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Article
The Outcome of Varicocelectomy on Sperm Parameters in Subfertile Men with Clinical Varicoceles Who Have Asthenozoospermia and or Teratozoospermia with Normal Sperm Count

Authors: Mohammed Ali Ghadhban --- Ahmed Abdulameer Alwan
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2016 Volume: 12 Issue: 22 Pages: 106-109
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Design Of Study: prospective study.Duration: From 2014 to 2015Setting: Department of Urology, AL-Diwaniya teaching Hospital, Infertility clinic.Patients & Methods: Over a period of one year hundred (100) patients with varicocele associated with male infertility over a 3-years period were included in this study. Pre- and postvaricocelectomy seminal fluid parameters evaluation according to the World Health Organization (WHO) criteria was performed at 6-month intervals.General anesthesia was given to all patients.Results:One hundred patients met the criteria their age range from 25 to 45 years with a mean age of 32± 3 years. The mean duration of infertility was 3years (range: 1.5–6).). Only the sperm motility of patients with normospermia showed a significant improvement postoperativelyConclusion:No significant improvement in sperm morphology may be obtained inpatients with clinical varicocele and preoperative normospermia.


Article
Outcome, Efficacy and Safety of Ureteroscopic Pneumatic Lithotripsy In Management of Lower and Mid Ureteric Calculi

Authors: Mohammed Ali Ghadhban --- Ali Hamdan Fahad
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2017 Volume: 13 Issue: 23 Pages: 18-27
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

OBJECTIVE: To determine the efficacy and safety of pneumatic lithotripsy in the treatment of mid and lower ureteric calculi.DESIGN: prospective study.DURATION: From 2014 to 2015SETTING: Department of Urology, AL-Diwaniya teaching Hospital.PATIENTS & METHODS:Over a period of one year,one hundred (100) patients of ureteric stones were treated with pneumatic lithoclast. Twenty five (25) Stones were located in mid ureter, Seventy five (75) stones were located in lower ureter . Success rate was defined as symptom free, no residual stones larger than 2mm. General anesthesia was given to all patients.RESULTS:Over all success rate was 90%. Success rate in middle and lower ureteric stones were 82%, 92% respectively. Completely fragmented stones cleared spontaneously within two weeks in 95% of cases and all patients were free of stones one month after the procedure. In six (6) patients stone was migrated, later on submitted for ESWL and successful. Complications were encountered in 11% of cases and were managed conservatively.Hospital stay was 24 to 48 hours.CONCLUSION:Pneumatic lithotripsy is reliable, highly effective rapid, safe and cost effective treatment modality for ureteric stones with negligible incidence of complications


Article
Repair of inguinal hernia under local anaesthesia in high risk patient

Author: Dr. Naseer K. Jawad Al Maleky
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2010 Volume: 13 Issue: 2 Pages: 146-151
Publisher: University of Kufa جامعة الكوفة

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Abstract

Inguinal hernia repair is a common operation in general surgery and can be performed under local, regional or general anaesthesia, The American Society of Anaesthesiologists (ASA) 3 and 4 patients are generally considered unsuitable for day case hernia repair, high risk for surgery under general or regional anaesthesia, so we study surgery under local anaesthesia for those high risk group.Aim: Aim of our study were to look at the high risk patient suitability for day-case repair of inguinal hernia under local anaesthesia(LA).Patient and method: Between January 2007 and January 2009, 75 patients with unilateral inguinal hernia ASA 3 and 4 underwent prospective study for repair of hernia under local anaesthesia by plug and patch of mesh.Result: 75 patients with inguinal hernia were operated on under local anaesthesia, median age 68 (range 40 to 102) years, 29 direct type, 43 indirect type ,3 direct and indirect type (pantaloon type) , the median body weight 53kg (ranged 45 to 105 kg).The duration of procedures were 30 to 80 minutes ( average 50 minutes ) .3 of cases with big irreducible hernia perioperatively required IV diazepam 5 mg and one of them requires IV pethedine 50mg, 1 patient developed superficial wound infection, 3 patients developed subcutaneous seroma, 9 patients had ecchymosis at site of infiltration and operation, 3 patients developed scrotal haematoma , no one develop urinary retention ,and no recurrence during follow up period and no mortality. The median period of follow up 6 months (range 4- 15 months) ,Waiting time for our study 1 to 2 week compared to patient required GA 2-3 months.Conclusions: Repair of inguinal hernia under LA in high risk patient seems to be safe and feasible with an acceptable morbidity. Obesity in itself is not an absolute contra-indication for LA and the waiting times are acceptable and can be done as day case surgery.

