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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.

Keywords

DECISION --- INCISION


Article
PROMINENT EAR CORRECTION BY TWO PARALLEL INTERRUPTED FULL THICKNESS CARTILAGE INCISION LINES

Authors: Mohammed Breesam Hatif --- Arwa Kasim --- Jabir R Hameed
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2019 Volume: 25 Issue: 1 Pages: 32-36
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract Prominent ear is the most common congenital ear deformity affecting 5% of children in western world and has profound psychological effects on the bearer. The most common causes of protruded external ear are: an under developed or flat antihelix, an over developed deep concha, or combination of both of these features. The aim of this study is to evaluate clinical outcome of otoplasty in prominent ears by two parallel interrupted full thickness cartilage incisions. from February 2015 to November 2018, a prospective study accomplished on 40 patients (74 ears), they were 32 males and 8 females. The condition was bilateral in 34 patients and unilateral in 6 patients. Surgery was done by a modification of combined methods of Mustarde and Furnas with partial resection of conchal cartilage . The preoperative helical rim, temporo-mastoid surface distance was 28-40 millimeters (mean 34.6 mm) and 10-15 mm postoperatively (mean 12.1 mm). The preoperative cephalo-auricular angle was 50-90 degrees (mean 75.4 degrees), and was kept at 20-25 degrees (mean 22.5 degrees) postoperatively. Good esthetic and satisfaction results were noted by the patients, their families, and the surgical staff. No complication had occurred and no one needed surgical revision. In conclusion, the procedure was found to be simple, easily applied with good esthetic and satisfaction results. Key words: Prominent ear, Correction, Satisfaction, Cartilage, Incision lines


Article
Carpal Tunnel Syndrome: Comparative Study Between Traditional Incision and Mini Palmar Incision

Authors: Sherwan Ahmed Hamawandi --- Injam Ibrahim Sulaiman --- Salim Mardan Omer --- Ali Hussain Muhammad Al-Tameemi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 1 Pages: 176 -183
Publisher: Babylon University جامعة بابل

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Abstract

CTS is the most common peripheral nerve compression disorders. Surgical treatment of CTS involves many procedures ranging from the traditional incision to variety of minimal invasive techniques. The aim of the study is to compare the results of surgical treatment of CTS using traditional incision and 1.5 cm palmar incision regarding postoperative pain, scar tenderness, returning to daily activity and patient satisfactory score. We studied 200 patients, half of them treated with traditional incision of CTS surgical decompression and other half treated with 1.5cm mini palmar incision of CTS surgical decompression. We followed those patients regarding postoperative pain, scar tenderness, returning to daily activity and patient satisfactory score for 3 months period of follow up. We found in this study that mini palmar incision 1.5cm is safe and effective as traditional open release technique with better results regarding postoperative pain, scar tenderness, time needed to return to daily activity and patient satisfaction with the surgery.


Article
The Low Transverse Abdominal Pfannenstiel Incision and the Prevalence of Incisional Hernia

Authors: Ali Latief Ali د.علي لطيف علي --- Jwan Najib Sulaiman د. جوان نجيب سلمان
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2011 Volume: 24 Issue: 2 Pages: 147-152
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Pfannenstiel incision is the commonest type of incision performed in the gynecological operations, although post operative incisional hernia is low, but should not be underestimated.Objective: To determine the prevalence of incisional hernia in patients with a low transverse Pfannenstiel incision.Design: Prospective study on patients from January 2007-to December 20008.Setting: Elwiyah Maternity Teaching Hospital.Patients & Methods: All adult women, operated on, between January 2007 to December 2008 using a Pfannenstiel incision by many gynecologist and obstetricians, were studied for general and local risk factors of incisional hernia development and were followed for two years at the out patients department or private clinic, all patients were subjected to physical examination focusing on the presence of incisional hernia. Results: (1.76%) of the patients developed incisional hernia in a period of 6-24 months.Conclusion: Incisional hernia is a rare complication of Pfannenstiel incision, besides it's cosmetically more acceptable than the lower midline incision.Key wards: Incisional hernia, prevalence in a low transverse abdominal Pfannenstiel incision

ان استعمال الجرح المستعرض في اجراء العمليات الجراحية النسائية هو افضل من استعمال الجرح العمودي؛ لان نسبة حدوث الفتق تكاد ان تكون نادرة في الاول. ومهم جدا الانتباه للاعصاب الموجودة في منطقة اسفل البطن عند اجراء عملية الجرح المسستعرض وخاصة اذا كان الجرح المستعرض طويلا او اذا كان الجرح المستعرض قد اجري في مكان اوطئ مما يجب، لانه قد يؤدي الى حدوث فتق مغبني بعد العملية.ان استخدام الخيوط الجراحية المناسبة(الغير قابلة للامتصاص) في خياطة النسيج الليفي للعضلة البطنية قد تؤدي الى تقليل نسبة حصول الفتق ،وان استعمال المضادات الحيوية بعد العمليات ومعالجة الامراض مثل فقر الدم وداء السكر واتسعال المزمن قبل اجراء العملية تؤدي الى تقليل نسبة حصول الفتق بعد العمليات الجراحية النسائية


