Recommending different treatments as preventive measures against incisional endometrioma

To consider incisional endometrioma [IE] as a differential diagnosis of abdominal disorders and to recommend different treatments as preventive measures. Incisional endometrioma [IE], as a rare condition, usually develops in surgical scar of cesarean section or hysterectomy. We performed a retrospective review of 12 cases at Department of Surgery, Shahrekord University of medical sciences, Shahrekord from August 2010 to August 2012. The participants were diagnosed with IE using their pathology specimens. The age ranges were from 23 to 44 years [mean age 32.75 years]. A total of 12 patients had previous cesarean sections through a Pfannenstiel incision, which the wound was managed with regular irrigation, but peritoneum was not repaired. The main symptom was an abdominal wall mass about the previous caesarean section surgical scars, associated with cyclic pain. The mean duration of symptoms was 6 to 24 months [mean duration 6.66 months]. There was 100% recovery after surgical treatment without any relapse of symptoms during follow-up till now. We recommend irrigation of the wound with high-jet saline solution before wound closure and repair of peritoneum at the time of cesarean section as a preventive measure

Penetrating neck trauma: review of 192 cases

The neck region contains a high density of vital organ structures within a relatively small and unprotected anatomic region, making it one of the most vulnerable areas of the body for all types of injuries. In this article, we studied penetrating neck trauma cases in Alzahra Hospital over a 10-year period. In this retrospective, descriptive, analytical study, penetrating neck trauma cases admitted to Alzahra Hospital between April 2000 and April 2010 were analyzed for epidemiology, mechanism of trauma, zone of trauma, therapeutic method, injuries to other organs, complications, and mortality. Among 192 penetrating neck injuries, the mean age at the time of injury was 25.08 +/- 15.02 years. Of these cases, 96.4% occurred in men. The most common mechanisms of trauma was stab wounds [85.93%]. In 56.3% of penetrating neck injuries, zone 2 was involved. Neck exploration was positive in 84.4% of cases, and 52.1% of patients underwent surgery. Vascular exploration was the most common cause of surgery [67.2% of patients]. The most common surgical intervention was vein ligation [50.8% of cases]. In 11.98% of cases, another organ injury occurred simultaneously, and chest injury was the most common coexisting problem [65.2%]. Complications were reported in 9.3% of patients, and the need for intubation was the most common complication [5.2% of patients]. Mortality rate was 1.5%. According to the findings of this study, the most common cause of penetrating neck injuries was stab wounds, and the majority of patients were young men, therefore, preventive measures should be implemented. Because of fatal complications associated with neck injuries, we recommend early neck exploration in unstable cases or when injuries are deeper than the platysma