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Article
Interesting cases of aspirated foreign bodies: Review articles
حالات مثيرة للاهتمام للاغراض الخارجية المستنشقة: مراجعة المقالات

Author: Saleh A. Tawfique
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2016 Volume: 20 Issue: 1 Pages: 1213-1218
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Five cases of rare and interesting foreign bodies are reported. Their presentation, difficulties in diagnosis, management and possible complications are discussed. These cases were seen in Al-Ain Hospital, ENT Department, UAE. All were diagnosed and managed by the author of this paper at variable dates. The aim of this publication is to report on rare inhaled foreign bodies, which is not seen often and to report on the difficulty in diagnoses of certain foreign bodies. It is advisable that rigid bronchoscopy be performed under general anaesthesia for all cases of highly suspicious for aspirated foreign bodies, for cases with chronic long lasting cough and in children with wheezy chest of unclear causes who do not response to medical therapy.


Article
Discovery of hazardous foreign bodies observed during anesthetic practice
اكتشاف أجسام غريبة خطرة تمت ملاحظتها خلال ممارسة التخدير

Author: Jasim M. Salman جاسم محمد سلمان
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2015 Volume: 33 Issue: 2 Pages: 63-69
Publisher: Basrah University جامعة البصرة

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Abstract

Background: In anesthesia practice, obstructing materials like thick mucus secretion, debris or blood clots, and food particles accumulate in the oropharynx. If not properly removed, they could cause airway obstruction with concurrent hypoxia which may end fatally. Objectives: This study aims to highlight the importance of forgetting foreign objects in the airway in order to allert anesthesiologists about the hazards of missed foreign bodies in the oropharynx which could lead to disastrous situation.Patients and Methods: During the period from 2012-2014, out of 2300 patients presented for surgical operation under general anesthesia with endo-tracheal intubation, 22 patients were recorded to have accidental discovery of hazardous foreign bodies retained in the oropharynx and were included in this study with an incidence rate of 0.96%. Cases in this study were classified as patient-related or surgery-related. Foreign bodies were identified with the aid of laryngoscopy and were removed by suction hand piece or Magill's forceps.Results: The main age group was between 21-40 years accounting for 45.5%. Male: female ratio was 1.2:1. Overall, 59.1% were related to patients' causes, while 40.9% were related to surgery. The commonest type of foreign body observed was cardamom (38.5%) among patient-related cases, and tissue remnants in 66.7% of surgery-related cases.Conclusion: Missed foreign bodies are not uncommon and anesthesiologists should be aware of inspecting the mouth and throat of the patient thoroughly before endotracheal intubation and extubation to reduce the hazard of foreign body inhalation.

الخلفية: خلال عملية التخدير هناك بعض المواد مثل بقايا الطعام او الخثر الدموية قد تعلق في مجرى التنفس وتسبب انسداد مجرى الهواء. اذا لم يتم إزالتها بشكل صحيح، مما يؤدي الى نقص الأكسجة في الدم. الأهداف: لتسليط الضوء على خطورة نسيان اجسام غريبة في مجرى التنفس اثناء العمليات الجراحية وتنبيه أطباء التخدير حول مخاطر الأجسام الغريبة في تجويف الفم والبلعوم مما قد يؤدي إلى حالة كارثية.المرضى والطريقة: خلال الفترة من 2012-2014، من أصل 2300 مريضا تعرض لعملية جراحية تحت التخدير العام مع تنبيب الرغامي، تم تسجيل اكتشاف عرضي لأجسام غريبة خطرة لدى 22 مريضا شوهدت في البلعوم وأدرجت في هذه الدراسة وتمثل 0,96%. حيث تم تقسيم الحالات الى مجموعة مرتبطة بالمريض واخرى مرتبطة بالعملية الجراحية. كما تم مشاهدة الاجسام الغريبة بالاستعانة بناظور الحنجرة واستخراجها باستخدام اداة الشفط أو ملقط ماكيل.النتائج: كانت الفئة العمرية الرئيسية بين 21-40عاما ونسبة الذكو: الإناث 1.2: 1. (59.1٪) من العدد الكلي كانت مرتبطة بالمرضى. في حين أن الحالات المرتبطة بالعملية الجراحية تمثلت بنسبة 40.9%. كانت مادة الهيل اكثر شيوعا في الحالات المرتبطة بالمريض (38.5%), وبقايا انسجة في الحالات المرتبطة بالجراحة (66.7%). الاستنتاج: ان الاجسام الغريبة في مجرى التنفس ليست نادرة الحدوث وهذا يتطلب من اطباء التخدير التفتيش بشكل جدي داخل فم المريض وحلقه المريض جيدا قبل تنبيب الرغامي وكذلك قبل استخراج الأنبوب للحد من خطر استنشاق اي جسم غريب.


