, provides the basis for optimal management of dispute resolution and legal (as well as ethical and cultural) challenges in the process of medical practices and medical advances. The functions of medical law in scientific and executive phases can be realized in different forms of training the preliminaries of medical law to the health occupations, development of medical law researches and contribution in development of rules and regulations, establishment of legal advice units in universities and health and treatment centers, consulting in forensic medicine, advocacy and expertise in judicial affairs.

Keywords: Medical Law, Medical Responsibility, Patients Rights Bioethics, Health System

Abstract View Paper Research/Original Article 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

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فهرست مطالب

نشریه جراحی ایران سال بیست و نهم شماره 4 (زمستان 1400)

نشریه جراحی ایران

Iranian Journal of Surgery

نشریه جراحی ایران
سال بیست و نهم شماره 4 (زمستان 1400)