OFIS Theses Supervision - Ghazvin University of Medical Sciences - Assist. prof. general surgery sadegh sadeghipour Roudsari

Accuracy of preoprative diagnosis of acute appendicitis in shahid Rajaie hospital

1995 -

Dr. Sadegh SADEGHIPOUR R.

Research thesis. my position: Supervisor.

level: Doctoral.

place: haspital rajaei

Background :Accuracy of preoperative diagnosis should be about 85%.Less than 85% Indicates unnecessary operation and more than 90%presents the fact that some patients with acute appendicitis are being observed,while,they should have prompt surgical interventions.

Objective: To determine the accuracyof preoperative diagnosis of acute appendicitis.

Methods: surgical and pathological notes of all patients (601cases)who where operated for acute appendicitis in 1995 at Shahid Rajaie hospital were reviewed.

Finding: Only 521 patients had acute appendicitis and no pathological finding were found for the rest.The accuracy of the preoperative diagnosis of acute appendicitis at Shahid Rajaie hospital center was 86.6%.

Conclusion: The accuracy of acute appendicitis diagnosis in patient who undergo appendectomy was acceptable.

Keywords: Acute appendicitis,Accuracy of diagnosis.

 

a STUDY OF HYDROSTATIC REDUCTION IN INTUSSUSCPTION BY ULTRASONIC GUID IN DR. SHAIKH HOSPITAL

January 20, 2005 - 2005

SAID ALI ALAMDARAN SADEGH SADEGHIPOUR ROODSARI

Research thesis. my position: Supervisor.

level: Specialist.

place: DR. SHAIKH CHILDRE HOSPITAL,MASHAD UNIVERSITY OF MEDICAL SIENCES

Survey of road injuries in Qazvin

1997 - 1998

Sadeghipour Sadegh

Research thesis. my position: Supervisor.

level: Doctoral.

place: Shahid Rejaei haspital

Background: Trauma is one of the most common causes for emergency room referral & also the main cause for death in the first four decades of life. Objective: To determine the incidence of different types of road injuries at Qazvin hospitals. Methods: Using questionnaires, all the road accident casualties hospitalized at Shahid Rajaee’s (From June 1997 till July 1998) were incessantly visited through a descriptive study. Findings: 11.3% of emergency room referral was due to car accidents about half of which were road accidents. 53% of referrals were hospitalized most of which substained injury on Tehran-Qazvin highway. Injuries in order of frequency were as follows: Head trauma (49%), soft tissue injury (48%), Fractures (47%), abdominal injury (12%) and chest trauma (13%). Mortality of hospitalized casualties was (11%) & overall mortality of road accident casualties was more than 23% most of which were due to head injury. Conclusion: Increase in morbidity & mortality may be indication of traffic unsafely on Qazvin roads.

A Study of clinical symptom and pathological variant in patient with gastric cancer, in shahid Rajaei hospital Qazvin

1996 - 1997

DR Sadegh sadeghipour

my position: Supervisor.

level: Doctoral.

place: Qazvin University of Medical Sciences

In the study of 87 casses gastric carcinoma which of operated in shahid Rajaei hospital during the 1993 -1995 .The following result were obtained, the stady was performed retrospectivelly.

Nomber of patient were 87, with65 male and 22 famale(M/F 3/1).

Most of patients were in the age group of 60-69 years.

Most of patients have low socioeconomic status.

The common clinical sign were: Abdominal pain (81.6%), weight loss(77%)and Anurexia(52.9%).

The most common group was A (47%). The most common site of stomach was in antrum & pylorus (41.9%).

The most common pathology was adenocarcinoma (96.8%) and most of them were poory differentiated (36.7%).



MONDAY, SEPTEMBER 19TH 2005

218. Advances in pulmonary radiology

P2061
Influence of clinical characteristics of pulmonary embolism (PE) patients on helical CT performance Luis Hernández1, Sergio Alonso2, Alejandro Muñoz1, Juan Arenas2, Santos Asensio1, Santiago Romero1 . 1Respiratory, Hospital General
Universitario, Alicante, Alicante, Spain; 2Radiology, Hospital General Universitario, Alicante, Alicante, Spain
Aims: To determine if the clinical characteristics of patients with acute PE,
stratified according to Stein’s syndromes (Chest 1997; 112: 974), influence the
diagnostic accuracy of helical CT. Methods: 275 patients (79% outpatients) with clinically suspected PE (mean age 66±15 years and 54% males) were included and prospectively followed up to 3 months. The localization of the PE was registered as the proximal limit of the emboli detected: Central PE (within main to lobar pulmonary arteries), and Peripheral PE (filling defects within segmental and subsegmental arteries).

