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Showing 3 results for Appendectomy
Vadood Norouzi , Eiraj Feizy , Firooz Amani , Pouneh Zamani ,
Volume 6, Issue 4 (12-2006)
Abstract
Background & Objectives: Pain acts as a defensive mechanism of body, which occurs following tissue damage. It is expected in surgical wounds. With regard to negative clinical outcomes resulting from surgery pain, this study was conducted to investigate the quality of pain control after appendectomy. Methods: In this descriptive, cross- sectional and prospective study, 200 patients undergoing appendectomy were randomly selected. Pain control in all of the patients was managed for 8 hours using narcotics injected intramuscularly. The patients were studied during 12 hours after surgery. The rating scale of 0-10 grade was used to estimate pain severity. The collected data were analysed by SPSS. Results: From 200 patients experiencing appendectomy, 101 (50.5%) were female and 99 (49.5%) were male. Pain was controlled with pethidine, methadon and pentazocin in 123 (61.5%), 51 (25.5%) and 26 (13%) patients, respectively. In 98 (49%) patients there was severe pain following the surgery. The most severe pain belonged to 21 (80.7%) patients who received pentazocin. Conclusions: With regard to multiple complications and problems resulting from pain after appendectomy, careful control of pain and more attention is necessary.
Mahdi Chinifroush, Seraj Mohajeri, Babak Shirinzadeh,
Volume 8, Issue 3 (9-2008)
Abstract
Background & Objectives: Carcinoid tumor is the most common appendix tumor and its origin in from neuroendocrine cells. 80% of tumors are located in GI tract and the most common site of the tumor is appendix .This neoplasm is found in 0.3-0.5 percent of appendectomized samples. The mean age in diagnosis time is 30 years old and the neoplasm is more common in women. The aim of this study was to investigate the age and sex prevalence of carcinoid tumor in appendectomized patients.
Methods: This descriptive study was done on 5644 specimens in the Fatemi Hospital of Ardabil for surveying of carcinoid tumor prevalence, on the basis of age & sex, from 2003-2007.
Results: In this study, the prevalence of carcinoid tumor was 0.19%, average involvement mean 33.6 years old (ST= 23.1) & the men diameter of tumor was 0.74 cm (ST= 0.37). The prevalence in women was 3 in 1000 and in men was 1.36 in 1000.All of the tumor located in the tail portion of appendix. The tumor can cause acute appendicitis by duct obstruction but mostly is discovered during pathologic examination accidentally, conclusion pathologic examination of appendix with sagital incision in all appendectomy cases is recommended.
Mahzad Yousefian, Ali Mohammadian-Erdi, Afshan Sharghi, Mina Deldadeh Moghaddam,
Volume 24, Issue 2 (7-2024)
Abstract
Background: One of the major challenges in surgery is pain control after surgery. The present study was conducted with the aim of investigating the role of magnesium sulfate in improving the quality of anesthesia in patients who are candidates for appendectomy surgery.
Methods: In this clinical trial study, 42 people in the control group and 42 people in the intervention group were randomly included. For the intervention group, 50 mg/kg of magnesium sulfate was injected and for the control group, the same amount of distilled water was injected as a placebo. After surgery, the patients were examined for pain, nausea and vomiting, anxiety, blood pressure and heart rate, and the satisfaction of the surgeon in terms of muscle relaxation. Collected data were analyzed in SPSS-26 by statistical methods and p<0.05 was considered as significant level.
Results: The average pain of the patients in the first, third, sixth and twelfth hours of the study in the intervention group with 1.4, 2.66, 3.3 and 3.19 were significantly lower than the control group. In terms of relaxation, a significant difference was observed between the two groups in the first, third, sixth, twelfth and eighteenth hours of the study. In the examination of nausea and vomiting of patients, no significant difference was observed between the two groups. During surgery, a significant difference was observed in patients receiving magnesium sulfate compared to the control group in terms of surgeon satisfaction.
Conclusion: Magnesium sulfate was effective in controlling patients' pain and anxiety and surgeon's satisfaction during surgery, but it was not effective in controlling patients' nausea and vomiting.
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