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Article
FUNDAMENTALS OF GOOD MEDICAL PRACTICE: THE BASIS OF PROFESSIONALISM

Author: MAJEED H ALWAN
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2012 Volume: 18 Issue: 1 Pages: 3-7
Publisher: Basrah University جامعة البصرة

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Article
3- RETROPERITONEAL SARCOMA

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2011 Volume: 17 Issue: 1 Pages: 7
Publisher: Basrah University جامعة البصرة

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Review ArticleRETROPERITONEAL SARCOMAMajeed H AlwanMBChB, FRCSEd, FRACS, FACS, Gastrointestinal and General Surgeon, Tauranga Hospital, Tauranga,New Zealand. E-mail: majeedalwan@xtra.co.nzAbstractRetroperitoneal sarcoma (RPS) is a rare tumour. Its management is challenging because ofoften late presentation when the tumour attain a significant size, and its close relationship toseveral vital organs and structures in the retroperitoneum. Although surgery remains the mainhope in controlling the disease, the use of neoadjuvant or adjuvant radiotherapy and/orchemotherapy remains controversial. Local recurrence is high and there are reports ofsuccessful second and third resections after recurrence.In this report the author reports two cases recently he had managed and presents the uniqueCT scan findings of the first case. This is followed by a brief review of the important mattersrelated to this tumour.

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Sarcoma --- Majeed H Alwan


Article
THE RETROSTERNAL (SUBSTERNAL) GOITRE.19

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 1 Pages: 19
Publisher: Basrah University جامعة البصرة

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Abstract

This is an overview of the various factors related to the substernal (retrosternal) goitre. The presentation and discussion include the terminology of the condition, its definition, type, the mechanism and way the goitre descends in the thorax, its incidence, clinical features, investigations, and possible challenges in anaesthesia and surgical exposures.

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Article
The Way Patients are Managed in Fast Track Surgery

Author: Majeed H. Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2002 Volume: 8 Issue: 2 Pages: 159
Publisher: Basrah University جامعة البصرة

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Fast track surgery is a novel concept in perioperative care of patients undergoing elective surgical procedures that combines recent advances in anesthesia, new approaches to pain control, techniques that reduce the perioperative stress response and organ dysfunction, and the use of minimally invasive techniques. These measures aimed to rapid mobilization, early feeding, rapid recovery, minimize complications, and shorter in-hospital stay

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Article
2-CONSERVATIVE TREATMENT OF RECTAL ADENOCARCINOMA AFTER NEOADJUVANT CHEMORADIOTHERAPY, IS IT ACCEPTABLE?

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2009 Volume: 15 Issue: 1 Pages: 3-9
Publisher: Basrah University جامعة البصرة

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Majeed H AlwanFRCS, FRACS, FACS, Gastrointestinal and General Surgeon, New Zealand5 Tamworth Place, Gate Pa, TAURANGA, NEW ZEALAND. malwan@paradise.net.nzAbstractThe traditional treatment of patients with adenocarcinoma of the rectum involved some form ofradical surgery in fit patients followed by radiotherapy, or chemotherapy, or both depending onthe stage of the disease and the general condition of the patient. More recently the emergenceof neoadjuvant chemoradiotherapy (CRT) has fundamentally changed the management ofthese patients. Although initially it was recommended for locally advanced disease in an attemptof downstaging the tumour to make it resectable, the indication in using this modality had beenwidened.In clinical trials, up to 30% complete pathological response (pCR) of tumours have raised thequestion as to whether surgery, especially radical could be avoided in certain group of patients.A trial of omission of surgery in this group of patients has shown favourable long-term results.This article is an outline of the emerging factors for achieving complete pathological response;the non-operative or the minimal surgery strategies, methods of predicting response to chemoradiotherapy,and means of judging the complete pathological response.


