Table of content

Basrah Journal of Surgery

مجلة البصرة الجراحية

ISSN: 16833589
Publisher: Basrah University
Faculty: Medicine
Language: English

This journal is Open Access

About

Basrah Journal of Surgery


Editor-in- chief

Prof. Thamer A. Hamdan, FRCS
Prof. Salam N. Asfar, MSc

Information Administrator

Dr. Jasim M. Salman, MB,ChB, DA, FICMS

Associate Editors

Dr. Hashim S. Khayat, FRCS

Prof. Mazin H. Al-Hawaz, CABS, FRCS

Prof. Zeki A. Al-Faddagh, CABS, FRCS

Prof. Issam Merdan CABS, FICMS

Assist. Prof. Ali A. Alshawi, FFDRCSI, FDSRCS

Assist. Prof. Mazin Abdulsattar, CABS

Dr. Zuhair Al-Barazanchi, MSc, PhD



National Advisory Board



Prof. Ahmad M Al-Abbasi, FRCS

Prof. Abdulla M. Jawad, PhD

Dr. Hasan K. Muhamed, FRCS

Assist. Prof. Tahir A Hawrami, DS, CABS

Assist. Prof. Farhad K. Sulayvani, CABS

Prof. Hassan J Hasony, MPhil, PhD

Prof. Nadhim K. Mahdi, PhD



International Advisory Board











Dr. Majeed H Alwan, FRCS, New Zealand

Dr. Luay P Susan, MD, Cleveland, Ohio, USA

Prof. Stewart L Weinstein, MD, USA, Former president AAOS

Dr. Robert W Buchoiz, MD, USA, Former President AAOS

Dr. Cody Bünger, MD, USA, President SICOT

Dr. Scott A Hoffinger, MD, Oakland, CA, USA

Dr. Sebastian Gitter, Dr.med. Biberach, Germany

Dr. Alec Benjamin, FRCS, UK

Prof. W Al-Ma’ani, MD, Jordan

Prof. K Fathie, MD, FACS, USA

Prof. Hikmat Jamil, MD, PhD, USA

Prof. Wajdy L Haillo, MD, PhD, USA

Mr. David Gallaway, PhD, FRCS

Dr. Rick Wilkerson, MD, USA

Dr. Sabri Shukur, FDSRS, USA

Prof. Gary Selnow, USA

Dr. John Howe, USA

Dr. Karim A Shaikley, MD, USA

Dr. John Chalmers, FRCS, UK

Dr. J Frazer, MD, USA

Dr. M Zayer, MD, Sweden

Dr. S Al-Bodur, MD, Jordan




Administrative Secretary

Ms. Elham Altoma
Ms. Salima J Sa’ad
Instructions to Authors

Basrah Journal of Surgery publishes original articles, review articles, leading articles and case reports; all manuscripts are submitted to editorial review. Authors are requested to send two copies of their articles and other editorial material to:

