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Showing 12 results for Akbari

Mohsen Aliakbarian, Mohammad Reza Motie,
Volume 1, Issue 1 (10-2013)


Introduction: To present our experience about the safety of conservative management in asymptomatic and non-complicated hepatic hydatid cyst in pregnancy.


Methods: Seven pregnant patients with hepatic hydatid cysts as an incidental finding in routine obstetrical ultrasonography were referred to our center during 2001 to 2008. Three patients were visited in the second and the rest in the third trimester of their pregnancy. It was found that all of them had asymptomatic and non-complicated cysts. They were suggested to participate in our close conservative plan as their treating method. Monthly ultrasonography and clinical examination was performed to find out any changes in size or clinical course of the cysts.


Results: Cesarean section and simultaneous surgical treatment of the cyst were performed in three patients while for the rest went through a natural vaginal delivery and surgical treatment of the cysts were postponed until six weeks after delivery. No complication was seen in these two groups.


Conclusions: Conservative management of asymptomatic and non-complicated hepatic hydatid cysts until delivery may be a safe method in management of hepatic hydatid cysts in pregnancy which prevents preterm labor and other cyst related procedures complications.


Ali Jangjoo, Mostafa Mehrabi Bahar, Leila Mohajerzadeh, Mohsen Aliakbarian, Masoumeh Nouri, Mehdi Jabbari Nooghabi,
Volume 2, Issue 1 (3-2014)

Introduction: Transhiatal esophagectomy is a widely accepted approach for palliative resection of subcarinal esophageal cancers. This study was designed to evaluate the necessity of routine thoracostomy tube insertion in this technique. 

Methods: This descriptive study was conducted on 123 consecutive patients with esophageal cancers undergoing transhiatal esophagectomy from March 2001 to February 2005. Chest tube insertion was performed according to our defined criteria. Thoracostomy tube would be inserted intraoperatively, if the estimated amount of bleeding was more than 200 ml. In patients with unilateral or bilateral diffuse haziness in chest-x-ray representative of considerable fluid collection, and symptomatic patients with each amount of pleural fluid, it would be inserted postoperatively.  

Results: Thoracostomy tube was intraoperatively inserted in 41 cases (33.3%). Among other 82 patients only 19 cases (15.4%) required chest tube during admission period. There was significant relation between intraoperatively and postoperatively inserted thoracostomy tubes (p<0.001). There was no statistically relation between chest tube insertion and hospital mortality (p=0.71). The mortality rate didn’t show a significant relation with the amount of chest tube drainage (p=0.056).

Conclusions: Routine intraoperative chest tube insertion is not necessary for all patients following THE, and it should be limited to the patients with significant intrathoracic bleeding. 

Ayob Akbari, Reza Abdi, Somaye Jomefourjan, Mojtaba Gholami,
Volume 4, Issue 3 (7-2016)

Introduction: Pethidine is commonly used to treat shivering after general anesthesia (GA), yet respiratory depression may subsequently occur. Warming methods such as warm fluids and/or humid-warm oxygen inhalation can reduce shivering after GA. This randomized clinical trial aimed to compare the effects of three different methods on the reduction of shivering and their hemodynamic and respiratory side-effects in patients undergoing abdominal surgery.
Methods: Eighty-seven patients undergoing abdominal surgery by GA were randomly assigned into three groups (two intervention groups versus the pethidine group). Patients in warmed intravenous fluids group received warmed ringer serum (38 °C). The patients in the combined warming group received warmed ringer serum (38 °C) and humid-warm oxygen, and patients in the pethidine group received intravenous pethidine only. The hemodynamic parameters of patients were collected and analyzed.
Results: The elapsed time of shivering in the warmed intravenous serum group, the combined warming group and the pethidine group were 7±1.5 min, 6±1.5 min, and 2.8±0.7 min, respectively, where the difference was statistically significant (P < 0.05). In the pethidine and combined warming groups, the pulse rate (PR) and systolic blood pressure (SBP) increased, whereas the diastolic blood pressure (DBP) decreased. As for the warmed intravenous serum group, pulse rate, DBP and SBP decreased (P >0.05). The mean respiratory rate (RR) decreased in the pethidine group (from 16 to 15). The mean RR increased (from 16.2 to 16.8) in the combined warming groups, and the differences were statistically significant (p<0.05).
Conclusions: The combined warming method reduces the shivering length, while the hemodynamic parameters (PR, BP) remain stable and respiratory depression does not occur. Therefore, it can be used to prevent hypothermia and reduce shivering after general anesthesia.
Mohammadreza Motie, Mohsen Aliakbarian, Alireza Rezapanah,
Volume 4, Issue 3 (7-2016)

