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.
Medicine
Seyed Vahid Seyed Hosseini
Abstract
This abstract provides a concise summary of the comparison of laparoscopy versus open appendectomy results. Appendectomy, the surgical removal of the appendix, is the standard treatment for acute appendicitis. Laparoscopic appendectomy (LA) and open appendectomy (OA) have emerged as the primary surgical ...
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This abstract provides a concise summary of the comparison of laparoscopy versus open appendectomy results. Appendectomy, the surgical removal of the appendix, is the standard treatment for acute appendicitis. Laparoscopic appendectomy (LA) and open appendectomy (OA) have emerged as the primary surgical approaches. This review aims to compare the outcomes of LA and OA, including efficacy, safety, postoperative complications, and patient satisfaction. Multiple comparative studies consistently demonstrate comparable efficacy between LA and OA in terms of successful appendix removal. LA offers excellent visualization and accurate identification of the appendix, while OA allows for direct visualization and tactile feedback during the procedure. In terms of safety, LA has advantages such as shorter operative times, reduced blood loss, decreased postoperative pain, and reduced wound infections. OA, despite a larger incision, allows for better exposure and control of bleeding. Postoperative complications show that LA has a lower risk of wound infections, incisional hernias, and postoperative pain. However, LA may have a slightly higher risk of intra-abdominal abscess formation. OA has comparable rates of complications to LA. Patient satisfaction is high for both LA and OA. LA provides advantages such as reduced postoperative pain, smaller incisions, improved cosmetic results, shorter hospital stays, and faster return to normal activities. OA offers immediate symptom relief and the ability to address other intra-abdominal pathologies. In conclusion, both LA and OA are effective and safe approaches for appendectomy. The choice between the two should consider individual patient factors and surgeon expertise. Further research will continue to refine outcomes and inform decision-making for optimal patient care.
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.
Medicine
Khosrow Hashemzadeh; Marjan Dehdilan
Abstract
Introduction: Our primary aim was to examine postoperative complications in cardiac surgery patients and their relationship to the use of cardiopulmonary resuscitation (CPB). A secondary aim was to evaluate the association of postoperative complications with outcome measures. Material and Methods: Single-institution ...
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Introduction: Our primary aim was to examine postoperative complications in cardiac surgery patients and their relationship to the use of cardiopulmonary resuscitation (CPB). A secondary aim was to evaluate the association of postoperative complications with outcome measures. Material and Methods: Single-institution observational study of consecutive cardiac surgery patients over 1 year. Five cardiac cases and 15 extracardiac cases were studied. CPB use, CPB parameters, demographics and Risk Adjusted Classification of Congenital Cardiac Surgery (RACHS-1) levels were evaluated as complication risk factors. Outcomes examined included duration of mechanical ventilation, length of stay in pediatric hospital, length of stay, and mortality. Results: Logistic regression analysis, after adjusting for age, sex, prior sternotomy, and RACHS-1 level, provided insufficient evidence for an association between CPB support and the incidence of cardiovascular or extracardiac problems. For patients receiving CPB, longer duration of CPB, higher RACHS-1 levels, and lower CPB temperature were associated with more cardiovascular events (P < .01). Longer CPB duration and higher RACHS-1 levels were associated with more cardiovascular complications (P = .006). Postoperative complications were associated with longer ventilator time, longer pediatric heart failure hospital stay, longer hospital stay, and death (P < .01). Conclusion: Postoperative complications occurred in 43% of pediatric cardiac procedures with and without CPB. Complications include longer use of ventilators, pediatric heart failure and hospital stay, and increased mortality.
