anahita attaran

The benefits of laparoscopy versus open surgery for patients with rectal cancer have been well established. This study evaluates the role of re-laparoscopy in patients who develop complications following laparoscopic rectal cancer surgery.

This is a retrospective case series of 22 (5.9%) re-laparoscopy cases of the 373 rectal cancer patients with rectal cancer who underwent laparoscopic primary surgery at Omid, Ghaem, and Razavi hospitals in Mashhad, Iran, between July 2011 and December 2020.

Twenty-two (5.9%) eligible patients with a mean± SD age of 50.9±10.4 years were included in the study, of which 15(68.2%) were male and 7(31.6%) were female. After 22 laparoscopic primary surgery, anastomosis-fail/peritonitis was the most common complication requiring re-laparoscopy (n = 9, 40.9%). Other complications included obstruction (n = 8, 36.4%), bleeding (n =3, 13.6%), and intestinal injury (n = 2, 9.1%). The complications of all patients (n =22) who underwent re-laparoscopy were successfully managed by re-laparoscopy.

In the case of available facilities and the presence of an experienced surgeon in the medical center, re-laparoscopy for managing complications following laparoscopic rectal cancer surgery appears to be safe and effective in selected patients.

As a pediatric emergency, febrile convulsion is the most common form of seizure in children in the age range of four months to five years. Therefore, this study aimed to investigate the prevalence of bacterial meningitis among children with simple febrile convulsion.
In this retrospective study, all children aged 6 to 18 months presenting with the first episodes of simple febrile convulsions admitted to Dr. Sheikh and Imam Reza Pediatric Hospitals in Mashhad between 2011 and 2015 were tested for cerebrospinal fluid. Analysis of Age, Gender, cerebrospinal fluid, and cerebrospinal fluid culture was recorded.
From among 1,164 patients, 305 children were enrolled in this study. Out of them, 16 patients (5.2%) reported positive Lumbar Puncture outcomes, one (6.3%) of whom was less than one year old, and 15 (93.7 percent) were more than one year old. Six of these patients had received the MMR vaccine one to three weeks before admission. One of the patients who tested positive for Lumbar Puncture and had a negative cerebrospinal fluid culture was admitted to the hospital with personal consent. Aseptic meningitis was diagnosed with non-positive culture in the other nine patients. No bacterial meningitis was confirmed between the evaluated patients.
It is confirmed that the incidence of bacterial meningitis in simple febrile convulsion is very low. Therefore, the results may recommend avoiding routine Lumbar Punctures in patients with simple febrile convulsion.