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

Loading...
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: 2004 volume:10 issue:1

Article
Editorial: THE CRITICAL DECISION FOR A CRITICAL PATIENT IN A CRITICAL TIME

Authors: Thamer A Hamdan
Pages: 1-2
Loading...
Loading...
Abstract

Keywords


Article
THE DILEMMA OF AVASCULAR NECROSIS

Authors: Mohammed Hassan Kubba
Pages: 3-14
Loading...
Loading...
Abstract

Keywords


Article
ACUTE BACK PAIN AMONG DENTISTS

Authors: Issam A. Dahabra
Pages: 15-22
Loading...
Loading...
Abstract

This is a review article, about the incidence of law back pain in dentist, it also contains a detailed review about the relation between back pain, exercise and posture, with special emphasis on the prophylactic measurements.

Keywords


Article
A METHOD FOR HAEMORRHOIDECTOMY USING MONOPOLAR DIATHERMY WITH WOUND CLOSURE

Authors: Mazin Hawaz Al-Hawaz
Pages: 23-26
Loading...
Loading...
Abstract

Objective: To compare the effectiveness of monopolar diathermy haemorrhoidectomy and closure of haemorrhoidectomy wound with conventional Milligan-Morgan haemorrhoidectomy in reducing the post operative pain and complications. Also to determine the time of hospital stay, wound healing and return to activity. Patients & Methods: A total of 180 patients with symptomatic haemorrhoids (3rd and 4th degree) were studied from May 2000 to March 2003 at Basrah General Hospital. Patients were randomized into two groups; group (A) treated by open haemorrhoidectomy according to Milligan –Morgan (no.=100), and group (B) treated by 30 watts monopolar diathermy haemorrhoidectomy with closure of haemorrhoidectomy wound (no=80). Result: Significant differences between the two groups were noticed regarding the postoperative pain and complications, time of wound healing and return to activity. Conclusion: patients with symptomatic haemorrhoids derive greater benefit from diathermy haemorrhoidectomy with wound closure regarding less postoperative pain and complications, short hospital stay and early return to normal life.

Keywords


Article
TISSUE EQUIVALENT PERSONAL X-RAY DOSIMETER

Authors: Assel B. Shindy
Pages: 27-30
Loading...
Loading...
Abstract

Absorbed dose from X-ray field of scattered stray radiation was monitored at presumably safety position. Lyoluminescence enhanced sensitivity in organic solid techniques were used to estimate the environmental and personal dosimeter based on tissue equivalent of glutamin amino acid. The cumulated percentage dose received by the person for one month period at safety position were about more than the dose received by the patient in one single exposure (at least 11.6% and 39.5% of chest and hand dose respectively).

Keywords


Article
SURGICAL TREATMENT OF PILONIDAL SINUS, A COMPARATIVE STUDY

Authors: Abdulla H. Al-Fadhil (Deceased)
Pages: 31-35
Loading...
Loading...
Abstract

This prospective study was designed to compare the three surgical procedures used in the treatment of pilonidal sinus. 103 patients divided in to three groups by simple random sampling, Group I, 45 patients treated by Excision alone, Group II, 45 patients treated by Excision and simple primary closure while group III, 13 patients treated by Excision and w plasty. Comparison between these procedures with regard to Gender, Sex, Obesity, operating time, hospital stay and complication include recurrence by using ANOVA test and other statistical tests. In conclusion, there is relation between obesity and PND and its Recurrence, also excision alone is satisfactory procedure, because it take less operative time with short hospital stay and associated with fewer complication including recurrence, also meticulous hygiene and shaving of present healing area as well as daily regime to obese patient should be taken in consideration to avoid recurrence.