The Editor
Basrah Journal of Surgery, Dept. of Surgery, College of Medicine, University of Basrah. IRAQ.
salamasfar@yahoo.com
OR basjsurg95@yahoo.com
An article is reviewed for publication on the understanding that the work it reports has not been submitted simultaneously to another journal, has not been accepted for publication by another journal, has not been accepted for publication by another journal nor has it been already published. Any such attempt, when detected, will result in automatic rejection and may prejudice acceptance of future contributions. The articles and their illustrations become property of the journal. The editorial board does not necessarily agree with views expressed by the authors.
A covering letter must accompany all submissions and must be signed by all authors. The first named author is responsible for ensuring that all authors have seen and approved the manuscript and are fully conversant with its contents.
Authors should consult “uniform requirements for manuscripts submitted to biomedical journals” produced by the international committee of medical Journal Editors and published in the British Medical Journal, 6 February 1988, 401-5. Only manuscripts, which comply with this, the Vancouver style, will be considered. The text of the articles is usually divided into sections with the headings, Summary (abstract), Introduc-tion, Methods, Results and Discussion. Long articles may need subheadings within some sections to clarify its content. Two good quality plain paper copies of all written and tubular material should be submitted. The manuscript must be typed double-spaced with a minimum of 3cm margins on A4 paper (210 × 297 mm) in the following order:
1. Title page with name of the author(s). The appointment of each author at the time of performance of the work reported should be mentioned; if an author has since moved then his new address is to be added as footnote. Authors names should be mentioned up to six, if there are more authors then the first three are mentioned followed by “et al.”.
2. Summary should be concise, complete in itself and outline the aim, results and conclusions of the paper. Randomized controlled trials should be identified.
3. The text of all articles should be short and to the point.
4. References should be numbered according to their sequence in the text and not alphabetically. They should be written down in compliance with Vancouver style; i.e.
A) Journal: Ferguson AJ, Mazier WP, Ganchrow MI, Friend WG. The closed technique of haemorrhoidectomy. Surgery 1971; 70: 480.
B) Book: Golgberg SM, Nivato-vongs S, Rothenberger DA, Colon, Rectum and Anus. In: Schwartz SI, Shire GT, Spencer FC, eds. Principles of surgery. 4th ed. Singapore: MacGraw Hill; 1984.
5. Tables should be separately typed each on one sheet and must have a Roman identifying number and a short descriptive title.
6. Illustrations should be submitted in duplicate. Photographs must be of the highest professional quality. Original line drawings may be sent instead of photographs. Never write on the front or back of drawing or photographs.
7. Pagination, all pages should be numbered in the sequence, title page, summary, text, acknowledgment, references, tables and legends for illustrations.
8. Abbreviations should be limited in the text. Terms, which are mentioned frequently, may be abbreviated, and clearly defined on first use.
9. Statistical analysis should include a clear description of which methods were used for which analysis. Results of statistical tests should be reported by stating the value of the test statistic, the number of degrees of freedom and the P value. For example, t=1.34, 16 d.f., p=0.2. There should also be an indication whether the results were statistically significant or not.
10. It is preferable to provide the manuscript on a compact disc using MS Word 2003 version.




Checklist for authors
1-Covering letter.
2-Two copies of the article.
3-Writing style according to the Vancouver style.
4-Tables, graphs and legends for the photos each on separate sheet of paper.
5-A copy of the article on a compact disc.


Announcement
The editorial board would like to inform our readers that the journal has been included in the Index Medicus for the WHO Eastern Mediterranean Region (IMEMR) starting from the March, 1999 issue (Vol.5, No.1). This issue as well as all forthcoming issues of the journal will appear in WHO/EMRO web site on the Internet at the address http://www.who.sci.eg The journal was also included in the collection of the National Library of Medicine, Bethesda, Maryland starting from the same issue (i.e. Vol.5, No. 1) as we were informed by the National Institutions of Health in their letter dated February 2, 2000.

Website: http://basjsurge.com email: basjsurg95@yahoo.com

Mobile: 009647801061850 Editor 009647801018133 Information Administrator

مجلة البصرة الجراحية 2015

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Contact info

Website: http://sites.google.com/site/basjsurg email:basjsurg95@yahoo.com, elhamaltoma74@gmail.com
Mobile: 009647801061850 Editor 009647801002992 Editorial Consultant
009647801537124 Secretary

The Editor: Basrah Journal of Surgery, Dept. of Surgery, College of Medicine, University of Basrah. IRAQ.
salamasfar@yahoo.com, OR basjsurg95@yahoo.com

Table of content: 2010 volume:16 issue:1

Article
EDITORIAL

Authors: Thamer A Hamdan
Pages: 1-4
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Abstract

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Article
OSCE, THINGS TO BE SAID ………………………4

Authors: Mazin A Abdulla
Pages: 4-6
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Abstract

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Article
STEM CELL THERAPY IN SPINE SURGERY, CURRENT STATUS AND ETHICAL CONSIDERATIO 12

Authors: Thamer A Hamdan --- Raed J Chasib
Pages: 12
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Article
THE RETROSTERNAL (SUBSTERNAL) GOITRE.19

Authors: Majeed H Alwan
Pages: 19
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Abstract

This is an overview of the various factors related to the substernal (retrosternal) goitre. The presentation and discussion include the terminology of the condition, its definition, type, the mechanism and way the goitre descends in the thorax, its incidence, clinical features, investigations, and possible challenges in anaesthesia and surgical exposures.

