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the aim of this study is to prove that laparoscopic approach in experienced hands is the treatment of choice for adrenal masses (up to 10 cm) the study was conducted in Al Asad University hospital between 2004-2006.By reviewing the files of 22 p atients with adrenal mass retrospectively and prospectively all of them were done laparoscopicaly except one case in which the operation was converted to open approach .the variables that considered in this study were the difficulty of the procsdure,time of surgery, the ratio of conversion to the classic approach (open adrenalectomy ^morbidity and mortality rates.
Gastroesophageal reflux is one of the most common diseases in the world and his most important symptoms is the heartburn. He requires surgical treatment in some advanced cases. The study was performed on 20 patients who underwent laparoscopic anti -reflux surgery in Al-Assad and tishreen university hospitals in Lattakia between 2011-2017 and were followed for at least six months after surgery. The analysis of the results showed a complete efficacy of this surgery in terms of absence of clinical symptoms in patients and no need for medical treatment after surgery, Absence of major complications and temporary swallowing only in 15% of cases. Comparison with other studies has shown similar results in terms of effectiveness and complications. As a result of the study, we concluded that this surgery is low risk, highly effective, and has few complications.
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 .
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