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Article
LASIK SURGERY IN AL- NASSIRYA CITY A CLINICOSTATISTICAL STUDY

Author: Dr. Ali Jawad AL- Gidis د. علي جواد الكدساوي
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2010 Volume: 4 Issue: 4 Pages: 14-21
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

SUMMARY:Background: LASIK which stands for laser in-situ keratomileusis is the procedure that involves creating corneal flap to ablate mid stromal tissue directly with an excimer laser beam, ultimately flattening the cornea to treat myopia and steepening the cornea to treat hypermetropia, whereas earlier techniques of keratomileusis consisted of removing a corneal flap and resecting stromal tissue manually, technologic advancements have revolutionized this procedure into highly automated process. In general the goals of the refractive surgery are to reduce or eliminate the need for glasses or refractive lenses without altering the quality of the vision or best corrected vision. Most improvement in refractive errors is measured in term of visual acuity (Snellen chart) .Aim Of The Study: is to have a clinico-statistical assessment of LASIK surgery in AL- Nasirya city, since it is a recent surgery in Iraq started for the first time three years ago in Almosawi Hospital. Patients And Methods:In this study a 510 cases of ametropic patients (myopia, hypermetropia, and astigmatism) with visual acuity of 624 or worse underwent LASIK surgery for correction of refractive error in Al-Mosawi private hospital from a period between August 2007 – August 2010. Each patient examined preoperatively for visual acuity, type of refractive error, corneal thickness (packymetry), and corneal surface shape (topography) to decide the suitable candidates for surgery. Postoperatively the patient examined for visual acuity. Results:In this study we noticed that from 510 cases, 300 (58.82%) were female, while the remaining 210 cases (41.176) were male. Regarding the age distribution of the cases, 152 (29.8%) of the cases lies between 23-27 year , which is the predominant age group. The second most predominant age group was between 28-32 year, 126 cases (24.7%) lies in this age group. One hundred two cases (20%) were between 18- 22 years. Seventy cases (13.7%) were between 33-37 years. Regarding the refractive error, most of the cases operated on had low myopic astigmatism the number of the cases was two hundred two (39.6%). The second most frequent refractive error was low myopia representing 156 cases (30.58%). high myopia was the third most common refractive error representing 86 cases (16.86%). Fourth group was high myopic astigmatim representing 10.58% (54 cases). The last group was hypermetropia representing 2.35% (twelve cases). Regarding the visual acuity 81.81% (832 eyes) had uncorrected visual acuity of 66 or better, 95.083% (967 eyes) had uncorrected visual acuity of 69 or better, and 100% (1017 eyes) had visual acuity of 612 or better.


Article
IS THERE A “FREE SIZE” IN SURGICAL PRACTICE?

Author: Thamer A Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 2 Pages: 1-2
Publisher: Basrah University جامعة البصرة

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Abstract

Several parameters should seriously be considered in, almost, every pathology before drawing the line of treatment. Patients are not alike even when they are twins. Individual variation is a reality that should be taken in consideration. On top of this, comes the response to pain. The best example is the delivery of a baby; while one lady shouts loudly, another is very quiet. Some consider the pain stimulus as intense, because of psychogenic factors, while others show a calm response for the same condition.

Keywords

surgery --- practice


Article
Comparison between flapless and flap dental implant surgery: A clinical and radiographic study
مقارنة بين جراحة زرع الأسنان بدون سديلة و بسديلة: دراسة سريرية وإشعاعية

Authors: Omed Ikram Shihab --- Ahmad Abdullah Haider --- Abduljaleel Azad Samad
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2016 Volume: 20 Issue: 2 Pages: 1267-1271
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Flapless implant surgery has been suggested as a suitable treatment technique for implant placement, but limited information exists regarding the clinical conditions after flapless implant surgery. This study aimed to compare flapless implant surgery with traditional flap implant surgery clinically and radiographically.Methods: Sixty patients (23 males and 37 females) participated in the present study. The patients were divided into two groups, in the Group ‘A’ 30 implants were placed by traditional flap surgery and in Group ‘B’ 30 implants were placed by flapless implant surgery (punch technique). Clinical and radiographic examinations were carried out to assess the implants condition. Clinical examination included implant mobility which was assessed by using universal torque ratchet at the end of healing period (6 months). The periapical radiograph was carried out to assess marginal bone loss around the implants at three and six months after implantation.Results: Two implants failure were reported; one implant for each of the Group ‘A’ and ‘B’. There was no significant difference between the two groups with regard to the marginal bone resorption (P = 0.487). The success rate for both groups was 96.6%. The study showed a non-significant relation of age and gender with the success rate.Conclusion: The flapless implant surgery could offer advantages over the classic protocol and should have the potential to increase the patients’ acceptance of the procedure.