Keywords


Article
CLOSED VERSUS OPEN LATERAL INTERNAL SPHINCTEROTOMY IN TREATMENT OF CHRONIC ANAL FISSURE; A COMPARATIVE STUDY OF POSTOPERATIVE COMPLICATIONS & OUTCOME. 24

Authors: Mazin H Al-Hawaz --- Akeel A kataa
Pages: 24
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Abstract

Anal fissure is a common and painful disorder. Its relation to hypertonic anal sphincter is controversial. The most common surgical treatment of chronic anal fissure is lateral internal sphincterotomy either open or closed methods, associated with a risk of pain, bleeding, recurrence and incontinence. The study was designed to compare the results of open and closed technique of lateral internal sphincterotomy and to find postoperative complications. This prospective clinical trial conducted in the Department of surgery in Basrah General Hospital between January 2006 and October 2008, one-hundred patients were randomly assigned to open or closed internal sphincterotomy. Standardized questionnaires assessing patients were administered preoperatively and at 1st, 2nd weeks and 1-6 month postoperatively. Out of the 100 patients included in the study, 50 patients underwent open lateral internal sphincterotomy and the other 50 were subjected to closed lateral internal sphincterotomy. There was no significant difference in postoperative acute complications. However, incontinence in terms of soiling and passage of flatus was 14% in open method and 10% in closed method. There was no difference in terms of recurrence rate being 4% both in open and closed methods. In conclusion, there was no significant difference between open and closed methods of lateral internal sphincterotomy in regard recurrence rate, healing rate, hospital stay and other complications, but in view of these findings, closed method of treatment is recommended if the surgeon is experienced.

Keywords


Article
ISOLATION OF CagA AND VacA GENES FROM H. PYLORI INFECTED PATIENTS WITH VARIOUS GASTRODUODENAL LESIONS 31

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Abstract

This study aimed to learn the incidence of Helicobacter pylori infection in patients with various gastroduodenal endoscopic lesions and the frequency of virulence H.pylori associated genes CagA and VacA in these patients. One hundred seventy six patients (96 males and 80 females) attending endoscopy units for various dyspeptic symptoms were studied. Antral biopsies were obtained to detect H.pylori by rapid urease test, culturing and histopathologic examination. Twenty five patients with positive H.pylori isolates who were found to be mannose resistant, were tested for cytotoxic associated (CagA) and vacuolating cytotoxin A (VacA) genes. Among studied patients, positive H.pylori detected by rapid urease test, culturing and histopathologic examination (from 50 patients only) were 113 (63%), 127 (71%) and 25 (50%) respectively. Out of 25 patients with positive H.pylori isolates who were found to be mannose resistant, positive genes of either CagA or VacA were detected in 18 (72%) patients with positive isolates, while positivity of both genes were detected in 13(52%) patients with positive isolates. Five (45.4%) and 5 (45.4%) out of patients with duodenal ulcers and gastritis respectively were positive for both (CagA) and (VacA) genes. In conclusion, the highest detection rate of H.pylori infection was by bacterial culture. A correlation between CagA and VacA genes and endoscopic lesions of duodenal ulcers and gastritis was found.

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Article
DELAY IN SURGERY FOR ACUTE APPENDICITIS .39

Authors: Adnan Y Al-adab --- Jasim M Ayuib
Pages: 39
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Abstract

Acute appendicitis is the most common abdominal emergency. In 150 patients with acute appendicitis treated by appendectomy in AL-Sader Teaching Hospital in Basrah, a prospective study was made to study the delay prior to admission to the hospital and subsequent delay before induction of anesthesia. In 67 (44.66 %) patients, the appendix was perforated or gangrenous and in 83 (55.34%) patients it was acutely inflamed. The median duration of abdominal pain to the induction of anesthesia was 18 hours ranged 3-69 hours for the acutely inflamed group and 35 hours ranged 8-70 hours for the perforated /gangrenous group. The median preadmission delay was 12 hours and 25 hours for acutely inflamed group and gangrenous /perforated group respectively, while the median post admission delay to the theatre was 2 hours ranged 1-15 hours and1hour ranged 1-13 hours for acutely inflamed and perforated / gangrenous groups respectively. Patients arriving at hospital during the hours 08:00 to 14:00 from Sunday to Thursday waited longer than those seen out of routine working hours before going to the theatre. In conclusion, Increasing age and preadmission delay were both associated with an increasing risk of perforated / gangrenous appendix. Cases of acute appendicitis should be given the same priority as cases of peritonitis if morbidity is to be minimized.

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Article
DIGITAL PHOTOGRAPHY IN THORACIC AND CARDIOVASCULAR SURGERY….44

Authors: Amanj Kamal --- Abdulsalam Y Taha
Pages: 44-47
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Article
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