Showing 6 results for Results
Farzan M, Eslami M, Mortazavi,
Volume 62, Issue 4 (7-2004)
Abstract
Conclusion: Despite the long history of surgical treatment in syndactyly repair, this reconstructive operation has still special complexities.
Materials and Methods: In order to evaluation of results of our surgical reconstructions, we studied 77 patients (40 boys and 37 girls) with hand syndactyly (mean age at operation: 5.8±4.3 years) in Imam Khomeini Hospital from 1994 to 2003. All of these patients had been operated by standard surgical methods. Post-operative complications and functional, sensational, and cosmetic results have been assessed by patient records and physical examination after an average follow-up of 4.6±2.1 years.
Results: Syndactylies were simple in 71 patients (92.2%), complex in 2 (2.6%), and mixed in 4 (5.2%). In 45 patients (58.4%), surgical repair had been performed without graft. The overall results of operations were good in 81.8%, moderate in 13%, and poor in 5.2%. The most common complications were: web migration in 9.1%, scar contracture in 7.8%, infection in 5.2%, necrosis in 3.9%, and angular deformity in 2.6%.
Conclusion: In this study we shown that the standard methods in our center for correction of syndactyly, at least in recent 10 years, have been efficient and with good results.
Radmehr H, Shahzadi M, Bakhshandeh Ar, Torfi Y,
Volume 67, Issue 5 (8-2009)
Abstract
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Background: Surgical
methods for treatment of tricuspid valve (TV) endocarditis include repair, replacement and partial
or complete exicion. The aim of this study was to assess the results of these
different techniques.
Methods: Sixty seven patients were enrolled in this retrospective
study. This study was carried-out between April 1997 and July 2007 in Imam
Khomeini hospital. Decision of methods of choice for surgery was according to
intraoperative findings.
Results: The mean age was 25.52±7.35 years and 74.36% were male. The most common bacteria was
Staphylococcus areus (62.30%). Most of patients (74.60%) were IV drug abuser. The most common treatment modality was TV reconstruction
(56.72%) and after that was TV replacement (29.85%) and the last one was complete TV excision (13.43%). Eight
patients (11.94%) needed emergent TV replacement. The morbidity rate was 28.36% and the
mortality rate was 13.51%. Thirty seven patients were followed. In follow-up
period it was shown that postoperative Ejection Fraction (EF) and End-Diastolic Right Ventricle
Diameters (EDRVD) values did not differ from
preoperative values, but Pulmonary Artery (PA) pressure and
Tricuspid Regurgitation (TR) severity were significantly lower compared with
preoperative values. The postoperative function class did not show any changes
compared with peroperative values.
Conclusion: Considering the specific epidemiology of patients with
infective endocarditis, who are suffering from TV regurgitation, in some patients, it would be better
to consider replacement instead of repair. This could be due to sever
deformities and diffuse damage of TV leaflets from infection in our patients.
Haji Barati B, Ghafuri A,
Volume 68, Issue 9 (12-2010)
Abstract
Background: Gross difference in return to work exists in pilonidal
sinus patients operated by primary and secondary repair. This survey was to
evaluate the results of surgical management of pilonidal sinus with primary or
secondary closure.
Methods: In a randomized clinical
trial, patients with pilonidal sinus referring to the surgical clinic of Shariati
Hospital in Tehran, Iran between March 2007 and March 2009 were underwent either
excision with midline closure (primary, n=40), or excision without closure (secondary, n=40). The recorded outcomes were
hospital stay, healing time, time off work, postoperative pain, patient's
satisfaction and the recurrence rate.
Results: Majority of the patients were
male (87.50%). There was no significant
difference in the hospital stay. Time off work (8.65±1.73 Vs. 11.53±2.33 days, p=0.001) and healing time (3.43±0.92 Vs. 5.3±0.79 days, p=0.001) were shorter in primary
group but, there were no significant differences in hospital stay and number
of visits. Intensity of postoperative pain in the 1st (37.75±6.5 Vs. 43.63±5.06, p=0.001), 2nd (26.75±6.66 Vs. 34.63±5.48, p=0.001), 3rd (18.25±6.05 Vs. 27.88±6.88, p=0.001), and 7th (8.45±3.85 Vs. 17.88±6.19, p=0.001) days were lower in primary
closure group. There was not significant difference in complication rates in
groups. Patients' satisfaction was higher in primary group (4.15±0.53 Vs. 3.6±0.5, p=0.001).
Conclusion: According to this study excision and primary
closure is the preferred procedure in patients with pilonidal sinus. It has the
advantages of shorter time off work earlier wound healing, lesser
postoperative pain, higher patients satisfaction and comparable complication
and recurrence rates with excision and open wound.
Banafshe Safaeifard, Mehri Ghasemi, Khosro Khademi-Kalantari , Alireza Akbarzadeh-Baghban, Yaghoub Shavehee,
Volume 79, Issue 4 (7-2021)
Abstract
Background: Posturography is a method in which the postural stability of adults is evaluated by measuring the center of pressure sway. This study aims to evaluate the reproducibility of measuring the center of pressure oscillation in standing position with internal perturbation in healthy young women with and without hyperkyphosis.