Keywords


Article
PULMONARY RESECTION IN BASRAH: PERSONAL EXPERIENCE

Authors: Abdul-Salam Y. Al-Museilih
Pages: 36-43
Loading...
Loading...
Abstract

Pulmonary resection is the operation that defines the thoracic surgeon. It represents the appropriate surgical treatment for many pulmonary lesions. This is the first study on pulmonary resection in Basrah, south of Iraq. The study is conducted in the Section of Thoracic and Cardiovascular Surgery in Basrah Teaching Hospital over a 5-year period (August 1996 to July 2001). The aim of the study is to present the personal experience of the author in lung resection, analyze the indications, surgical and anaesthetic management and outcome including morbidity and mortality in view of the literature. Thirty patients (17 males and 13 females) underwent pulmonary resection for different indications were retrospectively analyzed. The results of this study indicate that despite the small number of patients and the difficulties in anaesthetic management, pulmonary resection is practiced safely in Basrah, south of Iraq.

Keywords


Article
TWELVE YEARS EXPERIENCE IN HIGHLY SELECTIVE VAGOTOMY

Authors: Zeki Al-Faddagh
Pages: 44-49
Loading...
Loading...
Abstract

Highly selective vagotomy accepted by increasing number of surgeons due to its low operative risk and relative lack of all side effects associated with other types of surgery like Truncal Vagotomy and drainage procedures. Our study concentrates on cases of chronic duodenal ulcer operations by H.S.V.regarding morbidity, mortality and recurrence rates. At Port General Hospital in Basrah and one private hospital over a period of twelve years from January 1991 to January 2002(H.S.V.) Highly selective vagotomy was performed on 100 cases of chronic duodenal ulcer (D.U.) which were diagnosed by endoscopy. All patients were followed for periods ranged between (24-120) months post operative morbidity and mortality were recorded. Visick grading was used to assess the post- operative clinical results, and endoscopy was done for all patients with visick grades III and IV. Seventy four(74) cases were uncomplicated and twenty six (26) were complicated ulcers (12 with obstruction, 10 with bleeding and 4 with perforation). Seventy two (72) cases were males and 28 cases were females. Their age ranged between (16-72) years. No major post- operative complication was recorded apart from one case who developed recurrent obstruction corrected by Finney pyloroplasty. Minor complications recorded were transient dysphagia (in 32 cases 32%) parasttic diarrhoea in eight (8) cases (8%), and some other non- related complications. Mortality was nil. (11 cases) were in Visick grade III and IV. Nine (9) cases of them were proved to have recurrent ulceration 89 cases were in visick grades I and II. My result shows that H.S.V. is a safe and effective procedure in the Management of uncomplicated and complicated chronic D.U. with less morbidity and mortality with accepted and medically controllable recurrence rate

Keywords


Article
HBA1C% INDUCED CATARACT IN DIABETIC PATIENTS

Authors: Reyad J. Fakhrualdeen
Pages: 50-54
Loading...
Loading...
Abstract

Cataract formation in the diabetic patients was studied on the basis of the determination of (Hb A1c%) using variant HPLC instrument and blood glucose enzymatic method for (42) blood specimens. These patients are; neglected blood glucose levels (patients are not using any treatment), on oral antidiabetic medications and insulin dependent. The effect of (Hb A1c %) when raise above the normal value (5.8%) in diabetic patients, is leading to disturb the transparency of the eye lens. The aim of this study is to show the relation between high values of (Hb A1c%) and cataract lens changes. (HbA1c%) of ten normal blood specimens were measured as control group.

Keywords


Article
FAMILIAL COLORECTAL CANCER

Authors: Ali Raheem Hashim
Pages: 55-59
Loading...
Loading...
Abstract

Most colorectal cancers regardless of etiology are believed to arise from adenomatous polyps. Both environmental and genetic factors are important in colorectal carcinogenesis. Twenty five percent of patients with colorectal cancer have relevant family history. We tried to verify the spectrum of manifestations of hereditary non polyyposis colorectal cancer HNPCC and what practical preventive measures could be applied. In related families, 4 generations were studied via interviewing. Seventeen patients fulfilled the Amsterdam’s criteria for the diagnosis of HNPCC (Lynch II), with a mean age of 59.11 11.75, 10 patients were females and 7 were males. All were not smokers. The pedigree we mapped for these families showed an autosomal dominant inheritance. HNPCC is heterogeneous syndrome. Although has certain gene defect. We should always think of HNPCC in presence of positive family history of colorectal cancer or other malignancy specially those affecting young age groups. Regular colonoscopy and aspirin prophylaxis are important preventive measures.

