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: 2008 volume:14 issue:1

Article
1-CRITICAL APPRAISAL

Authors: Thamer A Hamdan
Pages: 1-2
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Abstract

Editorial

Keywords


Article
2- UTILISATION OF LAPAROSCOPIC SURGICAL TECHNOLOGY AND EXPERIENCE TO PERFORM NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY (NOTES), A NEW ERA IN MINIMALLY INVASIVE SURGERY`

Authors: Majeed H Alwan
Pages: 3-7
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Abstract

The field of minimally invasive surgery has seen tremendous development and refinement since the first laparoscopic cholecystectomy was performed in 1987. Laparoscopic surgery has several advantages over traditional surgery. The next logical step in the evolution of minimally invasive surgery may be to eliminate all abdominal incisions. The terms being used in the literature include �incisionless�, �endoluminal�, �transluminal�, and �Natural Orifice Transluminal Endoscopic Surgery� (NOTES). This article aims to summarize the background and current status of NOTES.

Keywords


Article
3-ENDOSOCOPIC THYRIOD SURGERY

Authors: Ghassan A A Nasir
Pages: 8-13
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Abstract

Thyroid resection is one of the most common operations performed throughout the world. This procedure is classically realized through a transverse cervical incision and associated with a very low morbidity and mortality rate. However, the visible scar on the anterior surface of the neck is disliked by many patients, especially by young women in whom this

Keywords

ENDOSOCOPIC --- THYRIOD --- SURGERY


Article
4PATTERN OF DEGENERATIVE SPINAL CANAL STENOSIS IN SOUTH OF IRAQ. A REVIEW OF 1699 CASES

Authors: Thamer A Hamdan,
Pages: 14-18
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Abstract

Background context: Both systemic hypertension and degenerative spinal canal stenosis are common diseases in the population, however, the cross relationship had not been reported. Purpose: To determine the incidence of systemic hypertension among patients with degenerative spinal canal stenosis and to describe the pattern of this degenerative spinal canal stenosis in south of iraq. Study design: Retrospective and prospective review. Patient sample: A total of 1699 persons (644 females and 1055 males) whom their blood pressure measured. A 326 patients had degenerative spinal canal stenosis and 1373 not had spinal stenosis {599 patients had prolapsed intervertebral disc prolapse operated on(control no.1 group) and 774 persons were normal (control no.2 group)}. Outcome measure: Postoperative blood pressure monitoring. Methods: Systemic blood pressure measurement were reviewed for all of the 1699 persons with postoperative follow up of their blood pressure, also the level of pathology was recorded. Results: Systemic hypertension was present in 46% of patients with degenerative spinal canal stenosis, 18.1% of patients with intervertebral disc prolapse (control no.1) and in 17.4% of normal persons(control no.2). Postoperativly, hypertension resolved spontaneously or easily controlled with less number and lower doses of antihypertensive drugs. Conclusion: Systemic hypertension highly prevalent among patients with spinal stenosis and disappear or becomes lower after operative treatment.

Keywords


Article
5- BEST METHOD TO MINIMIZE POST APPENDECTOMY WOUND INFECTION

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Abstract

Despite numerous methods of wound care post appendectomy, no definite technique documented to be the best. Wound irrigation under pressure with syringe is regarded recently as an acceptable physical and biological way to prevent post appendectomy wound infection. This study compares the best of several method of wound infection prevention on 418 patients subjected to appendectomy and divided in different groups, including the use of systemic antibiotic, local antibiotic, povidone iodine, and saline pressure irrigation. We concluded that: syringe pressure irrigation to the wound significantly decrease post operative infection, and is best in comparison to other methods.

Keywords


Article
6-MISSILE HAND INJURIES IN BASRAH CITY

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Abstract

Missile hand injuries (MHI) have increased in our locality, in this prospective study 130 patients (140 hands) with MHI were included, they were 86% male, and 42% were between 21 to 30 years of age. Forty nine percent were injured by bullet and 26% by explosions of different objects. Combined tissue injuries were presented in 62% of the patients with associated fractures in 63%. In 70% of the hands initial surgical wound debridment was performed, 24% of the fractures were stabilized by K- wire and with the simple skeletal external fixations in 18%. Serial different types of secondary and definitive surgical treatment were performed in 62% of the patients. After the follow up period, most of the patients had multiple complains and only 14% had a satisfactory functional hand. The initial, definitive management, the severity and mechanism of the injury that lead to multiple tissue damage had a great affect on final functional recovery.


Article
7- FACTORS INFLUENCING POST-OPERATIVE COMPLICATIONS AFTER PROSTHETIC "MESH" REPAIR OF INCISIONAL HERNIA (A prospective study).

