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FASCIOLA GIGANTICA INFESTATION: A CASE REPORT

Author: Mohammed H Saeed
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2005 Volume: 11 Issue: 1 Pages: 124-126
Publisher: Basrah University جامعة البصرة

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Abstract

Fascioliasis is one of the zoontic infestations which become world wide in distribution in the last twenty years. Clinical awareness of this entity of infestation is so important as it may masquerade as liver abscess and or infected liver cysts as hydatid as well as it is potentially reversible treatable infection and carries excellent prognosis if diagnosed early and treated properly

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Article
TRACHEAL INJURY DURING THYROID SURGERY

Author: Mohammed H Saeed Al-Hijaj
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2012 Volume: 18 Issue: 1 Pages: 64-66
Publisher: Basrah University جامعة البصرة

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Article
13- HEPATIC TUBERCULOSIS: A REPORT OF TWO CASES

Authors: Mohammed H Saeed --- Hashim S Khayat
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 1 Pages: 62-65
Publisher: Basrah University جامعة البصرة

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Abstract

During the second half of the 20th century, as a result of improved nutrition, reduced crowding,public health measures, and effective chemotherapy, a dramatic decrease in the incidence oftuberculosis was seen in the world. But in recent years, increased incidence of tuberculosis hasbeen attributed to several causes, including AIDS epidemic, intravenous drug abuse andincrease in the number of immunocompromised. Hepatic tuberculosis is the most commonmanifestation of upper abdominal parenchymatous organ tuberculosis and its incidence hasbeen increasing. Lack of familiarity with this condition was apparently responsible for thediagnosis of hepatic tuberculosis being made at autopsy or surgery in the past. Sincetuberculosis remains a potentially curable disease, an awareness of its protean manifestationsis essential.

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HEPATIC --- TUBERCULOSIS


Article
PREOPERATIVE GABAPENTIN IN LAPAROSCOPIC CHOLECYSTECTOMY

Authors: Mohammed H Saeed --- Anna W Krikor --- Zaineb A Yaquob --- Mustafa W Yihya --- et al.
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2013 Volume: 19 Issue: 1 Pages: 24-29
Publisher: Basrah University جامعة البصرة

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Abstract

Facts in gabapentin use are known about its effect on neuropathic pain management while its clinical significance as analgesic in laparoscopic cholecystectomy has not been studied much to clarify its importance and to know how and when it could be used or if this new analgesic strategy can be an alternative to others or be as a part of multimodal analgesic therapy in postoperative management. We conducted a prospective study to evaluate the significance of pre-emptive single dose gabapentin to reduce postoperative pain following laparoscopic cholecystectomy. Study group of hundred patients were analyzed in prospective study; Fifty of them were gabapentin group and another fifty were placebo group. Age, sex, body mass index, operation time and length of hospital stay were comparable in both groups. Analgesic requirements were recorded and pain assessment using 100 visual analogue scale in both groups were studied at three times intervals of 8,12 and 24 hours after surgery. In addition we studied the incidence of certain postoperative side effects in both groups as nausea, vomiting and drowsiness. Age, sex, body mass index, operation time and hospital stay were comparable in both groups.Opioid requirement two hours after surgery was significantly lower in gabapentin group than in placebo group (p<0.05). Also, significant difference was seen between gabapentin and placebo groups concerning the pain scores which were seen more in placebo as compared with gabapentin group in all study intervals (p<0.05). Significant difference between gabapentin and placebo groups was noticed regarding number of analgesic doses administered on the first 24 hours postoperatively which were more in placebo group (p<0.05). Insignificant difference was seen between gabapentin and placebo groups concerning certain postoperative side effects as nausea, vomiting and drowsiness (p>0.05). In conclusion, our work shows that a single preoperative dose of gabapentin has a significant effect on postoperative pain after a laparoscopic cholecystectomy.

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