جستجوی مقالات مرتبط با کلیدواژه "post-operative complication" در نشریات گروه "پزشکی"
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Investigating Alterations in Blood Parameters Pre-lipolysis and Post-lipolysis Surgical InterventionBackground
Laser lipolysis is one of the most prevalent liposuction techniques and is widely preferred in cosmetic surgical procedures globally. Compared to traditional liposuction, some investigations have demonstrated a reduction in complications when using the laser lipolysis technique. However, the amount of research in this area remains limited.
ObjectivesThis study aims to investigate changes in pre- and post-operative blood parameters, including hemoglobin level, hematocrit, WBC count, and platelet level. Additionally, the research explores potential complications following laser lipolysis.
MethodsThis retrospective study, conducted at the Isfahan Clinical Center (Najaf Abad Branch), included 100 patients (without previous hematological disorders) who underwent laser lipolysis. Demographic information about the patients was collected. Blood parameters (hemoglobin, hematocrit, WBC, and platelets) were measured before and 24 hours after the operation. Laser liposuction was performed using a 1064-nm Nd laser. Postoperative care instructions were provided. Statistical analysis included t -tests and mixed linear regression using SPSS 20 software for data analysis, with a significance level of P < 0.005.
ResultsSignificant alterations were observed in hemoglobin, WBC, and platelet levels. Hemoglobin and platelet levels showed a notable reduction of 16.9% and 7.9%, respectively. Conversely, the WBC count increased by 100.5%.
ConclusionsOur study found a significant decrease in hemoglobin levels following laser lipolysis surgery, likely due to intraoperative bleeding. Further research is recommended to compare hemoglobin level changes using different laser types.
Keywords: Laser-Assistant Liposuction, Laser Lipolysis, CBC Alternation, Complication Of Laser Lipolysis, Post-Operative Complication -
Mycotic aneurysms are localized and irreversible dilatations of the arteries caused by weakening and damaging the arterial wall by an invasive organism establishing infective arteritis. Mycotic aneurysm of the thoracic aorta is a rare event; however, it can be fatal if not diagnosed early or not treated appropriately. Clinical findings are usually nonspecific; however, contrast-enhanced computed tomography (CT) is a common imaging modality of choice for the detection of mycotic aneurysms. Current management consists of antibiotic therapy and surgical treatment or endovascular interventions as early as possible. Herein, we present a case report of mycotic aneurysm of the thoracic aorta as a postoperative complication in a 60-year-old female with a clinical history of the cardia and esophageal carcinoma who underwent thoracic surgery. The presence of mycotic aneurysm was detected after performing a contrast-enhanced thoracic CT scanKeywords: Mycotic aneurysms, post-operative complication, thoracic aorta
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زمینه و هدف
هرچند که تومورهای مغزی در بالغین ناشایع هستند، اما جزو علل اساسی مورتالیتی و موربیدیتی به شمار می روند. روش درمانی ارجح برای رزکسیون توده های مغزی استفاده از تکنیک های مختلف جراحی می باشد که می تواند عوارض مختلفی مانند مشکلات عفونی، عصبی، و یا عروقی برای بیماران ایجاد کند و سبب کاهش کیفیت و حتی بقای آن ها و افزایش هزینه های درمانی و مراقبتی شود. این مطالعه به بررسی عوامل مرتبط با بروز عوارض پس از انجام جراحی های رزکسیون تومورهای مغزی می پردازد.
روش کاراین مطالعه به صورت توصیفی گذشته نگر بر روی بیمارانی که در سال 1395 در بیمارستان رسول اکرم (ص) تحت رزکسیون جراحی تومورهای مغزی قرار گرفته بودند، انجام شد. سن، جنس، میزان رزکسیون، نوع تومور، علایم و عوارض بعد از عمل جراحی و عوامل مرتبط با بروز آن ها، همچنین طول عمل جراحی و میزان خونریزی حین عمل و مدت بستری بیماران از پرونده های بایگانی استخراج و نهایتا داده ها در نرم افزار SPSS وارد و آنالیز شدند.
یافته هااین مطالعه بر روی 179 بیمار صورت گرفت که 85 نفر (5/47%) مرد و 94 نفر (5/52%) زن بودند. میانگین سن بیماران 8/45 (σ=42/17) سال، میانگین زمان بستری قبل از عمل 6/4 روز (σ=97/3) و بعد از عمل 7/9 روز (σ=48/9) بود. شایع ترین عوارض جراحی شامل هیدروسفالی (4/13%) و خونریزی داخل مغزی (5/9%) بودند. شایع ترین عارضه پزشکی (مدیکال) بروز اختلالات الکترولیتی (4/13%) بود. میانگین زمان عمل جراحی 1 ساعت و 40 دقیقه (σ=5/5) و خونریزی حین عمل 542 میلی لیتر (σ=474) محاسبه شد.
نتیجه گیریبر اساس مطالعه ما، میزان وسعت رزکسیون با بروز عوارض پس از جراحی و سن بالاتر و مدت زمان بستری قبل و بعد جراحی و زمان طولانی تر جراحی با عوارض پزشکی ارتباط معنادار داشت. همچنین در مطالعه ما سن بالا با مورتالیته بالاتری در ارتباط بود اما خونریزی حین عمل با بروز عوارض ارتباط معناداری نداشت.
کلید واژگان: تومور مغز, عوارض بعد از عمل, عوارض جراحی, عوارض مدیکالBackgroundBrain tumors are rare and yet a significant cause of mortality and morbidity in adults. Surgical resection has been treatment of choice for brain tumors. Despite its effectiveness, surgical resection may cause various post-operatives complications such as infections, neurological deficits, and vascular damages that can lead to decrease in quality of life and survival rate and can impose great medical expenses. This study was aimed to assess related factors of medical and surgical complications after surgical brain tumors resection.
MethodsThis was a descriptive and retrospective study performed on patients that underwent brain surgical tumor resection at Rasoul Akram Hospital of Iran University of medical science in Tehran, 2016. Age, sex, extent of resection, pathology of tumor, post-operative symptoms and complications, duration of surgery, blood loss volume during surgery, and duration of admission were collected, and analyzed with SPSS.
ResultsOf 179 patients, 47.5% (85) were male, and 52.5% (94) were female. Mean patient age was 45.8 years old, and mean admission duration was 4.6 day before and 9.7 day after surgery. The most common surgical complications were hydrocephalus (13.4%) and ICH (9.5%). The most common medical complication was electrolyte disorder (13.4%). Mean surgery duration was 1 hour 40 min and mean blood loss during surgery was 542 ml.
ConclusionBased on our study, extent of brain resection was correlated with surgical and medical complications. Older age, longer duration of admission, and longer duration of surgery were correlated with medical complications, but it was not correlated with surgical complications. Older age was correlated with higher mortality rate. Blood loss volume during surgery had no correlation with surgical or medical complications.
Keywords: brain tumor, post-operative complication, medical complication, surgical complication
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