Advanced medical journal最新文献

The effect of propofol versus thiopentone on APGAR score of babies delivered and recovery of pregnant mothers undergoing elective cesarean section 异丙酚与硫喷酮对选择性剖腹产孕妇分娩婴儿 APGAR 评分和恢复的影响

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.251

Dana Ali Mir Ahmed, A. Boujan

{"title":"The effect of propofol versus thiopentone on APGAR score of babies delivered and recovery of pregnant mothers undergoing elective cesarean section","authors":"Dana Ali Mir Ahmed, A. Boujan","doi":"10.56056/amj.2024.251","DOIUrl":"https://doi.org/10.56056/amj.2024.251","url":null,"abstract":"Background and objectives: The Apgar score is a vital indicator of the baby's well-being. This study aims to compare the effects of propofol and thiopental anesthetics on babies' Apgar scores and mothers' recovery times, this study was carried out. Methods: This single-arm interventional study was conducted in Zhyan and Soma Hospital in Sulaimani, Kurdistan Region of Iraq from February 2022 to July 2022. Separate doses of propofol and thiopental were given to 140 pregnant women who were candidates for elective cesarean section in two separate groups. Apgar scores at 1 and 5 minutes after birth, recovery time, and hemodynamic changes before and after the intervention were evaluated and compared. Results: The results of the diastolic pressure variable after the intervention and the hemodynamic variables were significantly different in each group before and after the intervention (P<0.001). The mean recovery time in propofol and thiopental groups was 21.4 ± 2.4 and 26.0 ± 1.8 minutes, respectively, and they were statistically significantly different (p<0.001). There was a statistically significant difference in the Apgar score at the 5th minute between the two groups (p=0.03). In terms of the need for resuscitation after the first minute, the results were in favor of the propofol group (p<0.001). Conclusion: Propofol can be used more safely since patients who had anesthesia with it had better hemodynamics, quicker recovery times, neonates with higher Apgar scores, and less need for postpartum resuscitation.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"38 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aggravating factors of asthma among patients visited respiratory center at Shar Hospital outpatient in Sulaymaniyah-Kurdistan-Iraq 伊拉克苏莱曼尼亚库尔德斯坦沙尔医院门诊呼吸中心就诊患者的哮喘加重因素

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.253

Maryiam Salem Mamluk, Kamaran Amin Karadakhy

{"title":"Aggravating factors of asthma among patients visited respiratory center at Shar Hospital outpatient in Sulaymaniyah-Kurdistan-Iraq","authors":"Maryiam Salem Mamluk, Kamaran Amin Karadakhy","doi":"10.56056/amj.2024.253","DOIUrl":"https://doi.org/10.56056/amj.2024.253","url":null,"abstract":"Backgroundand objectives:Asthma is a prevalent chronic disease in Kurdistan region. Identification of asthma triggers is essential in preventing and managing the disease.Our aim was to determine the most common aggravating factor of asthma in Suleimani city and assessing the correlation of age groups and gender to specific aggravating factors.Methods:This data collection was an observational cross-sectional study implementedin the Outpatients clinics in Suleimani city-Kurdistan region/Iraq from 2018 to 2022. Study subjects included one hundred and fifty asthmatic patients (150). The diagnosis of asthma in selected patients was established prior to the study inclusions.Results:The common aggravating factors of asthma as perceived by patients were air pollution (80.7%), dusts storms (76.7%), infection (74%), smoking (69.3%), exercise (66.7%), detergents (64.7%) and cold weather (64%).The triggers of asthma in adolescent and adult patients are different regarding age and gender.Conclusions:The common triggers of asthma in asthmatic patients in Suleimani city are pollution, dusts, viral infection, and tobacco.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"247 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The prevalence of celiac disease among children with short stature 身材矮小儿童中乳糜泻的发病率

