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Article
Can we Stop Doctor Shopping?

Author: Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2002 Volume: 8 Issue: 2 Pages: 148
Publisher: Basrah University جامعة البصرة

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Article
Innovation or Repetition?

Author: Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2003 Volume: 9 Issue: 1 Pages: 1-2
Publisher: Basrah University جامعة البصرة

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From inability to leave well alone;From too much zeal for what is new and contempt for what is old;From putting knowledge before wisdom;Science before art, cleverness before common sense;From treating patient as cases; and from making the cure of a disease more grievous than its endurance.God Lord, deliver us Sir Robert Hutchison (1871-1960)

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Article
WHY NOT TO MAKE A SMILE ON YOUR FACE AND YOUR PATIENT'S FACE

Author: Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2013 Volume: 19 Issue: 2 Pages: 1-2
Publisher: Basrah University جامعة البصرة

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Abstract

Every now and then, we face the problem of terminally ill patient or what looks incurable lesion, like disseminated malignancy. Certainly, all of us prefer not to face such a bitter reality. But sadly, this is unavoidable. Problems almost always arise from this type of patients if not from their relatives, hence, the importance of proper handling, fine communication, gentle words and precise estimation of the surgeon's sentences. By doing so, the surgeon can spare himself a lot of problems. Sorry to say, some surgeons fall in this trap because they mishandle these peculiar and difficult patients. It is vital to appreciate the psyche of those miserable patients, sympathize with them as much as possible, make them feel that you are serious and keen to help them, and you are a friend rather than a physician.


Article
Medical Errors “Admit, Convince, Compensate and Avoid”

Author: Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2014 Volume: 20 Issue: 1 Pages: 1-2
Publisher: Basrah University جامعة البصرة

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Abstract

edical errors can be reduced to the minimum possibly by precautions, over- consciousness and guarding against the unexpected, particularly, anatomical malformation and congenital anomalies. Sadly, it is impossible to take medical errors out of the medical dictionary even in the best centers on this earth. The outcome of the medical errors depends on the magnitude of these errors. It ranges from no bad effect, minor damage to serious damage or even death.


Article
DECISION BEFORE INCISION

Author: Thamir A Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2016 Volume: 22 Issue: 1 Pages: 1-2
Publisher: Basrah University جامعة البصرة

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Abstract

Decision making is very vital in all aspects of life, no matter how simple it is. The British use to say "it is always easy to be wise after the event". The question arises; why not to be very wise before the events? is that impossible or difficult, I think no, it is very possible for those who carry wisdom, and difficult for those who are rush and ignorant. In surgical practice, wisdom comes on the top of all priorities, so that complications will come to the minimum possible. Sadly still on this earth there are many of surgeons who believe in doing surgery as soon as possible probably because of motives, which does not include the patient's benefits, on the other hand, it may include the surgeon's financial gain. So they believe in incision before decision. To them I believe, it is vital to have a prolonged history taking, to probe the patient's brain in order to get everything out of it. Proper history taking is the key for success.

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DECISION --- INCISION


Article
Non-Spondylogenic Low Back Pain

Authors: Mubdir A. Mohammed Saeed --- Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2002 Volume: 8 Issue: 2 Pages: 150
Publisher: Basrah University جامعة البصرة

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Article
Aggressive Fibromatosis, Aetiology, Diagnosis and Treatment

Authors: Mahmod H. Kubba --- Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2003 Volume: 9 Issue: 1 Pages: 113-122
Publisher: Basrah University جامعة البصرة

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Abstract

Aggressive fibromatosisrepresents (AF) a semimalignant tumour which has a locally destructive and invasive growth tendency but does not metastasize because of its high recurrence rate, the tumour remains a surgical problem. AF is rare group of fibroproletlative tumour started initially as painful masses developing slowly affecting mainly the limbs, neck, trunk, and the abdomen in that order. The disease process of (AF) regardless of the site of presentation, sex, or the age of the patient, endocrine, genetic and physical factors seem to play an important role in the development of the disease. Recent innovation in the field of molucular biology showed the abnormalities in (AF) is at the level of chromosomes in the form of gene mutation and chromosomal anomalies. Other studies showed that the pathogenesis of (AF) is related or modulates by hormone. Physical trauma seemed to have role in the development of the tumour. Whether (AF) is benign or malignant tumour is still in the field of theories. Many investigators put this type of tumour in the category of malignant lesion even in the absence of distal metastasis. The modalities of treatment of (AF) is widely different but surgery makes the major bulk, provided there is a good preoperative demonstration of the lesion by contrast solution and MR imaging, in the recurrent types of (AF) the combination of other modalities of treatment, radiotherapy, chemotherapy, cytotoxic and noncytotocix with and without surgery could be the most appropriate way of management. In this paper the character, pathogenesis, development method of detecting and the different modalities of treatment have been reviewed from literature

