Experiences with LESS-appendectomy in Children.

Abstract:

PURPOSE:To evaluate the outcome of laparoendoscopic single-site (LESS-A) through one transumbilical port vs. 3-port laparoscopic (3TA) appendectomy in children. METHODS:We reviewed the records of 309 children (65 LESS-A, 244 3TA) operated on between 2008 and 2012. One hundered forty-nine patients had acute catarrhalis (CA), 133 phlegmonous (PLA), and 27 perforated appendicitis (PA). We compared the duration of operation (DO) the incidence of abdominal abscesses (AA) and wound infections (WI), as well as the degree of appendiceal inflammation (DI) among surgeons with and without board certification. RESULTS:For all DI, LESS-A resulted in a shorter DO than 3TA (CA 57.9 ± 22.8 vs. 68.5 ± 23.2, P = 0.014; PLA 51.5±16.5 vs. 68.4±33.0, P = 0.006; PA 66.0 ± 29.0 vs. 97.3 ± 41.8, P = 0.039). LESS-A was not used for less complicated cases when compared to 3TA (CA 50.8% vs. 47.5%; PLA 33.8% vs. 45.5%; PA 15.4% vs. 7.0%; CA vs. PLA, P = 0.292; CA vs. PA, P = 0.142; PLA vs. PA, P = 0.031). Surgeons without board certification were assigned to a similar percentage to perform both techniques for any DI (CA 30.3% vs. 37.1%, P = 0.541; PLA 31.8% vs. 40.5%, P= 0.484; PA 40% vs. 35.3%, P = 1.0). We found no significant differences concerning AA (1.5% vs. 1.2%, P = 1.0) and WI (3.1% vs. 1.6%, P = 0.61). CONCLUSIONS:LESS-A can be done by surgeons with and without board certification for all DI, with shorter DO and similar complication rates as compared to 3TA.

journal_name

Arch Iran Med

authors

Vahdad MR,Nissen M,Semaan A,Klein T,Palade E,Boemers T,Foroutan HR,Troebs RB,Cernaianu G

doi

0161901/AIM.0011

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

57-63

issue

1

eissn

1029-2977

issn

1735-3947

pii

0011

journal_volume

19

pub_type

杂志文章
  • Mutations in Known and Novel cancer Susceptibility Genes in Young Patients with Pancreatic Cancer.

    abstract:BACKGROUND:Pancreatic cancer is the fourth most common cause of mortality due to cancer, globally. It has a poor prognosis and is usually diagnosed at later stages when tumor resection is not possible. Heritability for pancreatic cancer is relatively high and clinically significant. METHODS:A group of 24 pancreatic ca...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Alimirzaie S,Mohamadkhani A,Masoudi S,Sellars E,Boffetta P,Malekzadeh R,Akbari MR,Pourshams A

    更新日期:2018-06-01 00:00:00

  • Confounding variables in epidemiologic studies: basics and beyond.

    abstract::This article discusses the importance, definition, and types of confounders in epidemiology. Methods to identify and address confounding are discussed, as well as their strengths and limitations. The article also describes the difference among confounders, mediators, and effect modifiers. ...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:012158/AIM.0014

    authors: Kamangar F

    更新日期:2012-08-01 00:00:00

  • Child and Adolescent Mental Health Care in Iran: Current Status and Future Directions.

    abstract:BACKGROUND:The need for mental health care among children and adolescents in Iran, as in other low and middle income countries (LAMIC) remains mostly unmet. In this paper, we sought to provide an overview of the extent of unmet need and mental health services in Iran. We also aimed to propose approaches to address this...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0161911/AIM.0010

    authors: Sharifi V,Mojtabai R,Shahrivar Z,Alaghband-Rad J,Zarafshan H,Wissow L

    更新日期:2016-11-01 00:00:00

  • In vitro assessment of platelet lesions during 5-day storage in Iranian Blood Transfusion Organization (IBTO) centers.

