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مقایسه اثر کوتر بای پولار با نخ سیلک در بستن عروق لنفاوی برای جلوگیری از بروز لنفوسل بعد از پیوند کلیه: کارآزمایی بالینی تصادفی

سیم فروش, ناصر ، محسنی راد, حامد ، طبیبی, علی ، غلامرضایی, حمیدرضا (1397) مقایسه اثر کوتر بای پولار با نخ سیلک در بستن عروق لنفاوی برای جلوگیری از بروز لنفوسل بعد از پیوند کلیه: کارآزمایی بالینی تصادفی. Experimental and Clinical Transplantation ــ 17 (1). ص.ص.26-30. شاپا 1304-0855

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عنوان انگليسی

Comparison Between Bipolar Lymphatic Vessels Cautery and Suture Ligature in Prevention of Postrenal Transplant Lymphocele Formation: A Randomized Controlled Trial.

خلاصه انگلیسی

OBJECTIVES: In this randomized controlled trial, our aim was to compare bipolar cautery of lymphatic vessels with standard silk-tie ligation in renal transplant procedures for prevention of lymphocele formation. MATERIALS AND METHODS: Sixty end-stage renal disease patients were enrolled in a prospective randomized controlled trial. The mean age of recipients in the suture ligature group was 41.6 years (range, 6-65 years) and 40.9 years in the bipolar cautery group. Patients were assessed by symptoms; however, ultrasonography was also used as the primary diagnostic procedure in all patients to find lymphocele collection within 5 months. RESULTS: Of 60 patients, 25 received living-donor kidney transplant and 35 received deceased-donor kidney transplant. Fifty-threeprocedures were first-time kidney transplants, 6 were retransplants, and 1 was for a third-time transplant. No lymphocele collection (symptomatic or asymptomatic) was diagnosed by ultrasonography at the 5-month follow-up. Postoperative pain was not significantly different between the 2 groups (P = .245). The time for ligation or cauterization of lymphatic vessels was similar between the 2 groups. Mean duration of operative field drainage was 5.6 days in the suture ligature group and 6.07 days in the bipolar cautery group (not significantly different; P = .547) CONCLUSIONS: Bipolar cautery of lymphatic vessels to prevent lymphocele formation in kidney transplant seems to be an effective, easy, and safe method.

نوع سند :مقاله
زبان سند : انگلیسی
نویسنده اول :ناصر سیم فروش
نویسنده مسئول :حامد محسنی راد
نویسنده :علی طبیبی
نویسنده :حمیدرضا غلامرضایی
ضریب تاثیر و نمایه مجلات:IF(2018): 0.754 Indexed in: ISI, Pubmed/Medline, Scopus, Embase, Index medicus, Google scholar
کلیدواژه ها (انگلیسی):End-stage renal disease, Kidney transplant, Ultrasonography
موضوعات :WJ سیستم ادراری
بخش های دانشگاهی :دانشكده پزشكي > گروه جراحی
کد شناسایی :11154
ارائه شده توسط : دکتر حامد محسنی راد
ارائه شده در تاریخ :04 تیر 1398 08:08
آخرین تغییر :09 تیر 1398 07:31

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