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Article
Three Dimensional Anatomical Study of Carpal Tunnel(Cadaveric Study)

Authors: Thamir A. Hamdan --- Majeed Al-Hamdani --- Zuhair F. Fathallah
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2002 Volume: 8 Issue: 2 Pages: 283
Publisher: Basrah University جامعة البصرة

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Abstract

The right wrist of twenty cadavers were examined to measure the three dimensions of the carpal tunnel by using a Vernia (INOX), the cross sectional area and volume were then calculated for males and females separately. All were above 40 years. Males were found to have larger carpal tunnel than females of the same age group, both in cross sectional area and volume. It was found also that the volume of the tunnel change according to the age. The pattern by which the volume changes is different in males and females. In active age group i.e. fourth to sixth decade, the tunnel volume in females’ collapse but it expand in males, this may explain the high incidence of carpal tunnel syndrome in females in this age group and the low number of affected males. The age / volume relation may shed some light on the etiology of the “Idiopathic” carpal tunnel syndrome

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Article
CLINICAL PRESENTATION AND BIOCHEMICAL ‎EVALUATION OF BONE SECONDARIES

Authors: Thamir A Hamdan --- Lamia M Al-Naama --- Falih W Hashim
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 2 Pages: 43-53
Publisher: Basrah University جامعة البصرة

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Abstract

The skeleton is one of the commonest sites for metastasis. Bone secondaries account for more than one third of the ‎malignant disease of bone.‎Seventy-six patients with bone secondaries were admitted in the orthopaedic department of Basrah Teaching ‎Hospital from February 2000 to June 2002, age range 14-86 years; 34 were males and 42 were females. The ‎dominant sites of bone metastases were spine, 60 patients (79%) and pelvis, 16 patients (21%). The common ‎primary sites were breast, 19 patients (25%) and lung, 11 patients (14.4%); 9 patients (11.2%) had undetected ‎primary site. Most secondaries (90%) were osteolytic in type and the most common histopathological type was ‎adenocarcinoma, 47 patients (63%). In 63 patients (83%), pain was the dominant presenting feature. Late ‎presentation was a major problem; it ranges between 4-8 months. Another problem was lack of clinical awareness ‎in the early stage of the illness.‎Serum and urinary biochemical markers of bone metabolism were significantly high in patients with bone ‎secondaries than control group, no difference whether the metastasis was single or multiple and whichever the ‎primary site or histopathological subtype. Special interest with urinary hydroxyproline, it was significantly elevated ‎in patients with bone secondaries, some of them had negative radiography. Prognosis was poor with short life ‎expectancy.‎

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Article
The Role of Fine Needle Aspiration Cytology in the Diagnosis of Bone Tissue Lesions

Authors: Hassanain H. Khudair --- Ahmed H.A. Al-Ahmed --- Thamir A. Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2002 Volume: 8 Issue: 2 Pages: 271
Publisher: Basrah University جامعة البصرة

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Abstract

FNAC for the diagnosis of cancer has been used for over a half century to diagnose tumors of almost any organ. In bone however FNAC has not been widely applied because of concerns about its diagnostic accuracy. The present study aimed to determine the value of FNAC in the diagnosis of bone lesions.Between October 2000 and September 2001, FNAC was performed on 60 patients with bone lesions. The material was smeared on glass slides fixed in 95% ethanol stained with Haematoxylin & eosin or Papanicolaous stains. In 54 out of the 60 cases open biopsies were performed and the results were statistically analyzed. Of the 60 patients with bone lesions, the male to female ratio was 1.07:1 The age ranged from 6 to 93 years and the mean age was 37.2 years. Most of the cases were in the second and third decades of life. The cytological diagnoses were malignant in 33 cases (55%) including 25 primary malignant and 8 metastatic tumors. Benign diagnoses were found in 16 cases (26.7), suspicious in 2 cases (3.3%) and unsatisfactory results in 9 cases (15%). Two false positive (3.3%) and two false negative (3.3%) results were encountered.. The sensitivity and specificity were 86.2% and 87.5% respectively; while the overall accuracy was 86.7%. FNAC is a simple, safe and relatively accurate screening procedure for differentiating benign from malignant bone lesions. However specific diagnosis and grading are often difficult to make and therefore it must never be regarded as a substitute for histopathological diagnosis

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