    abstract:BACKGROUND AND OBJECTIVES:Platelet concentrates (PC) are used in thrombocytopenia and inherited or acquired platelet dysfunction disorders. Thus, retaining the platelets quality and function during storage will lead to desirable outcomes in treatment of such patients.  METHODS: In this study, we evaluated 40 PC bags, ...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:015182/AIM.0010

    authors: Ghezelbash B,Amini Kafiabad S,Hojjati MT,Hamidpoor M,Vaeli S,Tabtabae MR,Gharehbaghian A

    更新日期:2015-02-01 00:00:00

  • Common HBV genotype in southeastern Iranian patients.

    abstract::Asymptomatic hepatitis B infection is characterized as a type of hepatitis in which hepatitis B surface antigen is present in the patient's peripheral blood despite the absence of clinical symptoms. Previous studies have shown that a particular genotype may effect clinical manifestations of hepatitis B infection; henc...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Eftekhari Y,Kazemi Arababadi M,Hakimi H,Rezazadeh Zarandi E

    更新日期:2010-03-01 00:00:00

  • PolyPill for Prevention of Cardiovascular Disease in an Urban Iranian Population with Special Focus on Nonalcoholic Steatohepatitis: A Pragmatic Randomized Controlled Trial within a Cohort (PolyIran - Liver) - Study Protocol.

    abstract:BACKGROUND:Cardiovascular disease (CVD) is among the most common causes of mortality in all populations. Nonalcoholic steatohepatitis is a common finding in patients with CVD. Prevention of CVD in individual patients typically requires periodic clinical evaluation, as well as diagnosis and management of risk factors su...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:015188/AIM.009

    authors: Merat S,Poustchi H,Hemming K,Jafari E,Radmard AR,Nateghi A,Shiravi Khuzani A,Khoshnia M,Marshall T,Malekzadeh R

    更新日期:2015-08-01 00:00:00

  • Comparison of Three Different Therapies for Cutaneous Leishmaniasis and Identification of the Etiologic Isolates in Isfahan, Iran.

    abstract:BACKGROUND:In Iran, zoonotic and anthroponotic cutaneous leishmaniasis (CL) are caused by Leishmania major and L. tropica respectively. Despite extensive studies, no effective therapies have ever been reported for CL. The main objective of this research was to determine and compare the three different protocols for tre...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:10.34172/aim.2020.98

    authors: Abdellahi L,Hejazi SH,Amirmozafari N,Sotoodehnejadnematalahi F

    更新日期:2020-11-01 00:00:00

  • Management of cystic craniopharyngiomas with intracavitary irradiation with 32P.

    abstract:BACKGROUND:Cystic craniopharyngiomas are the most frequent intracranial neoplasm of nonglial origin in children. Follow-up data were analyzed to assess the value of intracavitary irradiation with stereotactically applied 32P radioisotopes for the treatment of patients with craniopharyngioma cysts admitted to Shohada Ta...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:08111/AIM.009

    authors: Shahzadi S,Sharifi G,Andalibi R,Zali A,Ali-Asgari A

    更新日期:2008-01-01 00:00:00

  • The prevalence at birth of overt congenital anomalies in Urmia, Northwestern Iran.

    abstract:BACKGROUND:Congenital anomalies play a significant role in perinatal and infantile morbidity and mortality. There is a variation in the frequency of congenital anomalies in different populations. Determination of the prevalence of different types of congenital anomalies may help plan primary prevention measures for the...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:08112/AIM.005

    authors: Abdi-Rad I,Khoshkalam M,Farrokh-Islamlou HR

    更新日期:2008-03-01 00:00:00

  • Peripheral Primitive Neuroectodermal Tumor (pPNET) of the Parotid: Report of a Rare Case.

    abstract::Primitive neuroectodermal tumors (PNETs) are a family of highly malignant soft tissue neoplasms mostly occurring in children and young adults. PNETs usually develop in the thoracopulmonary region, abdomen, pelvis, and rarely in the head and neck region. Here, a case of PNET located in the parotid gland is reported. ...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0151812/AIM.0012

    authors: Kalantari M,Deyhimi P,Kalantari P

    更新日期:2015-12-01 00:00:00

  • Role of HER-2 Ile655Val Polymorphism as Universal Cancer Susceptibility Marker among Different Cancers.