Article
Desmoid tumors of the abdominal wall:Two cases report

Author: Adel M. Al-Rekabi عادل موسى الركابي
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2008 Volume: 4 Issue: 6 Pages: 151-155
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Desmoid tumors are slow growing deep fibromatoses with aggressive infiltration of adjacent tissue but without any metastatic potential.We report on two female patients with desmoid tumor of the abdominal wall who underwent primary resection and proline mesh repair. Both patients had a history of an earlier abdominal surgery. Preoperative evaluation included abdominal ultrasound,and computed tomography. The histology in both cases revealed a desmoid tumor.Complete surgical resection and proline mesh repair is the first line management of this tumor entity.

اورام الدسمويد هي اورام بطيئة النمو مع ميل شديد نحو اختراق الانسجة المجاورة ولكنها لا تمتلك اية قوة انتشار.تم تسجيل حالتين من الاصابة بورم الدسمويد وهي لمريضتين سبق وان اجريت لهما عمليات فتح بطن(قيصرية)وكان الورم في كلتا الحالتين في جدار البطن عند الجرح القديم المندمل.اجريت فحوصات الامواج فوق الصوتية والمفراس ثم اجريت لهما عملية رفع الورم من جدار البطن مع رفع كامل للتليفات المصاحبة في الجرح السابق بغية منع الانتشار الموضعي للورم وبعدئذ رتقت الهوة المتخلفة في جدار البطن بشبكة من البرولين الصناعي.اثبثت الفحوصات النسيجية الاصابة بورم الدسمويد.

Keywords

Desmoid --- abdominal wall --- surgery


Article
Success rate of apicectomy of anterior and premolar teeth

Authors: Mohammed Kh Hasouni --- Shehab A Hamad
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2005 Volume: 5 Issue: 2 Pages: 161-167
Publisher: Mosul University جامعة الموصل

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Abstract

This study was carried out to assess the success rate ofapicectomy of anterior and premolar teeth. Out of 336 patients,who had undergone apicectomy in a private practice between1997–2001, only 256 patients (76.2%) completed the twoyears recall visits; which was the minimum time recommendedin this study to judge whether the operation was successfulor not. The age range of the patients was 12–67 years(mean of 34.7 years), 136 were males and 120 were females.The overall success rate of apicectomy in this study was89.1%. Sex of the patient had no bearing on the success rate(p > 0.05). Highly significant influence of the patient’s age onthe success rate was observed (p < 0.01); the success rate increasedproportionally with increased age. Highly significantinfluence of the type of the apicectomised tooth on the successrate was noted (p < 0.001); upper anterior teeth showed thehighest success rate (92.1%), whereas upper premolars showedthe lowest success rate (77.4%). Periapical condition of thetooth prior to the operation, preoperative vs postoperative obturationof the root canal, and orthograde obturation vs retrogradeobturation were not significant factors affecting the successrate of apicectomy (p > 0.05).


Article
Laparoscopic Management of Symptomatic Renal Cysts

Author: Saad D. Farhan
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 2 Pages: 163-168
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Simple renal cysts are common, with incidence increasing with age. Symptomatic renal cysts have traditionally been initially treated by percutaneous aspiration with or without injection of sclerosant agents; however, this has a high rate of recurrence.Open surgical cyst decortication for pain relief through a flank or chevron incision is associated with considerable morbidity and protracted convalescence.OBJECTIVE:To assess the efficacy of laparoscopic Surgery in the treatment of symptomatic simple renal cysts. Renal cysts are common in the adult population.METHODS:From April 2007 to July2009 ,11patients (7 males and 4 females) underwent laparoscopic decortications of symptomatic simple renal cysts with renal cyst wall excision and fulguration of the epithelial lining. Complex renal cysts were excluded. The Wong-Baker pain scale was used to assess the preoperative and postoperative pain scores. Radiologic success was indicated as no recurrence on the most recent computed tomography scan.RESULTS:Of the 11 procedures were completed laparoscopically , the mean operative time was 100 minutes (range 80 to 120). Symptomatic and radiographic success was achieved in 90.9% of patients, with a median follow-up of 12 months (range 6 to 18).CONCLUSION:Long-term follow-up has confirmed that laparoscopic cyst decortication is an effective and durable treatment option for symptomatic simple renal cysts during long-term follow-up. The greater and durable success rates of this minimally invasive technique may favor this treatment option over other treatment modalities.


Article
3-ENDOSOCOPIC THYRIOD SURGERY

Author: Ghassan A A Nasir
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 1 Pages: 8-13
Publisher: Basrah University جامعة البصرة

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Abstract

Thyroid resection is one of the mostcommon operations performedthroughout the world. This procedure isclassically realized through a transversecervical incision and associated with avery low morbidity and mortality rate.However, the visible scar on theanterior surface of the neck is dislikedby many patients, especially by youngwomen in whom this

Keywords

ENDOSOCOPIC --- THYRIOD --- SURGERY


Article
12- CANCELED SCHEDULED ELECTIVE SURGERY IN OUR PUBLIC HOSPITALS, WHY?

