Medicine
Mahla Effati; Majid Montazer Bavil Olyaee
Abstract
Introduction: Over the past few decades, advances in surgical techniques and perioperative management have led to improvements in the prognosis of thoracic esophageal perforation. However, the optimal treatment approach remains controversial, with various surgical techniques available and differing outcomes ...
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Introduction: Over the past few decades, advances in surgical techniques and perioperative management have led to improvements in the prognosis of thoracic esophageal perforation. However, the optimal treatment approach remains controversial, with various surgical techniques available and differing outcomes reported in the literatureMaterial and Methods: Data collection was conducted by reviewing electronic medical records, surgical databases, and pathology reports to extract relevant information on patient demographics, clinical characteristics, preoperative evaluations, surgical techniques, intraoperative findings, postoperative outcomes, and long-term prognosis. Data on surgical techniques utilized in the treatment of thoracic esophageal perforation were meticulously documented.Results: Surgical management was performed in all 80 patients, with various surgical techniques employed based on the extent and severity of esophageal injury. Primary repair of the esophageal perforation was performed in 45 patients (56.3%), esophageal diversion with cervical esophagostomy in 25 patients (31.3%), and esophagectomy with reconstruction in 10 patients (12.5%). The choice of surgical technique was guided by the surgeon's preference, extent of esophageal injury, and presence of associated comorbidities.Conclusion: Our study provides valuable insights into the seven-year prognosis and outcomes of surgical techniques used in the treatment of thoracic esophageal perforation. Despite the challenges associated with surgical management, including perioperative complications and mortality, surgical intervention remains essential for improving patient outcomes and reducing long-term morbidity.
Medicine
Ali Sharifi; Abbasali Dehghani
Abstract
Introduction: The outcomes after esophagectomy have transformed the management of esophageal pathologies. esophagectomy has revolutionized the field of esophageal surgery by providing patients with less postoperative pain, reduced complications, faster recovery, and improved functional and oncological ...
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Introduction: The outcomes after esophagectomy have transformed the management of esophageal pathologies. esophagectomy has revolutionized the field of esophageal surgery by providing patients with less postoperative pain, reduced complications, faster recovery, and improved functional and oncological outcomes. As surgical techniques continue to evolve, esophagectomy represents a paradigm shift in the approach to esophageal surgery, paving the way for future advancements and improved patient care.Material and Methods: This article utilizes a retrospective study design to assess the outcomes after esophagectomy. The study involved analyzing medical records and data from patients who underwent esophagectomy at a single institution between a specified period. The study aimed to evaluate various outcome measures, including postoperative pain, complications, length of hospital stay, pulmonary function, gastrointestinal complications, and oncological outcomes.Results: The outcomes after esophagectomy demonstrated several favorable results compared to traditional open esophagectomy. Postoperative pain scores were significantly lower in the esophagectomy group, with a mean visual analog scale (VAS) score of 3.5 (range: 1-7) compared to 6.8 (range: 4-9) in the open surgery group (p < 0.001). This reduction in pain allowed for earlier initiation of oral intake, with a median time to resumption of oral intake of 3 days in the esophagectomy group compared to 7 days in the open surgery group (p < 0.001).Conclusion: In conclusion, this study highlights the favorable outcomes after esophagectomy and emphasizes its potential as a pioneering surgical technique in the field of esophageal surgery. esophagectomy offers several advantages over traditional open surgery, including reduced postoperative pain, shorter hospital stays, improved pulmonary function, and decreased rates of gastrointestinal complications.
Medicine
Moen Hosein Pour Feyzi; Ahmad Sheykhloo
Abstract
Thyroidectomy is a common surgical procedure performed to treat various thyroid disorders. In recent years, advancements in surgical techniques and perioperative management have contributed to improved outcomes and reduced complications. This scoping review aims to provide a comprehensive overview of ...
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Thyroidectomy is a common surgical procedure performed to treat various thyroid disorders. In recent years, advancements in surgical techniques and perioperative management have contributed to improved outcomes and reduced complications. This scoping review aims to provide a comprehensive overview of modern surgical techniques and perioperative complications management in thyroidectomy. The review encompasses a wide range of literature, including original research studies, systematic reviews, and clinical guidelines. It explores various modern surgical techniques employed in thyroidectomy, such as minimally invasive approaches (e.g., endoscopic and robotic-assisted), intraoperative nerve monitoring, and indocyanine green fluorescence imaging. The benefits, limitations, and outcomes associated with these techniques are discussed, highlighting their impact on surgical precision, postoperative recovery, and patient satisfaction. Additionally, the review addresses the perioperative complications management in thyroidectomy, focusing on key areas such as bleeding, recurrent laryngeal nerve injury, hypocalcemia, and surgical site infection. It discusses the identification and management of risk factors, the role of advanced imaging and monitoring techniques, and the importance of multidisciplinary collaboration in optimizing patient outcomes. Overall, this scoping review provides a comprehensive synthesis of the current evidence on modern surgical techniques and perioperative complications management in thyroidectomy. It serves as a valuable resource for surgeons, healthcare professionals, and researchers, offering insights into the advancements, challenges, and future directions in this field, ultimately contributing to improved patient care and surgical practice.
