فهرست مطالب maryam kouhestani parizi

The aim of this study was to evaluate the mean platelet volume (MPV) levels in patients with acute appendicitis in comparison with healthy people referring to educational hospitals of Kerman University of Medical Sciences.

This case-control study was conducted on 150 patients (75 cases, 75 controls). The inclusion criteria were aged over 15 years old who had undergone abdominal pain and appendicitis diagnosis. The number of white blood cells, percentage of neutrophils, MPV and C-Reactive Protein were checked. The control group included individuals who were referred for elective surgery after age and gender adaptation with the control group, complete blood count and MPV were checked for them. Finally, the data were analyzed by SPSS 25.

The results of this study showed that MPV level in the case group was 7.1±1.68 and in the control, the group was 9.8±1.17, which was significantly lower in the case group (P-value=0.001). The sensitivity and specificity of MPV in detecting acute appendicitis were 81% and 87% which were statistically significant.

Overall, the results of this study showed that MPV is considered as an important parameter in the diagnosis of acute appendicitis. It is essential that more studies be done to find specific and reliable biomarkers for their use in detecting acute appendicitis.

Rubber band ligation is one of the most worldwide used treatments of hemorrhoids because of its effectiveness and low complication rate. Hemorrhoidectomy is the procedure of choice for treatment of grade four hemorrhoids which is a painful method for a relatively benign disease. There are a few studies available analyzing the effectiveness of RBL as an initial treatment for grade four symptomatic internal hemorrhoids.. This study aimed to analyze the efficacy of the staging rubber band ligation in treatment of grade four hemorrhoids and comparing to hemorrhoidectomy..Patients and A prospective randomized clinical trial was performed on all patients diagnosed with grade four symptomatic internal hemorrhoids from August 2011 to March 2013. Sixty four patients with grade four hemorrhoids were divided into two groups and underwent hemorrhoidectomy (H group) and rubber band ligation (R group).These patients were compared for any complications and recurrence in a six month period.. Pain existed in 100% of the H group and 67.7% of the R group in the first visit one week postoperation (P < 0.05). There was a statistically significant difference between the two groups regarding the days off work. Patients’ satisfaction and recurrence were similar in both groups after a period of six months.. This study showed that staging rubber band ligation is effective for treating grade four hemorrhoids. Few complication and low recurrence rate were noted which enable us to recommend this modality as the procedure of choice for the management of selected patients with grade four symptomatic hemorrhoids..