Methods: Ten women with dorsal hyperkyphosis with the mean age of 23.5±2.65 years and 10 healthy women with the mean age of 21.9±1.3 years (October 2018 to February 2019) were recruited for the study. Subjects were asked to perform rapid bilateral arm elevation while standing on a force plate. Standard deviation of the amplitude and The standard deviation of the velocity of the center of pressure sway in anterior-posterior, Medio-lateral directions and the area of sway were used for statistical analysis. Measurements were carried out by one examiner with a 1-day interval in The Biomechanics laboratory of The School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences. The relative reproducibility of the measurements was calculated by Intra-class Correlation Coefficient (ICC), standard error of measurement (SEM) and minimal detectable changes (MDC).
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Results: The intra-rater reliability of standard deviation of the center of pressure sway velocity and amplitude of both directions in both groups were more than 0.75. The intra-rater reliability of the area of the center of pressure sway in the healthy and hyperkyphosis group were 0.42 and 0.38 respectively.
Conclusion: Standard deviation of the amplitude and standard deviation of the velocity of the center of pressure sway can be considered as reliable variables for assessing static balance in young women with and without dorsal hyperkyphosis in future studies. However, the inconsistency of sway area especially in women with hyperkyphosis suggests that the use of it for differentiation between subjects and the assessment of the outcome of any interventions on the postural stability should be considered with caution.
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Mehdi Asgari, Ali Sanaee, Faramarz Pazyar,
Volume 80, Issue 5 (8-2022)
Abstract
Background: The vertical gastric plication technique leads to poor long-term outcomes and is associated with intolerable reflux, dysphagia, or weight gain in a high percentage of patients. Therefore, in this study, the therapeutic results of two methods with and without plication of the distal part of the stomach in gastric bypass surgery in patients with morbid obesity were compared.
Methods: In this clinical trial randomized single-blind study, 40 patients with morbid obesity who were referred to one of the hospitals affiliated with Jundishapur University of Medical Sciences in Ahvaz during March 2020-February 2021, were randomly divided into two groups: with plication of the distal part of the stomach (n=20) and without plication of the distal part of the stomach (n=20) in Roux-en-Y gastric bypass surgery. Weight loss rate, complications related to surgery, outcomes and satisfaction of patient were noted and followed up for one year.
Results: The mean percentage of weight loss at different times did not show a significant difference between the two groups (p>0.05). The length of hospitalization after surgery was significantly less in the distal gastric plication group (p=0.0001). During one year of follow-up, hypertension, diabetes, HLP, and reflux were well in the distal plication method but showed no significant difference (p>0.05). Satisfaction of the patients was more in the distal plication method and showed no significant difference (p>0.05). One year after the operation, the change of diet showed no significant difference in the two groups (p>0.05).
Conclusion: It looks that using the laparoscopic distal gastric plication method is an effective and safe method and is associated with early ideal weight loss, reduction of complications, and increase in satisfaction of patients with BMI>=35 kg/m2. No need to use a foreign body, stapler or bandage and the possibility of re-operation are the advantages of this technique.
Babak Vahdatpour, Mohammad Shirvani, Hamidreza Jahanbani-Ardakani , Omid Alizadehkhaiyat , Sadegh Baradaran Mahdavi ,
Volume 81, Issue 4 (7-2023)
Abstract
Background: The objective of this study was the transcultural adaptation of the Rotator cuff quality of life (RC-QOL) questionnaire and the determination of the reliability and validity of the questionnaire in the Persian-speaking population with rotator cuff disease.
Methods: This study was conducted in Isfahan from April 2022 to February 2023. The participants consisted of 56 people with rotator cuff pathology. The process of adapting and translating the questionnaire was done with the methodology presented previously by Beaton et al. Content validity was first tested by a group of orthopedic and physical medicine and rehabilitation specialists and then through a pilot study consisting of 15 Persian-speaking patients with rotator cuff disease. Test-retest reliability was established with an intraclass correlation coefficient. Internal consistency was calculated using Cronbach's alpha. The measurement's error estimation was calculated with the standard error of the measurement. Reproducibility evaluation was measured with a 3-day interval between the completion of the test-retest questionnaire.
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Results: The age range of the participants was 34 to 68 years (55% men and 45% women). The mean (standard deviation) of the total score of the RC-QOL questionnaire was 44.33(10.81) and ranged from 17.35 to 70.88. Cronbach's alpha was 0.971, which showed high internal consistency. The intraclass correlation coefficient was 0.99, indicating high test-retest reliability. The mean values (standard deviations) of the DASH and SPADI questionnaires were equal to 77.66(13.69) and 66.66(18.25), respectively. The results of the study showed excellent and significant convergent validity of the RC-QOL questionnaire with both the DASH and SPADI questionnaires. The correlation value with the DASH and SPADI questionnaires was equal to 0.907 and 0.941, respectively.
Conclusion: The Persian version of the RC-QOL questionnaire is a valid and reliable tool to evaluate the quality of life in patients diagnosed with rotator cuff injuries.
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