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.267

Dawan Dilshad Abdullah, Muhamad Sadraddin Mahmood

{"title":"The prevalence of celiac disease among children with short stature","authors":"Dawan Dilshad Abdullah, Muhamad Sadraddin Mahmood","doi":"10.56056/amj.2024.267","DOIUrl":"https://doi.org/10.56056/amj.2024.267","url":null,"abstract":"Background and objectives: The most important characters of children are growth and development. There are many causes of short stature. Among causes of short stature celiac disease is the important reversible cause. Celiac disease can be diagnosed serologically or/and duodenal biopsy according to the level of serological tests or/and symptoms. The main objective of the study was to find the relation between having high tissue transglutaminase antibody and short stature Methods: This is a cross sectional study. From March 2021 to March 2022, consecutive sampling from of 79 children who presented to Helina center in Erbil city and Hawler teaching hospital (department of endocrinology) complaining to have short stature and recorded as short child. Tissue transglutaminase antibody were sent for all patients, and duodenal biopsy for selected cases were done. Result: Seventy-nine children with short stature were included in the study. Their mean age (SD) was 8.3 (3.3) years. The median was 8 years, and the age range was 1.1-16 years. More than half (54.4%) of the sample were aged 5-9 years, and 42 patients (53.2%) were females. The prevalence of celiac disease among children with short stature in our study was 13.9%, which is statistically is significant. The majority (69.6%) of the children had severe short stature (less than -2 Z score), and the rest had acceptable Z score. Conclusion: In conclusion, celiac disease should be considered in the differential diagnosis of patient who presents with short stature as it is not uncommon in our community. Sending for non-invasive investigations for diagnosing celiac disease is easier and simpler than other invasive procedures.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"272 39‐43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and Dermoscopic evaluation of post acne erythema after treatment with topical timolol maleate 0.5% 局部使用 0.5% 马来酸噻吗洛尔治疗痤疮后红斑的临床和皮肤镜评估

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.258

Sawen Jihanger Omer, Mohammed Yousif Saeed Jaf, Shawkat Abubakr Hassan

{"title":"Clinical and Dermoscopic evaluation of post acne erythema after treatment with topical timolol maleate 0.5%","authors":"Sawen Jihanger Omer, Mohammed Yousif Saeed Jaf, Shawkat Abubakr Hassan","doi":"10.56056/amj.2024.258","DOIUrl":"https://doi.org/10.56056/amj.2024.258","url":null,"abstract":"Background and objectives: A common consequence of acne inflammation is called post-acne erythema, which describes telangiectasia and erythematous lesions that persist even after acne treatment, although some post-acne erythema lesions may become better with time. For some patients, having prolonged post-acne erythema might not be acceptable. Many studies have assessed the effectiveness of various post-acne erythema therapeutic approaches; however, there is no standard treatment. The aim of this study was to evaluate efficacy and safety of topical timolol maleate 0.5% in the treatment of post-acne erythema clinically and by dermoscopy. Methods: A randomized therapeutic clinical trial conducted in Sulaimanyah city-Kurdistan region over a period from March to September of 2022.Thirty patients (24 female and 6 male) with persistent post-acne erythema were enrolled in this study. Treatments with timolol 0.5% ophthalmic solution: apply 3-5 drops of timolol over the affected area every night at bedtime for 12 weeks. Our objectives were patient satisfaction, dermoscopy-assessed erythema assessment, and physician-reported clinical improvement. Result: After 12 weeks of treatment, there were no patients with severe erythema, clinically and statistically; there was a marked decline in the mean clinician erythema score and its standard deviation from 2.7± 0.98 to 1.0 ± 1.0 Also by dermoscopy-assessed erythema assessment, there was a substantial decrease in the mean erythema score and its standard deviation from 2.0±0.72 to 0.70±0.70, no participants after therapy exhibited severe erythema by dermoscopy.so statistically there is significant reduction in erythema clinically and dermoscopically. Conclusion: The results of this study show that there was very good response of post-acne erythema lesions with no obvious side effects, further therapeutic clinical studies with larger sample size is needed.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"27 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship of Neck pain and Smart Phones Usage among students: A Cross-Sectional Study in Erbil City 学生颈部疼痛与智能手机使用的关系：埃尔比勒市横断面研究

