Showing 55 results for Surgery
Mr Farah Vash. ,
Volume 58, Issue 1 (4-2000)
Abstract
Use of tissue expander in the recent decade has revolutionized the plastic surgery. The tissue expansion technique is advantageous in body reconstruction because it makes it possible to resurface the defects resulting from excision of burn scars with neighboring skin similar in color and texture and superior to skin grafts or distant flaps. Treatment of burn alopecia was a major problem in the past, but with the application of tissue expander this deformity is treated. We have learned by experience that tissue expander should not be used in the limbs, because of the high risk of complications. The best locations for tissue expander are in order: Scalp, face, neck and trunk. The incidence of burn induced deformities in Iran is high. In this research, I analyze the use of TE in 130 patients with burn deformities. The variables studied were: Sex of patients (43.1% male, 56.9% female), age groups, level of education, occupation, the anatomical site of burn, extension of burn, volume of tissue expansion, the location of placing the TE and complications.
R Omrani Pour , A Abasahl ,
Volume 58, Issue 1 (4-2000)
Abstract
To determine if pre-operative combined chemoradiation therapy increase sphincter preservation in the treatment of low-lying rectal cancer, 15 patients were treated with pre-operative chemoradiation: 5FU plus mitomycin C plus 4500-5000 Rad concurrent external beam radiotherapy between Jan 1997 and Jan 1999. There were 10 men and 5 women (Mean age: 49 y) with the diagnosis of invasive resectable primary adenocarcinoma of distal rectum limited to pelvis. Median tumor distance from anal verge was 3.3 cm (Range 0-5 cm) and half of the patients were absolute candidate for abdominoperineal resection. After 4-6 weeks, all patients were undergone proctectomy and eventually sphincter preservation surgery was done on 9 patients with colonal anastomosis. Function of sphincter was excellent in 6 of them (66%) and good in 3 patients (33%). There was no case of incontinence. Complications of surgery were minimal: One case of stricture (10%) and one case of partial rupture of anastomosis (10%). Complete pathologic response was achieved on one patient (6.6%) and combined pre-operative chemoradiation has changed the plane of surgery from abdominoperineal resection to sphincter saving in 69.2% of patients.
Ramezan Zadeh F, Khalaj Abadi Farahani F, Sadat Hashemi Sm,
Volume 58, Issue 3 (6-2000)
Abstract
Tubal ligation is one of the most effective and reliable methods of contraception and of successful program of birth control in Iran. Present study was done to evaluate factors affecting risk of complications during tubal ligation surgery. We studied 1780 women that had tubal ligation in 13 hospitals in Tehran during the years 1993-95. Data on operation were collected by questionnaire and analyzed using logistic regression method. Risk of complications was increased in women had had operation after vaginal therapy, in luteal phase, after cesarean section and in follicular phase, respectively. Modified pomery, pomery and parkland methods of operation were ascendingly related to increased risk of complications. Age, history of pelvic pain, method of anesthesia, incision size and time of operation were not significantly correlated with complications. Frequency of complications was higher in women that had other procedures during surgery. We suggest that tubal ligation be done after vaginal delivery and by modified pomery method.
Hashemi H, Miraftab Sm,
Volume 59, Issue 1 (4-2001)
Abstract
PTK (Phototherapeutic Keratectomy) is the use of laser in corneal diseases. We can replace PTK for many other invasive procedures. The objective of this study is the assessment of this procedure in several cases in our practice. This investigation was a retrospective study, which was conducted based on comparison of 11 eyes with corneal eschars, induced by recurrent corneal erosions, pterygium surgery, corneal dystrophies and trachoma from 1994 to 1995. The mean age of cases was 32 years. The mean augmentation rate in hyperopia after one month was 1.5 diopter, and after one year it was 1 diopter. Although in two cases, the cylinder more than one diopter was induced, the mean rate for it was not increased significantly. One patient with recurrent erosion, who had not replied to any treatment, had no any complaint during one year follow up. During the follow up procedure, there were no any cases of vision loss among the patients.