Results: Helical CT correctly identified 79 of 95 patients with PE (83%). Among these 95 PE patients, 54% presented with the syndrome of pulmonary hemorrage or infarction; 26% with the syndrome of isolated dyspnea and 15% with circulatory collapse. Six patients were not symptomatic.

 


CONGENITAL POUCH COLON WITH IMPERFORATE ANUS; A REPORT OF 3 CASES

SADEGHIPOUR ROODSARY S.*,HIRADFAR M.,ZABOLINEJAT N.,ALAMDARAN S.A

Congenital pouch colon (CPC) is an unusual condition in imperforate anus (IA), usually of high variety. This malformation is mostly reported from India, where it comprises about 7% of all anorectal malformations. In this anomaly, the normal colon is very short or absent and is replaced by a pouch like dilatation that usually communicates through a fistula with genitourinary tract or persistent cloaca. We are reporting on three cases of newborns (2 females, and 1 male) with this anomaly diagnosed during September 2001 to September 2004. These three cases comprise less than 3% of all cases of IA during this time period. The two girls had anorectal agenesia, short segment of colon and a pouch with vaginal fistula and persistent cloaca (Type II). Colon in the third case was replaced by a dilated pouch that communicated with a wide fistula to the bladder (Type I). This is very important for pediatric surgeons to be aware of the features of this condition to allow for proper diagnosis and surgical management.

Keyword:Pouch Colon, Imperforate Anus, Anorectal Malformation



Trials. 2006 Jan 18;7:2.

Links

Prophylactic antibiotic for prevention of posttraumatic meningitis after traumatic pneumocephalus:

design and rationale of a placebo-controlled randomized multicenter trial [ISRCTN71132784].

Eftekhar B, Ghodsi M, Hadadi A, Taghipoor M, Sigarchi SZ, Rahimi-Movaghar V, Kazemzadeh ES, Esmaeeli B, Nejat F, Yalda A, Ketabchi E.

Sina Trauma and Surgery Research Center and Department of Neurosurgery, Sina Hospital, Tehran University, Iran. eftekhar[at]sina.tums.ac.ir

BACKGROUND: The purpose of this study is to compare the efficacy of prophylactic antibiotic for prevention of meningitis in acute traumatic pneumocephalus patients. METHODS: In this prospective, randomized controlled clinical trial, 200 selected head injury patients with traumatic pneumocephalus are randomly assigned to receive intravenous antibiotics (2 grams Ceftriaxone twice a day), oral antibiotics (Azithromycin) or placebo for at least 7 days after trauma. The patients will be followed for one month posttrauma. CONCLUSION: The authors hope that this study helps clarifying the effectiveness and indications of antibiotics in prevention of meningitis in traumatic pneumocephalus after head injury and in specific subgroup of these patients.

PMID: 16542035 [PubMed]

1: J Neurosurg. 2006 Mar;104(3 Suppl):210-1.

Links

Posterior spinal cord herniation into an extradural thoracic arachnoid cyst: surgical treatment. Case report and review of the literature.

Nejat F, Cigarchi SZ, Kazmi SS.

Department of Neurosurgery, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran. nejat[at]sina.tums.ac.ir

The authors describe the case of a 2-year-old boy who experienced progressive spastic paraparesis for several months. Magnetic resonance imaging revealed an extensive extradural arachnoid cyst at the T3-L1 levels and posterior spinal cord herniation at T3-4. Surgical release of the neck of the hernia and total resection of the arachnoid cyst were performed. The patient had good clinical recovery several weeks after surgical decompression. This case highlights an exceedingly rare type of spinal cord herniation in a pediatric age group, and focuses on the abnormalities of the dorsal dura mater, together with imaging and intraoperative findings.

PMID: 16572642 [PubMed - indexed for MEDLINE]