Showing 3 results for Surgery
A Mardani,, L Babakhan, F Abedi Astaneh, M Rafiei, H Mardani,
Volume 3, Issue 2 (10-2009)
Abstract
Abstract Background and objectives: Hydatid cyst is one of the most important zoonotic parasitic diseases produced by means of Larva stage of Echinococcus granulosus. Since this Hydatid cyst is a widespread disease in many regions of the world and Iran, we decided to study the epidemiological situation of patients infected with hydatid cyst who were operated in hospitals of Qom, Iran (2004-2007). Material and Methods: In this Cross-sectional retrospective study, we surveyed the Medical records of 19 patients infected with hydatid cyst, who were operated in hospitals of Qom (2004-2007). Patients’ demographic data including gender, age, career, dwelling place, number of cysts and the infected organ were collected and analyzed by SPSS software. Results: of the 19 patients, 12 cases (63.2%) are female and seven cases (36.8%) male. The highest rate of infection is related to 21-30 year group (31.65%) homemakers (52.7%) and urban (89.5%). The results show that the organs involved are liver (73.7%) and lung (26.3%). All patients infected with pulmonary hydatid cyst are male. Conclusion: Since 63.2 percent of infected people are female and homemaker, having contact with vegetables contaminated with parasite ova is the most important way of infection transmission. Key words: Hydatid cyst, Epidemiology, Surgery, Iran
Mirbagheri M, Taghipour H R, Farhadi N, Mirbagheri L, Imani Foladi Aa, Nourani M R,
Volume 6, Issue 1 (4-2012)
Abstract
Abstract Background and objectives: cardiac surgery is often associated with acute kidney injury (AKI). Nowadays, AKI is typically diagnosed by an increase in serum creatinine, which is a delayed and unreliable biomarker. Recent studies recommended using the liver type fatty acid binding protein (L-FABP) as an early biomarker. Material and Methods: The urine samples of 18 adult patients undergoing cardiac surgery were collected in different times before (2, 4,8,24 hour) and after cardiac surgery for detection of L-FABP by Elisa. Results: The results from ELISA test show that the increasing amount of L-FABP in urine samples of 4 patients is a diagnostic indicator for AKI. The mean concentration of L-FABP has increased up to 17 times at 8 hours after cardiac surgery compared to before surgery. Conclusion: according to our findings, we speculated that the urinary L-FABP can be a reliable and rapid biomarker for diagnosis of acute kidney injury. Key words: Acute Kidney Injury, Liver type Fatty Acid Binding Protein, Cardiac surgery
Madhusudana Hn, Akriti Kashyap, Sunita Patil, Gurpuneet Basra, Navnath Dighe, Sashindran Vk,
Volume 16, Issue 3 (5-2022)
Abstract
Background and objectives: Intraoperative blood transfusion is a common medical intervention worldwide. Although mostly lifesaving when indicated, inappropriate administration of intraoperative can be potentially life-threatening. The aim of this study was to analyze the most common surgery/invasive procedures requiring intraoperative transfusion and to determine indications for intraoperative transfusion as well as the outcome of the patients after intraoperative transfusion.
Methods: A retrospective review of the electronic database of medical records was done for surgical patients who received intraoperative transfusion from June 2019 to December 2019. Preoperative hemoglobin values, associated comorbidities, and physiological triggers including hypotension and tachycardia were recorded. Descriptive statistics were used to summarize the data.
Results: A total of 36 patients (age range: 9-80 years) were studied. Orthopedic surgeries (53%) were the most common surgeries that required intraoperative transfusion. Preoperative anemia (hemoglobin <10 g/dl) was the predominant reason for intraoperative transfusion. Type 2 diabetes mellitus (36.3%) was the most frequent comorbidity among the cases of intraoperative transfusion. Half the cases received two units of packed red blood cell (pRBC), while 39% of the cases received one unit of pRBC. The remaining 11.1% received more than two units of pRBC. Furthermore, 77.7% of the patients were discharged to home within a week, while 16.6% of the patients were discharged after a prolonged hospital stay (> one week). The remaining 5.5% died in the hospital within a week of the procedure/surgery.
Conclusion: Transfusion practices vary among physicians, hospitals, and countries. The findings highlight that the hospital might be the most important determinant of the number of administered transfusions, with some adopting programs to reduce transfusions for elective surgery.
