List of operations done in Afzalipour and Bahonar
List of operations done in Afzalipour and Bahonar Hospitals from 96/12/1 until 97/01/15
Laparotomy
Diagnosis Operation Resident Afzalipour Prepyloric Gastric cancer exp lap+Subtotal gastrectomy+ gastrojejunostomy +braun anastomosis+drain insertion Dr. . najmadini Gastric cancer Exp lap+subtotal gastrectomy + gastrojejunostomy+ braun anastomosis Dr. dehghan Cecum tumor Right hemicolectomy+ iliocolic anastomosis Dr. taghipour 1 Sigmoid cancer invasion to RT ovary Exp lap+sigmoidectomy+colostomy insertion Dr. shahmoradi 1 Colon cancer Exp lap+ RT Hemicolectomy+ileocolic anastomosis Dr. jafari Dr behzadi Distal Rectal Cancer Exp lap+VLAR Dr behzadi Bahonar 1 1 1
Diagnosis Operation Resident Afzalipour Vulvovaginal cancer pelvic exentration Dr khojandi 1 GI obstruction Exp. lap +entrolaysis+colostomy insertion Dr. jafari Dr behzadi Dr shahmoradi 2 GI obstruction due to adhesion band internal hernia Exp. lap +entrolaysis Dr. behzadi Dr jafari 2 GI obstraction Exp lap +enterolysis+duodenojeojenosto my+gastrojeojenostomy Dr jafari 1 GI obstruction (internal hernia+stenosis previous anastomosis) Exp lap+entrolysis+resection and Dr. pourrashidi anastomosis ileum 1 Bahonar
Diagnosis Operation Resident Afzalipour Dr. taghi por dr shahmoradi Dr shahidi Dr behzadi 4 Exp lap duodenorrhaphy+omental patch Dr. jafari Dr. najmadini 2 Small bowel perforation Exp lap+entrorrhaphy Dr. taghi pour 1 Peritonitis due to sigmoid perforation Exp lap +end colostomy+ hartman pouch Dr. rahmani 1 Bezoar+large gastric ulcer Exp lap +subtotal gastrectomy+gastrojejunostomy +braun anastomosis Dr. jafari 1 Pritonitis Dr shahmoradi Peritonitis due to PUD perforation Exp lap gastrorrhaphy+omental patch PUD perforation g exp lap rectosigmoid repaire + colostomy insetion Bahonar 1
Diagnosis Operation Resident Afzalipour Bahonar 1 Panceratic head mass Cholecystectomy +hepaticojeojenostomy raux en y Dr najmadini Ovarian cancer Exp lap + TAH+LT oophorectomy + Appendectomy +omentectomy+ paraaortic L. N dissection Dr dehghan 1 Uterine fibroma Salpango oophorectomy+histrectomy Dr behzadi 1 Foreign body ingestion Exp. lap+gastrorrhaphy+gastrotom Dr. taghi pour y+ removed of foreign body 1 Foreign body ingestion Exp lap+removed Foreign body + jeojeonostomy feeding tube insertion+cervical esophagous repair 1 Dr. rahmani
Diagnosis Operation Resident Afzalipour Dr. rahmani 1 Dr biglari 1 Dr. biglari 1 Abdominal pain {mesenteric ischemia} Exp lap+bowel resection+anastemosis Abdominal pain Exp lap+salpangostomy+ appendectomy Abdominal mass like lesion (bezoar) Exp lap+gastrotomy+bezoar removal+gastrorrhaphy Abdominal pain Exp lap+appendectomy+ovary tube Dr. pour rashidi cyst excision 1 Appendicitis+internal hernia Exp lap+ entrolysis+appendectomy Dr. jafari 1 previous Sigmoid adenocarcinoma ( colostomy) Colostomy closure Dr najmadini 1 spleen mass Exp lap+ spleenectomy + gastrorrhaphy + distal pancreatectomy+ colostomy Dr najmadini 1 dr Bahonar
Diagnosis Operation Resident Afzalipour Retropritoneal mass ( LT adrenal cyst) Exp lap+LT adrenalectomy Dr. najmadini 1 CBD sone Exp lap+cholecystectomy+CBD explore+choledocodeodenostomy Dr. taghi pour 1 CBD stone Explap+entrolysis+cholecystectom Dr. jafari y+ CBD explore+ choledochodeodenostomy 1 cholangitis Exp lap+cholecystectomy+CBD explore+T tube insertion Dr. taghi pour Dr behzadi 2 CBD stone Exp lap+CBD explore+choledecodeodenostomy Dr. jafari 1 CBD stone Open Dr najmadini cholecystectomy+cheldochodeodon ostomy+liver bx CBD stone Exp lap+CBD explore+t tube insertion Dr. najmadini dr jafari 1 2 Bahonar
