Showing 2 results for Nasiri
Ahmadreza Soroush, Zhamak Khorgami, Yosra Jahangiri, Roza Mofid , Shirzad Nasiri, Ali Aminian, Abbas Alibakhshi,
Volume 2, Issue 1 (2-2013)
Abstract
Background: Trocar site, incisional hernia is one of the serious complications of laparoscopic surgery. As a result, many surgeons prefer to close the fascia, especially in those sites where a trocar of 10 mm in size or larger has been inserted. On the other hand, suturing the fascia may lead to damage of other tissues, such as the intestines; hence, some surgeons prefer not to close the fascia. Objectives: This study was performed to evaluate the outcome of using fascial non-closure in sites of 10 mm ports and the incidence of subsequent incisional hernia in patients undergoing laparoscopic cholecystectomy. Patients and Methods: The current study was a cohort scheduled for surgery in the General Surgery Ward at the Shariati Hospital of the Tehran University of Medical Sciences. Two hundred and twenty patients were selected in a convenient manner for a cholecystectomy. A 10 mm trocar was inserted in the umbilicus and the other ports were 5 mm. None of the trocar sites was closed. All of the patients were followed up to one year after the operation. Results: The mean age was 43.41 years and 91 patients (41.4%) were male. Five patients (2.3%) developed incisional hernia. The occurrence of hernia was not associated with; age, sex, BMI > 25, smoking or diabetes (P > 0.05). Conclusions: According to the results obtained in this study, it seems that in cases without closure of the fascia site of 10 mm trocars, the incidence of incisional hernia is considerable. Furthermore; age, gender, weight, smoking or diabetes, did not have any relationship with the occurrence of incisional hernia. More comparative studies are required to confirm these results.
Ahmadreza Soroush, Elham Pourbakhtyaran, Somayyeh Allame, Mohammad Mahdi Zamani, Mehrnoosh Etemadi, Shirzad Nasiri,
Volume 2, Issue 3 (8-2013)
Abstract
Background: Traditional haemostatic techniques in total thyroidectomy may cause some damages to surrounding tissues. It is believed that these damages can be reduced using ultrasonic dissector devices like Harmonic Scalpel (HS). Objective: In this study, we investigated the efficacy of ultrasonic dissectors (HS) versus conventional techniques (Clamp and Tie). Patients and Methods: A single blinded randomized clinical trial was performed at a referral educational center. Sixty eight eligible participants were enrolled and assigned to conventional group (operated with Clamp and Tie technique) and HS group (operated with Harmonic Scalpel). The following items were recorded in both groups: haemostatic technique, operative blood loss, duration of surgery, length of hospital stay, pathology, thyroid weight, postoperative recurrent laryngeal nerve injury, change in calcemia, pain, drainage volume and hematoma formation. Results: The results demonstrated that application of HS in thyroidectomy significantly reduces operating time (P ≤ 0.0001) and Intra operative bleeding (P ≤ 0.0001). Postoperative drainage (P ≤ 0.0001), pain (P ≤ 0.0001), hypocalcemia (P ≤ 0.0001), and length of hospitalization (P ≤ 0.0001) were significantly lower in HS group. Voice score was significantly lower in HS group (P ≤ 0.0001). Conclusions: HS in total thyroidectomy, reduces operating time, blood loss, postoperative pain, drainage volume, voice changes, and postoperative hypocalcemia, compared to conventional techniques.
