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تدبير فتوق السرة عند الكبار

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 Publication date 2011
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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References used
The American Journal of Surgery (2008)
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By the time of hatching, the residual yolk sac (RYS) should be completely internalized into the body cavity of the chick through the navel, then the navel should be completely closed (healed). After hatching, the RYS contents are used for general growth including growth of the small intestine. The aim of this study was to verify if there is any effect of navel condition on the growth of small intestinal villi. Jejunum samples from 200 new hatched chicks (at the age of 1 up to 5 days), with the average of 20 chicks per day were obtained, and divided into 2 groups: healed navels and unhealed navels, which were collected and studied histologically. For the first time, this study demonstrated the negative effect of unhealed navel on the growth of small intestinal villi. The results of this study also demonstrated by Morphometric Parameters Measurements of small intestinal villi that the high and the surface areas of villi were increased in healed navel chicks in comparison with unhealed chicks.
The study contains 70 patients , who were divided into two groups: A: 52 patients, who have been managed with T.O.T for stress urinary incontinence in women. B: 18patient s , who have been managed with Kelly for stress urinary incontinence in w omen. Age: 76.7% of the patients were more than 40 years old. 77,83% of them were multipare (more than 3 children). Complication : Bleeding was the most common complication with both groups (A=9.61% , B=5.5%). Residual Urine(0-25ml) was 51.9% with group A, while it was 66.6%in group B. Relapse: relapse rate was 13.46% in group A, while it was 11.3 % in group B. Hospitalization: 77.9% of group A stayed at for three days or less, while 94.17% of group B stayed for just one day. Time of Procedure : (less1\ 2 h)in group A 13.4 %, while it was 72.2% in group B.
Overview: Otitis media with effusion (OME) is the most common type of Otitis media (OM), especially in young children between 2-5 years. The main cause of this type is the decrease in ventilation of the middle ear, which creates purulent fluid. Sev eral factors play a significant role in etiology as Eustachian tube dysfunction, adenoid hypertrophy and allergically causes, in addition to the immunological and metabolic disorders. The main symptom of (OME) is poor hearing, which may lead to permanent hearing loss if untreated. The traditional treatment of (OME) has not been successful in quite a number of cases. Aim of study: Evaluation of the effect of bite opening technique in management of chronic otitis media with effusion in children. Materials and Methods:This clinical study included 30 cases of otitis media with effusion. Ages of patients were between 2 - 10 years old, which were managed at the Auditory Clinics at Al-Assad University Hospital in Lattakia.
Background& Objective: Evaluation of the clinical and laboratory efficiency of the utilization of noninvasive ventilation (NIV) in the treatment of respiratory complications in tetraplegic patients. Patients: Eight patients with tetraplegia du spin al cord injuries between C3 and C7 and a level between A and C on ASIA score, who were treated by non-invasive ventilation during the period between 01/10/2009 and 30/04/2010.
A retrospective study included 25 cases with inflammatory breast cancer. The patients were admitted to AL-Assad University Hospital, Lattakia, Syria (average age 55, and range 49-61 years old). The most common clinical signs and symptoms were: erythe ma 100%, edema 100%, enlarged axillary nodes 100%, Nipple flattened/inverted 96%, warm Breast 92%, Ridges/thickening of breast 84%, Peau d’orange 88%, painful/tender Breast 88%, and Mass 80%. Mammography findings were: an increase in skin thickness 100%, an increased tissue density in the involved breast 100%, and an asymmetric widening of the sub-cutaneous lymphatic vessels 33.33%. 80% of cases were diagnosed as stage IV. All patients received primary neoadjuvant chemotherapy for three cycles. After that a modified radical breast mastectomy and axillary lymph nodes dissection were performed for all patients. The wound edges were closed primarily after dissecting the skin in 76%, for 4 patients 16% a split-thickness skin grafts were performed, and for 2 patients 8% a Latissimus dorsi pedicled myocutaneous flap was performed.

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