Covid
Seyed Vahid Seyed Hosseini
Abstract
Breast cancer surgery plays a critical role in the management of breast cancer and is aimed at improving survival rates. Evidence-based guidelines have been developed to provide standardized recommendations for surgical interventions in breast cancer patients. These guidelines encompass various aspects ...
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Breast cancer surgery plays a critical role in the management of breast cancer and is aimed at improving survival rates. Evidence-based guidelines have been developed to provide standardized recommendations for surgical interventions in breast cancer patients. These guidelines encompass various aspects of breast cancer surgery, including the selection of appropriate surgical procedures, achievement of clear surgical margins, timing of surgery, and the importance of multidisciplinary collaboration. The guidelines emphasize the importance of achieving clear surgical margins, which is associated with a decreased risk of local recurrence and improved survival rates. Breast-conserving surgery, such as lumpectomy, is recommended in eligible patients to achieve tumor removal while preserving the breast. Mastectomy, the complete removal of breast tissue, may be necessary in certain cases, and the guidelines provide recommendations for patient selection and optimal timing. Sentinel lymph node biopsy is an integral part of breast cancer surgery for accurate staging and determining appropriate adjuvant therapies. The guidelines highlight the importance of multidisciplinary collaboration to ensure comprehensive evaluation, treatment planning, and follow-up care. Adherence to these guidelines, along with the integration of systemic therapies, such as chemotherapy and hormonal therapy, has shown to improve survival rates in breast cancer patients. Ongoing research and advancements in surgical techniques and molecular profiling continue to refine these guidelines, further enhancing the effectiveness of breast cancer surgery and overall patient survival rates. By following these evidence-based guidelines, healthcare professionals can optimize patient care and contribute to increased survival rates in breast cancer patients.
Covid
Seyed Vahid Seyed Hosseini
Abstract
Thyroidectomy, the surgical removal of the thyroid gland, is a commonly performed procedure for various thyroid conditions. In recent years, laparoscopic thyroidectomy (LT) has emerged as a minimally invasive alternative to open thyroidectomy (OT). This abstract presents a comparison of the results between ...
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Thyroidectomy, the surgical removal of the thyroid gland, is a commonly performed procedure for various thyroid conditions. In recent years, laparoscopic thyroidectomy (LT) has emerged as a minimally invasive alternative to open thyroidectomy (OT). This abstract presents a comparison of the results between laparoscopic and open thyroidectomy, specifically focusing on surgical efficacy, safety, postoperative complications, and patient satisfaction. Several studies have reported comparable or even superior outcomes with laparoscopic thyroidectomy in terms of surgical efficacy. LT provides magnified visualization and improved access to the surgical field, resulting in lower rates of nerve injury and hypoparathyroidism, while achieving equivalent rates of complete tumor resection and lymph node dissection. In terms of safety, laparoscopic thyroidectomy has demonstrated advantages over open thyroidectomy. It is associated with reduced blood loss, lower rates of wound infections, decreased postoperative pain, and improved cosmetic outcomes due to smaller incisions. However, the learning curve for surgeons must be considered, as adequate training and experience are crucial for ensuring patient safety during laparoscopic procedures. Studies consistently report lower rates of postoperative complications with laparoscopic thyroidectomy, including wound infections, hematoma formation, seroma formation, and postoperative hypoparathyroidism. The incidence of recurrent laryngeal nerve injury is also lower with laparoscopy. Patient satisfaction tends to be higher with laparoscopic thyroidectomy due to reduced postoperative pain, faster recovery, improved cosmetic outcomes, and shorter hospital stays. In conclusion, laparoscopic thyroidectomy offers potential benefits in terms of surgical efficacy, safety, lower rates of postoperative complications, and higher patient satisfaction compared to open thyroidectomy.
Health
Seyed Vahid Seyed Hosseini
Abstract
Open thoracotomy, a surgical procedure involving a large incision in the chest wall, has long been utilized in the management of pneumothorax. This procedure allows direct access to the pleural space, enabling effective intervention for complex cases or when less invasive techniques have proven unsuccessful. ...
