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Article
Complications of Endoscopic Sinus Surgery

Authors: Alaa Mtashar Al-Mansoury --- Yaseen Adeeb Al-Dori --- Bahaa Mohsen Al-Anbary
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 2 Pages: 421-427
Publisher: Babylon University جامعة بابل

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Abstract

Endoscopic sinus surgery (ESS) is obtained to restore paranasal sinus function which usually will lead to reestablishing the physiologic pattern of ventilation and muco-ciliary clearance.To evaluate the complication of endoscopic sinus surgery (ESS) after management of different sinonasal diseases and how to deal with these complications ninety patients with different sinonasal diseases who were underwent functional endoscopic sinus surgery were seen and evaluated in department of otolaryngology.They had been submitted to clinical and endoscopic examination of the nose.All patients had a coronal and axial CTscan preoperatively, and all procedures were performed under general anesthesia. The extent of surgery was mainly decided depending on the findings in pre-operative CT scan of paranasal sinuses.The main presenting symptoms of patients were nasal obstruction (71.1%), anterior nasal discharge (65.5%), facial pain (63.3%), headache (55.5%), postnasal drip (50%) & hyposmia/anosmia (31.1%). Most of the patients have got partial or complete symptomatic relief. The minor complications of endoscopic sinus surgery occurred in 18 cases (19.97%) which include adhesions (11.1%), minor epistaxis (5.55%), periorbital ecchymosis (2.22%) & infection (1.1%). Major complications occurred in 6 cases (4.27%) which was Major epistaxis (2.22%), CSF leakage (2.22%), Meningitis (1.1%) Pneumocephalus (1.1%).It was concluded that endoscopic sinus surgery (ESS) is an efficient method for treating different sinonasal diseases and can be performed with success rate to alleviate symptoms with less morbidity especially when there is good clinical and preoperative CT scan assessment with endoscopic sinus surgery training courses and proper hypotensive anaesthesia and good postoperative care.


Article
A COMPARATIVE STUDY BETWEEN OSSEOINTEGRATION SUCCESS RATE OF ONE STAGE AND TWO STAGE PROCEDURE IN IMPLANT SURGERY IN BASRAH PROVINCE

Author: Riad G Altaee
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2015 Volume: 21 Issue: 2 Pages: 66-79
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract This study aimed to evaluate the osseointegration success rate of one stage procedure in comparison with two stage procedure in implant surgery. Eighty patients (28 males, 52 females) received 128 implants, 36 in the mandible and 92 in the maxilla. Fifty nine implants were inserted in the one stage procedure & 69 implants in the two stage procedure. All implants were followed-up for 6 months according to the success criteria (Albrektssons criteria). Total success rate was 97.6%. In the one stage procedure it was 96.6% and 98.5% in the two stage procedure. There was no statistical significant difference between the two procedures. In conclusion, the one stage procedure can be employed as successful alternative to two stage procedure when there is good primary stability and no bone augmentation at the time of implant placement.


Article
Transcanalicular laser dacryocystorhinostomy

Author: Abdulhameed A. Hassan عبد الحميد حسن
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2015 Volume: 20 Issue: 2 Pages: 68-74
Publisher: Tikrit University جامعة تكريت

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Abstract


Article
Effectiveness of Preoperative Psycho-educational Program on Stress of Cardiac Surgery Patients
فاعلية برنامج إعداد نفسي ما قبل العملية على الشد النفسي لمرضى جراحة القلب

Authors: Sundus H. Ali سندس علي --- Shirroq M. Jacoub شروق يعقوب
Journal: nursing national Iraqi specility المجلة العراقية الوطنية للعلوم التمريضية ISSN: 18122388 Year: 2015 Volume: 28 Issue: 1 Pages: 102-111
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective: The study aimed to determine the effectiveness of preoperative psycho - education al program on cardiac surgery patients information and their level of stress. And find out the differences in the Psycho educationalprogram with regard to patients demographic characteristics such as age and gender.Methodology Aquazi-experimental study was carried out to determine the effectiveness of preoperative education program on stress for cardiac surgery patients in Baghdad city from the 28th of March, 2010 , to 19th of September ,2011.The preoperative psycho - educational program, as well as the questionnaire was constructed as a tool of data collection for the purpose of the study. Purposive (non probability) samples of 40 patients who have undergone cardiac surgery (CABG &VR) are selected from Ibn AL-Bitar Specialized Center for cardiac surgery. The researcher divided the samples into two equal groups (the study and control groups) .Data was analysis through the use of the suitable statistical methods.Results: The results of the study indicates that there are significant differences in the patients knowledge towards cardiac surgery in the study & control groups through pre-test, post-test.Recommendations: The study recommended that such program should be implemented in the form of session for the patients before undergone cardiac surgery to prepare them to cope with the stress and improve their knowledge.


