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Article
BASCOM’S OPERATION FOR CHRONIC PILONIDAL SINUS

Author: Jasim D. Saud
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 1 Pages: 119-121
Publisher: Basrah University جامعة البصرة

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Article
SURGICAL SITE INFECTIONS AFTER LAPAROSCOPIC CHOLECYSTECTOMY 87

Authors: Jasim D Saud --- Mushtaq Ch AbuAl-Hail
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 1 Pages: 87-90
Publisher: Basrah University جامعة البصرة

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Article
NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY (NOTES) A CRITICAL APPRAISAL

Authors: Jasim D Saud --- Mushtaq Ch Abu-AlHail
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 2 Pages: 8-11
Publisher: Basrah University جامعة البصرة

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Article
SPLENIC TORSION, AN UNUSUAL CAUSE OF ACUTE ABDOMEN

Authors: Hashim S Alkhayat --- Jasim D Saud
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 2 Pages: 118-121
Publisher: Basrah University جامعة البصرة

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Wandering spleen is a clinical rarity, torsion of a wandering spleen is a rare cause of an acuteabdomen. The etiology of wandering spleen is not precisely understood and this clinicalcondition presents a diagnostic challenge for clinicians. Available treatment options includesplenectomy. This is the first reported cases of such an anomaly in our hospital.

Keywords

SPLENIC --- TORSION


Article
10- SPILLED GALL STONES DURING LAPAROSCOPIC CHOLECYSTECTOMY : A PROSPECTIVE STUDY

Authors: Mushtaq Ch. Abu-Alhail --- Mazin A Abdulla --- Jasim D Saud
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2011 Volume: 17 Issue: 1 Pages: 65
Publisher: Basrah University جامعة البصرة

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Jasim D Saud#, Mazin A Abdulla@ & Mushtaq Ch. Abu-Alhail**#MBChB, CABS, Specialist Surgeon, Basrah General Hospital, Basrah, Iraq. @MBChB, CABS,Consultant Surgeon, Department of Surgery, College of Medicine, University of Basrah, Basrah, Iraq.ABSTRACTThis study assesses the impact of spilled gall stones during laparoscopic cholecystectomy (LC)and it's clinically significant complications resulting from stones left in the peritoneum.This is a prospective analysis of laparoscopic cholecystectomies performed at The SurgicalUnit in Basrah General Hospital from 1st January 2006 to 31st December 2010. There were 678patients in the study who underwent LC. The inclusion criteria for LC were: patients of all agesand both genders, symptomatic gallstone disease, recurrent attack while waiting for interval LC,normal values of blood complete picture & liver function tests and ultrasound examination ofabdomen demonstrating gallstone disease.There were 73 cases of gallbladder perforation, i.e. a frequency of 10.7%. In 34 of thesepatients gallstones spillage also occurred in a frequency of 5%. An effort was made in eachcase to remove the spilled stones laparoscopically but in 25 patients unretrieved stones wereleft (frequency of 3.6%). Eight patients (1.17%) developed complications, one patient developedileus which was thought to be the result of irritation from a gallstone that had been shown on USexamination. The free fluid in the Douglas pouch resolved with medical management. Twopatients developed sub-hepatic abscess, presenting with right hypochondrial & shoulder tip painand fever post operatively; which confirmed by abdominal sonograph, one patient respondedwell to medical treatment while the other one required ultrasound guided drainage and broadspectrumantibiotics. Three patients developed epigastric port site infection; two were treatedsuccessfully by daily wound care and appropriate antibiotics after culture and sensitivity. Onedeveloped persistent epigastric sinus, and a gallstone was retrieved on exploration. Twopatients developed sub-hepatic and right sub-phrenic abscess respectively in the seventh postoperative day and required open drainage. There was no mortality and long-term morbidity.In conclusion, complications arising from spillage of gall stones during laparoscopiccholecystectomy are rare. They can present months after the cholecystectomy with septiccomplications. The patients should be informed preoperatively that spillage of bile andgallstones are possible. The surgeon should take utmost care to prevent spillage of stones andattempt to remove all visible stones at the time of surgery. If spillage occurred it should berecorded clearly in the operative notes and such patients should be kept under close follow upto aid in the early diagnosis of later complications. There is no indication for routine conversionto open surgery.


Article
EARLY DIAGNOSIS AND PROMPT SURGICAL EXCISION WITH COMPLETE DIVERTING COLOSTOMY: IMPROVE THE OUTCOME IN PATIENTS WITH FOURNIER’S GANGRENE.

