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Register a new userManagement Of Postoperative Enterocutaneous Fistulas
تدبير النواسير المعوية الجلدية التالية للجراحة
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دراسة مستقبلية خضع فيها 82 مريض (57 رجال), متوسط أعمارهم (22 سنة), الذين طوروا نواسير معوية جلدية تالية للجراحة في قسمي الجراحة العامة في مشفى الأسد و المواساة الجامعيين بين عامي 2102 - 2102 , تمت مقاربتيم وفق استراتيجية محددة, بعد وضع التشخيص, و تحديد زمن تطور الناسور الهضمي نسبة للعمل الجراحي فكان معدل تطورىا خلال الأسبوع الأول من الجراحة 2882 % و تم دراسة الأعراض المرافقة لها و الاختالطات الناجمة عنها و تصنيفها حسب المعايير الأساسية.
A prospective study included eighty tow patients (57 male) the range ages were (42 year) underwent surgery and developed postoperative enterocutaneous fistulas in the department of general surgery in Alasad and Almuasat Universitiys Hospitals between 2014 and 2016 .After the diagnosis performed ,They were approached according to specific strategy, and determined the onset of developing the enterocutaneous fistulas from the surgical procedure. the rate of developing in the first week was 68.2%. Accompanied symptoms and resulted complications were studied and classified according to an essential criteria.
Artificial intelligence review:
Research summary
تتناول هذه الدراسة تدبير النواسير المعوية الجلدية التي تتبع العمليات الجراحية. شملت الدراسة 82 مريضًا (57 ذكرًا) بمتوسط عمر 42 سنة، تم علاجهم في مشفى الأسد والمواساة الجامعيين بين عامي 2014 و2016. تم تقسيم المرضى إلى ثلاث مجموعات بناءً على نوع العلاج: المحافظ، الجراحي الباكر، والجراحي المتأخر. أظهرت النتائج أن التدخل الجراحي المتأخر كان الأكثر فعالية في تحقيق الشفاء وتقليل معدلات النكس والوفيات. تم مقارنة النتائج مع الدراسات العالمية وأظهرت تقاربًا كبيرًا، مما يشير إلى فعالية الاستراتيجيات المتبعة في هذه الدراسة. أوصت الدراسة بتجنب التدخل الجراحي الطارئ ما أمكن، ودعم الحالة العامة للمريض لتحسين النتائج.
Critical review
دراسة نقدية: على الرغم من أن الدراسة قد قدمت نتائج قيمة حول تدبير النواسير المعوية الجلدية، إلا أنها لم تتناول بشكل كافٍ العوامل النفسية والاجتماعية التي قد تؤثر على شفاء المرضى. كما أن الدراسة كانت محدودة بعدد المرضى الذين تم متابعتهم، مما قد يؤثر على تعميم النتائج. من الجيد أن تشمل الدراسات المستقبلية عينات أكبر وتأخذ في الاعتبار العوامل النفسية والاجتماعية.
Questions related to the research
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ما هي نسبة الشفاء في التدخل الجراحي المتأخر؟
نسبة الشفاء في التدخل الجراحي المتأخر كانت 75%.
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ما هي الأعراض الأكثر شيوعًا التي تشير إلى تطور الناسور؟
الأعراض الأكثر شيوعًا تشمل تسرع النبض، ارتفاع الحرارة، واستمرار الخزل المعوي.
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ما هي العوامل التي تؤثر على الانغلاق العفوي للنواسير؟
العوامل تشمل نوع الناسور، موقعه، وحالة المريض العامة.
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ما هي التوصيات الرئيسية للدراسة؟
توصي الدراسة بتطبيق التدخل الجراحي المتأخر كتدبير علاجي أساسي، وتجنب التدخل الجراحي الطارئ ما أمكن، ودعم الحالة العامة للمريض لتحسين النتائج.
References used
Alexander JW: Bacterial translocation during enteral and parenteral nutrition. Proct Nutr Soc 2001, 57:389-93
Berry SM, Fischer JE: Classification and pathophysiology of enterocutaneous fistulas. Surg Clin North Am 2011, 76:1009-18
Bloom SR, Mortimer CH, Thorner MO, et al. Inhibition of gastrinand gastric acid secretion by GH-RIH. Lancet 1998;ii: 1106- 1109
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sooner than the control group thus reducing the duration of POI and hospital stay, but there
is no increase in occurrence of of nausea and vomiting between tow groups.
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practice especially in the field of oral and maxillofacial surgery as an
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maxillofacial surgery (as said
by the manufacturing companies ),there
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vestibular oro-nasal fistulas and alveolar clefts associate with cleft
lip and palate.
Sliding flaps are the most used flaps and often the sole method for
closure of vestibular oro-nasal fistulas and alveolar clefts. cheek
flap can be used instead of Sliding flaps.
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