Article
COMPLICATIONS OF SURGERY FOR CARPAL TUNNEL SYNDROME

Authors: Avadis A Muradian --- Kareem Jasim
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2015 Volume: 21 Issue: 1 Pages: 82-85
Publisher: Basrah University جامعة البصرة

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Abstract

The carpal tunnel release is usually a curative treatment for the carpal tunnel syndrome (CTS), but not without complications, it may ranges from wound infection to nerve laceration. Study population included 150 patients (157 wrists) who had surgery for CTS. Patients were observed for the outcome and associated problems during and after operative procedure. Thirty seven wrists (23%) developed complications, these complications were; intraoperative in 7 wrists, early postoperative (within first 2 weeks) in 10, and late postoperative (after 2 weeks) in 20.This finding indicates that failure or complications following surgical release may occur, and in some situations may relate to the dissection or operating surgeon


Article
Er :YAG Laser Skin Resurfacing for Perioral Wrinkles

Author: Bahir Sabah Abood Allawi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 1 Pages: 202-214
Publisher: Babylon University جامعة بابل

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Abstract

During the last decade, resurfacing lasers advanced from relative obscurity to the forefront of cosmetic and aesthetic surgery, and many surveys revealed that most plastic surgeons performing aesthetic surgical procedures incorporated laser resurfacing in their practices.The introduction of short-duration Er:YAG lasers in the mid-1990s offered another option for resurfacing, The objective of this study Was to evaluate the use of 2940nm Er:YAG laser system for the rejuvination of perioral wrinkles..A total of 20 patients with perioral wrinkles were selected for Er:Yag 2940 nm (Contour, Sciton Inc., St Palo Alto, CA) Laser resurfacing. The erbium square scan was used, with 30 to 50 percent pattern overlap at 15 to 20 J/cm2 , if wrinkles are still apparent, use a single 3-mm spot, at 7 J/cm2 and 5 Hz, to further decrease the wrinkle shoulders.The results was The range of the average grades of the wrinkles before treatment was between 4-2.1 while after treatment was between 1.2-2.7.There was 1.5 total average grade improvement in the perioral wrinkles after Er:Yag laser skin resurfacing. The Erbium:YAG laser is safe and effective it can be recommended for perioral skin resurfacing, with noticeable improvement in wrinkles, it causes tissue ablation with minimal tissue desiccation and minimal residual thermal damage. The Erbium:YAG laser associated with a shorter duration of posttreatment erythema than with carbon dioxide laser.


Article
Prospective Clinical Study Evaluating The V Flap for Surgical Endodontic Treatment of Periapical Lesions

Authors: Yahya A.Ali يحيى علي --- Riad G.altaee رعد الطائي --- Haitham.Y.Mohammad هيثم ياسين محمد
Journal: Tikrit Journal for Dental Sciences مجلة تكريت لعلوم طب الاسنان ISSN: 20731213 Year: 2015 Volume: 3 Issue: 1 Pages: 83-88
Publisher: Tikrit University جامعة تكريت

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Abstract

The aim of this study was to evaluate the V shaped flap for surgical endodontic treatment of periapical lesions. The study included 62 patients in good general health, referred to the Department of oral surgery in the specialized center of Dentistry in Basra between March 2009 and June 2010, for surgical endodontic treatment. V shaped flap was used in all cases. Our intraoperative and postoperative clinical findings regarding the implentation of the vestibular V flap in surgical treatment of periapical diseases, have confirmed its individualy. It was perform the procedure which enabled a traumatic retraction with abundant blood supply and repositioning with a few stitches. the following day 62.9% of the patients experienced no pain, and mild swelling of the surgical site was evident in 79 % of the cases. The healing was complete, without any signs of tissue retraction and dehiscence.


Article
Correlation between magnetic resonance imaging and intra-operative findings in disc herniation at lumbo-sacral region