Authors: Jasim D Saud --- Noori H Jasim --- Majid A Mohammed
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 82-86
Publisher: Basrah University جامعة البصرة

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Fournier’s gangrene is uncommon acute fulminating cellulitis of scrotum, perineum and groin which develops suddenly and often without any apparent causes. The aim of this study is to elucidate the effectiveness of early and extensive surgical excision with primarily performed complete diverting colostomy in outcome of patients. Fourteen patients with Fournier’s gangrene were included from January 2000 to October 2005 at Basrah General Hospital. History and examination has been taken. Treatment was in form of giving triple antibiotics. Early wide extensive excision of necrotic skin with complete diverting colostomy at the same occasion has been done in all patients. There were all male patients, their ages ranged between 4-75 years old, the average is 50 years. Determining the possible underlying cause finding that five patients has no obvious cause , three had perianal abscesses , determining the extent of disease , finding that in ten patients sloughing of tissue involved perineum , scrotum plus groin and or penis mortality were two out of fourteen patients ( 14%). Fournier’s gangrene is a rapidly progressive, fulminate infection. With institution of aggressive treatment, including early Surgical intervention, formation of completely diverting colostomy in first operation, haemo- dynamic support if needed, intensive care monitoring and broad spectrum antibiotic coverage, the disease has a greatly reduced mortality.


Article
ENTERAL TUBE FEEDING AFTER SURGERY FOR UPPER GASTROINTESTINAL MALIGNANCIESIVE STUDY0

Authors: Hashim S Khayat --- Jasim D Saud --- Jawad R. Khersani --- Talaat S Shani
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2005 Volume: 11 Issue: 1 Pages: 67-72
Publisher: Basrah University جامعة البصرة

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Patients with major upper gastrointestinal (UGI) resections that were made nil by mouth for 7-10 days postoperatively with pre-existing weight loss and depleted energy reserves in addition to increased metabolic rate needs nutritional support which serves to shorten the postoperative recovery phase and minimizes the number of complications. This may be supplemented by total parenteral nutrition (TPN) which is not available in our hospitals for over a decade. This problem led us to use a feeding jejunostomy tube after major resections for UGI malignancies.This is a prospective study conducted between May 1999 and December 2004 at First Surgical Unit, Basrah General Hospital. The study aimed to examine the efficacy of Enteral Tube Feeding (ETF) as a method of nutritional support in patients with major resections for UGI malignancies.A total of 76 patients, 42 males and 34 females. Mean age, 50 years (range, 27-72 years) underwent major UGI resections for gastric(64), oesophageal (10) and pancreatic(2) malignancies. ETF lasted for 12-41 days with diarrhoea and abdominal discomfort were the major complications in 14 and 8 patients respectively. .Diarrhoeal tolerance was established in 12 out of 14 patients and controlled in the other two by antidiarrhoeal drugs. There were improved body weight and serum albumin level after ETF and no septic complications or related mortality. ETF is a safe, feasible, cost effective, with few controllable complications rendering it a satisfactory alternative to total parenteral nutrition.

Keywords

ENTERAL --- TUBE --- FEEDING --- MALIGNANCIESE


Article
A COMPARATIVE STUDY BETWEEN HARMONIC SCALPEL HEMOSTASIS AND CONVENTIONAL HEMOSTASIS IN TOTAL AND SUBTOTAL THYROIDECTOMY

Authors: Mohammed Salim Mohammed --- Jasim D Saud --- Mansour Amin Mohammed --- Mazin H Al-Hawaz
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2017 Volume: 23 Issue: 2 Pages: 15-20
Publisher: Basrah University جامعة البصرة

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Abstract

A COMPARATIVE STUDY BETWEEN HARMONIC SCALPEL HEMOSTASIS AND CONVENTIONAL HEMOSTASIS IN TOTAL AND SUBTOTAL THYROIDECTOMYMohammed Salim Mohammed*, Jasim D Saud#, Mansour Amin Mohammed$ & Mazin H Al-Hawaz@ *MB,ChB, Board Candidate. #MB,ChB, FICMS, CABS, Consultant Surgeon, Basrah General Hospital. $MB,ChB, DS, CABS, MRCS, Lecturer, Dept. of Surgery, College of Medicine. @ MB,ChB, CABS, DGS, FRCS, Prof. of General Surgery, Basrah Medical College., Basrah, IRAQ.Abstract Thyroid gland is highly vascularized organ, so good hemostasis during total or sub-total thyroidectomy is crucial to decrease the complications and to improve the outcome. This study aimed to evaluate the advantages and disadvantages of using harmonic scalpel device in comparison with conventional hemostasis for total and subtotal thyroidectomy in terms of operative time, nerves injury, post-operative blood loss, hematoma development, hypocalcemia and length of hospital stay. This study included 80 patients who underwent total or subtotal thyroidectomy. They were divided into two groups according to the type of hemostasis: conventional hemostasis group and harmonic hemostasis group. Different diseases were included (multinodular goiter, toxic goiter and malignant diseases). The results showed that time of operation was significantly shorter in the harmonic hemostasis group (79.52±14.98 min) than conventional hemostasis group (100.92 ±10.64 min) with p value 0.0001, also post-operative blood loss was lower in harmonic hemostasis group (52.5±26.23 ml) than conventional hemostasis group (75.13±17.8 ml) with p value 0.0001. Other outcome such as recurrent laryngeal nerve injury, post-operative hematoma, post-operative hypocalcemia and length of hospital stay did not show significant difference between the groups. In conclusion, using harmonic scalpel device in total or subtotal thyroidectomy reduced the operative time and post-operative blood loss, without any change in the incidence of nerve injury, hematoma, hypocalcemia and the length of hospital stay.

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