Askarpoor Sh, Poorang H,
Volume 59, Issue 1 (4-2001)
Abstract
Abdominal masses in neonatal period is one of the main causes of patients bed ridden in infantal surgery wards. The rapid encounterance with these patients has caused a decrease in mortality and morbidity. This study is a kind of historical research which has been conducted on data base management systems of two above mentioned hospitals between years 1361-1378. The final outcome was only 25 cases. From these neonatus, 68 percent were male and 32 percent were female. Most of the patients were in their first neonatal week. The etiologies related to urinary system (56 percent), were found to be in the first place. Tumors of different origins (20 percent), ovarian masses (12 percent) and gastrointestinal tract (12 percent) had their own places respectively. Majority of cases have had surgical operations (92 percents). The case fatality rate among these patients was 24 percent which most of it was because of benign causes. The rate of mortality in male was much larger than female neonatus. We concluded that the inspection of embryo's urinary system with ultrasound and primary examination of neonatus, is vital and in most of the cases, an urgent surgery is indicated. Also laboratory assessment and radiological examination in suitable therapeutic procedures in first 48-72 hours in recommended.
Mirkhani S. H, Delavarkhan S. M, Radmehr H,
Volume 60, Issue 1 (4-2002)
Abstract
In recent years off-pump coronary artery bypass surgery (OPCAB) has emerged as preferred method for revascularization of coronary arteries in relatively selected group of patients. Considering patients receiving incomplete revascularization need significantly higher postoperative catheterization and re-intervention (PTCA or CABG), we performed this study to identify safety and feasibility of this technique for total revascularization in nearly all patients requiring coronary artery graft surgery.
Materials and Methods: In this study, 150 consecutive patients underwent OPCAB by one surgeon. Octopus device used for regional wall stabilization. Vascular control achieved by ethibond loops, occluder, and shunts. Situations such as cardiomegaly, poor ventricular function, advanced age, hemodynamic instability, and small coronary arteries were not considered contraindications to OPCAB.
Results: Of 150 OPCAB cases, 146 (97.3 percent) were completely off-pump. The mean number of grafts per patient was 4.1 (range, 2 to 6). Total 595 distal grafts anastomosed to LAD (140) diagonals (140), right coronary artery (145), left circumflex (164). Thirty-day mortality and myocardial infarction were 0.6 percent and 3.3 percent respectively OPCAB patient experienced lesser postoperative bleeding had shorter stay at surgical intensive care unit and extubated earlier. Conduits used were left internal mammary artery, radial artery and greater saphenous vein.
Conclusion: OPCAB is a safe method for complete revascularization in nearly all patients. The OPCAB patients experience less complications, have shorter hospital stay, absolute contraindication for OPCAB other than severe, diffuse coronary artery disease with poor run-off which is better treated by cardiopulmonary bypass.
Sadr Hoseini S M, Moheby A,
Volume 62, Issue 2 (5-2004)
Abstract
Sphenochoanal poyp is rare nasal mass that originates from sphenoid sinus. In anterior rhinoscopy it may be mistaken with antrochoanal polyp. CT of paranasal sinuses and nasal endoscopy has increased diagnostic accuracy. Simple polypectomy without removal of intra sinus mass is associated with increased risk of recurrence. Treatment of sphenochoanal polyp must include removal of intrasphenoid part via enlargement of the sphenoid sinus ostium. At present time the choice of the surgical approach for sphenochoanal polyp is endoscopic sinus surgery.
We introduce a case of sphenochoanal polyp and review its clinical, radiologic and pathologic findings and insist on endoscopic sinus surgery as a safe, effective treatment for it.
Mortazavi S.m.j, Moatamedi M, Moghtadaei M, Farzan M,
Volume 63, Issue 4 (7-2005)
Abstract
Background: In this study we evaluated the treatment of giant cell tumor (GCT) of long bones using cryosurgery combined with curettage and polymethylmetacrylate (PMMA) cementing.
Material and methods: From January 1999 to December 2004, twenty patients (mean age at the time of surgery 29.2 years) 13 females and 7 males were included in the study. Cortical disruption were presented in 7 patients 4 with soft tissue extension, but none of them had intra-articular extension of tumor, 3 patients presented with pathologic fracture of distal femoral lesions. These tumors were located in distal femur in 6 patients, proximal tibia in 7, distal radius in 3, proximal femur in 2, and each of proximal humerus and distal ulna in one patient. In each case diagnostic biopsy was done and surgical procedure performed including curettage, power burr of the wall, cryosurgery with liquid nitrogen and finally filling the space with PMMA cementing. The mean follow-up was 34 months (7 to 61 ).
Results: During follow-up, we observed one recurrence of GCT of proximal tibia. Secondary Aneurysmal bone cyst was reported at the site of one primary distal femoral lesion, without any finding in favor of a recurrence. Neurapraxia of the proneal nerve was occurred in one patient with proximal tibia tumor improved after 8 months.