Diagnosis cholecystitis Operation open cholecystectomy Resident Dr jafari Dr zarepour Dr khojandi Afzalipour 4 Choleducal cyst Exp lap+excision of extrahepatic ducts+cholecystectomy+ hepatojejunostomy Dr. najmadini 1 RT Ovarian cyst Exp lap+entrolysis+entrorrhaphy+ oophorectomy Dr. taghi pour 1 intussusception Rt. hemicolectomy+ileucecum Dr. rahmani resection fixed to side anastomosis 1 Mesentric ischemia Exp lap+second look Dr adeli 1 Suprahepatic abscess exp lap+drainage Dr shahmoradi 1 Pritoneal abbcess exp lap +I & D Dr adeli Bahonar 1
Diagnosis Operation Resident Afzalipour Bahonar 1 Previous hepatorrhaphy {MT} Exp lap+Entrolysis+collection draining Dr. shahmoradi GI obstruction Exp lap Entrolysis +appendectomy Dr shahmoradi Pelvic collection Exp lap+draining Dr taghipor Prianal fistula colostomy Dr dehghani pervious Ileostomy closure Dr Rahmani Dr Dehghan strangulated femoral hernia Exp lap+bowel resection+double barrle illiostomy insertion Dr. rahmani 1 Strangulated hernia Exp lap +resection of ileum+ileostomy Dr. jafari 1 1 2
Total 60 AFZALIPUR 49 BAHONAR 11
Trauma
Diagnosis Operation Resident Afzalipour Bahonar MT EDT Dr poorrashidi 1 MT spleenectomy Dr taghipour 1 M. T Exp lap splenectomy& aorta cross clamp under diaphragm lt side thoracotomy heart massage Dr. jafari MT EDT + exp lap +aorta cross clamp + repaire of diaphragm + liver packing Dr poor rashidi 1 MT EDT +Laparatomy+liver packing Dr dehghan 1 Abdominal penetrating trauma (stab wound) exp lap entrorrhaphy Dr shahmoradi 1 1
Diagnosis Operation Resident Afzalipour Bahonar MT Exp lap , spleenectomy, hepatorrhaphy Dr khojandi 1 Pelvic fx Pelvic packing Dr behz. Ddi 1 hematoma zone 2 + small bowel & colon meso rupture Exp lap + small bowel & colon meso repair + chest tube insertion Dr Dehghan 1 (MT)Perforated duodenal ulcer Exp lap +duodenorrhaphy+omental Dr najmadini patch Abdominal penetrating Exp lap , entrorrhaphy trauma (stab wound) , gastrorrhaphy , RSVG of SMA Stomach& D 4 , IMV ligation perforation, Cut of SMA , Zone 1 hematoma Dr khojandi MT Spleenectomy+ saphenofemoral cutdown Dr jafari Gunshot Exp lap. cholecystectomy Dr. dehghan 1 1
Diagnosis Operation Resident Afzalipour 1 Bahonar MT (hemipritoneum)+ hemothorax Exp lap+chest tube insertion Dr. porrashidi Fracture of mandible repaire Dr fallah 1 Neck laceration Cervical wound explore+repair Dr dehghan 1 Neck trauma Neck exploration Dr shahidi Neck trauma( stab wound) Exploration of neck + repaire of trachea Dr khojandi MT DPL 1 1 6
Total 23 AFZALIPUR 5 BAHONAR 18
Thorax
Diagnosis Operation Resident Afzalipour pneumothorax VATS Dr. jafari 1 Lt middle lobe nodule R/o malignancy Thoracotomy+lt middle lobe wedge resection Dr. jafari 1 pneumothorax Thoracoscopy converted to thoracotomy+Rt. sup lobectomy+ chest tube insertion Dr. jafari 1 R/o dysphagia Rigid esophagoscopy Dr. jafari 1 Lt lung metastasis Thoracotomy +wedge resect+chest tube insertion Dr. jafari 1 Chest wall mass R/o malignancy Exsicion of mass Dr. shahmoradi 1 Esophageal cancer 3 field esophagectomy Dr. najmadini jejunostomy feeding tube insertion 2 Esophageal cancer 3 field Laparascopic esophagectomy 1 Dr. shahmoradi Bahonar