    abstract:BACKGROUND:Genetic and expression anomaly of HER-2 have been frequently observed in different cancers. However, an overall association of HER-2 polymorphism (Ile655Val) with available cancer studies has not yet been explored. In the present study, a probable correlation of HER-2 Ile655Val polymorphism with 6 major type...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章,meta分析,评审

    doi:0161906/AIM.0011

    authors: Riaz SK,Rashid MM,Kayani MA,Arshad Malik MF

    更新日期:2016-06-01 00:00:00

  • Division of the first dorsal compartment of the hand into two separated canals: rule or exception?

    abstract:BACKGROUND:Tendon entrapment of the first dorsal compartment of the wrist, the de Quervain disease, is a common cause of wrist and hand pain and disability. A group of 50 consecutive patients operated for the treatment of de Quervain disease from 2003 through 2006 were prospectively studied to determine the variation i...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Gousheh J,Yavari M,Arasteh E

    更新日期:2009-01-01 00:00:00

  • Vitamin D Toxicity; Stored and Released from Adipose Tissue?

    abstract::Vitamin D is a pro-hormone that plays an important role in body calcium regulation. Vitamin D toxicity occurs rarely due to its wide therapeutic index. A 38-year-old Iranian man was admitted to our hospital with a diagnosis of vitamin D toxicity. Laboratory test revealed hypercalcemia and elevated 25-hydroxyvitamin D ...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0161908/AIM.0013

    authors: Ziaie H,Razmjou S,Jomhouri R,Jenabi A

    更新日期:2016-08-01 00:00:00

  • The short- and long- term effects of estrogen deficiency on apoptosis in musculoskeletal tissues: an experimental animal model study.

    abstract:BACKGROUND:Estrogen is the major sex steroid affecting the growth, remodeling, and homeostasis of the female skeleton. Estrogen loss in postmenopausal women leads to osteoporosis. The aim of this study was to evaluate the early and long- term effects of estrogen loss on bones, tendons, muscles, and menisci in ovariecto...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:013165/AIM.006

    authors: Aydin A,Kenar H,Atmaca H,Alici T,Gacar G,Müezzinoğlu ÜS,Karaöz E

    更新日期:2013-05-01 00:00:00

  • Expression and Immunogenicity of VP40 Protein of ZEBOV.

    abstract:BACKGROUND:EBOV outbreaks continue to threaten the world due to the absence of effective vaccines and therapeutics. Easy-to-use and rapid diagnostic tests for EBOV are highly desired for prevention and control of the EVD epidemic. METHODS:Escherichia coli expression system was used to express VP40 protein of Zaire Ebo...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0172004/AIM.0011

    authors: Wang Y,Liu X,Tao L,Xu P,Gao X,Li H,Yang Z,Wu W

    更新日期:2017-04-01 00:00:00

  • Helping families for caring children with autistic spectrum disorders.

    abstract::Many families are directly involved in caring of their children with the lifelong autistic spectrum disorders. Sometimes, they are the victims of their children's behaviors. The family, including siblings, may have to explain the children's behaviors to others. Their mothers have poorer mental health with difficulties...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ghanizadeh A,Alishahi MJ,Ashkani H

    更新日期:2009-09-01 00:00:00

  • Genetic Studies in Intellectual Disability and Behavioral Impairment.

    abstract:: Intellectual Disability (ID, also known as mental retardation) is a debilitating neurodevelopmental disorder affecting nearly 1% of the general population worldwide. Occurrence of behavioral disorders in individuals with ID is four times higher than that in the general population. An increasing number of studies seek...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章,评审

    doi:0161905/AIM.0012

    authors: Mehregan H,Najmabadi H,Kahrizi K

    更新日期:2016-05-01 00:00:00

  • A Survey on Mental Health Status of Adult Population Aged 15 and above in the Province of Razavi Khorasan, Iran.