Keywords


Article
POSTOPERATIVE PAIN AT DONOR SITE FOLLOWING BONE GRAFT PROCEDURES

Authors: Abdul Wahab Al-Mukhtar
Pages: 60-67
Loading...
Loading...
Abstract

This is a prospective study of postoperative pain at iliac graft donor site in 40 selected cases undergoing bone graft procedures from the iliac bone. Comparison was made between 3 different surgical approaches (superior, medial and superior-lateral). Severity of pain after operation was assessed using 10cm. visual analogue scale (VAS). All patients were followed up as outpatient visits every 2 weeks for period of 3 months. All patients had significant donor site pain postoperatively; moreover, in 83.3% of patients the pain was more severe at donor site than the recipient site. The precise cause of donor site pain remained obscure. However, in 87.5% of cases pain which, was closely related to position as typically aggravated by walking could indicate a local muscular or periosteal origin. The superior-lateral approach was associated with the lowest level of measured pain at donor site which, was mostly due to minimal muscles stripping and also the use of outer table. The highest level of pain was associated with the use of the superior approach, which was probably due to excessive muscle stripping and reflection of both gluteal and abdominal muscles. Donor site pain was substantially higher in patients where both tables of ilium were involved. In 10 patients (superior-lateral approach), bupivacaine hydrochloride 0.5% (Marcaine) had been used to infiltrate their donor wound during operation and comparison was made with another 10 patients as control. Local infiltration with pubivacaine produced a significant reduction in postoperative donor site pain.

Keywords


Article
RETROSTERNAL GOITRE

Authors: G.A. AL-NASIR.
Pages: 68-71
Loading...
Loading...
Abstract

Sixteen patients with retrosternal goitre were operated upon in one surgical unit during the last 10 years. The chief presentation was difficulty in breathing and dyspnoea during sleep mainly. Thyroidectomy was done using different approaches, but the cervical approach was suitable in most of cases. Tracheostomy was considered as a complication and needed in one case with bilateral vocal cord pulsy pre-operatively.

Keywords


Article
ANAEMIA IN WOMEN ATTENDING LABOUR. FREQUENCY AND RISK FACTORS EVALUATION

Authors: Faiz A. Al-Waeely
Pages: 72-77
Loading...
Loading...
Abstract

The aim of this prospective study was to determine the frequency and degree of anaemia among pregnant women attending labour. One hundred-seventy seven pregnant women were included. We found that 78 (44.1%) women were anaemic, of them 64 (36.2%) having mild anaemia, 10 (5.6 %) with moderate anaemia and 4 (2.3%) with sever anaemia. The study revealed that low educational level, lack of antenatal care, increasing parity, lack of iron supplementation, close spaced pregnancy and antepartum haemorrhage were significant predisposing factor for the development of anaemia. On the other hand, the effects of the maternal age, lactation and postpartum haemorrhage on the development of anaemia were not significant. In conclusion, the frequency of anaemia among pregnant women at labour was high which necessitates an active intervention toward modifying the risk factors of anaemia.

Keywords


Article
EVALUATION OF CLINICAL TESTS IN DIAGNOSIS OF CARPAL TUNNEL SYNDROME WITH SPECIAL REFERENCE TO MODIFIED DURAN'S TEST REGARDING SPECIFICITY AND SENSITIVITY

Authors: A.W.AL-MUKHTAR
Pages: 78-86
Loading...
Loading...
Abstract

A prospective study on 110 symptomatic patients (150 hands) with CTS. All were analyzed depending on history, clinical examination, EMG and NCS and 118 asymptomatic persons (150 hands) as control group. Five currently used clinical provocative tests were applied on both groups: original Duran's test, Phalen's test, reversed Phalen's test, tinels test and arm tourniquent test, in addition to our modification of Duran's test which was compared with the previous tests, regarding sensitivity, specificity and accuracy. It was concluded that modified Duran's test was the most sensitive (94.7%), specific (94.7%) and accurate (94.7) in relation to other provocative tests. The positivity rate of modified Duran's test in cases less than 1 month history of symptoms was 80% which is higher than the other tests. Modified Duran's test has the shortest reaction time (mean time 10.5seconds) as compared with other clinical tests apart from Tinel's test.

