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A METHOD FOR HAEMORRHOIDECTOMY USING MONOPOLAR DIATHERMY WITH WOUND CLOSURE

Author: Mazin Hawaz Al-Hawaz
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 1 Pages: 23-26
Publisher: Basrah University جامعة البصرة

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Abstract

Objective: To compare the effectiveness of monopolar diathermy haemorrhoidectomy and closure of haemorrhoidectomy wound with conventional Milligan-Morgan haemorrhoidectomy in reducing the post operative pain and complications. Also to determine the time of hospital stay, wound healing and return to activity. Patients & Methods: A total of 180 patients with symptomatic haemorrhoids (3rd and 4th degree) were studied from May 2000 to March 2003 at Basrah General Hospital. Patients were randomized into two groups; group (A) treated by open haemorrhoidectomy according to Milligan –Morgan (no.=100), and group (B) treated by 30 watts monopolar diathermy haemorrhoidectomy with closure of haemorrhoidectomy wound (no=80).Result: Significant differences between the two groups were noticed regarding the postoperative pain and complications, time of wound healing and return to activity.Conclusion: patients with symptomatic haemorrhoids derive greater benefit from diathermy haemorrhoidectomy with wound closure regarding less postoperative pain and complications, short hospital stay and early return to normal life.

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Article
FACTORS INFLUENCING POST-OPERATIVE COMPLICATIONS AFTER PROSTHETIC "MESH" REPAIR OF INCISIONAL HERNIA (A prospective study)

Author: Mazin Hawaz Al-Hawaz
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2007 Volume: 13 Issue: 2 Pages: 47-54
Publisher: Basrah University جامعة البصرة

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Abstract

Incisional hernia is frequently met by the general surgeon, its frequently complicate (3.8-11.5%) of patients after abdominal surgery. Repair of large incisional hernia is a difficult surgical problem with recurrence being a common. Numerous methods of repair have been described simple opposition in one layer or complex opposition and the use of prosthetic mesh. The aim of this study is to report our experience with use of mesh repair and risk factors that influence post operative complications. A prospective study done in Basrah General Hospital, Department of Surgery between January 2003 to December 2006.One hundred and ten patients with prosthetic repair of incisional hernia were included in this study. History was taken and thorough examination was done, all patients were asked for history of diabetes mellitus, obesity, corticosteroid use, their original operations, primary or recurrent hernia and examined for their body mass index, size and duration of the hernial defect were recorded. A proforma was completed for each patient, noting prophylactic antibiotics had been given or not, type of the sac and whether opened or inverted, type and size of mesh had been used, intraoperative and postoperative complications and postoperative hospital stay. Of (110) patients, (62) were females, (48)were males,their median age was (45.5) years for women and (58) years for men,(31)patients(28.2%)weighted more than their ideal body weight and had body mass index equal or more than(30).Forty eight patients (43.6%) were diabetic and (24)patients(21.8%)were corticosteroid used. The original operations were bowel related and gynecological in the majority of patients. Previous incisions were long midline in(38). Twenty patients had one past operation, (13)had two,(5) had three and one patient had four past repair, the remaining were new Incisional hernia patients. The main hernia size was (12.3) cm and (4.6) cm in vertical and horizontal direction respectively. Forty four patients had additional surgical procedures, consisted of Fallopian tube ligation in (12) ,division of small bowel adhesions in (8) ,suturing of small bowel perforation in (4) and abdominoplasty in (20) patients. In the majority of patients (78), standard polypropylene mesh had been used and vicryl-prolene (Vypro) mesh in the remaining (32) patients. The main postoperative complications were seroma formation (17.3%), wound haematoma (10%), wound infection (9.1%), chest infection (6.4%), one patient developed intestinal fistula and mesh need to be removed. Five recurrent incisional hernias occurred. Most patients developed complications were obese, diabetic and corticosteroid used. No death in our series. It is concluded that tension free incisional hernia repair using prosthetic mesh is a safe and easy procedure with no major morbidity or recurrence. The patient-doctor should advice weight loss to help reduce risks of surgery and improve the surgical results. Control of diabetes, corticosteroid drug use and smoking cessation are recommended for better results. Rigid sterile condition, precise and meticulous technique with the use of closed suction drains is important.

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Article
abituary Dr. Ghassan

Author: mazin hawaz al-hawaz
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 2 Pages: 89-89
Publisher: Basrah University جامعة البصرة

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Abstract

Dr. Ghassan, one of the giant shining stars of surgery, departed to heavens in the 30th November 2018. he was a graduate of Baghdad College of Medicine in 1971 and received the fellowship of The Royal College of Surgeons of Edinburgh in 1981. He served in Basrah General Hospital until 2000 when he shifted to Baghdad to work in the Medical City Teaching Hospital as an active member in the Gastro-Enterology Department. During his stay in Basrah, he proved to be a distinguished surgeon, teacher and father for so many generations. He was a man of manners, very much respected by patients and colleagues.