    abstract:INTRODUCTION:This research aims to determine the mental health status of population aged 15 and over in the province of Razavi Khorasan in 2015. METHODS:The statistical population of this cross-sectional field survey consisted of residents of urban and rural areas of Razavi Khorasan in Iran. An estimated sample size o...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Noorbala AA,Bagheri Yazdi SA,Faghihzadeh S,Kamali K,Faghihzadeh E,Hajebi A,Akhondzadeh S,Ghazizadeh Hashemi F,Okhravi N

    更新日期:2017-11-01 00:00:00

  • Electrophoretic RNA genomic profiles of rotavirus strains prevailing among hospitalized children with acute gastroenteritis in tehran, iran.

    abstract:BACKGROUND:Human rotavirus has now been established as the most important cause of childhood gastroenteritis worldwide. The RNA genomic electrophoretic diversity of group A rotavirus strains in Tehran, Iran, during April 2002 through March 2005, was investigated in 1250 stool specimens. METHODS:Stool samples were obta...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Modarres S,Rahbarimanesh AA,Karimi M,Modarres S,Motamedi-Rad M,Sohrabi A,Nasiri-Oskoii N

    更新日期:2008-09-01 00:00:00

  • Uterine primitive neuroectodermal tumor.

    abstract::Primitive neuroectodermal tumors are fairly rare in uterus. A case of uterine body primitive neuroectodermal tumor in a 32-year-old Iranian woman is presented. The patient was admitted with abdominal pain and fever and underwent emergency exploratory surgery with total abdominal hysterectomy, bilateral salpingo-oophor...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:015184/AIM.0014

    authors: Aminimoghaddam S,Seifirad S,Abbasi Dezfouli G,Abbasi N,Zare Mehrjardi A,Razavi SM,Mahmoudzadeh F

    更新日期:2015-04-01 00:00:00

  • Value of Pregnancy-Associated Plasma Protein-A for Predicting Adverse Pregnancy Outcome.

    abstract:BACKGROUND:It is suggested that pregnancy-associated plasma protein-A (PAPP-A) levels below the fifth percentile or less than 0.4 multiples of the median (MoMs) during the first trimester are closely associated with higher risk for neonatal abnormalities. We assessed the value of PAPP-A within the first trimester for p...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Mohamad Jafari R,Masihi S,Barati M,Maraghi E,Sheibani S,Sheikhvatan M

    更新日期:2019-10-01 00:00:00

  • Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review.

    abstract:BACKGROUND:Phyllodes tumor (PT) is a rare tumor of the breast, which may occur during pregnancy or lactation. Several studies have reviewed and discussed PT occurring in pregnancy, gathering up to 14 patients. We performed a thorough systematic review of the literature in an attempt to find all reported cases, and iden...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:10.34172/aim.2020.46

    authors: Alipour S,Eskandari A,Johar FM,Furuya S

    更新日期:2020-07-01 00:00:00

  • Giant adrenal pseudocyst.

    abstract::Adrenal cysts are rare lesions which are usually nonfunctional and asymptomatic. Adrenal pseudocysts do not have epithelial linings and account for about 40% of adrenal cysts. We report a case of giant adrenal pseudocyst in a 32 year old woman presenting with flank pain who had undergone surgical excision. ...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0131612/AIM.0012

    authors: Soroush A,Anbara T,Lashkari M,Mir A

    更新日期:2013-12-01 00:00:00

  • Diseases at the crossroads: chronic myelogenous leukemia and tuberculosis.

    abstract::Chronic myelogenous leukemia (CML) and tuberculosis (TB) are diseases with effective available therapy. Treating patients who are afflicted simultaneously with both of these conditions is challenging due to significant drug interactions and the requirement of strict adherence to the multi-agent treatment regimen. Here...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0151801/AIM.0015

    authors: Bhatnagar V,Adelakun A,Kendall T,Holtzman N,Farshidpour M,Stevenson B,Chen Q,Emadi A

