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Register a new userنتائج العلاج المشترك ( جراحة وتوسيع ) للداء الانسدادي الحرقفي الفخذي
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Damascus University رسالة ماجستير
Publication date
2014
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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يشير مصطلح داء الشريان المحيطي بشكل شائع إلى الداء الذي يعيق جريان الدم إلى الطرفين ولكن هناك بعض الجدل حول هذا المصطلح حيث يستخدمه بعض المؤلفين لتوصيف داء الشرايين السباتية والحشوية والكلوية وداء شرايين الطرفين العلويين
No English abstract
References used
Scher KS. Mcfall T, Steele FJ . Multilevel occlusive vascular disease Presenting with gangrene . Am Surg 1999 Feb;57(2)
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The research aims to make a statistical approach to the cases of esophageal atresia by
its types and incidence, and to study the surgical treatment outcome and choose the best
method of treatment and follow up.
The study included 27 newborn patien
ts admitted in the Neonatal Intensive Care Unit
at Al-Assad University Hospital and Tishreen University Hospital in Lattakia, due to
diagnosis of esophageal atresia or tracheoesophageal fistula, from the beginning of January
2010 until the end of 2015. 14 of patients were males and 13 were females. Gross
classification of esophageal atresia was used, type (C) was found in 21 cases, type (A) was
found in 4 cases, type (E) was found in 2 cases, while type (B) and (D) were not seen. We
studied The clinical symptoms in newborn patients with this malformation, radial and
laboratory findings and associated malformations. We used esophageal contrast study
insure the diagnosis when needed. With type (C), we did primary anastomosis in 20 cases
and cervical esophagostomy with gastrostomy in only 1 case. With type (A), we did
esophagostomy with gastrostomy in all cases. With type (E), we closed the fistula with
cervical approach in all cases. The survival rate was 70.4%. Spitz classification was used
for risk assessment. The incidence of complications included anastomotic leakage 30% and
anastomotic stricture 69.2%.
We studied 67 cases of left ventricular aneurysm following a myocardial
infarction through 1993 to 2002.
22 Patients had only aneurysmectomy
45 Patients had aneurysmectomy + CABG + Mitral surgery.
Death percentage in the first year after surgery
was 8.9 %.
The good clinical and haemodynamical results are due to the clear
indication of surgery on patients who had more than 25% of the LVDV
involved by aneurysm.
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 number of patients reached 15 patients, the number of females ranged was 1 patient
percentage 6,6%, The number of males 14 ranges by 93.4% . Mean age of the occurrence
of the injury was at the third decade.The patients of the Study had isolated
common
peroneal nerve injuries after Trauma.
We have basted in the diagnosis of these injuries mainly on the clinical study, which
followed by EMG, it showed loss of the ability of the nerve to respond to alert the electric
stimulation. we hope with these situations is to maintain a relatively acceptable function,
not a full return of it, Authors said that the function cannot return 100%. We have good
results one year after the surgery in terms of muscle tone of the leg 67%, In addition to a
good improvement in the movement of ankle joint 60%. All patients followed physical
therapy in specialized Center in physical therapy after removing the plaster.
The study showed that a full and regular cooperation between the surgeon therapist and
a doctor of physical therapy has a big role in getting a good results.
Our study included (84) patients: 86 cases suffering from chronic osteomyelitis: various causes, location and degrees.
All patients operated: after curettage of necrotic and infected tissues; system of continuous irrigation with antibiotics was in
serted to the infected zone; all cases were followed up for 1 year. 86% of positive results were obtained and results were bad in 14% of cases>
The high positive results (86%) confirm high effect of continuous irrigation with antibiotics as a good method for chronic osteomyelitis treatment, because this method allows delivery of suitable antibiotics in high concentration into the infected area, which is enough to kill microbes and allows to obtain best results.
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