Authors: Jasim M Salman --- Salam N Asfar
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2008 Volume: 14 Issue: 1 Pages: 57-61
Publisher: Basrah University جامعة البصرة

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Abstract

Cancellation of operations increasestheatre costs and decreasesefficiency as well as causing emotionaltrauma to the patients and there families.Elective surgery cancellation is asignificant multifactor problem withfar-reaching consequences1. Obviously,all cancellations can not be avoided.Patients may have a change in theirmedical condition on the day of surgerywhich can not be expected or there isunpredictable condition in the hospital.Most problems, however, can beprevented with a little initiative as wenoticed that in private hospitals all thesereasons may be of negligiblesignificance.Postponing

Keywords

CANCELED --- ELECTIVE SURGERY


Article
Thyroid Surgery with Drain Versus without Drain

Authors: Ammar Noori Muhammed --- Wassem Ahmed AL-Kateb --- Ramez AL-Mukhtar --- Tharwat Idrees Sulaiman
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 3 Pages: 343-348
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The nature and indications for thyroid surgery vary and a perceived risk of postoperative complications such as seroma , haematoma , wound infection and haemorrhage post-surgery is one reason why wound drains are frequently inserted. They are generally used as a matter of the surgeon’s habit or preference more than a matter of proven benefit in the patient’s postoperative period.OBJECTIVE:To evaluate the differences in outcome and complications following thyroid surgery whether draining the wound or not .PATIENTS AND METHODS:One hundred forty five patients with different thyroid diseases requiring surgical intervention presenting to the first surgical unit in Baghdad teaching hospital between the first of October 2007 to the 31th of December 2009(27 months period) were enrolled. Patients were divided into two groups : those who had their wounds drained postoperatively ; (the drain group DG) and those who had their wounds closed without drain ; (the non drain group NG).RESULTS:Seroma occurred in three patients (3%) in the DG, and in two patients (4.4%) in the NG. Small haematoma occurred in three patients (3%) in the DG, and in two patients (4.4%) in the NG. Large haematoma occurred only in one patients (1%) in the DG, and it didn't occur in the NG. Wound infection occurs only in two patients (2%) in the DG, and in one patient (2.2%) in the NG. The mean of in-hospital stay was 2.07 days in the DG, and 1.06 days in the NG.CONCLUSION:The use of drain showed no effect on the prevention of wound infection , seroma , haematoma formation or the need for re-exploration, indeed the use of drain had lengthened the in hospital stay .So the Routine use of drains after thyroid surgery might be therefore not necessary, if not detrimental.


Article
A Comparative Study of Laparoscopic Bariatric Surgery: An Iraqi Experience

Author: Ramiz S. Mukhtar* FRCS. رامز المحتار
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2012 Volume: 54 Issue: 4 Pages: 287-293
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:Background: The World Health Organization has declared that obesity is a disease of pandemic significance. The number of performed bariatric procedures has rapidly and considerably increased over the past decade. The most frequently performed and best studied procedures are laparoscopic gastric banding (LAGB), laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB).Objectve: To provide a critical appraisal of the most important scientific evidence comparing the short term outcomes of these three weight-reduction procedures (laparoscopic gastric banding (LAGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic Roux-en-Y bypass (LRYGB)) using retrospectively collected data for patients with morbid obesity in Iraq.Patients and Methods: Between August 2010 and November 2012, three types of bariatric operations (LAGB, LSG, LRYGB) were performed in a hospital in Baghdad for patients with morbid obesity by the same team. A total of 32 patients underwent LAGB operation (21 women and 11 men) with a mean age of years = 33.77 (range 16 to 52 years), and of the 29 patients underwent LSG operation (22 women and 7 men) with a mean age of years = 33.86 (range 20 to 52 years) and of the 9 patients underwent LRYGB (7 women and 2 men) with a mean age of years= 35.11 (range 25 to 45 years). Thereafter patients were followed up monthly for the first 3 months postoperatively.Results: Using statistical Package for the Social Sciences Software (SPSS) version 15,we found the mean weight loss 1 month after surgery was 10.97kg (range 5-25 kg) for LAGB, 12.34 kg (range 6-21 kg) for LSG and 12.33 kg (range 10-20kg) for LRYGB. Mean weight loss 3 months after surgery was 18.81kg (range 7-38 kg) for LAGB, 22.48kg (range 10-59 kg) for LSG and 24.33kg (range 16-40kg) for LRYGB.Conclusion: The results from our study showed that all the studied procedures had a significant weight reduction rate in the first three months post operatively and that LRYGB is superior to the LAGB and LSG in weight reduction, although, all procedures are associated with marked weight loss. The age of the patients did not influence the decrease in BMI or affect the type of the procedure in weight reduction for the studied group. The results of this study do not diverge from those previously reported in the literature regarding the complications and the resolution or at least improvement of medical co-morbidities after these three procedures had been proved in this study.Keyword: laproscopy . Barialric, Surgery, Iraq.

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