    更新日期:2015-01-01 00:00:00

  • Is There any Association between Age at Menarche and Risk of Metabolic Syndrome? The Tehran Lipid & Glucose Study.

    abstract:BACKGROUND:There is controversial data available regarding the impact of age at menarche on cardio-metabolic parameters. This community-based study aimed to assess this association among Iranian women. METHODS:We recruited 5,344 eligible women out of 7718, aged 10-50 years who participated in the Tehran lipid and gluc...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Farahmand M,Ramezani Tehrani F,Behboudi Gandevani S,Azizi F

    更新日期:2019-09-01 00:00:00

  • Which information resources are used by general practitioners for updating knowledge regarding diabetes?

    abstract:BACKGROUND:Little is known about the degree of utilization of information resources on diabetes by general practitioners (GPs) and its impact on their clinical behavior in developing countries. Such information is vital if GPs' diabetes knowledge is to be improved. METHODS:This cross-sectional study recruited 319 GPs ...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:012154/AIM.0010

    authors: Tabatabaei-Malazy O,Nedjat S,Majdzadeh R

    更新日期:2012-04-01 00:00:00

  • Prevalence of Cognitive Disorders in Patients with Systemic Lupus Erythromatosus; a Cross-sectional Study in Rasoul-e-Akram Hospital, Tehran, Iran.

    abstract:BACKGROUND:Neuropsychological manifestations are present in 60% of patients with Systemic Lupus Erythematosus (SLE) among which cognitive dysfunction is the most common. This study aims to determine the prevalence of cognitive disorders in SLE patients, and the relationship between cognitive disorder domains and depres...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:0161904/AIM.006

    authors: Mahdavi Adeli A,Haghighi A,Malakouti SK

    更新日期:2016-04-01 00:00:00

  • Variable Presentation of Hereditary Spherocytosis in an Iranian Family.

    abstract::Hereditary spherocytosis (HS), a familial defect involving red blood cell (RBC) membrane proteins, is associated with reduced deformability, increased fragility, and progressive destruction of spherical cells. The present study focuses on three subjects of a family showing a history of repeated episodes of lethargy an...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章

    doi:

    authors: Vahidi R,Sheikhrezaei Z,Ameri Z,Khaleghi M,Farsinejad A

    更新日期:2020-03-01 00:00:00

  • Screening for Lynch Syndrome in Cases with Colorectal Carcinoma from Mashhad.

    abstract:INTRODUCTION:Lynch Syndrome (LS) is a genetically inherited autosomal disorder that increases the risk of many types of cancer, especially colorectal cancer (CRC). Identifying these subjects improves morbidity and mortality. We aimed to assess the prevalence of LS with both clinical criteria and universal strategy in M...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章,多中心研究

    doi:0172006/AIM.003

    authors: Goshayeshi L,Khooiee A,Ghaffarzadegan K,Rahmani Khorram M,Bishehsari F,Hoseini B,Akhavan Rezayat K,Esmaeilzadeh A,Mosannen Mozaffari H,Ghanayee O,Lari S,Bahari A,Allahyari A,Bari A,Ganji A,Goshayeshi L,Rajabzadeh F,Esma

    更新日期:2017-06-01 00:00:00

  • Effects of soy on metabolic biomarkers of cardiovascular disease in elderly women with metabolic syndrome.

    abstract:BACKGROUND:This study ascertained the effects of soy, in the forms of textured soy protein (TSP) and soy nuts, on lipid profiles, apolipoproteins, inflammatory and prothrombotic markers, and blood pressure in elderly women diagnosed with metabolic syndrome (MetS). METHODS:This was a 12-week parallel, randomized, contr...

    journal_title:Archives of Iranian medicine

    pub_type: 杂志文章,随机对照试验

    doi:012158/AIM.004

    authors: Bakhtiary A,Yassin Z,Hanachi P,Rahmat A,Ahmad Z,Jalali F

    更新日期:2012-08-01 00:00:00