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.254

Shwan Qadir Media, Alaa Usama Ahmed

{"title":"The Relationship of Neck pain and Smart Phones Usage among students: A Cross-Sectional Study in Erbil City","authors":"Shwan Qadir Media, Alaa Usama Ahmed","doi":"10.56056/amj.2024.254","DOIUrl":"https://doi.org/10.56056/amj.2024.254","url":null,"abstract":"Background and objectives: Innovative technology devices, such as smartphones and tablets can do numerous activities that users need daily. Mishandling of this technology has an impact on utilizers health. The aim of this study was to find the prevalence of neck pain induced by smart phones usage among students of medical faculty in Erbil city. Methods: A cross-sectional study on 400 students from Hawler Medical University was conducted from 1st July 2021 till 1st July 2022.The investigator designed a self-administered questionnaire, distributed it to the students. Investigator inquired about participants sociodemographic characteristics, purpose and hours of using phones, hand dominance, how to enter data, frequent position while using the phone.Whether other devices are applied for study, neck pain and its severity ,pain relief medications and the usual exercise routine of the respondents. Results: More than two third of the studied sample (63.5%) had neck pain, and (36.5%) were free from pain during smartphone use in last 12 months. The mean severity of pain was higher in females than in males (4.54 ±1.53 vs 3.28 ± 1.31) and the difference was statistically significant (p=0.003). Overusing phones for more than 4hours per day was 78%, and only 22% underused the smartphone (less than and equal to four hours). Conclusion: Prevalence of neck pain related to phone use among medical faculty students in Erbil city was high. Most of them were overusing smartphones","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of osteoporosis & osteopenia in transfusion-dependent thalassemia in Sulaimaniyah city, Iraq 伊拉克苏莱曼尼亚市输血依赖型地中海贫血患者骨质疏松症和骨质增生的患病率

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.261

Hunar Gharib Mahmood, Ahmad Khudair Yassin, Zeki Ali Mohamed

{"title":"Prevalence of osteoporosis & osteopenia in transfusion-dependent thalassemia in Sulaimaniyah city, Iraq","authors":"Hunar Gharib Mahmood, Ahmad Khudair Yassin, Zeki Ali Mohamed","doi":"10.56056/amj.2024.261","DOIUrl":"https://doi.org/10.56056/amj.2024.261","url":null,"abstract":"Background and objectives: Although blood transfusion and iron chelation increase the lifespan of thalassemic patients, these patients face many complications, including osteoporosis and osteopenia. Thus, we aimed to determine prevalence rates of osteoporosis/osteopenia using Dual Energy X-Ray Absorptiometry in transfusion-dependent thalassemia patients and its relationship with chelation agents and body mass index. Methods: This retrospective study included 150 patients with transfusion-dependent thalassemia in the Thalassemia and Congenital Blood Disorders Center, Sulaimaniyah, Iraq, from December 2021 to July 2022. The participant’s information was collected from the hospital database, including sociodemographic characteristics, bone mineral density status, and the number of items used for chelation. A Dual Energy X-Ray Absorptiometry bone scan was used to check the bone mineral density. Results: The mean age of patients was 19.59±7.59, body mass index was 21.23±18.13, and most (53.3%) were females. Dual Energy X-Ray Absorptiometry results showed that 53.3% of the patients had osteopenia, 21.3% had osteoporosis, 36.7% had average bone mineral density, and 6.7% had low bone mineral density for age. In addition, there was a significant difference between the frequencies of bone density disorders in patients who used one chelating agent (46.4%) versus two chelating agents (85%) (P?0.001). Also, there was a significant difference between the incidence of bone density disorders with low and average body mass index (78%) in comparison with overweight and obese patients (8%) (P?0.001). Conclusions: There is a high prevalence of osteoporosis and osteopenia in transfusion-dependent thalassemia patients, which are more prone to trauma and bone fracture.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"114 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of Autoantibodies (ACPA) and Rheumatoid Factor among Rheumatoid Arthritis Patients in Sulaymaniyah 苏莱曼尼亚省类风湿性关节炎患者自身抗体（ACPA）和类风湿因子的患病率