Conclusion: Cryosurgery combined with power burr and PMMA cementing in the treatment of GCT could be an effective approach in tumor eradication. This method obviates the need for extensive resections and reconstructive procedure.
A.s Moosavi, F Mehrabi , Z Ghanbari,
Volume 64, Issue 1 (3-2006)
Abstract
Background and Aim: This study was conducted to evaluate the safety and efficacy of Tension-free Tape for the surgical treatment of female stress urinary incontinence.
Materials and Methods: In a prospective open study for pre and post operative, we followed 36 patients at least 1.5 years after surgery (18-28 months) all patients underwent the operation under local anesthesia, allowing the surgeon to check intra-operatively that continence has been obtained.
Results: Mean operation time was 36 minutes (range 20-45 minutes). 32(89%) of the patients was cured according to the protocol, another 3(8.3%) were significantly improved and there was 1(2.7%) failure. Mast of patients (about 91%) were operated on a one day-care basis, which implies that they were released from the hospital the day after the procedure, and no post operative catheterization, defect healing and tape rejection occurred. Pain free recovery time without any analgesic was another benefit. Five patients needed an indwelling catheter for 3 days and two uncomplicated hematoma occurred.
Conclusion: Based on the results, we conclude that Tension-free Vaginal Tape is a safe and effective ambulatory procedure for surgical treatment of genuine stress urinary incontinence, which allows the majority of the women to be discharged from the clinic the day after the procedure and start their works in the second week.
Sedighi S, Mohagheghi M, Memari F, Jahangir R, Mousavi Jarrahi A, Montazeri A, Sedighi Z, Mostaghimi M Tehrani, Zanganeh M,
Volume 64, Issue 7 (8-2006)
Abstract
Background: This prospective phase III study was designed to compare the activity of two combinations chemotherapy drugs in advanced gastric adenocarcinoma
Methods: In a double blinded clinical trial, From Jan. 2002 to Jan. 2005, ninety patients with advanced gastric adenocarcinoma were randomly assigned to 1) Cisplatin and continuous infusion of 5FU and Epirubicin (ECF), and 2) Cisplatin and continuous infusion of 5FU with Docetaxel (TCF). Reduction in tumor mass, overall survival (OS), time to progression (TTP), and safety were measured outcome.
Results: About 90% of patients had stage III or IV disease and the most common sites of tumor spread were peritoneal surfaces, liver and Paraaortic lymph nodes in either group. The objective clinical response rate (more than 50% decreases in tumor mass) was 38% and 43% in ECF and TCF group respectively. Global quality of life increased (p=0 002) and symptoms of pain and insomnia decreased after chemotherapy. Patients in TCF had more grade one or two skin reactions, neuropathy and diarrhea. Fourteen patients underwent surgery. Complete microscopic (R0) resection had done in two of ECF and six of TCF tumors (p=0.015). Two cases in TCF group showed complete pathologic response. Median TTP was nine months and 10 months in ECF and TCF group respectively. Median OS was 12 months in both groups.
Conclusion: Although there wasn’t statistically significant difference regarded to clinical response or survival between two groups, TCF showed more complete pathologic response.
Modarres M, Mosavi A, Mohammadifar M, Behtash N, Ghaemmaghami F, Soltanpour F,
Volume 64, Issue 11 (10-2006)
Abstract
Background: Access to a safe and efficient chemotherapy regimen for improving the survival and live quality is a goal in ovarian carcinoma. Despite surgery is the base treatment of ovarian cancer, but in most patients chemotherapy is used due to progression of their disease. This study designed to compare two important chemotherapy regimens.
Methods: This historical cohort study compared two chemotherapy regimen cisplatin (75mg/m2)+ cyclophosphamide (750mg/m2), versus taxol (175mg/m2)+ carboplatinium (GFR+25)AUC between 1998-2005 in valiasr hospital. In this study toxicities of two regimes were compared. The survival function in these two groups were analysed with Kaplan-Meire curve.
Results: Gastrointestinal and mucosal toxicity were significantly higher in CP group compared TC group (p=0.02). Also there were no significant relation between decrease of serum CA125 and patient remission length in CP group but in other group with decrease of CA125 in lower than three cycle we had an increase in patient remission period. (P=0.02). Disease free interval in cisplatin group was longer versus taxol group (p<0.05), there was no significant difference in overall survival in two group.
