Hysteroscopy is a very important procedure to diagnose many lesions inside the uterus like: endometrial polyps, Leiomyomas , uterine malformations , adhesions in uterine endometrium. Hysteroscopy's benefit is shown in the way it provides us with dire
ct vision to the uterus .
Our Research is conducted around complications of hysteroscopy and its percentage . This research included 82 patients visited the department of obstetrics and gynecology with these complaints : infertility, abnormal uterine bleeding, menstrual disorders, recurrent abortions , Missing strings of IUDs .
the complication rate of the hysteroscopy were ( 4.88% ) the most ommon complication was: bleeding ( 2.44% ) , it was the same rate of uterine perforation and acute abdominal pain ( 1.22% )
We never found any differences of complications rates According to different indications of hysteroscopy or according to the technique .
As we found the Zero rate of vaginal delivery to the patient plays a role as a dangerous factor in the high rate of complications .
Then , the Complication rate in our study are little, this explain that hysteroscopy is a safe procedure, and that push us to recommend to us it routinely which reduce the hospitalization time and the cost
The study included 40 cases of supracondylar humeral fracture in children whose
attended al-Assad University Hospital in Lattakia between 2013 and 2014. Patients' ages
ranged between 2 and 13 years , the ratio of males/female was 3,4/1. Greatest ra
nge of
injury in left arm 77,5% . Closed reduction and percutaneous pinning was used in 33
patients and open reduction with cross-wiring in 7 patients .Postoperative complications
occurred in seven(17,5%) patients. They consisted in iatrogenic nerve injuries in five
(12,5%) patients ,one case of infection around the pins ,and one case of nonunion, All
recovered without sequels.
Satisfactory outcomes were noted after 5 months of physical therapy in 32 (97%)
patients in
the percutaneous pinning group,and5 (71,4%) patients in the open reduction with
cross-wiring group .
laparoscopic cholecystectomy has many features that make it preferable to open
surgery with a low incidence of complications.
The study was conducted on 877 patients who underwent laparoscopic
cholecystectomy at Al-Assad and Tishreen hospitals in
the period 2010-2017
The surgical method used and the reasons for conversion to open surgery were
studied in addition to the complications occurring during or after the surgery in terms of
occurrence rate and method of management of complications and the results of this
management.
The average age of patients was 46 years, the proportion of females was 64.5%, the
mean surgical time was 45 minutes.
The ratio of conversion to open surgery was 2.05% and the most common cause was
severe inflammation, "unclear calot`s triangle" and suspicion of malignancy.
Partial laparoscopic cholecystectomy was performed in 1.36% of cases and
peroperative complications occurred in 0.34% of cases and postoperative complications in
2.16% of cases.
Analysis of the results revealed that the rates of conversion for open surgery and the
incidence of complications are within the internationally accepted rates and that the results
of management of complications were satisfactory and consistent with the methods used
globally to manage complications.
We concluded that this surgery is safe and its complications are rare. We recommend
applying it in our hospitals . We have suggested some recommendations that can reduce
the complications of this surgery.
Appendectomy is one most common procedure in emergency cases . laparoscopic
surgery has many features and development which lead courageously to appendectomy by
laparoscopic procedure.
This study was conducted on 60 patients who underwent laparosc
opic appendectomy
at Al-Assad university hospital between 2014-2016.
The average age of patients was 38 years – the proportion of meals was 58,3 % and
females was 61,4 %. The mean surgical operation time was 105 minutes .
Normal appendectomy proportion was 13,3 % . Acute appendectomy without
perforation was 75 % . The proportion for gangrenous appendectomy with perforation was
11,6 % ,
The proportion for conversions to open surgery was 16,6 % . Post operation
complications were as follows : wound infection : 6,66 % - intra abdominal abscess :5 % -
Bowel obstruction :1,66 % .
Analysis of the results revealed that the rates are within the internationally accepted
rates .
We concluded that this surgery is safe and has many features and a little
complications . We recommend applying this surgery in our hospitals .