Hand metastasis accounts for approximately 0.1 percent of all metastatic osseous malignancies. The lung, breast and kidney are the most common primary sources of these metastatic lesions.A rare case of retroperitoneal alveolar soft part sarcoma metastasizing to the distal phalanx of the second finger of the right hand is presented here. The patient underwent complete DIP amputation of the affected finger and was referred to oncologist for further therapeutic workups. Acrometastases run a poor prognosis; thus, palliative treatment is in the patient’s best interest.

Somaye Jomefourjan, Seyed Yoosef Javadmoosavi, Ayob Akbari, Saeede Khosravi Bizhaem, Forod Salehi,
Volume 5, Issue 1 (9-2017)

Introduction: Congenital cardiac abnormalities are among the problems that affect the quality of life of children and parents, especially the mothers. Meanwhile, mothers are severely stressed and harmed due to their emotions and feelings, so that the suffering can reduce their quality of life. This study aimed to compare the quality of life of mothers of healthy children and mothers of children with congenital heart disease after cardiac surgery.
Methods: This is a cross-sectional descriptive-analytic study where 100 mothers of healthy children and 60 mothers of children with congenital heart disease referring to Vali-e-Asr Hospital in 2016 and 2017 were incorporated. The mothers' quality of life was assessed using the World Health Organization Quality of Life Scale (WHOQOL-BREF). The collected data was analyzed in SPSS software (version 22) using independent t-test, Mann-Whitney, Kruskal-Wallis and Chi-square. The significance level for all tests was considered less than 0.05.
Results: According to the findings, the mean age of mothers with healthy children was 31.91 ± 8.57 years and that of mothers of children with congenital heart disease was 32.48 ± 6.46 years. The mean score of the quality of life of mothers with healthy children was 71.25 ± 16.43 and that of the second group was 66.51 ± 15.46. The mean scores of social relationships, mental health, and physical health in mothers with healthy children were significantly higher than those of mothers after their child's surgery. However, there was no significant difference between the two groups as for the mean score of overall quality of life and environmental health.
Conclusions: According to the results, it was found that the quality of life of the mothers with unhealthy children is lower than that of mothers with healthy children. Therefore, proper training and timely counseling are recommended as potential measures to somewhat improve their quality of life.
Tooba Kazemi, Navid Rabiee, Ehsan Akbari, Mrs Najme Azimifar, Nahid Azdaki,
Volume 5, Issue 3 (11-2017)

Acutepancreatitis can infrequently be a life-threatening complication of hypertriglyceridemia. Rarely, hypertriglyceridemia can originate from an inborn genetic error in lipoproteins metabolism. This condition can be manifested by very high serum triglyceride levels (>1000 mg/dl) and a more severe and lethal form of pancreatitis. Here, we present a case of acute pancreatic which was found out to be a complication of an undiagnosed familial hypertriglyceridemia who died in spite of receiving conventional care and treatment. Focus is on the importance of considering infrequent etiologies of acute pancreatitis and application of more effective treatments.