Conclusion: This study revealed that cisplatin plus cyclophosphamide regimen can yet be used as a chemotherapy treatment in ovarian cancer. In this study there was no significant benefit in taxol regimen compared CP. In the adjuvant therapy of epithelial ovarian carcinoma.
Ghaemmaghami F, Hasanzadeh M, Modarresgilanimadani M, Behtash N, Mousavi As, Ramezanzadeh F,
Volume 65, Issue 4 (7-2007)
Abstract
Background: The aim of this study was to compare the outcome of treatment for ovarian cancer patients who have been treated by gynecologist oncologists and patients who have been treated by general gynecologists or general surgeons.
Methods: We enrolled in this cohort retrospective study all patients diagnosed with primary ovarian cancer in Vali-e-Asr Hospital, Tehran, Iran, between April 1999 and January 2005. A total 157 consecutive patients with ovarian cancer were available for analysis. Of these, 60 patients were treated by gynecologist oncologists and 95 by general gynecologists, and two patients were treated by general surgeons.
Results: The number of patients who underwent optimal cytoreductive surgery (residual tumor <1 cm) was higher in the gynecologist oncologist group, than in the general gynecologist group (P<0.001). Repeated surgeries were required for a majority of patients in the general gynecologist group, while only a few patients in the gynecologist oncologist group needed a second operation (P<0.0001). The interval between the initial surgery and the beginning of chemotherapy was significantly longer in the gynecologist oncologist group compared to that of the general oncologist group (P=0.001). Overall survival and disease-free survival was considerably greater in the gynecologist oncologist group. Optimal cytoreductive surgery and stage of disease are prognostic factors in patients with ovarian cancer. We can therefore conclude that patients with ovarian cancer who are treated by gynecologist oncologists have a better outcome.
Conclusions: We suggest that patients requiring cytoreductive surgery for ovarian cancer be referred to a gynecologist oncologist rather than having a less specialized physician care for such cases.
Radmehr H, Tatari H, Salehi M, Bakhshande A,
Volume 66, Issue 12 (3-2009)
Abstract
Background: The usage of pericardium of patient himself, for support of anastomosis lines may carry benefits in patients undergoing aortic valve replacement with pulmonary autograft (Ross). The aim of the present study was to compare the short term results of aortic valve replacement with pulmonary autograft with routine and offered methods.
Methods: In a non-randomized clinical trial, 64 patients who referred to cardiac surgery ward of Imam Khomeini hospital Tehran Iran from December 2002 to December 2006 for aortic valve replacement with pulmonary autograft with two different methods. In the first two years of this study all of the patients were operated with routine procedure (group A, n=28) and during the next two years, all of them were operated with authors' offered method in which the patient`s pericardium was used for support of anastomosis lines (group B, n=36). Some of clinical parameters and outcome were compared between two groups.
Results: There were no significant differences between mean of age, sex, pathology, preoperative and postoperative EF in two groups. In group B, the mean pump time was significantly lower than group A (144.09±26 vs. 179.64±25 min). The mean Cross-clamp time was significantly lower in group B (118.5±22 vs. 136.93±19 min) Need for blood transfusion in ICU was significantly lower in group B (35.71% vs. 68.57%). Mean ICU Stay and Postoperative Hospital Stay were significantly lower in group B (1.3±0.3 vs. 1.9±0.7 and 5.2±0.9 vs. 5.9±1.5 days respectively). Overall mortality was four death (6.25%) which was not significant between two groups.
Conclusions: The usage of patient's pericardium for support of anastomosis lines in patients undergoing aortic root replacement with pulmonary autograft carry advantages to routine procedure and its utilization is advocated in other centers.
Ahmadii R, Esmaeilzadeh M, Unterberg A,
Volume 67, Issue 4 (7-2009)
Abstract
Gliomas include a group of primary central nervous system (CNS) neoplasms with characteristics of neuroglial cells (eg, astrocytes, oligodendrocytes). The gliomas are classified commonly to WHO grade I-IV gliomas. The grading is based on the presence of nuclear atypia, vascular proliferation, mitoses, and necrosis. The malignant gliomas are progressive brain tumors that are divided into anaplastic gliomas and glioblastoma based upon their histopathologic features. Today, different modalities such as surgery, radiation therapy (in the form of external beam radiation or the stereotactic approach using radiosurgery) and chemotherapy have been used for the treatment of gliom's tomors but unfortunately the prognosis and survival rate is poor in most of patients. The survival depends on the tumor's type, size, location and the patient's age. We reviewed the prognostic factors, diagnostic modalities and surgical management of patients with gliomas.
