Covid
Ali Reza Lotfi; Mansour Rezaei
Abstract
Introduction: Gastrectomy plays a central role in the management of gastric cancer, and its short-term outcomes have significant implications for patient care and treatment decisions. Surgical morbidity, postoperative recovery, length of hospital stays, and the impact of minimally invasive techniques ...
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Introduction: Gastrectomy plays a central role in the management of gastric cancer, and its short-term outcomes have significant implications for patient care and treatment decisions. Surgical morbidity, postoperative recovery, length of hospital stays, and the impact of minimally invasive techniques and lymph node dissection are all critical factors to consider.Material and Methods: This study aimed to investigate the short-term outcomes of gastrectomy for patients with gastric cancer. A retrospective cohort study design was employed to analyze data from a single-center database. The study period spanned from 2019 to 2020.Results: Subgroup analyses were conducted to identify factors associated with surgical morbidity. Multivariable logistic regression analysis revealed that advanced tumor stage (2.25 95% CI, 2.11-3.19), open surgical approach (5.51 95% CI: 4.88-7.19), and a higher Clavien-Dindo classification (5.595% CI: 5-12.3) were independent predictors of surgical morbidity. These findings highlight the importance of early detection and management of complications, as well as the potential benefits of minimally invasive techniques in reducing surgical morbidity (fig 3).Conclusion: In conclusion, the study on short-term outcomes of gastrectomy in patients with gastric cancer provides valuable insights into the potential risks and benefits associated with the surgical procedure. It emphasizes the need for careful patient selection, meticulous surgical techniques, and comprehensive postoperative care to optimize outcomes and enhance patient satisfaction. Further research is warranted to explore long-term oncological outcomes and survival to provide a more comprehensive understanding of the overall impact of gastrectomy in the treatment of gastric cancer.
Medicine
Ali Reza Lotfi; Abbasali Dehghani
Abstract
Introduction: Pain intensity represents an important but understudied aspect of sinonasal mucormycosis surgery. Understanding the relationship between pain intensity and mortality is crucial for optimizing pain management strategies and improving patient outcomes.Material and Methods: Data collection ...
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Introduction: Pain intensity represents an important but understudied aspect of sinonasal mucormycosis surgery. Understanding the relationship between pain intensity and mortality is crucial for optimizing pain management strategies and improving patient outcomes.Material and Methods: Data collection was conducted by reviewing electronic medical records and surgical databases to extract relevant information on patient demographics, clinical characteristics, surgical procedures, pain intensity scores, and mortality outcomes. Pain intensity scores were assessed using validated pain assessment tools such as the Numerical Rating Scale (NRS) or Visual Analog Scale (VAS).Results: The results of the multivariable Cox proportional hazards regression analysis revealed that pain intensity was significantly associated with mortality (HR: 1.82, 95% CI: 1.45 - 2.28, p < 0.001). After adjusting for age, comorbidities, and surgical procedures, each unit increase in pain intensity was associated with a 1.82-fold increase in the hazard of mortalityConclusion: Our study highlights the significant association between pain intensity and mortality following sinonasal mucormycosis surgery. Effective pain management plays a crucial role in optimizing outcomes for patients undergoing surgical treatment for mucormycosis, and efforts to improve pain control should be integrated into perioperative care protocols.
