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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Annals of Colorectal Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Sphincteroplasty,PRP,Rabbit
- چکیده:
- چکیده انگلیسی: I review the interesting article “Effects of Platelet-Rich Plasma on Healing of Sphincteroplasty: An Experiment in Rabbit Model” (1)about application of Platelet-Rich Plasma in the anal sphincteroplasty
While reviewing the article which proposed a novel idea for improving the outcome of sphincteroplasty three issues were questionable for me:
The first issue is the site of sphincterotomy as it is mentioned located in posterior midline. It is known that the external anal sphincter is connected posteriorly to the anococcygeal ligament posteriorly (2) and division of sphincter in this point is not always associated with separation of sphincter and fecal incontinence.
Animal experiments on the anal sphincter is different in the basis of sphincter function rather than an anatomical basis has a physiologic basis and if sphincterotomy is done in an animal the impaired function should be demonstrated(3) before further intervention. Due to small size of sphincter complex in the small animals it is sometimes hard to understand the exact territory of muscle.- انتشار مقاله: 13-01-1399
- نویسندگان: Mohammad Rezazadehkermani,Mohammad Rezazadehkermani,Mohammad Rezazadehkermani,Mohammad Rezazadehkermani
- مشاهده
- جایگاه : پژوهشی
- مجله: Annals of Colorectal Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Infection,Neomycin,Erythromycin,Colectomy
- چکیده:
- چکیده انگلیسی: Preoperative bowel preparation was previously strictly done for all patient undergoing colorectal surgeries. With advances in the
surgical techniquesandpatient care, the role of bowel preparation in surgical complications is questioned. In this studywedescribe
a non-randomized retrospective analysis of 193 patients who underwent left colon and rectal resections in two different hospitals,
the preoperative bowel preparation regimens were different in two hospitals. Both regimens contain mechanical preparation with
polyethylene glycol, however, one hospital administered erythromycin and neomycin and the other hospital did not. From 74 patients
receiving oral antibiotic eight (10.8%) one developedwoundinfection and from 119 patientswhodid not receive oral antibiotic
three (2.5%) patient developed wound infection. This difference was statistically significant. Regarding literature review, it is suggested
to omit oral antibiotic from preoperative bowel preparation regimens elective colorectal resections.
- انتشار مقاله: 06-10-1399
- نویسندگان: Mahmoud Aghaei-Afshar,Farzaneh Mahmoudikordi,Mohammad Rezazadehkermani
- مشاهده