Alavi Aa, Zargari K, Rahim Mb, Bannazadeh M,
Volume 67, Issue 4 (7-2009)
Abstract
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Background: Pulmonary resection is one of the most common thoracic surgeries Bronchial
stump closure is important topic and still is controversy Bronchial stump
closure with stapler is a new method that in addition to rapidity, lowering
separation and dehiscence of suture line and lowering contamination of the
operative site with bronchial secretions, and lowering the main complication
after pulmonary resections which is sustained air leak- main factor in delaying
discharge and patients dissatisfaction.
Methods: Two groups of 16 patients in a
randomized clinical trial compared. In one group bronchial stump closed with
stapler and the other stump closed with hand sewn method. Bronchial closing
time, Operative time, time of airleak, time of chest tube, time of discharge
and complication recorded and compared.
Results: In the stapler group time of bronchial closing was significantly shorter.
Operative time was not different. time of air leak was not statistically
different. No patients with long airleak, and the number of patients without
airleak was greater. In the stapler group, time of having chest tube was statistically
shorter and time of discharge in stapler group was shorter than hand sewn group.
Conclusions: Bronchial
closing with stapler in pulmonary resection is a safe method and in addition to
rapidity, time of chest tube and time of discharge was shorter. Although Time
of air leak was not statistically different but patients in stapler groups had
less Days with air leak and long air leak was zero in this group.
Jangjoo A, Mehrabi Bahar M, Aliakbarian M,
Volume 67, Issue 5 (8-2009)
Abstract
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Background: Seroma
formation, or the subcutaneous collection of fluid, is a common problem after
surgery for the breast cancer. It may lead to wound-related complications and
also can delay adjuvant therapy. The aim of this study was to investigate the
effect of various clinical and therapeutic variables on seroma formation.
Methods: A prospective cross sectional study of patients who
underwent surgical therapy for breast cancer was carried out. Modified radical
mastectomy was performed on 67 patients (65%) and 28 patients (27.2%) underwent breast conservative surgery. Simple
extended mastectomy was done for the remaining 8 patients (7.8%). Seroma
formation was studied in relation to age, type of surgery, tumor size, nodal
involvement, preoperative chemotherapy, surgical instrument (electrocautery or
scalpel), use of pressure garment, and duration of drainage. All of the
patients followed for 4 weeks after surgery.
Results: A total of 103 patients with breast cancer were studied. The mean
age of the patients was 48.3 years (25-82). Seroma occurred in 27 (26.2%) patients. There was
statistically significant relation between age and seroma formation after
breast cancer surgery (p=0.005), while other factors studied was found to be
significantly ineffective. In addition, there was not any relation between
seroma formation and drain duration. However, two factors including type of the
operation and level of lymphatic dissection was considerable with confidence
interval up to 90%, but it was not statistically significant with
confidence interval >95% (p=0.068 and 0.063 respectively).
Conclusion: These findings suggest that the age is a predicting
factor for seroma formation in breast cancer patients, while other factors do
not significantly affect that.
Bagheri R, Majidi Mr, Khadivi E,
Volume 67, Issue 7 (10-2009)
Abstract
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Background: Post-intubation tracheal stenosis is a
serious problem and surgical resection is the method of choice in long segment
tracheal stenosis treatment. The aim of
this study was to review the results of surgical treatment of long segment post
intubation tracheal stenosis and the role of bilateral hyoid bone cutting in
supra- hyoid release technique.
Methods: Between 2004 to 2008, 14 patients with
proximal long segment tracheal stenosis with resection of more than 40% of trachea length were
evaluated regarding surgical technique and post-operative results.
Results: The mean age of patients was 22.2±0.4 years. Etiology in
all patients were head trauma and prolonged intubation and all patients had
tracheostomy at the time of trearment. Average time between surgery and first
admission was 4.5±0.5 months. Average
length of stenosis and resected segment were 3.6±0.5 and 4.3±0.5cm respectively. Average increased length of
trachea after bilateral hyoid bone cutting was 1.1±0.3cm. Postoperative
complications occurred in one patient with wound infection, and 4 patients had
stenosis recurrence which was treated in 3 patients using multiple dilation. Quality of
life 2 years after surgery
in 71% of patients were classified
in good and excellent group. We didn't have any mortality.
