جستجوی مقالات مرتبط با کلیدواژه "bypass surgery" در نشریات گروه "پزشکی"

Thromboangiitis obliterans (TAO) is a vasculopathy involving small and intermediate vessels of extremities with various medical and surgical treatment strategies.

This cohort study aimed to compare the outcomes of medical and surgical interventions in patients with TAO.

Patients with a definite diagnosis of TAO were enrolled in the study and evaluated on the first day, as well as three and six months follow-up visits. A total of 70 patients with TAO were followed for 30 months. Improvements in the primary complaints (claudication of calves and soles, rest pain, paresthesia, thrombophlebitis migrans, gangrene, scars, Raynaud's phenomenon) were compared between the groups.

In terms of gender, 98.6% of participants were male. The mean age of the patients was 43.24 ±9.8 years. Based on the results, 37 sympathectomy surgery, 11 amputation surgery, 15 bypass surgery, and 12 medical therapies with ILOPROST were considered for the patients (Medical treatment as combination therapy in patients with severe symptoms). The final results demonstrated that primary complaints were significantly improved in patients who underwent bypass surgery than in others.

As evidenced by the obtained results, patients in our study significantly benefited more from bypass surgery than sympathectomy and pharmacotherapy.

Coronary artery disease (CAD) is one of the major causes of mortality all over the world. In this relation, coronary artery bypass grafting (CABG) is one of the most important treatments for CAD patients. However, it leads to a lot of stress in the patient. The aim of this study was to use the Neuman model to moderate the stressors in patients undergoing coronary artery bypass graft.

This study was a randomized clinical trial of two groups performed on patients admitted to the coronary artery bypass graft; and the study completed with 64 patients. The intervention was performed by the researcher according to the format of the Neuman Model, which included the investigation of the stressors, and the determination of the goals and strategies for the actions. Intrapersonal, interpersonal, and extra personal factors were evaluated using a Revised Cardiac Surgery Stressor Scale (RCSSS). The intervention program was designed by the researcher based on prevention levels using scientific resources. The collected data were analyzed in SPSS ver. 13 using descriptive and inferential statistics.

Before the intervention, the mean score of the stressors was not significantly different between the two groups. But immediately after the intervention and before discharging the intervention group, it was significantly less than the control group.

Using a Neuman-based program as an effective and low-cost intervention can moderate the stressors and reduce the stress of patients awaiting coronary artery bypass graft. This theory can be a good guide to offering the roles needed to provide health services in the community.

Employing different procedures with the aim of treating obesity may improve the adverse consequences of obesity, especially disabilities secondary to pain or musculoskeletal deficits. The present study aimed to assess the long-term beneficial effects of weight reduction following obesity treatment by surgical interventions on musculoskeletal pain and body posture in obese patients. 60 morbidly obese patients aged higher than 30 years and having a body mass index of at least 40 kg/m2 who were candidates for laparoscopic Roux-en-Y gastric bypass surgery for obesity treatment took part in the present prospective interventional case series study. The data related to spinal pain were collected using the standardized neck disability index (NDI) and Roland-Morris questionnaires immediately before and 3 months, 6 months, and 12 months after the surgery. The postural status was assessed using a plumb line. The mean weight and body mass index, as well as the mean NDI score and Roland-Morris score, considerably reduced during 12 months after the surgical intervention as compared to before the surgery. Of all the measured postural parameters, foot pronation significantly improved. In addition, anteroposterior pelvic tilt, lumbar lordosis, elevated and dropped shoulder and head lateral tilt significantly reduced within 12 months after the surgery. The downward trends of the changes in weight, body mass index, NDI score, and Roland-Morris score were all significant after the surgery. The surgical treatment of obesity can effectively reduce disability resulting from spinal pain and can correct postural deviations.