Ayob Akbari, Ahmad Nasiri, Mahdi Heidari, Abdolakim Ghasemi, Alireza Amirabadizadeh, Ferydoon Keramatinia,
Volume 6, Issue 1 (1-2018)

Introduction: Shivering after anaesthesia and surgery is a common complication. Different methods are used for control of shivering in the recovery room. The opioids such as pethidine are very common in shivering control. Pethidine can be induced apnea, respiratory depression and nausea &vomiting. The respiratory rate and spo2 can lead to more rapid diagnosis and treatment of serious hypoxemia and possibly avoid serious complication.The present study is a randomized clinical trial aimed to survey Rrespiratory Rate, SPO2, nausea and vomiting in the use of three methods(warmed intravenous fluids, combined warming and pethidine) in the abdominal surgery patients with shivering.
Methods: 87 patients in randomized clinical trial study with abdominal surgery by general anesthesia were assigned to three groups (two intervention groups in comparison with pethidine as routine) randomly. When patients meeting inclusion criteria were enrolled in the study, entered one of the three groups by simple Lottery. Patients in warmed intravenous fluids group received pre-warmed Ringer serum (38°C), patients in combined warming group received pre-warmed Ringer serum (38°C) accompanied by humid-warm oxygen, and patients in pethidine group received intravenous pethidine routinely. The Respiratory Rate and SPO2 of the participants were assessed for 20 min postoperatively in the recovery room. Then the collected data they were analyzed by chi-square, ANOVA, repeated ANOVA test, Kruskal–Wallis test, Wilcoxon test, Mann–Whitney U test, Tukey test, Friedman test, and repeated measurements through software SPSS (v. 18) with the significance level (P<0.05).
Results: The mean of SPO2 and RR in the pethidine group was decreased, spo2 from 98% to 97% and RR from 16 to 15. But those changes weren't statistically significant (p>0.05). In the combined warming groups the mean of SPO2 was clear increased from 96% to 98% and this change was statistically significant (p=0.031) but the mean of RR have no change. In the warmed intravenous serum group, the RR and SPO2 were slight decreased and weren't statistically significant (P >0.05). In the pethidine group 11% of patients have nausea& vomiting.
Conclusions: The pethidine induce apnea and respiratory depression. despite this effects and other side effects, the combined warming can be useful for shivering treatment.
Omid Mehrpour, Ayob Akbari, Samaneh Nakhaee, Aliakbar Esmaeli, Seyed Mohammad Mousavi Mirzaei, Homeira Ataei, Alireza Amirabadizadeh,
Volume 6, Issue 2 (5-2018)

Snakebites are a common problem in tropical regions, especially in South Asia, which is sometimes overlooked. The common side effects of snakebites include blood, neural and muscular reactions. However, psychiatric symptoms have been reported less frequently. The patient was a 19-year-old man, who was diagnosed with snake-biting by an adder snake in the maleol area of the right foot. The patient complained of the presence of visual hallucinations (seeing objects around him in colored droplets), and reported this symptom once at the time of the bite and once again upon his arrival at the general health center. The psychiatric and neurologic examination of the patient did not reveal a differential diagnosis. By observing this symptom, it can be concluded that uncommon psychiatric symptoms can also occur in snake-bitten patients, while these symptoms may be overlooked.

A Correction to this article was published in Volume 9 Issue 4.(2021)
Ayob Akbari, Ahmad Nasiri, Alireza Amirabadizade,
Volume 6, Issue 4 (12-2018)

Introduction: Discharge planning (i.e., discharge education and telephone follow-up) decrease the readmission rate to the hospital and increase patient’s satisfaction. Orthopedic patients, especially after the surgery have many problems. Therefore, discharge planning for this group of patients is significant. This study aimed to compare discharge education and telephone follow-up on the satisfaction and readmission of patients after orthopedic surgery.
Methods: This quasi-experimental study was performed on 150 patients divided into three groups before and after the intervention. The patients in the discharge education group were involved in both routine intervention in the ward and a designed discharge planning program based on the study at discharge time. The subjects in the telephone group were involved in the routine intervention in the ward and followed up for 4 weeks by telephone call (3-4 times) at homes. The cases in the control group were involved only in routine intervention in the ward. The satisfaction level was measured by standard satisfaction questionnaire. The readmission rate of the patients was recorded a month after discharge. The data were analyzed using SPSS software (version 19). In addition, paired t-test, Chi-square test, and one-way analysis of variance were used to compare the mean scores of satisfaction before and after the intervention among the three groups. P-value less than 0.05 was considered statistically significant.
Results: The obtained results showed that after the intervention, the mean score of satisfaction among the three groups was considered statistically significant (F=58.69, P<0.001). The mean scores of satisfaction in the instruction and telephone follow-up groups were significantly higher than that of the control group (P<0.001). Out of 150 participants in the present study, 10.6% of them were readmitted.
Conclusions: Discharge education or telephone follow-up as a target processor can be an effective step in the improvement of patients' conditions, satisfaction increase, and reduction of the patients’ readmission rate.
Hamid Hoseinikhah, Freshteh Ghaderi, Mohamadreza Akbari, Kayhan Mizani, Mahsa Moalemi, Aliasghar Moeinipour,
Volume 7, Issue 1 (3-2019)

