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Article
Adrenal Disorders, Surgical Approaches andPostoperative complications

Authors: Salem A Al- sarraf --- Hadi M Al-Aubaidi, --- Safa M Al- Obaidi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 4 Pages: 353-356
Publisher: Baghdad University جامعة بغداد

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Abstract

Backgraound: Adrenal disorders in surgical practice are presented either as hyperfunctional disorders or non functional disorders (incidentalomas). Functionally, medullary tumors (pheochromocytoma) result in excess secretion of catecholamines(l), on the other hand, functioning adrenocortical tumors could secrete excess of cortisol (Cushing syndrome), aldosterone (Conn's syndrome) or sex hormones (virilizing syndromes). (2
The aim of our study is to identify and to show our experience in the surgical approach and postoperative complications of adrenal disorders.
Patients & methods: This is a prospective study of 20 cases diagnosed as having adrenal disorders, admitted and evaluated in Baghdad Teaching Hospital-Medical City from January 2002 to December 2004. The data collected including age, gender, types of clinical adrenal disorders, surgical approaches and postoperative complications.
Result: Surgical excision was performed in 19 cases, eleven through anterior transabdominal approach (11/20, 55%), and eight through thoracoabdominal approach (8/20, 40%). A better outcome was recorded in the thoracoabdominal approach. The most common encountered surgical morbidity was hypertension (3/19, 15.8%) and hypocalcemia (3/19, 15.8%).
Conclusion: Thoracoabdominal approach has better outcome especially in excising right adrenal tumor but transabdominal approach is preferable in excising a bilateral adrenal gland.


Article
Mesh repair versus non mesh repair of primaryinguinal hernia

Authors: Othman A.Salim --- Salem A. Al-Sarraf --- Safa M. Al-Obaidi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 4 Pages: 403-406
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Techniques of Inguinal hernia repair have seen an evolution from the pure tissue repair to the prosthetic repair and in the recent years past to laparoscopic repair. High recurrence rates using fascia for the hernia repair or the use of sutures under tension prompted the development of polypropylene mesh to reinforce the posterior wall of the inguinal canal.The aim of this study is to compare the post operative results of Lichtenstein mesh technique with Dar ning repair.
Patients and methods:-A prospective study of "100" patients with inguinal hernia were conducted to evaluate two methods, of open repair of inguinal hernia Lichtenstein mesh technique with Traditional non-mesh technique (modified Bassini or Darning).Operation were done under general, epidural and local anaesthesia at the surgical units of Baghdad Teaching Hospital and Arbil Teaching Hospital.
Results: The study showed that Lichtenstein mesh technique is an effective operation for repair of inguinal hernia with low complication rate and less pain in comparison to the repair by traditional non-mesh technique. Also the results show that, mesh repair group returned to work earlier than non-mesh repair group.
Conclusion:Mesh repair of primary inguinal hernia repair is superior to non-mesh repair in term of early postoperative pain , return to the work and recurrence.

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