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Journal Citation Index

 

Citation Indices from GS

AllSince 2020
Citations102815687
h-index3925
i10-index270142

 

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Central Library of Kurdistan University of Medical Sciences
AWT IMAGE
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Vice-Chancellery for Research and Technology
AWT IMAGE
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:: Search published articles ::
Showing 2 results for Inguinal Hernia

Dr Behzad Nemati Honar, Khosro Ayazi, Alireza Mirkheshti, Mansour Nateghi, Mohammad Faryadras,
Volume 27, Issue 2 (5-2022)
Abstract

Background and Aim: Controversy exists over the preferred surgical method for inguinal hernia repair between the open and laparoscopic methods. This clinical trial was performed to compare the rate of early complications and recurrence rates of inguinal hernia between laparoscopic (TAPP) and open methods (Lichtenstein).
Material and Methods: In this clinical trial, 84 patients who were candidates for elective inguinal hernia repair at Imam Hossain Hospital were randomly divided into two groups: TAPP and Lichtenstein groups. Spinal anesthesia was used for both groups. Patients were followed for short-term complications (e.g. infection, seroma, hematoma, postoperative pain), hospitalization stays, and recurrence within the first year. Data were analyzed using SPSS software (version 16).
Results: There were no significant differences between the two groups in terms of age and gender. Unfortunately, in the TAPP group, 23 patients (54.8%) received general anesthesia due to lack of co-operation, excessive abdominal wall stiffness, and failure of spinal anesthesia. We found shorter hospitalization stay (P <0.001), less postoperative pain in the first 24 hours (P <0.001), and longer operative time (P <0.001) in the TAPP group compared with those in the Lichtenstein group. There were no significant differences between the two groups in terms of infection and recurrence rates in the first year. Seroma was seen only in 16.7% of the patients in the Lichtenstein group (P <0.012). Pain intensity measured in the first 24 hours at three-time points (1, 8, and 24 hours) was lower in the TAPP group with spinal anesthesia than in the TAPP with GA and Lichtenstein groups (P <0.001).
Conclusion: The results of this study showed that TAPP with spinal anesthesia is associated with reduced postoperative pain in the first 24h, and irrespective of the  type of anesthesia TAPP is associated with lower risk of seroma formation
Anvar Eliasi, Mohammad Yahya Faridi, Naser Rahmanpanah, Behzad Mohsenpour, Farhang Safarnejad,
Volume 29, Issue 6 (1-2025)
Abstract

Background and Aim: Inguinal hernia repair is performed in two ways, one without mesh and the other with mesh. Use of antibiotics is one of the major challenges in hernia mesh repair. The aim of this study was to investigate the effects of using and not using antibiotics on the infection of the site of operation.
Materials and Methods: This prospective double-blind cohort study performed in Kosar Hospital in Sanandaj. Patients were placed in three groups and examined for postoperative infection at the surgical site. Group A received no antibiotics, group B received preoperative antibiotics and group C received postoperative antibiotics.
Results: Among 186 patients, 56 were in group A, 62 in group B and 68 in group C. A total of 8 patients (4.3 percent) in 3 groups developed complications, which included erythema and discharge from the operation site. In group A, two patients and in group C, 6 patients developed surgical site infection, which showed no significant difference among the three groups (P = 0.317). There was no significant relationship between the incidence of the complications (R = 135, Adj.R2 = 0.007, P = 0.187) and age, residential place and site of operation.
Conclusions: Based on the results of our study, antibiotics are not necessary in the patients undergoing inguinal hernia surgery with mesh. Therefore, routine antibiotic use should not be advocated. This viewpoint is very effective in reducing antibiotic resistance.
 

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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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