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Abstract

Incisional hernia is frequently met by the general surgeon, its frequently complicate (3.8-11.5%) of patients after abdominal surgery. Repair of large incisional hernia is a difficult surgical problem with recurrence being a common. Numerous methods of repair have been described simple opposition in one layer or complex opposition and the use of prosthetic mesh. The aim of this study is to report our experience with use of mesh repair and risk factors that influence post operative complications. A prospective study done in Basrah General Hospital, Department of Surgery between January 2003 to December 2006.One hundred and ten patients with prosthetic repair of incisional hernia were included in this study. History was taken and thorough examination was done, all patients were asked for history of diabetes mellitus, obesity, corticosteroid use, their original operations, primary or recurrent hernia and examined for their body mass index, size and duration of the hernial defect were recorded. A proforma was completed for each patient, noting prophylactic antibiotics had been given or not, type of the sac and whether opened or inverted, type and size of mesh had been used, intraoperative and postoperative complications and postoperative hospital stay. Of (110) patients, (62) were females, (48)were males,their median age was (45.5) years for women and (58) years for men,(31)patients(28.2%)weighted more than their ideal body weight and had body mass index equal or more than(30).Forty eight patients (43.6%) were diabetic and (24)patients(21.8%)were corticosteroid used. The original operations were bowel related and gynecological in the majority of patients. Previous incisions were long midline in(38). Twenty patients had one past operation, (13)had two,(5) had three and one patient had four past repair, the remaining were new Incisional hernia patients. The main hernia size was (12.3) cm and (4.6) cm in vertical and horizontal direction respectively. Forty four patients had additional surgical procedures, consisted of Fallopian tube ligation in (12) ,division of small bowel adhesions in (8) ,suturing of small bowel perforation in (4) and abdominoplasty in (20) patients. In the majority of patients (78), standard polypropylene mesh had been used and vicryl-prolene (Vypro) mesh in the remaining (32) patients. The main postoperative complications were seroma formation (17.3%), wound haematoma (10%), wound infection (9.1%), chest infection (6.4%), one patient developed intestinal fistula and mesh need to be removed. Five recurrent incisional hernias occurred. Most patients developed complications were obese, diabetic and corticosteroid used. No death in our series. It is concluded that tension free incisional hernia repair using prosthetic mesh is a safe and easy procedure with no major morbidity or recurrence. The patient-doctor should advice weight loss to help reduce risks of surgery and improve the surgical results. Control of diabetes, corticosteroid drug use and smoking cessation are recommended for better results. Rigid sterile condition, precise and meticulous technique with the use of closed suction drains is important.

Keywords

PROSTHETIC


Article
8- TONSILLECTOMY FOR THE TREATMENT OF HALITOSISY!

Authors: Zahra Kadum Saeed --- Ahmed M Al-Abbasi
Pages: 37-41
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Abstract

This study aimed to investigate the tonsils as an origin of halitosis and to assess the efficacy of tonsillectomy for the treatment of oral bad breath caused by chronic tonsillitis. After excluding dental, periodontal, sinonasal, oral, pulmonary, and gastroenterological diseases as the origin of halitosis, fourty-four patients with halitosis caused by chronic tonsillitis which proved by positive Finkelstein's tonsil smelling test (pressing the tonsils and smelling the squeezed discharge), were included in the study. All patients were treated by tonsillectomy. Subjective and objective postoperative assessment was based on self-and-family report and clinical assessment. Patients were reviewed after 4 and 8 weeks postoperatively. Complete improvement of halitosis occurred in 31 patients (70.4%) after 4 weeks, this value increased to 35 patients (79.5%) in the second review after 8 weeks. It is concluded that tonsillectomy is significantly effective procedure for the treatment of halitosis caused by chronic tonsillitis.

Keywords

TONSILLECTOMY --- HALITOSIS


Article
9- PREVALENCE OF INTERNAL ABDOMINAL ORGANS� INJURIES IN PATIENTS OPERATED UPON AFTER BLUNT ABDOMINAL TRAUMA.

Authors: Kamal Ahmad Saeed
Pages: 42-47
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Abstract

Blunt abdominal trauma may result in multiple severe injuries which make the abdomen difficult to assess and easy to overlook. Unrecognized intra-abdominal injury is a significant cause of preventable death in blunt trauma. This study aimed to find the frequency and features of lapratomy findings for different internal abdominal organs� injuries in patients subjected to blunt abdominal injury. A total of 450 patients subjected to blunt abdominal trauma were admitted to the emergency surgical department of Sulaimania Surgical Teaching Hospital following, 140 of them were decided to undergo exploratory laparotomy depending on their clinical and imaging findings that suggesting a visceral injury. Thirty one percent of the patients who subjected to blunt abdominal trauma need exploratory laparotomy, 80.7% of them were male, and 67.9% were young. The predominant causative factor of blunt abdominal trauma was the motor vehicle accidents. Spleen and liver were the frequent injured solid organs. Almost all of the patients had positive laparotomy results. Traumatic head and neck injuries were the most common associated non abdominal injuries. Morality rate was only 5% while complication rate was only 7%. It is concluded that males at young active productive age are the main persons suffer from blunt abdominal trauma. This has an important economic impact on the productivity of the community. Spleen injury being the most commonly intra abdominal solid injured organ followed by liver, other visceral structures are uncommonly involved.j1


