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Register a new userدراسة العوامل الإنذارية ومعدل البقيا بعد استئصال الكلية والحالب الجذري في أورام السبيل البولي العلوي
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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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دراسة العوامل الإنذارية ومعدل البقيا بعد استئصال الكلية والحالب الجذري في أورام السبيل البولي العلوي
No English abstract
References used
Arthur I Sagalowsky Diagnosis Urothelial Tumors of the Upper Urinary tract and ureter
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Back pound: Patients with end stage renal disease (ESRD) and lower urinary tract anomalies (LUTA) are often considered high risk for renal transplantation.
Methods and subjects: To evaluate the degree of risk, we have reviewed our experience of 17 p
atients with (ESRD) and (LUTA). The study was carried out in Almoussat university hospital, between 5/ 2003 and 5/2009. After a detailed urological assessment, the patients had been undergone either non-continent cutaneous diversion (Bricker) (Two patients) or continent cutaneous diversion with bladder augmentation (14 patients), before renal transplantation.
Results: The patient and graft survival rates were 84.62% and 100%, respectively. The presence of an ileal conduit did not adversely affect graft survival. And the commonest complication was persistent urinary tract infection, which occurred in all patients (100%), but didn’t cause any graft loss. However two patients died because of systemic infections and their graft function was
good.
Conclusion: Renal transplantation is a satisfactory option for patients with ESRD due to LUTA, but it is important to carry out detailed urological assessment prior to the transplant procedure.
A number of patients who had undergone to craniotomies for tumor resection,
re- intubated in ICU as urgent procedure. This may result in poor prognosis, overloading the staff, and
high cost.
The goal is looking for clinical, surgical, and laborato
ry risk factors helping in early detection of cases
which require keep ETT in place and maintaining of ventilation.
Background& Objective: Determining the risk of distant metastasis in invasive breast cancer patients
with lesions measuring 40 mm or less, and comparing the risk between quadrantectomy with axillary
dissection and modified radical mastectomy with a
xillary dissection.
Materials & Methods: The study was performed prospectively by evaluating a random sample of invasive
breast cancer patients with lesions measuring 40 mm or less, who presented to Al-Byroni University
Hospital in Damascus during one year between 9/8/2009 and 9/8/2010.
Results: Ninety-four breast cancer patients were evaluated. The median age of patients was 54 years.
Excisional biopsy was the most common diagnostic tool (41%), and frozen section was used in 27% of
patients. The tumor was located in the upper lateral quadrant in 65% of patients. The tumor was in stage
one in only 13% of cases, and most tumors were in stage II (63%). Modified radical mastectomy with
axillary dissection was performed in 62 patients (66%), and quadrantectomy with axillary dissection was
performed in 32 patients (34%). The patients were followed for up to 18 months. Distant metastasis were
observed in 8 patients (13%) from the first group and 6 patients (19%) of the second group.
Conclusion: There is no important difference of risk of distant metastasis after modified radical
mastectomy or quadrantectomy in breast cancer lesions measuring 40 mm or less. We recommend
quadrantectomy as the first-line surgical treatment for breast cancer when indicated.
Assessment of quality of life after surgical treatment in breast surgery patients,
and comparing quality of life between quadrantectomy and modified radical mastectomy for invasive
ductal carcinoma measuring 40 mm or less.
Objectives: to analyse the incidence of facial nerve dysfunction following
parotidectomy and to correlate this with the extent of parotid gland resection, and the
pathological diagnosis.
Between 2010 – 2014, 35 patients underwent 35 parotidectomie
s performed by the
same surgeon.
Results: the incidence of initial postoperative facial weakness was 37,14%, based on
the diagnosis and extent of surgery, rates of facial weakness were 23,1%, 30,8% and
46,1% for superficial parotidectomy, total parotidectomy and total parotidectomy
associated with a neck dissection respectively.
Permanent weakness occurred in 7,7% of patients, recovery of normal facial
movements occurred within 6 months in all patients with initial temporary facial weakness.
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