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.269

Zhwan Ebrahem Muhillddin, R. Merza

{"title":"Prevalence of Autoantibodies (ACPA) and Rheumatoid Factor among Rheumatoid Arthritis Patients in Sulaymaniyah","authors":"Zhwan Ebrahem Muhillddin, R. Merza","doi":"10.56056/amj.2024.269","DOIUrl":"https://doi.org/10.56056/amj.2024.269","url":null,"abstract":"Background and objectives: Rheumatoid factor and anticitrullinated protein antibodies are the most characteristic autoantibodies for rheumatoid arthritis. Our aims were to evaluate the prevalence of Rheumatoid factor and anticitrullinated protein antibodies and their association with demographic and clinical characteristics of patients with RA. Methods: This is a cross-sectional study which was conducted at Rheumatology and Rehabilitation Center/Sulaymaniyah from February 2022 to November 2022. The study included patients with rheumatoid arthritis from both sexes. Socio-demographic and clinical data were collected. Enzyme linked immunosorbent assay was used to estimate serum levels of rheumatoid factor and anticitrullinated protein antibodies antibody titer. Results: The prevalence of rheumatoid factor was 72.61%. Each of high disease activity, mean DAS28 scores, rheumatoid nodules and deformities were significantly associated with rheumatoid factor positivity (P= 0.015, P= 0.025, P= 0.007 and P<0.001, respectively). The prevalence of anticitrullinated protein antibodies was 68.87%. High disease activity, rheumatoid nodules and deformities were significantly associated with anticitrullinated protein antibodies (P= 0.014, P<0.001 and P<0.001, respectively). Conclusions: The prevalence of rheumatoid factor and anticitrullinated protein antibodies among patients with rheumatoid arthritis was within the global context. High disease activity and the presence of rheumatoid nodules are positively associated with rheumatoid factor-positivity. Number of tender joints and the presence of rheumatoid nodules were positively associated with anticitrullinated protein antibodies-positivity.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"32 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141388059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of intra lesional injection of 5-flourouracil on keloid scar: A prospective open clinical trial 病灶内注射5-氟尿嘧啶对瘢痕疙瘩的疗效：前瞻性开放临床试验

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.263

Banoo Dhahir Latif, Mohammed Yousif Saeed, Darseem Muhammed Abdulla

{"title":"Efficacy of intra lesional injection of 5-flourouracil on keloid scar: A prospective open clinical trial","authors":"Banoo Dhahir Latif, Mohammed Yousif Saeed, Darseem Muhammed Abdulla","doi":"10.56056/amj.2024.263","DOIUrl":"https://doi.org/10.56056/amj.2024.263","url":null,"abstract":"Background and objectives: The management of keloids stayed unsatisfactory. Intralesional 5-fluorouracil has not been broadly and intensively studied as a monotherapy in the treatment of keloids worldwide. So, the aim of this study was to evaluate the efficacy and safety of intralesional injection of 5-flourouracil in patients with keloids. Methods: In this prospective clinical trial study, a total of 20 patients aged >18 years at Shahid Jabar Dermatological Teaching Center, Sulaimaniyah, Iraq, from January 2022 to August 2022 were enrolled. Patients were treated at 1-week interval with intralesional injection of 5-flurouracil (50 mg/mL) at maximum of 6 sessions. Average injection volume was 0.2 mL/cm2. All patients were followed up for 6 months. Results: Most of the patients were aged <50 years (90%) with no family history of keloid (75%). Additionally, 45% of patients had keloid in the trunk region with a size of ?10 cm2 (65%). Most patients (80%) had the disease for ?5 years that caused by inflammation (55%), especially skin type IV (65%). After 6 sessions of treatment, 70% of patients showed moderate improvement, while 30% of patients showed minimum improvement. The main adverse effects after 6 sessions of treatment were hyperpigmentation in 3 patients, bullae in 2 patients, and tissue sloughing only in 1 patient. A significant correlation was found between the patient’s response and age/keloid location. Moreover, mean Redness, Elevation, Hardness, Itching, and Tenderness score after treatment was significantly lower than before treatment (p<0.001). Conclusions: Our results concluded that 5-flurouracil is a safe and effective therapy for the treatment of keloids.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"238 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The frequency of clinical and subclinical hypothyroidism in transfusion dependent thalassemia patients in Slemani city /Iraq 伊拉克 Slemani 市输血依赖型地中海贫血患者中临床和亚临床甲状腺功能减退症的发病率

