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Article
A PROSPECTIVE STUDY ON MASTALGIA IN SULAIMANIA, IRAQ

Author: Nizar MT Hamawandi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2010 Volume: 16 Issue: 2 Pages: 46-54
Publisher: Basrah University جامعة البصرة

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Abstract

Mastalgia is one of the most common breast symptoms. The aim of this study is to describe theclinical, pathological, ultrasonographic and mammographic features of this common symptom inSulaimania, Iraq.A prospective study done over a period of 1 year, between 1st Sept 2007 and 30th Aug 2008,during that period, 132 cases of mastalgia were seen in a private general surgical office inSulaimania. Data were collected about history, physical examination, ultrasonographic,mammographic, fine needle aspiration cytology and open surgical biopsy findings.Mastalgia was divided into cyclical mastalgia and non cyclical mastalgia and their underlyingcauses and their response to different lines of treatment were recorded.Out of 132 patients, 58 patients (43.94%) had cyclical mastalgia, and 74 patients (56.06%) hadnoncyclical mastalgia. Their age ranged 17-67 years. Duration of pain was from 7 days - 2years. Fear of breast cancer was present in 34.09% of the patients. Normal findings were foundin 58.33% of ultrasonographies and negative findings in 78.57 % of mammographies done. Inthe majority of patients with mastalgia (58.33%) no cause could be found and the most commonfinding was fibrocystic changes (19.69%). The incidence of breast cancer in our patients waslow (0.75%). Most patients with mastalgia (84.69%) improved with reassurance.Conclusion: Most of the patients with mastalgia were young and middle aged, housewives,married, multiparous and practiced breast feeding. The incidence of breast cancer was low. Inthe majority of them no cause could be found. Most patients improved with reassurance.


Article
A PROSPECTIVE STUDY OF RUBBER BAND LIGATION OF HEMORRHOIDS IN SULAIMANY, KURDISTAN REGION, IRAQ
دراسة مستقبلية حول عقد البواسير بالحلقة المطاطية في محافظة السليمانية، العراق

Author: NIZAR MT. HAMAWANDI نزار حموندي
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2010 Volume: 4 Issue: 2 Pages: 92-98
Publisher: University of Dohuk جامعة دهوك

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Abstract

Background and Objectives Hemorrhoids is a common disease. There are different lines of treatment of hemorrhoids. The objective of the study is to determine the effectiveness and the safety of rubber band ligation of hemorrhoids as an outpatient surgical clinic procedure.Methods A prospective study was done over a period of one year, from 1st July 2007 to 31st June 2008, during that period, 322 patients with symptomatic hemorrhoids were seen in a private outpatient surgical clinic. Out of those 322 patients, 108 patients were selected whom they had second and third degree hemorrhoids. Data were collected about their presenting symptoms, physical examination and proctoscopic appearance. They were treated with rubber band ligation, and were followed up for a period of one year. Out of those 108 patients, 9 patients failed to complete the follow up and they were excluded from the study. Outcome data were recorded from the remaining 99 patients and studied for success of the treatment and complications.Results Out of those 99 patients treated with RBL, 89 (89.89%) patients became free from symptoms and cured, 10 patients (10.1%) remained symptomatic and treated with conventional hemorrhoidectomy.Conclusion From this study it was found that the RBL of hemorrhoids performed as an outpatient surgical clinic procedure, is easy, convenient and successful procedure for treatment of 2nd and 3rd degree symptomatic hemorrhoids.

خلفبة و اهداف البحث: البواسير من الامراض الشائعة. هنالك عدة طرق لعلاج البواسير. هدف البحث هو تقدير كفائة و سلامة عقد البواسير بالحلقة المطاطية في العيادات الجراحية.طريق البحث: دراسة مستقبلية تمت على مدار سنتين من 1 تموز2007 الى 31 حزيران 2008 حيث شملت 331 مريضا شوهدوا في عيادة جراحية خاصة. من هؤلاء المرضى أختيرت 108 مريضا يعانون من البواسير من الدرجة الثانية و الثالثة. جمعت البيانات حول أعراض المرض، الفحص السريري، فحص الناضور الشرجي و درجة البواسير. المرضى عولجوا بطريقة عقد البواسير بالحلقة المطاطية مستخدما طريقة بارون، مع وضع حلقة مطاطية واحدة في كل زيارة. من هؤلأء المرضى، 9 منهم فقدوا أثنأء المتابعة و حذفوا من الدراسة. أخذت البيانات من بقية 99 مريضا وأجريت الدراسة عليهم لبيان نسبة النجاح و الأختلاطات.النتائج: 89 مرضى من مجموع 99 مرضى (89,89 %) عولجوا عن طريق العقد بالحلقة المطاطية كانوا بدون أعراض و قد اكتسبوا الشفاء. و 10 مرضى استمروا في الشكوى من اعراض المرض و تم أحالتهم الى العملية الجراحية.الاستنتاج: أظهرت نتائج الدراسة أن عقد البواسير بالحلقة المطاطية في العيادات الجراحية عملية سهلة، ملائمة و ناجحة لعلاج البواسير من الدرجة الثانية و الثالثة.

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