Article
ULTRASOUND GUIDED ASPIRATION VERSUS DRAINAGE UNDER GENERAL ANESTHESIA IN BREAST ABSCESSES

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Abstract

Background:Despite the fact that breast abscess is becoming less common in developed countries, it has remained one of the leading causes of morbidity in women in developing countries. Ultrasound has been shown to be useful in diagnosis of breast abscesses, guiding needle placement during aspiration and also enables visualization of multiple abscess loculation and thus useful in needle aspiration of breast abscesses and is associated with less recurrence, excellent cosmetic result and has less cost.Objective:To establish whether ultrasound guided needle aspiration is a feasible alternative treatment option for breast abscesses.Methods:A prospective interventional study conducted on 144 female patients with and age range from 15 to 55 years. One hundred and twenty four are lactating and the other 20 are non-lactating. They were divided into two groups; the first group comprised 72 patients treated as outpatients by ultrasound assisted aspiration of pus while the second group serves as the control comprised 72 patients who are treated by drainage under general anesthesia. For both groups, data regarding early complications, hospital stay, return to daily activity and late complications were recorded. Follow up for up to 3 months was done for both groups.Results:Healing rate of the two groups had no statistically significant difference both overall and at each visit. There was only 1.4% recurrence rate observed in the ultrasound guided needle aspiration group while there was 6.9% recurrence rate observed in the incision and drainage group.Conclusion:Sonographically guided percutaneous aspiration of breast abscesses represents a less invasive and very promising alternative to surgical incision, showing the following advantages: no general anesthesia required a superior cosmetic result and shorter hospitalization.Key words:Breast abscess, Ultrasound guided aspiration, Incision and drainage


Article
Morphotectonics of Shatt Al-Arab River Southern Iraq
مورفوتكتونية نهر شط العرب- جنوب العراق

Authors: Manal Shakir Al-Kubaisi منال شاكر الكبيسي --- Meelad A. Hussein ميلاد علي حسين
Journal: Iraqi Journal of Science المجلة العراقية للعلوم ISSN: 00672904/23121637 Year: 2014 Volume: 55 Issue: 3A Pages: 1051-1060
Publisher: Baghdad University جامعة بغداد

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Abstract

A morphotectonic analysis is conducted on Shatt Al-Arab drainage basin. This study aims to analysis of the river patterns of Shatt Al-Arab channel and their relationship with the development of subsurface geological structures and the neotectonic activity, as well as an attempt to determine the relative amount to this activity.Transverse river profile analysis is derived quantifiable and comparable parameters such as neotectonic index (Eh*Ln), Eh, Ch, and Bs. These parameters are useful to detect the morphotectonic indicators of Shatt Al-Arab basin. The analysis showed the role of the subsurface structures that affecting the river cross sections shape, through channel incision, as in (Dair and NuhrUmr) cross sections, while in the others the increasing in neotectonic index interpreted by the geomorphic features such as sudden changes or diversion in river course and river pattern changes.

تهدف هذه الدراسة الى اجراء تحليل مورفوتكتوني لحوض شط العرب من خلال تحليل انماط التصريف لنهر شط العرب وعلاقتها بالتراكيب الجيولوجية تحت السطحية والفعاليات النيوتكتونية، بالاضافة الى محاولة تحديد المقدار النسبي لهذه الفعالية. اجري تحليل للمقاطع العرضية المقاسة في شط العرب من خلال اشتقاق معاملات ممكن حسابها ومقارنتها ضمن المجرى النهري لشط العرب.هذه المعاملات مفيدة لتحديد الشواهد المورفوتكتونية لحوض شط العرب. اظهر تحليل المقطع العرضي دور التراكيب تحت السطحية بالتأثير على شكل المقطع العرضي من خلال التعرية في مجرى النهر كما هو الحال في مقطع الداير ومقطع نهر عمر، والتغيرات في النمط النهري والتغيرات المفاجئة في مجرى النهر في بقية المقاطع العرضية.


Article
The Outcome of Two Modes of Treatments in Patients with Posterior Urethral Valve

Author: Saad Dakhil Farhan Daraji
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 2 Pages: 203-208
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: The obstructive effect of the posterior urethral valve (PUV) can manifest along a spectrum of severity, ranging from disease incompatible with postnatal life to conditions that have such minimal impact that they may not manifest until later in life.OBJECTIVE:: To compare the outcome of patients with PUV underwent both techniques of PUV incision and primary urinary diversion (with a delayed PUV incision). PATIENTS AND METHODS:A prospective and retrospective study of twenty-eight children with posterior urethral valve was conducted. Details of age, presenting symptoms, serum creatinine, ultrasound and Voiding cystographic (VCUG) findings, the presence or absence of vesicoureteric reflux and the type of surgical interventions done were recorded. On the follow-up between 1- 2 year period, the patients were assessed by progression of the clinical state, biochemical analysis and ultrasound of the abdomen. Outcomes of surgery and further surgical intervention also assessed in addition to the assessment of the bladder function for older children.RESULT: The primary treatment of the PUV was with incision of the PUV in 13 cases (46.4%) while the primary treatment with urinary diversion and delayed incision of the PUV was performed in 15 cases (53.3%). A posterior urethral valve incision was cured in 46% of patients, while the primary diversion and the delayed incision operation was cured in 26.6%; Most of the patients (60.7%) still needed further urological intervention. There was no statistical significance between the results of both surgical procedures. Renal impairment and poor bladder function were more common with diversion operation.CONCLUSION: There is no convincing evidence to support any procedure as a way of improving long-term renal function or long-term bladder function. Therefore, urinary diversion is to be considered in selected cases with clear goals and endpoints in mind as it has an important place in the management of boys with PUV.

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