Article
Radiolucent foreign bodies in the extremities

Author: Jasim Hasan Imarah
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2017 Volume: 4 Issue: 2 Pages: 69-74
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Orthopedic Surgeons often remove foreign bodies in the extremities. If the foreign body is radiopaque, it can be located using conventional radiographs or fluoroscopy. However, if the foreign body is radiolucent object, it may not be detected leading to serious complications. The aim of this paper is to discuss the role of US in detection of radiolucent foreign body in addition to the presentation and nature of the foreign body. Twenty patients with penetrating injuries in the extremities were treated during 2011 at AL-Husain Teaching Hospital. They were 11 male and 9 female, their ages ranged between 4 to 50 years (average 22.7). All patients were evaluated by detailed history, clinical examination, radiography and US. X-ray and US were done in department of radiology in our Hospital. The lower limb was affected in 14 cases (70%) while the upper limb in 6 cases (30%). presenting symptom was pain (16cases), followed by swelling (3cases), limping and discharging sinus (one case). No foreign bodies were detected by radiography in this study while on the other hand US was detect and localize foreign body in each case. Fifteen patients had history of failed previous interventions for removing foreign bodies. In conclusion; radiolucent foreign bodies are common in children and adults most often presenting as penetrating injury of the extremities. Failure to remove it may lead to serious complications and malpractice lawsuit. US has emerged as the study of choice for detection of radiolucent foreign bodies.


Article
10-NON RADIO OPAQUE FOREIGN BODIES IN ORTHOPAEDIC PRACTICE

Author: Jasim Hasan Amarah
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2009 Volume: 15 Issue: 2 Pages: 64-68
Publisher: Basrah University جامعة البصرة

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Abstract

Orthopaedic surgeons often remove foreign bodies from the extremities. If the foreign body isradio-opaque, it can be located using conventional radiographs or fluoroscopy. However if theforeign body is a radiolucent object, it may not be detected by radiograph leading to seriouscomplications. The aim of this paper is to discuss the role of US in detection of non radioopaqueforeign body in addition to the presentation and nature of the foreign body.Twenty patients with penetrating injuries to the extremities were treated from January-December 2008 at Samawa General Hospital. They were 11 male and 9 female, their agesranged between 4 to 50 years (average 22.7). All patients were evaluated by detailed history,clinical examination, radiography and US which were done at the department of radiology inSamawa General Hospital.The lower limb was affected in 14 cases (70%) while the upper limb in 6 cases (30%).presenting symptoms were; pain (16 cases) followed by swelling (3 cases), limping anddischarging sinus (one case). No foreign bodies were detected by radiography in this study. Onthe other hand, US detect and localize foreign body in each case. Fifteen patients had history offailed previous interventions for removing foreign bodies.In conclusion, Non radio-opaque foreign bodies are common in children and adults most oftenpresenting as penetrating injury to the extremities. Failure to remove it may lead to seriouscomplications and malpractice lawsuits. US has emerged as the study of choice for detection ofradiolucent foreign bodies.


Article
Foreign Bodies in the Urinary Bladder: 10 Year Experience in Al-Ramadi Teaching Hospital

