Showing 4 results for Anastomosis
Naraghy Ma, Ragerdy Kashani I, Barbarestani M, Abdolvahhabi A, Pasbakhsh P,
Volume 59, Issue 1 (4-2001)
Abstract
This study was conducted on 48 specimens of Rectus abdominis muscles for recognition and definition of passage and ramification of lower intercostal nerves. The main results of this study are as follows: 1- The seventh and eight intercostal nerves penetrated to posterior layer of the Rectus sheath while other intercostal nerves perforated to dorsal layer of internal oblique abdominis aponeurosis. 2- Distance between lateral border of the Rectus abdominis muscle till penetrate point for all nerves were 18±1 mm, but the subcostal nerve was 16±1 mm. 3- Each intercostal nerve was ramified in thickness of muscle and formed many branches that maximum of this was middle longitudinal region and minimum of that was lateral longitudinal region. In addition we did not observe the nerve anastomosis between intercostal nerves. 4- The lower primary branch of the intercostal nerve after piercing of anterior layer of the Rectus sheath was named anterior cutaneous branch and terminated to abdominal skin. 5- All of intercostal nerves at first was placed right angle to muscle fibers but immediately decrease its and was placed parallel to muscle fibers. 6- The entrance, passage and ramification of intercostal nerves in both male and female cadavers were similar.
Karimian F, Moghadamyeghaneh Zh, Aminian A, Pasha Meysami A, Fazely Ms, Kazemeini A,
Volume 67, Issue 4 (7-2009)
Abstract
Normal
0
false
false
false
EN-US
X-NONE
AR-SA
MicrosoftInternetExplorer4 !mso]>
ject classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui>
Background: Polyethylene glycol (PEG) solution can induce
complications when used as preoperative bowel preparation. The aim of this study
was to compare two methods for mechanical bowel preparation in elective
operations of colon.
Methods: In a randomized clinical trial, 129 patients elected for
anastomosis of colon and referred to the surgical clinic of Imam Khomeini
Hospital of Tehran between March 2008
and March 2009 were included. They
were randomly allocated into two groups of PEG1
(1liter of PEG or 70gr
plus 15 mg bizacodil, n=63)
and PEG4 (4 liter
of PEG), according to the way of bowel preparation
and on the day before surgery, they received oral and IV
prophylactic antibiotics and cleared solutions. In the morning of the surgery,
they received their medication during 240
minutes. Then, they underwent anastomosic surgery of colon. The principle variables
recorded were nausea, vomiting, flatulence, Na and K
in the night before surgery, patients' and surgeons' satisfaction from bowel
preparation and postoperative infection and leakage.
Results: The majority of the patients were male (62%).
Nausea (28.57% vs. 98.48%,
p=0.001), flatulence (36.51%
vs. 95.45%, p=0.001),
and vomiting (4.76% vs. 75.76%,
p=0.001) were significantly lower in PEG1
and the patients' satisfaction were significantly higher (59.02%
vs. 1.52%, p=0.001)
Peroperative Na was significantly higher in PEG4
group (141.21±3.63 vs. 139.94±2.97mg/l,
p=0.001) and serum K
was significantly lower (3.55±0.25 vs. 3.76±0.21,
p=0.001). Surgeons' satisfaction were significantly
higher in PEG4 group (good to very
good 72.73% vs. 43.54%,
p=0.001). Postoperative infection of surgical site,
anastomosis leakage and ICU admission were
comparable between study groups.
Conclusions: Bowel
preparation with 1
liter of PEG plus
3
bizacodile pills instead of 1 liter of
PEG in
patients undergoing elective anastomosis of colon is not only associated with
lesser nausea, vomiting, flatulence, but also increases the patients'
satisfaction and tolerance, lessens electrolyte disturbances and do not
influence postoperative infection of surgical site and anastomosis leakage.
Ghodratolah Maddah , Hossein Shabahang , Mohammad Reza Barband , Abbas Abdollahi , Alireza Tavassoli ,
Volume 72, Issue 9 (12-2014)
Abstract
Background: This study aims to evaluate the outcomes and late complications of open Roux-en-Y gastric bypass surgery in the treatment of morbid obesity.
Methods: Over a 15 year-period between May 1997 and May 2012, we reviewed our experiments with 39 patients who underwent open gastric bypass for morbid obesity. The weight of the patient and surgical complications were recorded. Ideal weight, body mass index, weight loss and excess weight loss were calculated.
Results: The follow up period ranged from 6 to 180 months with a mean of 100 months after operation. Average weight loss was 3.9 and 0.28 kg per month during the first and second years after operation weight loss was slower from the third year on-wards. Weight loss generally was stabilized between 12 and 18 months after operation. Only one patient (2.6%) had a weight loss failure criterion. Concomitant condition ex-isted in 14 patients (48.2%) of our series. These included hypertension in 3 cases (10.3%) that was resolved in 100%, diabetes mellitus in 4 (13.7%) that was resolved in 75%, cholelithiasis in 7 cases (24.1%) that was resolved by cholecystectomy during the operation. There was no early postoperative death. Early complications occurred in 2 patients (5.1%), including pulmonary embolism (2.6%) and gastrointestinal bleeding (2.6%). The late complications occurred in 7 patients (17.9%) involved 2 patients with anastomotic stricture at the gastrojejunostomy (5.1%), One patient with symptomatic cholelithiasis (2.6%), three patient with anemia (7.7%), and one patient had Wernicke ’s disease who died of this complication (2.6%).
Conclusion: The results of the study showed that the open Roux-en-Y gastric bypass surgery is an effective procedure in the treatment of morbid obesity with minimal late complications.
Yousef Shafaee , Vahid Sadeghifard , Bita Shahbazzadegan ,
Volume 74, Issue 12 (3-2017)
Abstract
Background: Even though replantation surgery has now become a routine procedure, it remains delicate and demanding surgery, requiring adequate training and expertise in microsurgical techniques. Functional outcomes following replantation vary with the level of injury. Replants of the fingers distal to the flexor superficial are insertion, the hand at the wrist, and the upper extremity at the distal forearm can achieve good function. With the advent of refined microscopes, sutures, and needles, along with specialized surgical training, replantation has become a routine part of hand-surgery practice in centers all over the world. Clearly, survival does not equate with function. Amputations constitute multisystem injury, with disruption of skeletal support (bone), motor function (muscle), sensibility (nerve), circulation (blood vessel), and soft-tissue coverage (skin). A lot of News work-related accidents published daily. Complete amputation of the palm with sharp objects electric disrupts quality of life and irreversible effects on their life. Replantation or repair the damaged organ can improve their quality of life, functional body.
Case presentation: The case is a man with complete amputation of the palm while working with an electrical machine, at the same time as damage and severe crush was also the distal phalanx of the first finger of the right hand. Patient was admitted to the emergency unit at Fatemi Hospital of Ardabil city in January 2014, Iran, and underwent to surgery for replantation.
|
Conclusion: Complete amputation of palm and its successful replantation are among rarely occurred and reportable cases. Complete amputation of palm and successful replantation and the 10-month follow-up indicated that the patient had a successful operation. No abnormalities were found in the blood circulation, and finger grasping was acceptable. Nerve development was acceptable.
|