  • The case in this study was a 33-year-old woman suffering from acute pericardial tamponade with severe left ventricular systolic dysfunction (LVEF=10%) after myocarditis as a result of possible viral respiratory infection.
  • The diagnosis was confirmed with two transthoracic echocardiography (TTE) evaluation showing moderate pericardial effusion with diastolic right atrium and ventricle collapse. The hemodynamic and respiratory condition of the patient was unstable and emergent. The drainage of pericardial space was life-saving with good results.

Omid Mehrpour, Ayob Akbari, Samaneh Nakhaee, Aliakbar Esmaeli, Seyed Mohammad Mousavi Mirzaei, Homeira Ataei, Alireza Amirabadizadeh,
Volume 9, Issue 4 (12-2021)

  • The original version of this article unfortunately contained mistakes.
  • This is a correction to "J Surg Trauma. 2018;6(2):73-76." In the originally published version of this paper, there was an error in the abstract and main content. In this report, the offending snake was mistakenly mentioned an adder snake (3rd sentence in the "Abstract" and 1st paragraph in the "Case" part). However, the offending snake was actually a Saw scaled viper (Echis carinatus sochureki). The authors express their apologies for this error, and state that this correction does not affect the findings and does not change the scientific conclusions of the article in any way.

Narjes Akbari, Marzieh Mohamadimoghadam, Amir Mohammad Chaji,
Volume 10, Issue 4 (12-2022)

  • Introduction: Dental surgeries are always associated with pain and swelling for several consecutive days. Recent articles have shown conflicting results in the use of new techniques such as low-power lasers to treat postoperative pain and swelling. This study aimed to evaluate the reduction of pain, swelling, and trismus after surgery of the third molar-impacted tooth after the use of a low-power laser.
  • Method: This study was a randomized, single-blind, split-mouth clinical trial involving patients who were referred to the special clinic of Birjand Dental School from December 2021 to June 2021 and required bilateral removal of the occluded third molars. Immediately after surgery, the patient was given a radiation laser with a wavelength of 780 nm and a power of 70 MW for 30 seconds at a dose or power density of 52.5 j/cm2. The extent of swelling and trismus was assessed by measuring the dimensions of the face and the amount of mouth opening as well as the amount of pain on the second and seventh days after surgery. Statistical analysis was performed using the Wilcoxon and Mann–Whitney U test by SPSS (Version 21) at the significant level of (5 %).
  • Results: The intensity of pain and swelling decreased significantly over time and the amount of trismus increased significantly during the seventh day compared to the second day (p.value<0.05). The amount of pain on the 7th day after surgery in the group without laser was 1.98±0.26 and the amount of pain in the group with laser was 0.85 ± 0.92 which was not statistically significant between the two groups (value>0.05). The amount of trismus on 7-day was 38.79 ±9.94 and on the side, with laser, it was no significant difference. The distance between the tragus and the corner of the lip on day 7 after surgery was 110.03 ± 5.77 mm and in the laser group was 109.66 ±5.67 mm, no significant difference was observed between the two groups. The distance between the gonium and the outer corner on day 7 after surgery was 98.84 ±7.24 mm in the laser group and 98.21± 6.93 mm in the non-laser group and no significant difference was observed.
  • Conclusion: The use of low-power laser reduced the pain, reduce postoperative swelling, and trismus caused by surgery but this reduction was not significant. Therefore, it is suggested that the study method should be changed and the sample size must be increased in further studies.

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