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Open thoracotomy, a surgical procedure involving a large incision in the chest wall, has long been utilized in the management of pneumothorax. This procedure allows direct access to the pleural space, enabling effective intervention for complex cases or when less invasive techniques have proven unsuccessful. Indications for open thoracotomy include large or recurrent pneumothorax, significant underlying lung disease, or traumatic pneumothorax with associated injuries. The primary advantage of open thoracotomy is its versatility, as it provides wide exposure and direct visualization of the pleural cavity, facilitating the identification and management of the underlying cause of pneumothorax. This approach allows for the removal of blebs or bullae, repair of lung lacerations, and treatment of associated injuries, resulting in comprehensive management. However, open thoracotomy is a major surgical procedure associated with potential risks and complications, including postoperative pain, longer hospital stays, and slower recovery. The decision to proceed with open thoracotomy should be carefully considered, taking into account the patient's clinical condition, extent of pneumothorax, underlying lung disease, and the expertise of the surgical team. As less invasive techniques, such as video-assisted thoracoscopic surgery (VATS), continue to advance, the choice between open thoracotomy and VATS should be individualized based on the patient's needs and available resources.
Covid
Seyed Vahid Seyed Hosseini
Abstract
Gallbladder-related diseases necessitate surgical intervention, with laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) being the main approaches for gallbladder removal. This abstract provides a concise comparison of the results and outcomes of laparoscopic cholecystectomy versus open cholecystectomy, ...
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Gallbladder-related diseases necessitate surgical intervention, with laparoscopic cholecystectomy (LC) and open cholecystectomy (OC) being the main approaches for gallbladder removal. This abstract provides a concise comparison of the results and outcomes of laparoscopic cholecystectomy versus open cholecystectomy, focusing on efficacy, safety, postoperative complications, and patient satisfaction. Both LC and OC demonstrate comparable efficacy in achieving complete gallbladder removal and resolution of symptoms. LC offers magnified visualization and precise dissection, while OC provides direct access and tactile feedback to the surgeon. Safety analysis reveals that LC has lower rates of intraoperative and postoperative complications, attributed to reduced tissue trauma and faster recovery. However, OC remains a safe option for complex cases. LC has a lower incidence of postoperative complications, including wound infections and incisional hernias, and facilitates earlier bowel function recovery and shorter hospital stays compared to OC. Patients generally report higher satisfaction rates with LC due to reduced postoperative pain, faster recovery, and improved cosmetic outcomes. However, individual patient preferences and specific circumstances may influence the choice between LC and OC. Cost-effectiveness analysis indicates higher initial costs for LC but potential savings due to reduced postoperative care and lost productivity. OC may have lower initial costs but can result in higher costs associated with prolonged hospital stays. In conclusion, both LC and OC are effective approaches for gallbladder removal, with LC demonstrating advantages in terms of reduced complications, faster recovery, and higher patient satisfaction. Surgeon expertise, patient factors, and case complexity should guide the selection of the most appropriate approach. Further research is needed to explore long-term outcomes and refine the comparison between LC and OC.
Seyed Vahid Seyed Hosseini
Abstract
Laparoscopic esophagostomy (LE) and open esophagostomy (OE) are two surgical approaches used to create an esophageal opening for enteral nutrition and medication administration. This abstract presents a comprehensive comparison of LE and OE, focusing on efficacy, safety, postoperative complications, ...
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Laparoscopic esophagostomy (LE) and open esophagostomy (OE) are two surgical approaches used to create an esophageal opening for enteral nutrition and medication administration. This abstract presents a comprehensive comparison of LE and OE, focusing on efficacy, safety, postoperative complications, and patient satisfaction. Both techniques have shown efficacy in providing adequate nutrition and medication support. LE offers advantages in terms of precise dissection and securement of the feeding tube or catheter due to magnified visualization and improved access to the esophagus. OE allows for direct access to the esophagus, enabling accurate placement of the esophagostomy opening and tactile feedback to the surgeon. In terms of safety, LE is associated with a minimally invasive approach, resulting in reduced tissue trauma, decreased blood loss, lower rates of wound infections, and shorter hospital stays compared to OE. However, OE can still be performed safely and effectively by experienced surgeons. Postoperative complications, including wound infections, respiratory complications, and incisional hernias, have been reported to occur less frequently in LE compared to OE. Patient satisfaction is generally higher with LE due to reduced postoperative pain, faster recovery, and improved cosmetic outcomes. However, OE can still yield satisfactory results. The choice between LE and OE should be based on individual patient factors, surgeon expertise, and the complexity of the case. Further research is needed to optimize outcomes and refine the comparison between the two techniques.