Conclusion: Based on the fact that
surgery is the best method of treatment in long and multi segment tracheal
stenosis and tension in suture line is a serious problem, we recommend extended
releasing technique including bilateral hyoid cutting in surgical treatment of
these patients.
Kamrani Rs, Haj Zargarbashi R, Mehrpour Sr, Sharafat Vaziri A, Tabatabaeiyan M,
Volume 67, Issue 7 (10-2009)
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Background: Flexor tendon injury is one of
the unanswered problems in reconstructive
surgery of the hand. Although pull
out method is one of the best reconstructive approaches but still is controversial. Surgeons prefer immobilization to
prevent laceration at the site of the suture but it may cause adhesion and lead
to surgical failure. The aim of this study was to perform a new surgical method
to achieve a tendon repair without these problems.
Methods: In this case-series study, 80 fingers with
flexor tendon impairment selected and divided into four groups (tendon
laceration & avulsion, tendon graft reconstructed in 1 & 2 stages)
then patients were surgically treated by the new technique. The most important
aspect of the technique is the placement of the suture in the direction of
strength therefore, following any tension the suture would be tighter and this
point help us to mobilize the injured tendon immediately after the surgery then
we analyzed the results depends on the patient's group.
Results: The pull out and
surgical (functional) results were evaluated. 97% of the pull out results were
good and 3% were poor and surgical results were 23.9% excellent, 52.2% good, 17.9% fair and 6% poor.
Conclusion: Depend on the acceptable results, immobilization in
these patients is unnecessary & active and passive range of motion would be gradually
increased as soon as possible. However biomechanical studies would be
beneficial to evaluate this suture influence and designing future studies to
compare this technique with old methods would be essential.
Bahman Malek , Roya Seghlis , Ali Dabbagh ,
Volume 67, Issue 10 (1-2010)
Abstract
Background: There are a number of reports regarding awareness during anesthesia and its risk factors. The aim of this study was to assess the frequency of awareness in elective abdominal surgery in opium abusers compared with non-abusers.
Methods: In a cross-sectional descriptive-analytical study, 120 patients were selected and were divided into two groups, opium addicts and non addicts, 60 patients in each. The patients were compared regarding clinical criteria during anesthesia. They were reviewed regarding the content of their answers to the study questionnaire, after a time interval of 24 hours postoperatively (after the surgery). To evaluate the awareness status after general anesthesia, a clinical assessment checklist was used and also, two questionnaires were used. These questionnaires were composed of open ended questions and were administered by one of the colleagues (they were not self administered questionnaires to increase the appropriateness of the answers)
Results: There was no differences between the two research groups regarding basic study variables (p>0.05). The clinical findings and the results of the interviews demonstrated more awareness in the opium abusers (p<0.001).
Conclusions: This study demonstrated a higher chance of awareness in the opium abusing patients when undergoing general anesthesia for the surgical operations involving the abdominal area. This study mentioned that a history of opium abuse can be added as a risk factor for awareness to the previous risk factors.
Farnaz Amouzegar- Hashemi, Alireza Alaleh, Ali Kazemian, Peiman Haddad,
Volume 67, Issue 12 (3-2010)
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Background: Breast conservative therapy is associated with
similar outcomes in comparison with mastectomy. The
aim of this study is assessment of local recurrence rate and related risk
factors in patients who have been treated with radiotherapy after conservative
surgery for breast cancer.
Methods: This is a cohort study which data of all breast
cancer patients who have visited in follow up clinic in radiation oncology
department of cancer institute of Imam
Khomeini Hospital
complex in Tehran, Iran,
during years 2007-2009 were collected. All
of the patients were investigated for local recurrence and the possible risk
factors.
Results: Two hundred and seventy seven patients have entered
the study and all have followed for at least one year since data entry. Median
follow-up time from the start of radiotherapy were 35
months (12-148 mo).
We had seven cases (2.5%)
with local recurrences (2.5%)
which most of them occurred in first year after treatment. Because
of low rate of recurrence none of the variables such as margin and nodal status
has significant correlation with local recurrence which this should be due to
small number of patient and short time of follow up.
Conclusions: At
median follow up of 35 months from the beginning
of radiation therapy, local recurrence rate was 2.5% which
is similar to the literature. We recommend to follow a
larger group of patients for longer times to estimate recurrence risk after breast
conservative therapy.
