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Register a new userResults of laparoscopic appendectomy in Al-Assad university hospital in Lattakia between 2010-2012
نتائج استئصال الزائدة بالجراحة التنظيرية في مستشفى الأسد الجامعي باللاذقية بين عامي 2016 - 2014
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Authors
أيمن سليمان مرتضى( باحث )
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Shamra Editor
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يعتبر استئصال الزائدة الأجراء الأكثر شيوعا في الحالات الاسعافية . المزايا و التطور الذي تحققه الجراحة التنظيرية تشجع على إجراء استئصال الزائدة عن طريق الجراحة التنظيرية . أجريت الدراسة على 60 مريضا خضعوا لاستئصال الزائدة بالجراحة التنظيرية في مستشفى الأسد الجامعي باللاذقية بين عامي 2014-2016. كان متوسط أعمار المرضى 38 سنة – نسبة الذكور 58,3 % نسبة الإناث 41,6 % . مدة العمل الجراحي الوسطية 105 دقيقة . نسبة الزوائد الطبيعية المستأصلة 13,3% . نسبة الزوائد الملتهبة دون انثقاب 75 % . نسيه الزوائد الملتهبة مع تموت و انثقاب 11,6 % . نسبة الحالات التي تطلبت تحويل العمل الجراحي من التنظير إلى المفتوح 16,6 % . المضاعفات بعد الجراحة : إنتان جرح بنسبة 6,66 % خراج ضمن البطن بنسبة 5 % - انسداد أمعاء بنسبة 1,66 % . بتحليل نتائج هذه الدراسة تبين أنها تتقارب مع النتائج العالمية . توصلنا بالنتيجة أن هذه الجراحة أمنة و لها مزايا كثيرة و مضاعفاتها قليلة جدا و نوصي بتطبيقها في مستشفياتنا
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 .
References used
WILLIAMS RA , MYERS P. pathology of the Appendix . New York : Chapman and Hall Medical ; 1994: 1-7
ADDISS DG, SHAFFER N , FOWLER BS , TAUXE RV . The epidemiology of appendix and appendectomy in the United States . Am J Epidemiol . 1990;132:910-925
NITECKI S, KARAMELI R, SARR MG. Appendiceal calculi and fecaliths as indications for appendectomy . Surg Gynecol Obstet. 171: 1990;185-188
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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.
Introduction 7 Visceral Leishmaniasis( VL )is characterized by a spectrum of
clinical features, with high cure rates in early diagnosis.
Objective: the objective is to describe the clinical and epidemiological features and
laboratory variables of
children with visceral leishmaniasis ,And to define the importance
of a positive direct investigation of the parasite in Bone marrow in the diagnosis of disease
.
Patients and Methods : It was a case series study of )52( cases of Visceral
Leishmaniasis which were hospitalized between June-20 31and June-2014 in Al -Assad
University Hospital ,Latakia
Results 52 7 7 children were included in this study .Majority of the patients (92%)
presented with fever ,common findings in physical examination were(100%) Pallor and
(97%) splenomegaly
The direct investigation of parasite in Bone marrow was positive in )%55( of cases .
The study was carried out in Al-Assad University Hospital in Lattakia in surgery
department for a period of two years (2014 – 2016). There were 52 patients with 104
undescended testises , their ages were between (6 months -5 years) .The objects of
this
study were as following:
1- study the result of treatment of B-HCG for bilateral cryptorchidism.
2- Study the optimal age for the application of hormonal treatment with B HCG .
Ultrasound (US) was done to 39 patients (75%) to find the abnormalities of urinary
tract, and the results were negative. The mean age was 2,5 . There were 29 patients (55.77
%) who were less than 2 years of age. Patients were followed for six months .
There was success after six months of treatment 34,61 % of the total sample for
bilateral cryptorchidism , 13,64 % of the total sample for one side .
if treatment was early , the success rate would be better .
the preferred age for treatment of B Hcg is less than 2 years of age .
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 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.
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