Diagnosis Foreign body aspiration Operation Rigid bronchoscopy Resident Afzalipour Dr. najmadini Bahonar 1 Chest tube insertion 5 Lung hydatid cyst Thoracotomy+evacuation of cyst Dr. najmadini 1 pneumothorax VATS+wedge resection Dr. najmadini 1 Left lung mass. R/o sarcoma Wedge resection Dr. najmadini 1 Rt lung mass Rt upper lobectomy of right lung Dr najmadini 1 achalasia Laparascopic hillar myotomy+fundoplication Dr najmadini 1 Spontaneous pneumothorax VATS converted to RT thoracotomy+decortication+ wedge resection Dr khojandi 1 empyema VATS converted to Dr shahmoradi 1 11
Diagnosis Prolonged intubation Operation Tracheostomy Resident Dr fallah Dr karimi Dr adeli Dr rahmani Dr shahmoradi Dr dehghan dr. zarepour dr, shahidi Dr. taghipour dr biglari Afzalipour Bahonar 10 5
Total 49 AFZALIPUR 33 BAHOBAR 16
Vascular
Diagnosis Operation Resident Afzalipour Bahonar ESRD AV fistula Dr dehghan 1 ESRD Permicath insertion + native venography Dr adeli Dr rahmani 2 Port insertion Dr behzadi Dr fallah Dr adeli 1 8 CV line insertion Dr. shahidi Dr zarepour Dr fallah Dr bigleri 5 4 ESRD Shaldon insertion Dr porrashidi Dr falalh Dr shahidi Dr. zare pour 4 2 Ulnar artery entry Ulnar artery end to end anastomosis Dr fallah 1 left lower limb ischemia Amputation Dr pour rahidi 1
Diagnosis Operation Resident Afzalipour Bahonar Rt radial artery End to end Anastomosis Dr fallah Dr najmadini 2 Rt femoral vein cut Repair Dr dehghan 1 Rt upper limb venous hypertention Avf closure Dr Behzadi 1 gun shot axillary artery injury Angiography and subclavian axillary anastomosis with RSVG Dr pour rashihdi 1
Total 34 AFZALIPUR 10 BAHONAR 24
Pediatric
Diagnosis Operation Resident Afzalipour NEC Exp lap(second look) Dr. rahmani 1 Imperforated anus Exp lap+ loop colostomy insicion Dr. zare pour Dr. taghi pour Dr behzadi 5 Anorectal malformation Eep lap+loop colostomy Dr. jafari 1 Peritonitis due to NEC Exp lap+ colostomy insertion +descending colon repaire Dr. behzadi 1 Inguinal hernia herniorrhaphy Dr. taghi pour Dr. shahmoradi 5 Esophageal atresia Thoracotomy+end to endanastomosis of esophagous Dr. najamadini 1 Acute appendicitis Open appendectomy Dr. jafari 1 Bahonar
diagnosis operation Resident Malrotation+midgut volvulus Exp lap+appendectomy Dr. zare pour HPS pylormyotomy Lt varicocele D Afzalipour 1 Dr shahmoradi Dr taghi pour 2 Varicocelectomy Dr taghi por 1 Diaphragmatic hernia Exp lap +repair of diaphragm Dr. pour rashidi Dr shahidi Dr taghipour Cyst of left ovarian cystectomy Dr taghipour 3 1 Bahonar
Total 23 AFZALIPUR 23 BAHONAR 0
Laparoscopy
Diagnosis Operation Resident Afzali pour SGS+Rt ing hernia LC+Rt herniorrhaphy Dr. najamadini 1 SGS+major thalasemia LC+liver Bx Dr. najamadini 1 SGS LC Dr. najamadini Dr. jafari Dr behzadi Dr rahmani Dr khojandi Dr pur rashidi Dr taghi pur Dr zare pur Dr karimi 9 Ovarian cyst LC cystectomy+appendectomy Dr najmadini Dr. jafari 2 Bahonar 7
Afzalipour Diagnosis Operation Resident Bahonar ITP laparascopic spleenectomy Dr fallah 1 appendisitis Laparascopic appendectomy Dr khojandi Dr karimi 2 Morbid obesity sleeve Dr fallah Dr adeli 2
Total 26 AFZAALIPUR 13 BAHONAR 13
Breast
