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Register a new userSurgical Treatment of Hyperthyroidism
المعالجة الجراحية لفرط نشاط الدرق
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Damascus University ورقة بحثية
Publication date
2009
fields
Medicine
and research's language is
العربية
Authors
حمود نصر( باحث )
Created by
Shamra Editor
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يهدف هذا العمل إلى تقدير حجم مشكلة فرط نشاط الدرق في السنوات الثماني الأخيرة 2009-2001 ، و إلقاء الضوء على كيفية مقاربتها و تدبيرها جراحياً؛ لتقييم واقع هذا الداء في بلدنا.
Investigating the surgical approach to hyperthyroidism and evaluating the currently-used treatment modalities and the results of treatment during eight years between 2001 and 2009.
References used
Younes, N., Robinson, B., Delbridge, L.: The aetiology, investigation and management of surgical disorders of the thyroid gland. Aust. N.Z. J. Surg. 66:481, 1996
Gough, I.R.: Total thyroidectomy: indications technique and training. Aust. N.Z. J. Surg. 62:87, 1992
Miccoli, P., Vitti, P., Rago, T., Iacconi, P., Bartalena, L., Bogazzi, F., Fiore, E., Valeriano, R., Chiovato, L., Rocchi, R., Pinchera, A.: Surgical treatment of Graves’ disease: subtotal or total thyroidectomy? Surgery 120:1020, 1996
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Sample of 60 evaluable patients were included in a prospective study with
Superficial Veins Thrombosis(SVT)on ground of varicose vein lower extremities. the
study achieved at AL-Assad hospital (Latakia) in the period between January 2005 to
Decemb
er 2011. Criteria of inclusion were incompetence (by Duplex investigation ), a
tender indurated cord a long superficial vein, and indurated and heat in the affected area.
Exclusion criteria were obesity, cardiovascular or neoplastic diseases, non-ambulatory
status, SVT without varicose vein. 60 patients ( 41 females, 19 males) included in the
study, 61.6% were between(31–50) years, left lower limb was affected in 48,3 %, Right
40%, and in 11,7 the both, The GSV was affected alone in all cases. Primary surgical
choice was decided almost in all patients, secondary was in 4patients after 1-4 weeks of
medical treatment. The extension level in the GSV determined by color duplex ultrasound
was similar to surgical findings, and above clinical extension level in (5-14) cm. All
surgical intervention was achieved under spinal anesthesia, with no major technical
difficulties. Short term results were good, no(DVT, PE, acute cardiac ischemia, death ),
complications related to surgery(hematoma, seroma5%, wound infection3.3%, wound
necrosis1.7%, lymphatic discharge3.3%) show no difference to un complicated varicose
surgery.
Conclusion: Primary surgical approach can be used with thrombosis of GSV above
knee in varicose patients safely and effectively , color duplex ultrasound scans is
recommended to determine extension of SVT.
The odontogenic keratocyst is an epithelial development cyst
of the jaws.
This lesion is commonly found in the maxilla and mandible , and can
become quite large because of its potential for significant expansion,
extension into adjacent tissues a
nd rapid growth.
The treatment of the odontogenic keratocyst remains controversial
Treatments are generally classified as conservative or aggressive.
The purpose of this study was to evaluate different surgical
treatment methods for odontogenic keratocysts and the outcome of these
treatments over a years period.
This study was carried out in AL-ASSAD University Hospital during the years 2005-
2015, and included 56 patients who have been treated of gastric cancer. Male: Female ratio
was 1:1.85, the peak incidence was in the 6th and 7th decades 60%, the heig
hest incidence
was in lower third of stomach in 65% of cases. Adenocarcinoma (FUNGATING FORM)
was the most common pathological macroscopic form 45%,. The most common operation
was subtotal gastrectomy 71.05% with Omega, Brown anastomosis 52.63%, interiorly of
the colon, in the two third of cases.D1 dissection was performed in 92.1% of cases,
compared with D2 dissection which was performed in 6.9% of cases.Spleenectoy was
performed in 15.7% of cases, and the cholecystectomy was performed in 2.5% of
cases.Stage ɪɪ and stage ɪɪɪ constitute 90% of cases.
Ebstein’s anomaly represents 1 % of congenital heart disease, where the
septal and posterior leaflets of the tricuspid valve take origin at a level
lower than the atrio-ventricular junction. This deformity entails many
consequences such as tricusp
id insufficiency, paradoxical contraction of
the atrialised portion of the ventricle, hemodynamic disturbances,
arrhythmias, and right ventricular failure.
During the period between 1/6/1992 to 31/12/1997 we had performed 16
repair operations to Ebstein’s anomaly. WE performed plication of the
atrialised ventricular portion either transversely which was performed in
13 cases, or longitudinally in 3 cases due to extensive deformity of the
tricuspid valve. We used also Carpentier ring for annuloplasty of the
tricuspid valve.
These papers discuss the early and late results of this technique where the
physiological function of the patients improved generally from NYHA III
– IV to NYHA I – II, The contractile function of the right ventricle
improved as well as arrhythmias, while no death occurred between
treated patients.
The study covered 30 cases of patellar fractures in persons who were accepted and treated surgically at Al-Assad University Hospital in Lattakia from 2008 to 2013.Ages of patients ranged between 16-70 years. Average load of clinical and radial conti
nuation was six months. The smaller age of traumatism amounted 16 years and larger age 70 years; average load of age was 37.66 years. The number of traumatism in male was amounted 12 and female 18. In estimating the results, we depend on Lysholm scale scoring. Functional results were studied after 6 months and we had excellent result in 27% of cases and good results in 47% of other cases
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