ان عمليات الفتق المغبني من اكثر عمليات الجراحه العامه ومن الممكن ان تجرى تحت النخدير العام او الموضعي والمرضى ذوي الحالات الخطره صنف 3 و 4 وفق الجمعيه الامريكيه للتخديربصوره عامه غير مؤهلين للعمليات تحت التخدير العام,ولكن الصورة تختلف اذا اجريت العمليه تحت التخدير الموضعي لذى قمنا بدراسه حول استخدام التخدير الموضعي للمرضى ذوي الحالات الخطرهالهدف : دراسه مدى فعاليه استخدام التخديرالموضعي في الحالات الخطره للمصابين بالفتوقات المغبنيه وإمكانية اجراها كعمليه جراحيه يوميه.المرضى وطرق العمل : منذ شهر كانون الثاني 2007 الى كانون الثاني 2009 ,75 مريض مصابون بفتوقات مغبنيه ومصنفين كحالات خطره من حيث التخدير صنف 3 و 4 وتمت العمليات تحت التخدير الموضعي و باستخدام الشبكه في رتق الفتوقاتالنتائج : 75 مريض معدل اعمارهم 68 سنه (29 فتق مغبني نوع مباشر و 43 غير مباشر و 3 النوعين معا) ومعدل اوزانهم 53 كغم و متوسط وقت العمليه 50 دقيقه 3 من الحالات من نوع الفتوقات الكبيره غير الراجعه احتجنا الى استخدام 50 ملغم من الديازيبام بالوريد وحاله واحده احتجنا الى البثدين 50 ملغم .حاله واحده اصيبت بالتهاب سطحي في جرح العمليه و3 حالات اصبن بتجمع سوائل مصليه تحت الجلد و 3 حالات اصيبوا بتجمع دموي في كيس الصفن و 9 حالات نزف تحت الجلد لا توجد حالات من انحباس الادرار او رجوع الفتق او الوفات و الوقت الانتظار للعمليه 1-2 اسبوع مقارنه للعمليات تحت التخدير العام من 2 الى 3 شهر.وجدنا ان هذه الطريقه امينه وذات مشاكل مقبوله حتى في حالة المرضى ذوي الاوزان الثقيله ويمكن اجراءها كجراحه يوميه ويتم اخراج المريض في نفس اليوم الذي تمت فيه.


Article
Comparison of the Effects of Spinal Anaesthesia Vs General Anaesthesia on Apgar Score in Neonates Born after Elective Caesarean Section

