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4- CAUSES AND INCIDENCE OF LAPAROSCOPIC CHOLECYSTECTOMY CONVERSION

Authors: Adnan Y Abdulwahab --- Safwan A Taha --- Salam T Mutlak
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2009 Volume: 15 Issue: 1 Pages: 20-24
Publisher: Basrah University جامعة البصرة

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Abstract

Four hundred cases of laparoscopic cholecystectomy candidates wereprospectively followed at the time of surgery by obtaining a data sheet for thepatient’s age, sex, time from the introduction of ports till decision of conversionand the cause of conversion if present in two years (2006 & 2007) period.From 400 laparoscopic cholecystectomy, 20 conversions were obtained and thecauses were; wide cystic duct, empyema of the gall bladder, severe obesity, livertumor, abnormal position of gall bladder, vascular variation and dense adhesionswith disturbed anatomy. The percentage of conversion was 5%. Eight conversioncases were males from the total 45 male patients underwent laparoscopiccholecystectomy. Twelve cases were females out of 355 female patientsunderwent laparoscopic cholecystectomy. The percentage of conversion for malepatients was 17.7% while in female patients was 3.3%. Our results showed thatthe conversion rate in this study was 5% and the most common cause forconversion is dense adhesions. No biliary duct injury or severe bleeding thatneed conversion is found in this study and the rate for conversion is higher inmale patients.


Article
3- The INFLUENCE OF DIFFERENT PHASES OF MENSTRUAL CYCLE ON THE DIAGNOSIS OF ACUTE APPENDICITIS, A PROSPECTIVE STUDY

Authors: Abdul karim Jabbar --- Adnan Y AbdulWahab --- Bayan H Alhakeema
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2007 Volume: 13 Issue: 1 Pages: 1-10
Publisher: Basrah University جامعة البصرة

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Abstract

A prospective study was conducted to assess the frequency of acute appendicitis at different phases of menstrual cycle, 508 patients presented with acute right lower abdominal pain diagnosed as acute appendicitis and submitted to appendectomies at Basrah Teaching Hospital during a two years period from October 2000 to October 2002. There were 263 females with mean age of 25 years and 245 males as a control with the mean age of 27 years. The study reveals a higher incidence of normal appendixes were removed among females 46 patients (17.5%) as compared to 12 (4.9%)in males. Most of normal appendixes occurred during follicular phase 27 patients (58.7%) as compared to other phases. There were 23 females with normal appendixes have no any associated pathology, 20 patients (86.95%) of them were occurred around the mid cycle (day 12-16). There was difference in the incidence and the severity of acute appendicitis among different phases of menstrual cycle. It appears that the frequency of acute appendicitis was highest in the luteal phase 105 patients (61.77%) compared to other phases, while most of perforated and gangrenous appendixes occurred during menstrual and follicular phases, 13 patients (36.11%), 15 patients (41.66%) respectively.

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