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Article
LASIK SURGERY IN AL- NASSIRYA CITY A CLINICOSTATISTICAL STUDY

Author: Dr. Ali Jawad AL- Gidis د. علي جواد الكدساوي
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2010 Volume: 4 Issue: 4 Pages: 14-21
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

SUMMARY:Background: LASIK which stands for laser in-situ keratomileusis is the procedure that involves creating corneal flap to ablate mid stromal tissue directly with an excimer laser beam, ultimately flattening the cornea to treat myopia and steepening the cornea to treat hypermetropia, whereas earlier techniques of keratomileusis consisted of removing a corneal flap and resecting stromal tissue manually, technologic advancements have revolutionized this procedure into highly automated process. In general the goals of the refractive surgery are to reduce or eliminate the need for glasses or refractive lenses without altering the quality of the vision or best corrected vision. Most improvement in refractive errors is measured in term of visual acuity (Snellen chart) .Aim Of The Study: is to have a clinico-statistical assessment of LASIK surgery in AL- Nasirya city, since it is a recent surgery in Iraq started for the first time three years ago in Almosawi Hospital. Patients And Methods:In this study a 510 cases of ametropic patients (myopia, hypermetropia, and astigmatism) with visual acuity of 624 or worse underwent LASIK surgery for correction of refractive error in Al-Mosawi private hospital from a period between August 2007 – August 2010. Each patient examined preoperatively for visual acuity, type of refractive error, corneal thickness (packymetry), and corneal surface shape (topography) to decide the suitable candidates for surgery. Postoperatively the patient examined for visual acuity. Results:In this study we noticed that from 510 cases, 300 (58.82%) were female, while the remaining 210 cases (41.176) were male. Regarding the age distribution of the cases, 152 (29.8%) of the cases lies between 23-27 year , which is the predominant age group. The second most predominant age group was between 28-32 year, 126 cases (24.7%) lies in this age group. One hundred two cases (20%) were between 18- 22 years. Seventy cases (13.7%) were between 33-37 years. Regarding the refractive error, most of the cases operated on had low myopic astigmatism the number of the cases was two hundred two (39.6%). The second most frequent refractive error was low myopia representing 156 cases (30.58%). high myopia was the third most common refractive error representing 86 cases (16.86%). Fourth group was high myopic astigmatim representing 10.58% (54 cases). The last group was hypermetropia representing 2.35% (twelve cases). Regarding the visual acuity 81.81% (832 eyes) had uncorrected visual acuity of 66 or better, 95.083% (967 eyes) had uncorrected visual acuity of 69 or better, and 100% (1017 eyes) had visual acuity of 612 or better.


Article
Laparoscopic Management of Symptomatic Renal Cysts

Author: Saad D. Farhan
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 2 Pages: 163-168
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Simple renal cysts are common, with incidence increasing with age. Symptomatic renal cysts have traditionally been initially treated by percutaneous aspiration with or without injection of sclerosant agents; however, this has a high rate of recurrence.Open surgical cyst decortication for pain relief through a flank or chevron incision is associated with considerable morbidity and protracted convalescence.OBJECTIVE:To assess the efficacy of laparoscopic Surgery in the treatment of symptomatic simple renal cysts. Renal cysts are common in the adult population.METHODS:From April 2007 to July2009 ,11patients (7 males and 4 females) underwent laparoscopic decortications of symptomatic simple renal cysts with renal cyst wall excision and fulguration of the epithelial lining. Complex renal cysts were excluded. The Wong-Baker pain scale was used to assess the preoperative and postoperative pain scores. Radiologic success was indicated as no recurrence on the most recent computed tomography scan.RESULTS:Of the 11 procedures were completed laparoscopically , the mean operative time was 100 minutes (range 80 to 120). Symptomatic and radiographic success was achieved in 90.9% of patients, with a median follow-up of 12 months (range 6 to 18).CONCLUSION:Long-term follow-up has confirmed that laparoscopic cyst decortication is an effective and durable treatment option for symptomatic simple renal cysts during long-term follow-up. The greater and durable success rates of this minimally invasive technique may favor this treatment option over other treatment modalities.


Article
Anxiety among patients undergoing major general surgery
القلق بين المرضى الذين يخضعون لجراحة عامة كبرى

Authors: Saadia Ahmed Khudhr --- Sirwan Kamil Ali --- Shirin Aziz Bakr
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2010 Volume: 14 Issue: 3 Pages: 7-11
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: It has been recognized for more than 40 years that patients experience different levels of anxiety when faced with impending surgery. The degree to which each patient manifests anxiety is related to many factors; this study aims to assess the level of anxiety among patients undergoing major general surgery and to identify the effect of gender on preoperative anxiety.Patients and methods: A sample of 300 patients who were admitted from 5th April 2009 to the 10th November 2009; in general surgery units of teaching hospitals ( Rezgari & Hawler ) in Erbil city were interviewed to assess their level of anxiety before surgery. The instrument used for this purpose was a questionnaire that included socio-demographic information and the State-Trait Anxiety Inventory (STAI) of Spilberger.Results: Most of the patients showed moderate to severe anxiety level; (moderate=50% and severe=38.3%) others showed mild anxiety level (11.7%). A statistically significant relationship was seen between preoperative anxiety and gender; female patients showed high levels of anxiety (severe anxiety=46.9%) while male patients showed less severe anxiety level (severe anxiety=28.6%).Conclusions: According to the results of the study patients undergoing major general surgery need to be assessed regarding level of anxiety before surgery. This anxiety should be reduced through appropriate interventions, especially in women who have been found to experience high levels of anxiety.


Article
EVALUATION OF PATIENT'S OUTCOME AFTER ENDOSCOPIC SINUS SURGERY

Author: Hiwa A Abdulkareem
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 2 Pages: 68-77
Publisher: Basrah University جامعة البصرة

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Abstract

Chronic rhinosinusitis (CRS) is a common problem worldwide that results in significant impairment of qualityof life. Endoscopic surgery aims at maintaining physiological function and anatomical structure.This study aimed to assess the outcome after functional endoscopic sinus surgery (FESS) for chronicrhinosinusitis with or without nasal polyps using symptom scoring and endoscopic assessment.Thirty patients having chronic rhinosinusitis CRS with or without nasal polyps underwent endoscopic sinussurgery in Otolaryngology dept. / Sulaimaniya Teaching Hospital from May 2008 to April 2009 after failure ofmedical treatment to resolve the condition for more than 12 weeks. Preoperative symptoms and radiologicfindings were scored as well as the extent of surgery. Post operative endoscopic findings and symptomsoutcome were evaluated.The common presenting symptoms in order of frequency were nasal obstruction, facial pressure or pain,purulent nasal or post nasal secretions, headache, hyposmia, Fatigue, cough, and halitosis. All symptom'sscores significantly reduced (t-test P value < 0.000), with exception of cough (t- test P value = 0.023).Halitosis showed no significant change (t-test P value = 0.103). Patients who had the lowest radiologicalscores underwent the least extensive surgery.In conclusion, most CRS symptoms can be expected to improve significantly after ESS and correlates withpostoperative endoscopic examination of the nasal cavities. Lund-Mackay radiologic scoring can be used asa predictor of symptom outcome although it correlates weakly with the severity of symptoms preoperatively.

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