Keywords


Article
SURVEY OF URINARY TRACT CALCULI IN SULEIMANIYAH

Authors: Ismaeel Ham Ameen
Pages: 87-88
Loading...
Loading...
Abstract

A total of 1339 patients operated on from 1994 to 2000 for urinary tract calculi. There were 851 male patients (63.5%) and 488 female patients (36.5%) with 891 renal stones. Three hundred eighty three ureteric stones and 103 vesical stones. The age incidence, sex differences, anatomical sites, residency and seasonal variation were studied.

Keywords


Article
ISCHEMIC HEART DISEASE IN SULAIMANIA : A STUDY OF RISK FACTORS

Authors: Ali Saeed Mohamad
Pages: 89-98
Loading...
Loading...
Abstract

Keywords


Article
TUBERCULOSIS OF THE BREAST

Authors: Al Chalabi HA
Pages: 99-102
Loading...
Loading...
Abstract

Tuberculosis is a chronic infectious disease that can involve almost any organ in the human body, on the other hand breast tuberculosis is considered to be rare entity through out the world. In this study we describe five cases of breast tuberculosis; three in the year 1999 and two cases in the year 2000. The five cases had various mode of presentation and clinical course but all the cases showed the same histological findings, which confirm the diagnosis. Review of the literature throughout the world was carried out including cases in Iraq.

Keywords


Article
LIVER FLUKE CAUSING DILATATIONS OF COMMON BILE DUCT

Authors: Taher Hawrami
Pages: 103-104
Loading...
Loading...
Abstract

Biliary parasites are known in endemic areas and their association with biliary stone is documented. We present a case of liver fluke affecting the biliary tract caused by fasciola hepatica which is reported for the first time in Iraq.

Keywords


Article
SURGICAL MANAGEMENT OF INCISIONAL HERNIAS; THE CURRENT STANDING

Authors: Safwan A. Taha
Pages: 105-118
Loading...
Loading...
Abstract

Keywords


Article
BASCOM’S OPERATION FOR CHRONIC PILONIDAL SINUS

Authors: Jasim D. Saud
Pages: 119-121
Loading...
Loading...
Abstract

Keywords


Article
PRACTICAL HINTS ON THE MANAGEMENT OF ‎NEGLECTED DEVELOPMENTAL DYSPLASIA OF THE ‎HIP (NDDH)‎

Authors: HK Mohammed
Pages: 122-124
Loading...
Loading...
Abstract

The object of this paper is to illustrate the surgical steps in sequence, which were found more ‎useful and informative for DDH of a limited age (8-12) years. Throughout a period of 25 ‎years of work in this field. The retrospective study showed clearly the pitfalls, complication, ‎how to avoid them, to be aware about them and how to solve them properly if they occurred. ‎Few remarks will be mentioned about neglected subluxated hips and the proper way of ‎dealing with them to serve the patient for few years before embarking on total hip ‎replacement. Such Chiari or periacetabular triple osteotomy. The conclusion I reached finally ‎was that experience in this part as in any other part of surgery comes slowly and gradually, it ‎grows with years and familiarity with the subject is established form early years of ‎management to adulthood. I believe that we can learn more from one mistake than from ten ‎successes. ‎

Keywords


Article
Obituary: DR. ALAM HAMEED YACCOB

Authors: T.A. Hamdan
Pages: 124-124
Loading...
Loading...
Abstract

Keywords


Article
Obituary: DR. MUSTAFA K. AL ALI

Authors: BJS
Pages: 125
Loading...
Loading...
Abstract

Keywords


Article
Obituary: Dr. Haider T Al Ba'aj

Authors: Al Mahfooz N A.‎
Pages: 126-126
Loading...
Loading...
Abstract

Keywords

Table of content: volume: issue: