Results of laparoscopic appendectomy in Al-Assad university hospital in Lattakia between 2010-2012

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 laparoscopic 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 .

Results of laparoscopic cholecystectomy in Al-Assad and Tishreen university hospitals in Lattakia between 2010-2017

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.

Evaluation of early results for the maintenance of the pleura is closed during the preparation of the internal mammary artery in patients Undergoing CABG

The main objective of the study is to study the early results of the maintenance of the pleura during the preparation of the internal breast artery in the maintenance of respiratory function and its role in the prevention of respiratory and hemorrhagic complications following its opening and comparison with the global studies conducted in this area. The study included patients with Cabg of both sexes aged between 40 years and 72 years of age who were the EF% from 40% in Tishreen University Hospital in Lattakia as a prospective study during 2017. The study included 30 patients divided into two groups: Fifteen patients had closed their pleura, and the second group (15) patients had pleural ulcers. Patients were followed within one week after surgery. We conclude from our study that hemorrhagic complications and need for blood transfusions and respiratory complications were significantly less when maintaining the pleura closed in the first group.

The effect of topical ketamine on symptoms and complications after surgical removal of impacted lower third molars (clinical study)

the aim of this study is to studying the analgesic efficacy and anti-inflammation effect of ketamine for decreasing postoperative complications after impacted mandibular third molar extraction.

Study of Age & Gender influence on Oral Complications Manifested in Chemotherapy-Treated Cancer Patients

Oral complications are common in patients with cancer who undergo chemotherapy treatment. Not all patients are at equal risk for developing oral complications. A number of variables have been identified that bear on both the frequency and severity of oral problems associated with therapy. These can be divided into those that are associated with the patient and those that are related to the treatment regimen. In this study we have studied the effect of patient age and gender on the oral complications in group of patients who undergo chemotherapy treatment. We conclude that aging can affect some oral complication chemotherapy like xerostomia and taste changes whereas gender has it effect on pain and oral sence disorders mainly in males.

Clinical Study of Healing process as a Result of Using CO2 Laser in Management of Benign Tumors and Leukoplakia in the Oral Cavity

Objective: to study and evaluate the surgical operative process in the management of Benign Tumors and Leukoplakia in the Oral Cavity by using Laser CO2. Materials and methods: a total of 18 patients (10 males and 8 females) with mean age 50 years, and diagnosed with Benign tumorous Lesions or Leukoplakia on mucosa of the oral cavity, were treated by Vaporization by using CO2 Laser in Al-Assad university hospital. The postoperative complications were recorded within 7 days after the surgery, and the wounds was assigned until entire healing. Results: 8(44%) patients had week pain after 24 hour of surgery, and reduced to 2(11%) patients in the third day. Edema was seen by 8(44%) patients after 24 hour of surgery, and reduced to 1(6%) patient in the third day.5 (28%) patients showed disturbance within oral functions, and became 1(6%) patient in the third day. No complications were seen after 7 days of surgery. No infection or bleeding were recorded within following time.no statistically significant differences between Lesion kind and pain degree, and no relationship between Pain degree and Disturbance of the Lesions. Entire healing was satisfactory in all Wounds and no scar were seen . Conclusion: CO2 Laser is effective method in manage and minimize the complications during Healing process after the management of Benign Tumors and Leukoplakia in oral cavity.

Comparison of Cardiac Catheterization Complications of The Radial and Femoral Access

The main aim of the study was to determine the frequency of coronary angiography complications with or without percutaneous coronary intervention (PCI) by the TR access compared with the TF access of patients undergoing coronary angiography (CAG). The study included 640 patients undergoing CAG with or without (PCI) in AL-ASSAD university Hospital in Lattakiabetween 1 December 2013 and 31 December 2014 .A total of 106 CAG (22.8% of all CAG) and 12 CAP (6.7% of all coronary angioplasties) were performed via a TR approach , 357 CAG (77.2% of all CAG) and 165 CAP (93.3% of all coronary angioplasties) were performed via a TF approach ,Vascular access site complications were significantly lower in the TR group than in the TF group.

Early complications of Surgical treatment of Supracondylar Humeral Fracturesin Children and management

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 range 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 .

Complications of ESWL (The Kidney and The Ureter)

Purpose: We evaluated the safety of ESWL (Extracorporeal Shockwave Lithotripsy). Materials and Methods: A total of 300 patients with stones located in the kidney or the upper ureter were randomly divided into 3 groups, group A—100 who received ESWL and they do not use anticoagulation drugs and thy do not have problems with kidneys, liver or pancreas B—100 who received ESWL and they use anticoagulation drugs C—100 who received ESWL and they have one kidney. Radiologic and laboratory follow up were performed in the first week by:US –UREA-CR-ALT-AST-AMILAS. Statistical analysis was performed using the chi square test and Anova test. Results: The hematomas rate was 10.5%.Rates elevation of urea and cr was (27%, 5%). Rate elevation of alt–ast was 12%, and for amylase was 6%, without clear pathology. Conclusions: ESWL is an easy, noninvasive, safe and active management of the urinary stones, and we should be care full with some factors, which can increase its complications and decrease its activity.

Early Complications of Thyroidectomy

The Research has been made on (73) patients for whom a surgical operation was made on the thyroid in Al-Assad University Hospital in Lattakia in 2000-2007. The study was divided into: retrospective (32patients), prospective (41patients) and (11) patients of were subjected to second operation due to existence of a malignant cancer with a percentage of (16,66%) . The Total Thyroidectomy on both side was the most spread intervention with a percentage of (57,14%) and next to it was the thyroid lobectomy with a percentage of (28,79%). The percentage of Total Early complication is (11,9%) and the Tetania was the most repeated complication with a percentage of (3,57%) and next to it was the Recurrent laryngeal nerve ,the Superior laryngeal nerve and the bleeding with a percentage of (2,38%)for each . The higher percentage of complication has occurred in the starting operation of the Total Thyroidectomy and next to it the Thyroid lobectomy . The surgery of the Relapsed Thyroid is subject to more dangerous complications from the starting intervention .