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.265

Dezheen Jamal Mohammed Rashid, Kawa Muhamad Ameen, Nawsherwan Sadiq Mohammed

{"title":"The frequency of clinical and subclinical hypothyroidism in transfusion dependent thalassemia patients in Slemani city /Iraq","authors":"Dezheen Jamal Mohammed Rashid, Kawa Muhamad Ameen, Nawsherwan Sadiq Mohammed","doi":"10.56056/amj.2024.265","DOIUrl":"https://doi.org/10.56056/amj.2024.265","url":null,"abstract":"Background and objective: Thyroid disorders caused by blood transfusion in thalassemia patients could affect human health and growth, this study was conducted to determine the frequency of clinical and subclinical hypothyroidism in blood transfusion-dependent thalassemia patients in the city of Slemani, Kurdistan Region, Iraq. Methods: The current study is a retrospective cross-sectional study (comparative analysis) conducted in Slemani center for thalassemia patients and congenital blood, between December 2021 and July 2022. Participants included l07 thalassemia patients with medical records the sampling method was a convenience method. The data was collected through the review of patients' files and blood tests, including( thyroid hormones, hemoglobin level, serum ferritin level), with a questionnaire that was completed through an interview with the patients. Results: The results of thyroid function tests have shown that 21/107 pateints (19.6%) have hypothyroidism, 6 patients have overt hypothyroidism, and 15 patients have subclinical showed that 23/107 patients and 4/107 patients had hight and low levels,respectively, and there was statistically a significant difference in the average Thyroid stimulating hormone and serum thyroxin levels in two groups of hypothyroid and euthyroid patients and mean ferritine serum level between these two groups was 2166.7±2174.8 and 2068.37±1919.97 respictively ,which was not a statistically significant difference . Conclusion: Considering the high prevalence of hypothyroidism in thalassemia patients, measuring Thyroid stimulating hormone and thyroxin can be very important and vital in the initial screenings,effective treatment and follow-up of patients.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"222 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors affecting the success and perioperative complications of retrograde intrarenal surgery: a retrospective clinical analysis 影响逆行肾内手术成功和围手术期并发症的因素：回顾性临床分析

Advanced medical journal Pub Date : 2024-06-04 DOI: 10.56056/amj.2024.256

S. Mahmood, Dler Fathulla Abdalla, C. Ahmed

{"title":"Factors affecting the success and perioperative complications of retrograde intrarenal surgery: a retrospective clinical analysis","authors":"S. Mahmood, Dler Fathulla Abdalla, C. Ahmed","doi":"10.56056/amj.2024.256","DOIUrl":"https://doi.org/10.56056/amj.2024.256","url":null,"abstract":"Background and objective: Many factors are presumed to have an impact on the results of retrograde intra renal surgery. In the current study, our objective was to actuate the possible factors influencing the stone-free rates and complications post lone-session retrograde intrarenal surgery for renal calculi. Stone-free rates Methods: Overall 200 patients who undergone retrograde intra renal surgery between January 2019 and March 2022 were evaluated, retrospectively. Success was decided if there were no residual fragments on pain X-ray and ultrasonography. Patient demographics, stone characteristics, perioperative data were assessed and analyzed to actuate predictive factors influencing stone-free rates and perioperative morbidities. Results: Two hundred patients with a mean age of 41.12±14.37 years were evaluated. The mean stone size was 1.815 ± 2.107 millimeters (mm), mean stone density was 969.63 ± 345.307 Hounsfield unit. The immediate SFR was (76.8±0.42) while the final SFR (single session) was 87.9±0.46. Thirty-seven patients (18.5%) developed complications, the preponderance of them 86% were minor complications (Clavien grade I and II). In multivariate regression analysis, multiple renal stones and ureteral access sheath use were constitute to be statically significant predictors of stone-free status. Moreover, multivariate regression analysis revealed that operative time, lasing time and stone opacity stones were statistically significant factors influencing perioperative complications. Conclusion: Success rates inversely related to stones number and ureteral access sheath usage. While prolonged operation time, lasing time, and higher stone density could be a more reliable predictor of perioperative complication development.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"38 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0