Authors: Hassan Sarhan Haider, --- Faez Ahmed Mahdi --- Mohammed Abbas Kadhim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 4 Pages: 482-487
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Delivery of baby by caesarean section has become increasingly common, Caesarean section can be performed under general or regional anaesthesia like spinal or epidural technique, and both have advantages and disadvantages. It is important to clarify what type of anaesthesia is safest for the mother and baby. OBJECTIVE: To compare the effect of spinal anaesthesia versus general anaesthesia on Apgar score of neonates born by elective caesarean section in Baghdad teaching hospital. MATERIAL AND METHODS: The study was carried out in Baghdad teaching hospital from February 2011 to July 2011 .this study was performed on 60 women presenting for Elective lower segment caesarean section .thirty mothers were given general anaesthesia and other 30 mothers received spinal anaesthesia. The Apgar score was recorded at1 minute and 5 minute interval after each delivery.RESULTS: Out of 30 mothers, who received general anaesthesia, 25 patients (83.3%) give birth to neonates having Apgar score ≤ 6 at one minute after birth and the remaining 5 neonates (16.7%) had Apgar score of ≥7.On the other hand out of 30 mothers who received spinal anaesthesia only 10 mothers give birth to neonate having Apgar score ≤ 6 at one minute after birth, who improved at 5 minutes interval, and their Apgar score were ≥7.It had been found that those neonates who were born under G.A were ten folds more likely to have Apgar score less than or equal to 6 at first minute compared to those with spinal anaesthesia, the odds ratio=10 and 95%confidence interval of the odds ratio (2.94-34) and p=0.00024 which is highly significant, G.A had greater risk on infant at the first minute. CONCLUSION: There is a significant difference between the effects of general anaesthesia and spinal anaesthesia on Apgar score of neonate one minute after delivery of full term neonate by elective caesarean section, but there is no significant difference between the effect of general anaesthesia and spinal anaesthesia on Apgar score 5minutes after birth.


Article
Evaluation of general anesthesia induced by propofol, ketamine protocol in rabbits premedicated with diazepam
تقييم برنامج التخدير العام عن طريق البروبوفول مع الكيتامين في الأرانب المعالجة تمهيدياً بالديازيبام

Authors: Areej Ali Atiyah اريج علي عطية --- Ayad A. Amin اياد عبد الجبار امين
Journal: The Iraqi Journal of Veterinary Medicine المجلة الطبية البيطرية العراقية ISSN: 16095693 Year: 2014 Volume: 38 Issue: 2 Pages: 100-107
Publisher: Baghdad University جامعة بغداد

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Abstract

The present study was designed to evaluate the efficacy of diazepam-propofol-Ketamine protocol for induction of general anaesthesia in rabbits. The experiment was conducted on seventeen healthy male adult local rabbits weighting 0.9-1.5 kg. Rabbits were given protocol, Diazepam 1mg/kg B.W. by intramuscular injection then 15 minutes later propofol 10 mg/kg B.W. as bolus slow intravenous injection and ketamine 25 mg/kg BW by intramuscular injection. Several parameters included respiratory rate, body temperature and heart rate were recorded before injection of drugs and after giving the anesthetic protocol at 0, 5, 10, 15, 20, 30, 45, 60, 75 and 90 minutes. The results showed that the anaesthesia with diazepam, propofol and Ketamine protocol in rabbits was suitable as it produced reliable surgical anaesthesia, good analgesia and muscle relaxation with minimal changes on the wave morphology of the cardiac muscle.

تم تصميم هذه الدراسة لتقييم كفائة استعمال برنامج ديازيبام – البروبوفول – والكيتامين لغرض إحداث التخير العام في الأرانب. أجريت التجربة على سبعة عشر من ذكور الأرانب البالغة ذات صحة جيدة ومن النوع المحلي, يتراوح وزنها 0.9 – 1.5 كجم. تم حقن الأرانب بالبرنامج المتكون من الديازيبام 1 ملغم/كغم وزن الجسم عن طريق الحقن العضلي وبعد 15 دقيقة تم حقن البروبوفول 10 ملغم / كغم وزن الجسم عن طريق الحقن البطئ في الوريد و الكيتامين 25 ملغم / كغم وزن الجسم عن طريق الحقن العضلي. تم تسجيل مجموعة من القياسات قبل حقن الأدوية ومن ثم بعد إعطاء البرنامج التخديري بالدقائق 0, 5, 10, 15, 20, 30, 45, 60, 75, 90 على التوالي. أظهرت النتائج أن التخدير مع البرنامج المتكون من الديازيبام و البروبوفول و الكيتامين في الأرانب كان مناسب من حيث التخدير الجراحي، جيد في التسكين واسترخاء العضلات مع تغيرات طفيفة على الشكل الموجي لعضلة القلب.

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