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Article
CHANGES IN THE AETIOLOGICAL FACTORS PATTERN ‎OF BREAST CANCER IN BASRAH; A PROSPECTIVE ‎STUDY

Authors: Mazin Hawaz Al-Hawaz --- Zaidoon Khalaf Dahoos
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2005 Volume: 11 Issue: 2 Pages: 71-78
Publisher: Basrah University جامعة البصرة

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Abstract

This is a prospective case control study conducted over a period of two years to evaluate the risk ‎factors of breast cancer in Basrah.‎‎ One hundred and ten female patients with carcinoma of breast were admitted to the general surgical ‎department in three main referral hospitals in Basrah and those attended to Basrah breast clinic, ‎compared with (140) women who had no breast cancer from the population as a control group were ‎included in the study. The patients were diagnosed to have breast cancer according to the results of fine ‎needle aspiration cytology biopsy and the results of histopathological examination of excisional biopsy ‎taken from the primary growth in the breast.‎‎ The study involved history, physical examination, laboratory & radiological investigations, ultrasonic ‎study and the results of fine needle aspiration cytology biopsy and histopathological examination.‎‎ The data showed that the range of age of the group affected was (41-50 years); the patients were ‎mostly from urban areas (66.36%); the married patients were most commonly affected than single ‎patients (77.27%). Most of them (76.3%) had a history of breast feeding and (27.2%) of patients had a ‎history of contraceptive pills taking. ‎‎ Sixty two patients had acceptable range of body mass index, and seven patients only had a family ‎history of breast cancer.‎‎ The study showed that the epidemiological pattern of the risk factors of breast cancer were altered to ‎some extent according to the environmental, psychological and nutritional changes that occurred in our ‎country in the last decades.‎

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Article
ACUTE ABDOMINAL SURGICAL EMERGENCY IN ELDERLY PATIENTS (A PROSPECTIVE STUDY)

Authors: Ahmed Ziara Al-Hussainy --- Mazin Hawaz Al-Hawaz --- Mazin Abdulsatar Abdulla
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2009 Volume: 27 Issue: 1 Pages: 34-41
Publisher: Basrah University جامعة البصرة

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Abstract

ABSTRACTBackground: Longer life expectancy has created an increasing demand for surgical care of the elderly. In addition,abdominal surgical emergencies are potentially serious and life threatening for this age group of patients.Aim: The aim of this study is to know the type of common surgical abdominal emergencies, mode of treatment,complications and outcome in elderly patients.Patients and methods: One hundred patients aged 60 years and above who had been admitted to the surgicaldepartment in Basrah General Hospital were prospectively evaluated according to the demographic features, causesof abdominal emergencies they presented with, post operative clinical course and outcome.Results: Out of 100 patients included in the study 60% were males and 40% were females, with an average age of67.39 years (range from 60-83 years). The causes of acute surgical abdominal emergencies were intestinalobstruction (55%), hollow viscus perforation (17%), acute cholecystitis (12%), mesenteric vascular occlusion (9%),and acute appendicitis (7%). Most of the cases of intestinal obstruction were due to adhesion, while perforated DUwas the main cause of hollow viscus perforation. Twenty patients (20%) died in the early post operative period withmesenteric vascular occlusion being the leading cause of death (35%).Conclusions: Acute intestinal obstruction and hollow viscus perforation appear to be the main causes of acuteabdominal surgical emergencies. Obstructed hernia which constituted 14% of the causes is generally preventable.Acute mesenteric ischaemia and bowel obstruction secondary to colonic tumour had a worse prognosis in elderlypatients.

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Article
ECG CHANGES DURING UPPER GASTROINTESTINAL TRACT ENDOSCOPY (A PROSPECTIVE STUDY)

Authors: Mutez Nahi Mansur --- Issam Merdan --- Ali Raheem --- Mazin Hawaz Al Hawaz
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 86-91
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to evaluate the cardiac changes and complications that occurred in patients who underwent upper gastrointestinal tract endoscopy. The study was conducted from January 2002 to December 2002at Basrah General Hospital and Al-Sadir Teaching Hospital. One hundred and forty eight patients complaining of upper gastrointestinal tract disorders were included in this study. Detailed history, physical examination and ECG was taken before, during and half hour after endoscopic examination. Patients were divided into two groups according if they have previous cardiopulmonary diseases.One hundred and forty eight patients included in the study, 91 males and 57 females. The age group between 20–40 years represent the commonest group underwent oesophago-gastroduodenoscopy (O.G.D) examination.All ECG changes that developed in patients before endoscopic examination arise from those who had cardiopulmonary diseases. Forty-two (40.4%) and 21 (47.7%) patients from group I. and group II. respectively showed abnormal ECG changes while 18 (17.3%) and 13 (29.5%) patients from group I. and group II. respectively showed abnormal ECG findings half hour after endoscopic examination . Bradycardia represents the commonest ECG changes occurred during and half hour after examination. We concluded that OGD is a safe procedure but in elderly patients and those with cardiopulmonary disease ECG monitoring should be done during endoscopic examinationBas J Surg, March, 12, 2006

Keywords

ECG --- GASTROINTESTINAL --- ENDOSCOPY

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