Diagnosis Operation Resident Afzalipour Bahonar Breast mass L. N biopsy Dr. zare pour 1 Breast cancer BCS+axillary LND Dr. jafari 1 Breast cancer MRM + axillary LND Dr behzadi dr dehghani 2 Breast mass Excisional Bx Dr. jafari Dr fallah Dr karimi 7 Breast mass Core needle Bx Dr. shahmoradi 2 Breast abscess I&D+ excision Dr. fallah Dr. pour davoud 2
Diagnosisc Operation Resident Afzalipour Bahonar Breast cyst Excision Dr fallah 1 Fibroadenoma Ex Bx Dr fallah 1 gynecomastia Partial mastectomy Dr adeli Dr shahmoradi breast mass (phyllodes tumor) BCT Dr Behzadi 1 1 1
Total 20 AFZALIPUR 7 BAHONAR 13
THYROID
Diagnosis Operation Resident MNG Total thyroidectomy Dr khanjari Dr dehghan Dr shahmoradi hyperparathyroid ism Parathyroidectomy Dr behzadi Afzalipour Bahonar 4 1
Total 5 AFZALIPUR 0 BAHONAR 5
Hernia
Diagnosis Operation Resident Afzalipour Bahonar 11 Inguinal Hernia Herniorrhaphy with mesh Dr. shahidi Dr. taghi pour Dr. jafari Dr. shahmoradi Dr. pourrashidi Dr. najmadini Dr khojandi Dr rahmani Dr fallah Dr adeli 10 Rt femoral hernia Herniorrhaphy with mesh Dr. jafari 1 Inguinal hernia Circumcision+Hernio rrhaphy Dr. shahmoradi 1 Ventral hernia Herniorrhaphy Dr. jafari 2
Total 24 AFZALIPUR 13 BAHONAR 11
Anorectal
Diagnosis Operation Resident Anal fistula Seton insertion Dr shahmoradi Dr taghipour Anal fistula Fistulotomy Dr behzadi Dr fallah Dr adeli Dr dehghan Dr rahmani Dr jafari Dr taghipour Anal fissure PLIS DR biglari Dr shahmoradi Dr adeli Dr dehghan Dr khaojandi Hemorrhoidectomy Dr behzadi Dr dehghan Dr adeli Dr karimi Afzalipour Bahonar 1 3 1 7 2 3 4
Diagnosis Operation Resident Rectovaginal fistula Repair with rectovaginal flap+sphictroplasty Dr behzadi Afzalipour Bahonar 1
Total 22 AFZALIPUR 6 BAHOBAR 16
Appendicitis
Diagnosis Operation R /o perforated appendicitis Exp lap+ appendectomy appendicitis Open appendectomy Resident Afzalipour Dr jafari 1 Dr. taghi pour Dr. jafari Dr. adeli Dr. pour davod Dr. biglari Dr. shahidi Dr karimi Dr fallah Dr zarepour 15 Bahonar 10
Total 26 AFZALIPUR 16 BAHOBNAR 10
Others
Diagnosis Operation Resident Afzalipour Left foot ischemia Left BK Amputation Dr. shahidi 1 Pilonidal sinus Excision Dr. zarepour Dr bigleri Dr adeli Dr poordavoud Dr karimi 2 COPD+foreign body aspiration Cut down Dr. biglari Fecal impaction Fecal extraction Dr. biglari 1 Infection of site of hernia D&I Dr. rahmani Dr. pour davod 2 Hydrocele of cord hydrocelectomy Dr taghipor 1 Bed sore D&I Dr. adeli Dr. pour davod 2 lipoma excision Dr. jafari 1 1 Bahonar 7
Diagnosis Operation Resident Afzalipour Bed sore Debridement Dr. zare pour Foreign body in Rt ear excision Dr taghi pour Multiple myloma Port removal Dr. jafari 1 Perianal abscess I&D Dr. zarepour Dr shahidi Dr adeli Dr bigleri 3 Diabetic foot D&I Dr. zarepour 2 Anal rupture after NVD sphinctroplasty Dr. shahmoradi Dr rahmani 2 infection of stump D&I DR. fallah Bahonar 2 1 2
Diagnosis Operation Resident Afzalipour Bahonar Bleeding of site surgery hemostasis Dr shahmoradi 1 Wound infection I&D Dr. pour davoud Dr. zarepour Dr. karimi 3 Ingrooving nail Excision Dr. rahmani 1 Ex Bx Dr najmadini 1 Bed sore D&I Dr. shahidi Dr. khaje bahrami 4 Intra mamillary pilonidal sinus excision Dr. pour davoud Tissue necrosis D&I Dr fallah 1 femoral mass excision Dr karimi 1 Cervical LAP 1