Authors: Niema Hamad Al-Heeti, Ehab Jasim Mohammad --- Waleed Nassar Jaffal, --- Yahia Hameed Majeed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 1 Pages: 111-119
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: A wide range of objects have been inserted into the urinary bladder posing a challenge to urologists for diagnosis and management. Although it is not a fatal disease but can lead to serious complications. OBJECTIVE:To study the presentation, causes, diagnosis and treatment of urinary bladder foreign bodies.PATIENTS AND METHODS: From May 2001 to December 2011, 21 patients had been treated for intravesical foreign bodies at Al Ramadi teaching hospital , Anbar governorate / west of Iraq. All of the patients had underwent ultrasonography of the urinary tract , plain abdominal radiography and cystoscopy. The patient’s records were reviewed retrospectively and their clinical data were analyzed. RESULTS:A total of 21 patients with mean age of 39.2 years with male: female ratio (1:2.5). The most common presentation was recurrent urinary tract infection. Frequency, dysuria, Hematuria, difficulty with micturition, and urinary retention were the other complaints at presentation. The most common cause is iatrogenic (42.9%) followed by self insertion (33.3%), migration from outside the bladder (14.3%) and external trauma (9.5%). Definitive diagnosis of vesical foreign body was achieved by ultrasonography only in (9.5%), by plain abdominal radiography only in (28.6%),by both in (14.3%) of patients and cystoscopy was needed to establish the diagnosis in (47.6%), of them 5 cases had been erroneously reported to be bladder calculi. Intravesical foreign bodies had been removed endoscopically in 19 (90.5%) patients, and in the remaining 2 (9.5%), by open surgery. No significant complications were recorded postoperatively.CONCLUSION: Urinary bladder foreign bodies are not uncommon and should be suspected in patients presenting with chronic lower urinary tract complains. The incidence of iatrogenic foreign bodies in the urinary bladder is increasing. Radiological evaluation and cystoscopy are necessary to confirm the presence of foreign bodies and to determine the size, number, and nature of foreign bodies. Most urinary bladder foreign bodies can be removed by endoscopic and minimally invasive techniques without the need for open surgery


Article
The Outcome of Retained Metallic Foreign Bodies in Upper and Lower Limbs…………...

Author: Ali Khairi Toman
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2009 Volume: 2 no.8, 9 Issue: 5 Pages: 692-696
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Retained metallic fragments represent a common problem thatcan be encountered in surgical practice.They could be bullets, part of bullets or other fragments and shells frombombs or mines or in rare occasion, different foreign particles from the environment.They are always the cause of patients complain to whom they refer their pain ordisabilities and sometime they insist for their removal.Operations for removal of deep retained foreign bodies are not beneficial, take longtime and consume a lot of materials and sometime could be very risky, cause moredamage and in some cases, ended without finding the foreign body.There are only few indications for removal of retained metallic fragments.Objectives: We want to assess the problem of retained metallic foreign bodies andfind the indications of their removal.Patients and Methods: This is a prospective study of 300 patients with retainedmetallic foreign bodies presented to the out-patient department of Alhindiya generalhospital between July 2006 and July 2008 with different complains.Results: Three hundred patients were included in this study, 264 patients(82%) weremales and 36 patients (18%)were females, 270 patients about (90%) presented withinthe first week after injury, 243 patients(81%) have foreign bodies in the upper andlower limbs, 45 patients(15%) in the trunk and 12 patients(4%) in the head & neck.Conclusion: Palpable foreign body can be removed safely and successfully in most ofthe cases while deep foreign body should not be removed unless there are indications.


Article
Clinical of foreign bodies syndrome: A comparison of two methods of rumine fixation in sheep
دراسة سريرية لمتلازمة الأجسام الغريبة مع مقارنة طريقتين لتثبيت الكرش في الأغنام

Authors: L. M. Akattan ليث محمود القطان --- T. M. Salih طارق محمود صالح
Journal: Al-Anbar Journal of Veterinary Sciences مجلة الانبار للعلوم البيطرية ISSN: 19996527 Year: 2012 Volume: 5 Issue: 2 Pages: 44-49
Publisher: University of Fallujah جامعة الفلوجة

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Abstract

The objective of present study was to treat foreign bodies syndrome via in ten awasi sheep brought to educational Vet. Hospital of University of Mosul . the operative animals divided into two equal group of 5 animals. First G fixation method was used (rumine fixed with skin). Second G: A modified Weigarths ring used. Such criteria were used to estimate the efficacy of each methods, time consuming, contamination during operations. Clinical observations, blood picture and physical examinations are recorded preoperational and weekly postoperatively to evaluate the best method to fix the rumen during operation without complications and good prognosis. The results exhibited signs of bloat and anorexia accompanied with presence of foreign bodies syndrome in most operative animals, this study clarify that the skin fixation method suitable method for rumenotomy in sheep with minimal complications and more secure closure of the abdominal cavity, so less chance of contamination level. The physical examination exhibited significant decrease in body temperature post operatively (39.31±0.23C0) as compare before treatment, the rumen contraction increased and back near to normal level 1.31± 3.7)) per 5 min, there are significant decrease in total white blood cell count, PCV and neutrophil, whereas there are no significant changes in blood picture and physical parameters at modified Weingarths technique. We can conclude from presence study that possible perform rumenotomy by using one method of rumen, first skin fixation technique reflected good results as compare to modified Weingarths technique