Article
10- DOUBLE J INDWELLING URETERIC STENTS: INDICATIONS AND COMPLICATIONS

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Abstract

Ureteric stents have been used since many years in urologic practice. Many complications encountered during its use. This study carried out in the Department of urology at Basrah General Hospital from 2003 to 2007. During this period 213 patients required D-J stents insertion were fallowed up. Complications encountered include loin pain in 21.6%, irritative symptoms in 30.5%, febrile UTI in 10.8%, bacteriuria in 27.7%, upward migration in 3.3%, slipping in 4.2%. We conclude that indwelling ureteric stents carried a significant risk of complications and accurate timing of removal or changing is mandatory.

Keywords


Article
11- ONLAY MESH IN THE MANAGEMNT OF LARGE OR COMPLEX INCISIONAL HERNIA

Pages: 53-56
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Abstract

The aim of this study is to evaluate the use of onlay mesh in the management of large or complex incisional hernia. A prospective study of 80 patients with incisional hernia operated on at al-Sadr Teaching Hospital treated with onlay mesh between Jan 2001 to Jan 2006. Thorough history and physical examination was done, data sheet was designed include numerous factors that effect operative and healing process. Of 80 patients, 61.2% female &38.8 % male with median age 40.1 years for female & 53 years for male. Patients were with different associated medical problems. Main incision was lower midline incision 26.2% &main post operative complications was seroma 7.5% & wound infection 7.5% while recurrence of hernia observed in 2.5%.This study showed that, the big incisional hernias can be efficiently treated by the onlay positioning of polypropylene mesh.

Keywords

MESH --- INCISIONAL --- HERNIA


Article
12- CANCELED SCHEDULED ELECTIVE SURGERY IN OUR PUBLIC HOSPITALS, WHY?

Authors: Jasim M Salman --- Salam N Asfar
Pages: 57-61
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Abstract

Cancellation of operations increases theatre costs and decreases efficiency as well as causing emotional trauma to the patients and there families. Elective surgery cancellation is a significant multifactor problem with far-reaching consequences1. Obviously, all cancellations can not be avoided. Patients may have a change in their medical condition on the day of surgery which can not be expected or there is unpredictable condition in the hospital. Most problems, however, can be prevented with a little initiative as we noticed that in private hospitals all these reasons may be of negligible significance. Postponing

Keywords

CANCELED --- ELECTIVE SURGERY


Article
13- HEPATIC TUBERCULOSIS: A REPORT OF TWO CASES

Authors: Mohammed H Saeed --- Hashim S Khayat
Pages: 62-65
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Abstract

During the second half of the 20th century, as a result of improved nutrition, reduced crowding, public health measures, and effective chemotherapy, a dramatic decrease in the incidence of tuberculosis was seen in the world. But in recent years, increased incidence of tuberculosis has been attributed to several causes, including AIDS epidemic, intravenous drug abuse and increase in the number of immunocompromised. Hepatic tuberculosis is the most common manifestation of upper abdominal parenchymatous organ tuberculosis and its incidence has been increasing. Lack of familiarity with this condition was apparently responsible for the diagnosis of hepatic tuberculosis being made at autopsy or surgery in the past. Since tuberculosis remains a potentially curable disease, an awareness of its protean manifestations is essential.

Keywords

HEPATIC --- TUBERCULOSIS


Article
14- A CASE OF LEFT VENTRICULAR HYDATID CYST

Authors: Sarkis K StrakG --- Hamid Abdul Wahab
Pages: 66-68
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Abstract

CASE REPORT

Keywords

VENTRICULAR --- HYDATID --- CYST


Article
15- ABDOMINOPLASTY COMBINED WITH GYNECOLOGICAL PROCEDURES, SAFE OR SORRY ?? CASE REPORT AND REVIEW OF LITERATURES.

Authors: Amer S. Daood --- Issam Mardan
Pages: 69-72
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Abstract

Since abdominoplasty has been shown to have a positive impact on patient's self-image and quality of life, and a large hanging panniculus can cause problems such as intertrigo, chronic infection, and immobility, it is no surprise that the annual number of these procedures performed has continued to increase. A 45 year female patient with history of recurrent lower abdominal pain and irregular menses and she was diagnosed to have a big right ovarian cyst amenable for surgery, also she had previous history of two abdominal surgeries for the same complaint. She is a heavy smoker and she was obese with BMI> 35. A decision for ovarian cystectomy and abdominoplasty was taken, the patient was subjected to surgery by Gynecologist alone in Almuthana Hospital. The patient


Article
Obituary Prof.Dr. Hanna Qawar, FRCS 1944 � 2008

Authors: Thamer A Hamdan
Pages: 86-87
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Abstract

Keywords


Article
Obituary Khalid Nasir Al-Mayah 1969-2008r

Authors: THE EDITOR
Pages: 88-88
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Keywords

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