Article
THE MEDICAL DOCTOR AS A LEARNER

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 1
Publisher: Basrah University جامعة البصرة

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Article
PATIENTS WITH METASTATIC CANCER OF UNKNOWN PRIMARY SITE: DIAGNOSTIC WORKUP AND THERAPEUTIC MANAGEMENT

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 2 Pages: 3-9
Publisher: Basrah University جامعة البصرة

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PATIENTS WITH METASTATIC CANCER OF UNKNOWN PRIMARY SITE: DIAGNOSTIC WORKUP AND THERAPEUTIC MANAGEMENTMajeed H AlwanFRCS, FACS, Gastrointestinal and General Surgeon, Wellington Hospital, Wellington, New ZealandAbstractMetastatic Cancer of Unknown Primary site (CUP) accounts for about 4% of all cancer patients and is therefore one of the 10 most frequent cancer diagnoses in man. It is defined as biopsy-confirmed malignancy for which the site of origin is not identified by routine workup. It is believed that CUP represents a heterogeneous group of malignancies that have a presumably, specific biology with clinical characteristics of rapid progression and random atypical metastases. The diagnostic work-up could be variable. Certain clinicopathological CUP entities are considered as favorable subsets responding to systemic platinum-based chemotherapy or managed by locoregional treatment. These subsets have a better prognosis than the average median survival time of four months in patients who belong to the non-favorable subsets.

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METASTATIC --- CANCER


Article
Review Article MANAGEMENT OF COLORECTAL CANCER DURING PREGNANCY 9

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2011 Volume: 17 Issue: 2 Pages: 9-13
Publisher: Basrah University جامعة البصرة

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MANAGEMENT OF COLORECTAL CANCER DURING PREGNANCYMajeed H AlwanMBChB, FRCSEd, FRACS, FACS, Gastrointestinal and General Surgeon, Tauranga Hospital, Tauranga, New Zealand. E-mail: majeedalwan@xtra.co.nzAbstract Although cancer in pregnancy is uncommon, several types of cancer were encountered. These include malignant melanoma, breast cancer, carcinoma of the cervix, bladder cancer, renal cancer, lymphomas, thyroid cancer, brain tumours, ovarian cancer, gastric and pancreatic cancer and colorectal cancer. Due to the uncommon incidence of the disease and therefore the limited experience coupled with the complexity of the situation which could affect the wellbeing of the foetus and mother, then the management of the pregnant woman with cancer might result in achieving less than the expected optimum. However, from the experience of single case reports and short reviews a reasonable management approach could be reached through multidisciplinary speciality collaboration. The author had encountered two pregnant women with colon cancer, both of them were symptomatic, and one of them had bowel obstruction. Their clinical presentation, diagnosis and management are described followed by a concise review of the literature.

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Article
THE IMPACT OF POSTOPERATIVE DELIRIUM

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 2 Pages: 122-126
Publisher: Basrah University جامعة البصرة

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Delirium is a common complication after surgery, especially among critically ill patients. Theetiology is multifactorial and the condition is frequently identified after major complicatedsurgery. It is associated with prolonged hospital stay and increased morbidity and mortality.This paper present a complex case which required intensive treatment and support as a resultof several complications including delirium. The case also serves a good example in discussingthe different aspects of the condition.

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DELIRIUM


Article
2- UTILISATION OF LAPAROSCOPIC SURGICAL TECHNOLOGY AND EXPERIENCE TO PERFORM NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY (NOTES), A NEW ERA IN MINIMALLY INVASIVE SURGERY`

Author: Majeed H Alwan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 1 Pages: 3-7
Publisher: Basrah University جامعة البصرة

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The field of minimally invasive surgery has seen tremendous development and refinementsince the first laparoscopic cholecystectomy was performed in 1987. Laparoscopic surgery hasseveral advantages over traditional surgery. The next logical step in the evolution of minimallyinvasive surgery may be to eliminate all abdominal incisions. The terms being used in theliterature include �incisionless�, �endoluminal�, �transluminal�, and �Natural Orifice TransluminalEndoscopic Surgery� (NOTES). This article aims to summarize the background and currentstatus of NOTES.

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