هدفت الدراسة الحالية لعلاج عشر أغنام عواسية عانت من متلازمة الأجسام الغريبة بعملية فتح الكرش والتي وردت للمستشفى التعليمي البيطري جامعة الموصل. قسمت الحيوانات إلى مجموعتين متساويتين كل مجموعة تألفت من خمسة حيوانات: المجموعة الأولى: استخدمت فيها طريقة الخياطة التثبيتية (تثبيت الكرش بالجلد) المجموعة الثانية:- استخدمت فيها طريقة ونكارت المحورة للتثبيت. قيمت كفاءة هاتين الطريقتين من حيث الوقت المستغرق وكفاءة التعقيم من حيث قابليته للحد من التلوث أثناء إجراء العملية، وأخذت صورة الدم والمعايير الفسلجية والمشاهدة السريرية قبل العملية وبعد أسبوع للوقوف على فاعلية وجدوى كل طريقة على حدا وكذلك جدوى ونجاح العملية والتنبؤ والاختلاجات المصاحبة. أظهرت النتائج تزامن حالات النفاخ وقلة الشهية مع تواجد الأجسام الغريبة في معظم الحيوانات وتبين أن تثبيت الكرش بالجلد من الطرق المناسبة لإجراء فتح الكرش بالأغنام لقلة الاختلاجات المصاحبة مع إجراء العملية بإغلاق محكم للتجويف البطني مع اقل مستوى من التلوث وبينت أيضا القراءات الفسلجية انخفاضا معنويا لدرجات حرارة الجسم بعد إجراء العملية الجراحية عن معدلاتها قبل إجراء العملية (0.23±39.31) درجة مئوية وعودة تقلصات الكرش ورجوعها إلى معدلات قريبه من المعدلات الطبيعية (1.31± 3.7) تقلص لكل 5 دقائق في حين أظهرت صورة الدم انخفاضا معنويا للعدد الكلي لخلايا الدم البيض ومعدل خلايا الدم المرصوصة وخلايا العدلات وعلى غرار ذلك فان التثبيت بحلقة ونكرت المحورة لم تحدث تغييرا معنويا في المعايير الفسلجية ومعايير صورة الدم. نستنتج من هذه الدراسة على إمكانية إجراء عملية فتح الكرش في الأغنام وباستخدام إحدى طريقتي التثبيت الأولى تثبيت الكرش بالجلد والتي أظهرت نتائج جيدة مقارنة بطريقة التثبيت بحلقة ونكارت المحورة


Article
Migrated Contraceptive Devices in Female Urinary Bladder
الاجسام الغريبة فى المثانة لدى النساء

Author: Muhammad Abdullah Rahman alshwani محمدعبدالله رحمان الشوانى
Journal: kirkuk university journal for scientific studies مجلة جامعة كركوك - الدراسات العلمية ISSN: 19920849 / 26166801 Year: 2014 Volume: 9 Issue: 1 Pages: 1-6
Publisher: Kirkuk University جامعة كركوك

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Abstract

Foreign bodies in the urinary bladder are not uncommon, however, only few cases have been reported in recent literature. This is not a fatal disease, however, it may lead to serious complications , This is a report of four cases of Intrauterine contraceptive devices ( IUCD) which migrated into the urinary bladder and complicated by stone formation around the devices and cystoscopy was the main management route

وجود الاجسام الغريبة فى المثانة ليست بالحالات النادرة الا انو سجمت حالات قميمة فى المقالات الحديثة وان ىذه الحالات ليست بالمميتةولنكيا قد تؤدى الى مضاعفات خطيرة جدا وىذه اربع حالات لاجسام غريبة فى المثانة لدى النساء والاجسام الغريبة كانت عبارة عن لوالبلمنع الحمل استخدمت لدى ىذه النسوة بيدف منع الحمل ولكن لاسباب مختمفة ىاجرت ىذه الموالب الرحم واستقرت فى المثانة وقد تكونت حولىذه الموالب حصاة فى المثانة وان تشخيص و علاج ىذه الحالات قد تم عن طريق ناظور المثانة

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