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Register a new userThe results of anti reflux laparoscopic surgery in Al-Assad and tishreen University hospitals in Lattakia
نتائج جراحة القلس المعدي المريئي التنظيرية في مشفيي الأسد و تشرين الجامعيين في اللاذقية
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Authors
أحمد محمد سعد( باحث )
Created by
Shamra Editor
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يعتبر القلس المعدي المريئي أحد أكثر الأمراض انتشاراً على مستوى العالم و أهم الأعراض التي يسببها هي الحرقة المريئية الصاعدة خلف القص و هو يتطلب علاجاً جراحياً في بعض الحالات المتقدمة. أجريت الدراسة على عشرين مريضاً خضعوا للجراحة التنظيرية المضادة للقلس في مشفيي الأسد و تشرين الجامعيين باللاذقية في الفترة ما بين 2011-2017 و تمت متابعتهم لمدة ستة أشهر على الأقل بعد الجراحة. أظهر تحليل النتائج فعالية تامة لهذه الجراحة من حيث غياب الأعراض السريرية لدى المرضى و انعدام الحاجة للعلاج الدوائي التالي للجراحة مع غياب للاختلاطات الكبرى و حدوث لعسرة البلع المؤقتة في 15% فقط من الحالات. المقارنة مع دراسات أخرى أظهرت نتائج متقاربة من حيث الفعالية و الاختلاطات. بنتيجة الدراسة توصلنا إلى أن هذه الجراحة منخفضة الخطورة، قليلة الاختلاطات و ذات فعالية عالية.
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.
References used
BRUNICARDI,F.C. Schuartz principls of surgery. 10 ed, MC Graw Hill education,USA, 2015, 2068
Williams,N. O'Connell,P.R. Bailey & Love's Short Practice of Surgery. 26 ed, UK, 2013,1530
TRIPOULET,J.P. Chirurgie de tube digestive haut, 1 ed, Masson, FRANCE, P163, 2008
rate research
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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.
Pancytopenia is defined by reduction of all three formed elements of blood below the
normal reference . It may be manifestation of a wide variety of disorders , yet there exist
few published assessments of the frequencies of various etiologies , an
d these frequencies
exhibit substantial geographic variation . This study was carried out to investigate for and
to identify the causes of pancytopenia , to find out the frequency of different causes , to
determine the incidence of pancytopenia in relation to sex and age and to compare our
findings with those of other similar studies in different countries .This was a prospective
study conducted in Al-Asad and Tishreen academic hospitals in Lattakia city , Syria , ovar
a period of one year . A total of 113 patients with the diagnosis of pancytopenia were
enrolled in the study All patients underwent a detailed medical history and full physical
examination followed by blood sampling for the investigations i.e. complete blood count
with peripheral film , erythrocyte sedimentation rate ( ESR ) , liver function test , PT ,
HBsAg and Anti- HCV , ultrasonography of abdomen . All patients underwent bone
marrow aspiration and trephine biopsy for some patients. A definite female
preponderance was observed , 59 were female and 54 were male. The majority of cases
were encountered in the age group of more than sixty years old .Infiltration disorders were
the commonest cause that was observed in 38.1% followed by infections in 22.1% ,
megaloblastic anemia 12.4% , myelodysplasia 11.5%, aplastic anemia 7.1% ,
myelofibrosis 3.5% , hypersplenism 3.5% and systemic disorders 1.8% Detailed clinical
history and meticulous physical examination along with baseline hematological
investigations provide good information and help in systematic planning of further
investigations to diagnose pancytopenia's cause.
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 .
The study included 77 patients admitted to Pediatric Department in AL-ASSAD
University Hospital in Lattakia for doing therapeutic gastroendoscopy between ( Jul
2009-Jul 2014),number of procedures were (195) with age ranging between( 1mon-16 y)
and
The main indication of interventional GI endoscopy in this series was foreign body
extractions, oesophageal stenosis, esophageal varices ligation followed by polyp resection
and Management of rectal prolapse refractory.
-There were" not any complications during therapeutic procedures (94%), and
complet cure percent was high (64,4%), but (26%) of cases are followed up and good
until now, there were Two patients of oesophageal dilatation may need surgical
interference.
GERD raises respiratory symptoms and the treatment of anti- GERD improve
these symptoms and improve pulmonary function, sometimes GERD silent clinically which makes us
unaware of the role of GERD in pathogenesis of respiratory infections which lead
ing to increased
incidence of respiratory symptoms in patients with GERD and for this reason we must search for GERD
in chronic respiratory infections not responding to treatment.
To determine the prevalence of clinical symptoms associated with GERD in children and to define the role
of treatment of anti-GERD in the management of respiratory symptoms in children.
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