Author: Correlation between magnetic resonance imaging and intra-operative findings in disc herniation at lumbo-sacral region
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2015 Volume: 11 Issue: 1 Pages: 25-27
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Prolapsed intervertebral disc is an important and common cause of low backache. MRI has now become universally accepted investigation for prolapsed intervertebral disc. We, however, regularly come across situations, when MRI shows diffuse disc bulges, even at multiple levels, which cannot be correlated clinically and when such cases are operated, no significant disc prolapse is found resulting in negative exploration.Objective: To evaluate the role of M.R.I. finding not only for diagnosis of disc herniation at lumbar region but also for localization the level of herniationMethods: A prospective study on seventy five symptomatic low backache and MRI confirmed prolapsed intervertebral disc patients at lumbo-sacral region were operated on, all of the cases required excision of disc through posterior approach in knee elbow position. The time between MRI taken and surgery was two weeks, from which the data were taken in a questioner forma which include name , age ,gender , occupation , chief complaint , duration, MRI findings and intra operative finding , from June 2011 to October 2013 at Al- Kindy teaching hospital .Results: In our study 75 patients were diagnosed by clinical examination and MRI finding to have disc herniation at lumbar region . The female more than male( 36 females , 12 males) and the ratio was 5-1, the accuracy of MRI against intra operative finding in deciding the provisional diagnosis as disc herniation was 68% .The commonest site was L4-5 disc herniation 43 patients (57.3 % ) , and L5-S1 prolapse is the next common disc herniation level 27 patient (36 % ) , L3-L4 disc herniation was two cases (2.7 %) and L4-L5 ,L5-S1 disc herniation was 3 cases (4% ).Conclusion: The most common level was L4-5 followed by L5S1.The MRI is more accurate in diagnosis of the lumbo-sacral disc herniation and its level in single one is more than multiple levels.Keywords: Disc herniation, MRI, Surgery, posterior approachAl


Article
Impact of Weight Loss Achieved Through Gastric Sleeve Surgery with Circulating Level of Ghrelin Hormone in Obese Subjects

Authors: Zainab A. Razak A. Ghani --- Ramiz Sami Mukhtar --- MuayadAbassFadhel --- Kisma M. Turki*
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 2 Pages: 216-221
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACK GROUND: The epidemic of obesity is a major health problem in the developed world with a great influence on morbidity and mortality. OBJECTIVE: To evaluate serum ghrelin levels achieved through LSG and on insulin resistance and the serial changes of insulin concentration in obese patients following gastric sleeve.SUBJECTS AND METHODS:Twenty four patients underwent LSG with 25 controls were selected. Body mass index (BMI), waist circumference (WC), lipid profile, fasting blood sugar (FBS), glycated hemoglobin (HbA1c), fasting insulin, QUICKI and ghrelin hormone concentrations were measured for controls and patients prior LSG, then one month and three months post-surgery. RESULTS:A significant decline was noticed in BMI, WC, TC, TG, LDL-cholesterol, fasting insulin, and ghrelin, with significant increase in QUICKI in patients undergone LSG with significant differences in all studied parameters between patients and controls. A negative correlation was noticed between ghrelin and BMI in patients before sleeve gastrectomy.CONCLUSION:Ghrelin is a hormone closely linked with obesity taking into account the marked loss in appetite in the period after laparoscopic sleeve gastrectomy.


Article
Antibiotic Abuse in the Surgical Word in Baquba Teaching Hospital

Authors: Duha Saab Mujbil --- Mukdad Fuaad Abdul_alkareem
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2015 Volume: 8 Issue: 1 Pages: 38-43
Publisher: Diyala University جامعة ديالى

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Abstract

Background: The common use of antibiotics has led to at least two adverse consequences. One consequence includes unpleasant and occasionally lethal side effects resulting from changes in the normal microbial flora, these events leading to many problems sometimes require surgical removal or in some cases, lead to death. Objective: To investigate the usage and pattern of antibiotics in the surgical ward of Baquba teaching hospital.Patients and Methods: This is a retrospective study perform in Baquba teaching hospital during the period 2011-2013. The data collected from files of the patients who underwent different surgeries from the statistic unit in the hospital, recalled for which patient received the antibiotics and for how long.The types of surgeries involved in the study are those which belong to class one and two. Also prescribing advanced antibiotics instead of starting with the simple one is considered abuse.Results: Seven hundreds and ninety five case file of patients underwent clean and clean-contaminated surgeries in Baquba teaching hospital was reviewed for the use of antibiotics preoperatively and/or postoperatively, the type of antibiotic used and the duration, 541 (68%) patients were underwent clean surgeries. All of them received antibiotics postoperatively, 254 (32%) patients were underwent clean contaminated surgeries. None of them received prophylactic antibiotics and all of them received postoperative antibiotics in the form of parenteral antibiotics for 7-10 days (till removal of the stiches) and continue on enteral antibiotics for another 3-5 days following removal of the stiches.367 (67.8%) patients of those underwent clean surgeries prescribed third generation cephalosporene (Cefotaxime). 233 (91.7) patients of those underwent clean contaminated surgeries given a combination of antibiotics (Cefotaxime+Metronidazole+/- Gentamycin).Antibiotics were abused in 600 (75.47%) patients. Only 195 (24.52%) patients prescribed antibiotics in the scientific way. Conclusion: The random prescription of antibacterial is high leading to abuse of antibiotics. The number of antibacterials used and the duration shown to be increased. The combination of some antibiotics needs further evaluation.

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