جستجوی مقالات مرتبط با کلیدواژه "سیستکتومی" در نشریات گروه "پزشکی"

Today, bladder cancer causes a lot of mortality and morbidity and imposes huge costs directly and indirectly on society. With the expansion of new treatment methods and the changes these methods bring to the quality of life and longevity of patients, physical disorders are also increasing among these patients.

In the present study, 487 patients with bladder cancer were assigned to three groups of non-surgical treatment, orthotopic, and conduit surgery techniques, and each group of patients was examined 1-2 months before the start of treatment and 6-8 months after that using the Hospital Anxiety and Depression Scale (HADS) questionnaire.

In this study, the prevalence of mood disorders in the conduit surgery group increased from 55.07% before surgery to 79.12% after surgery, which was statistically significant (P=0.003). Nonetheless, there was no significant increase in the other two groups. In the investigation of anxiety disorders, the prevalence of anxiety disorders increased from 22.79% to 43.68% in the conduit surgery group, which was statistically significant (P=0.0016).

According to the nature of the disease, before starting the treatment of these patients, by conducting psychological counseling and providing sufficient information to the patients, the necessary preparation should be created in the patients to accept the side effects caused by the treatment and reduce its psychological burden, which greatly improves the treatment results.

The aim of this study was to compare the effect of internal catheter insertion with external catheter on the duration of hospitalization, drain leakage rate, and postoperative complications in patients with bladder cancer undergoing neoplasia radical cystectomy with orthotopic neobladder referring to Alzahra and Noor hospitals in Isfahan, Iran, during the years 2016-18. In a clinical trial study, 30 patients with an external catheter and 30 with internal catheter enrolled. They were followed up for hospitalization period (course) and up to 6 month, and the complications of catheter installation, including drainage and duration of hospitalization in two group was determined and compared. Findings: The prevalence of early and late postoperative complications was not significantly different between the two groups. But, the mean drain leakage during the hospitalization was 321.79 ± 235 and 217.36 ± 197.51 ml in internal and external catheter groups, respectively, and the rate of urinary tract leakage was significantly lower in the group of external catheter (P = 0.037). Insertion of internal catheter in patients undergoing radical cystectomy with orthotopic neobladder is associated with better results of the urinary flow in these patients, while the incidence of postoperative complications had no significant statistical difference between the two groups. Therefore, it seems that the insertion of the internal catheter is preferable to the external catheter.

Hydatid cyst disease is one of the most common parasitic zoonotic diseases in Iran and the most common involved sites, are lungs and liver. The best treatment of this disease is surgery. The aim of this study was to evaluate the epidemiology and early complications of surgery of hydatid cyst of lung and liver in patients referred to Afzalipour Hospital afiliated to Kerman University of Medical Sciences during 2003-2013.
In this cross-sectional study, 85 patients with lung or liver hydatid cyst who were referred to Afzalipour hospital during 2003-2013 were evaluated retrospectively. Data related to epidemiologic variables and surgery complications were obtained from patient’s documents.
From 85 patients with hydatid cyst of lung and liver, 48.23% were male and 51.76% were female. Among patients, 69.4 % had lung hydatid cyst, 24.7% had liver hydatid cyst and 5.8% had both simultaneously. Cough, dyspnea and fever were dominant symptoms and almost all the surgeries were done through cystectomy with open drainage or cystectomy with capitonage. In whole, 12 cases (14%) had been complicated. There was no significant relation between the method of surgery and complications.
in the present study, the results of epidemiologic variables such as age, sex, prevalence of pulmonary and hepatic involvement and clinical manifestations were similar to the studies that were done in other cities of Iran and also previous studies in Kerman. From 85 surgeries, 12 cases were complicated and there was no significant relation between the method of surgery and complications. Method of surgery, result and complications were similar to other parts of the world and surgery is recommended to prevent hydatid cyst complications such as abscess, opening to the pleural cavity and anaphylactic shock.

Ovarian masses are one of the most common diseases in women of reproductive age. They are usually benign and surgery is necessary if they are getting large or symptomatic. Two methods of laparoscopic surgery and laparotomy are used for treatment of ovarian masses. Nowadays، there is belief that the laparoscopy procedure has some advantages in compare with laparotomy. The purpose of this study was to compare laparoscopy versus laparotomy for surgical treatment of benign ovarian masses. This historical cohort study was conducted on 50 women with benign ovarian masses who underwent laparoscopy and 50 women who underwent laparotomy during 2006-2010 by the same gynecologist in Amir Almomenin hospital of Semnan، Iran. Data were gathered by a check list separately for each patient using hospital records and a check list from surgeon''s office records that contained a two year follow-up of recurrence rate and re-intervention rate of masses. Data were analyzed using SPSS software version 16، Kolmogorov–Smirnov، t-test، Mann-Whitney، Chi-square and Fisher exact tests. P value less than 0. 05 was considered significant. The mean duration of hospital stay after surgery (p<0. 001) and the mean number of dose of postoperative analgesic (p=0. 001) were significantly lower in the laparoscopy group than laparotomy group (p<0. 001). There were no significant differences between two groups regarding the duration of surgery (p=0. 079)، rate of blood transfusion (p=0. 117)، postoperative complications such as nausea and vomiting (p=0. 372) and the incidence of fever in the first 24 hours after surgery (p=0. 678). Sonographic evidence of recurrence (p=0. 445) and re-intervention rate performed within 2 years (p=0. 392) were not significantly different between two groups. Laparoscopic treatment of benign ovarian masses seems to have potential benefits includes shorter hospital stay after the surgery، less pain and less dose of postoperative analgesic. Also there is no difference between laparoscopy and laparotomy in recurrence and re-intervention rates of the same ovarian mass after 2 years.