Diagnosis Operation Resident Afzalipour Bahonar Cervical LAP excision Dr karimi 1 Cervical LAP LN dissection Dr dehghan 1 Arm abcess I&D Dr Purdavood 1 Rt foot gangrenous Amputation Dr Fallah 1 Rt hand 5 th finger skin defect Skin graft Dr Fallah 1 Perianal necrotizing fascitis I&D Dr Por rashidi 1 varicocelectomy Dr khojandi Dr behzadi 1 Necrotic wound D&I Dr khaje bahrami 1 Upper limb malignant fibrohistiocytoma Triceps muscle resection Dr rahmani 1
Diagnosis Operation resident Soft tissue mass Ex Bx Dr karimi Dr zainali Dr zare pur 2 Neck Abcess I&D Dr Rahmani 1 Vulva SCC Pelvic … Dr Khojandi 1 Axillary LAP Lymph node Excisional Bx Dr khaje bahrami 1 lipoma afzalipour bahonar
Total 58 AFZALIPUR 33 BAHONAR 25
Total 370 AFZALIPUR 206 BAHONAR 164
• The patient was 89 years old man with inconcerated ventral hernia and peritonitis due to small intestinal perforation. • The patient underwent EXP. laparatomy +double barrel ileostomy + surgery resection of ileum. • The patient was admitted in Icu and then expired due to a low blood pressure and urine out put without responding to medical therapy • Dr jafari
• 46 years old man with cheif complaint of abdominal pain and GI • • • bleeding. The patient was referred here after 4 days of admission in Bam hospital Patient underwent a exploration laparotomy. Esophagus, stomach, deodenum and first 20 cm. of jeojenum was totally necrosed. Patient admitted in Ic. U. The patient expired because of sepsis after 5 days. dr najmadini
• A 66 years old man with abdominal pain was operated (gastrorraphy) with diagnosis of perforated pud , after operation because of arrhythmia he admmited in ccu and after refer to icu he intubated and finally died. • dr. taghipoor •
• A 1. 5 y/o male who come here with multiple trauma , the first under intubation and cutdown after ressusitation with crystaloid and packed cell transferred to operation room that underwent explorative laparotomy and spleenectomy also because of unstable hemodynamic underwent thoracotomy and aorta cross clamp was done and expire due to cardiac arrest. • dr. jafari
A 79 years old man with PMHx of DM HTN Parkinsonism and CABG, and known case of gastric cancer with history of previous gastrojejenostomy come with abdominal pain with N/V, He operated with diagnosis of obstruction, and entrolysis was done. After that he refer to icu and because of pleural effusion chest tube inserted Finally he died dr. dehghan
• A 38 years old man. had MT due to car accident with vital sign of{BP: 110/70. pr: 100. o 2 sat: 92}+tendrnes of epigaster +decreased sound of lung • Sono: mild free fluid in morison • X-ray: pelvic Fx • In the course of hospitalization: unstable hemodynamic+Rt chest tube insertion • Treatmeent: laparotomy+thoracotomy+LT chest tube insertion • Arrest and finally expired • dr. dehghan
• A 51 years old man. had MT due to car to ped accident with vital sign of{BP: 110/70. pr: 100. o 2 sat: 92}+tendrnes of epigaster • • • Sono: mild free fluid in moreson In the course of hospitalization: unstable hemodinamic Treatment: laparotomy+repair of SMA+decrease BP Transfer to ICU Finally expired dr. dehghan
A 24 years old man had MT due to motor to car accident. . cutting right femoral artery with active bleeding Treatment: Massive transfusion P. C+femorofemoral anastomosis with RSVG In the course of hospitalization: increase of LFT+decrease of Hb and PLT{DIC}+ decrease of LOC+PE+sepsis Treatment: biletral chest tube Finally expired dr. dehghan
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