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 .
Background: The defects in the leg is one of the most important challenges facing
reconstructive surgeons because of the lack of soft tissue covering the front surface of the
leg and the lack of blood perfusion in the lower third of the leg. The mu
scle and
fasciocutaneous flaps are one of the most important reconstruction options as there have
been no local studies about this method so far.
Objective: Evaluation of methods of reconstruction the defects of the soft tissues of
the leg using the muscle flaps and fasciocutaneous flaps and comparing them with the
international studies.
Methods: The study included 25 patients undergoing transposition of the
gastrocnemius and / or soleus flaps, sural flaps for treating soft tissues in the leg, from
2015 to 2017 in both Al-Asaad and Tishreen University hospitals in Lattakia , gathering
information on the etiology the lesion, the time of reconstruction, the flap used to cover the
lesion, and the function of the gastrocnemius-soleus unit, and the following Sensory
disorders.
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.
The research discusses the Education Preparation Diploma Attitudes Students' Towards
Cosmetic Surgery, and to study the effects of such attitudes according to variables (sex, marital
status, work). To achieve the objectives of the research, was dev
eloped measure Towards Cosmetic
Surgery prepared for this purpose, has been included (32) methods, then applied to a sample of
students of (228) during the academic year 2017/2018. The present research used the descriptive
analytical approach. Validity of the questionnaire was established though a jury of (7) of the
teaching staff of educational at Damascus and Tishreen Universities. Pilot sample consisted of (38)
students, Reliability was established by Cronbach – Alpha Reliability (0.92(, and Spearman-Brown
(0.798) by Split- half.
Several methods have been introduced to treat inflammatory
gingival enlargement including laser, electrocautery, and surgical
scalpel which is the standard method adopted. Recently, however,
ceramic bur has emerged as a simple and rapid tool for
gingivectomy
The aim of this study was to evaluate and compare gingivectomy
by using ceramic bur and traditional gingivectomy by using
surgical scalpel.
The diagnosis of pleural diseases is one of the frequent clinical problems. Despite a
variety of diagnostic tests are available for evaluating pleural effusions, approximately 15–
20% of pleural effusions remains undiagnosed, In this cases ,a thora
coscopy plays an
important role, it permits the surgeon to visually view and evaluate the entire pleural space
,and to obtain enough accurate biopsies from suspected areas. This study aims to evaluate
the effectivenes of Video Assisted
Thoracoscopic surgery (VATS) in diagnosis of pleural effusions.
Between June 2012 and June 2015 we performed 38diagnostic thorososcopy for
undiagnosed pleural effusions. The histopathologic studies of pleural biopsies result were
as follows : )%60,5 ( malignancies,)%31,6 ( TB And )%7,9 ( nonspecific inflammatory
reaction.
The malignant diseases are: Mesothelioma )%60,9(, Metastases of adenocarcinoma
)%30,4(,Lymphoma )% 8,7(
4 Complications ,with no mortality.
Conclusion: Video Assisted Thoracoscopic Surgery is a safe and accurate diagnostic
procedure for pleural diseases but it also has a very useful role in therapy.(VATS) saves
time, effort and cost, more over it is preferred by the patient as he recovers and returns to
his normal activity rapidly.
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.
Upper abdominal surgery patients are considered more vulnerable to changes in pulmonary function and therefore to acute decrease in respiratory function. physical treatment techniques play an important role, especially deep breathing exercises and th
e use of incentive spirometry device as well as walking, which have an important role in improving pulmonary function. here lies the nursing role in the training of patients to use those technologies and encouraging them toapplyearlypostoperatively. The aims of the study is toassess the effect of implementing nursing policy (deep breathing exercises , the use of incentive spirometer and walking) on respiratory function among upper abdominal surgery patients.The sample comprised 45 patients chosen randomly from thetwogenders who were prepared to upper abdominal surgery in Al-Assad University Hospital,Each patient implemented nursing policy and assessed pulmonary functionby using a spirometer device and measured the degree of arterial blood oxygen saturation by Oxygenation –pulse measurement. We can notice from the results of this study that the implement of nursing policy contributed to the preservation of respiratory function in patients with the two experimental groups , particularly in the experimental group 2, which have the lower decrease in the pulmonary functions values and the degree of arterial blood oxygen saturation .
We conducted a randomized clinical trial on 32 subjects in 2 groups with chronic
diseases of the sphenoid sinus (each consisting of 16 patients) to evaluate CT navigation
during Functional Endoscopic Sinus Surgery. All patients registered in our st
udy met the
widely accepted criteria to be treated with FESS. 16 patients were operated on with FESS
with CT navigation while 16 patients were operated on with FESS without navigation. The
result drawn showed no significant statistical difference in the outcome of the operations
when we used the CT navigation during FESS compared with the time we did not use it.
However, we believe it is an asset to the ENT surgeon in difficult and critical operations
like the sphenoid sinus surgery as it brings precision and peace to the surgeon. We
recommend using CT navigation as a useful adjunct added to the surgeon’s knowledge &
experience but not as a replacement to these necessities.
A retrospective study of 55 cases (mean age 55, range 82 ـ 35 years) of Gastrointestinal stromal tumors cancer admitted at AL Assad University Hospital , Lattakia , Syria. from 1\1\2002 to 1\1\2014 for studying its :locations ,risk factors and surgic
al management.
Stomach was the most common site for GISTs in 52.27% , small intestinal in 30.90%, rectum in 9.09% and colon in 7.27%.
The most common clinical signs and symptoms were: gastrointestinal bleeding 61.8% ,abdominal pain 21.81%.the histologic prognosis was high and moderate in 72.72% of patients.
Total gastrictomy was performed for one patient ,subtotal gastrictomy for 16 patients and a wedge in 11 cases. In 6 patients a segementectomy of small intestinal were performed. and in one patient a resection of the upper rectum performed.
