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Article
Role of Early Surgical Repair of Penile Fractures

Author: Malath Anwer Hussein
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: 3 Pages: 330-335
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Fracture of the penis is a relatively rare condition that is defined as a rupture of the tumescent corpora cavernosa as a result of blunt trauma, most commonly during sexual intercourse or masturbation, which needs urgent surgical intervention to achieve good postoperative outcome.OBJECTIVE:To study the etiology and outcome of early surgical repair in patients presenting with fracture of penis.MATERIAL AND METHODS:This study carried out in the surgical departments of Al-Kindy teaching Hospital from June 2005 to March 2011. Patients with the clinical diagnosis of fracture penis were admitted and operated. All patients were admitted to the hospital 2 to 10 hours after injury. No invasive investigation was used for diagnosis. The treatment was surgical in all cases with subcoronal circumferential degloving incision, evacuation of hematoma and primary suturing of the tunica tear with absorbable suture. No drain was used and a light compression dressing was done in all patients. Catheter was removed on the second postoperative day. All patients had were followed up for 3-12 months postoperatively.RESULT:During the study period 30 patients aged 19 to 42 years, presented with a penile fracture were operated for fracture penis. Mean age at presentation was 31 years. The commonest cause of fracture penis was due to sexual intercourse. The commonest mode of presentation was with a cracking sound, local pain and immediate detumescence (90%, 96% & 100% respectively). All patients showed penile haematoma. None of the patients had urethral bleeding. All patients were surgically treated; at the time of surgery unilateral albugineal rupture was found in all cases. With follow up all cases were able to achieve an adequate erection. No complications such as deformations, penile plaque or erectile dysfunction were reported. Average hospital stay was 3.4 days.CONCLUSION:The commonest cause of fracture penis is due to sexual intercourse. The best treatment option is immediate surgical repair to obtain better functional outcome and to avoid potential complications


Article
Abdominal Tuberculosis; A Study of 15 Cases
تدرن الجهاز الهضمي : دراسة استرجاعية.

Authors: Najeeb Sleiwah Jabbo د. نجيب صليوة جبو --- Zaid Abdel Kareem د. زيد عبد الكريم
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2005 Volume: 18 Issue: 2 Pages: 187-190
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractBackground: Tuberculosis is an important communicable disease in the world. Abdominal tuberculosis occurs as primary form or secondary to pulmonary tuberculosis. Objectives: To study cases with abdominal tuberculosis cases presented for surgery in respect to their age, sex, clinical presentation, surgical findings, surgical procredure and outcome.Methods: Out of 712 cases explored surgically for different pathologies (emergency and elective), 15 cases with abdominal tuberculosis presented to the authors and managed surgically by them were reviewed in detail.Results: Both sexes were nearly equally affected. Most patients were in the third & fourth decade. Nine patients presented as acute abdomen (six as acute intestinal obstruction and three as pelvic peritonitis). The others had insidious presentation (three presented with chronic abdominal pain, two had a mass in the right iliac fossa and one present with ascites). All had exploratory laparotomy apart from two cases who were dealt with laparoscopically. Adhesiolysis was needed in most patients and the diagnosis was settled on histopathological basis. One patient died. All patients were referred for medical treatment after the diagnosis was settled.Conclusion: Abdominal tuberculosis is rarely a surgical problem which is reserved for its complications, otherwise its main treatment is medical. It has non specific clinical features and acute intestinal obstruction was the main presentation. The diagnosis was made according to histopathological findings and the outcome of surgical treatment was generally good.Keywords: Abdominal tuberculosis, diagnosis, surgical management.

ملخص:تمهيد: التدرن من الأمراض المهمة والمعدية في العالم . درن البطن يحصل كاصابة أولية أو اصابة ثانوية للتدرن الرئوي.الهدف: مراجعة حالات تدرن الجهاز الهضمي والتي عولجت من قبل صاحبي الدراسة، ومقارنتها مع الدراسات الأخرى . الطريقة: من أصل712 حالة مرضية أجريت لها عمليات جراحية لأستكشاف البطن( حالات باردة وطارئة) تم دراسة تفصيلية لخمسة عشر حالة تدرن البطن عولجت جراحيا من قبل الباحثين.النتائج: كانت معظم الحالات في العقد الثالث والرابع من العمر ونسبة كلا الجنسين كانت تقريبا متساوية . كانت الحالات الطارئة تسعة ( ستة عانت من انسداد الأمعاء الحاد وثلاثة من التهاب البرتوان الحاد). أما الحالات غير الطارئة فكانت ستة ( ثلاثة عانت من آلام مزمنة في البطن واثنان كعقد في البطن وحالة واحدة لأستسقاء البطن). عولجت الحالات بعملية فتح البطن عدا حالتان عولجت بطريقة التنظير.كان الأجراء الأكثر شيوعا فتح التصاقات البطن وقد حدثت حالة وفاة واحدة.خاتمة:يكون علاج حالات تدرن الجهاز الهضمي عادة علاجا باطنيا ونحتاج التداخل الجراحي في حالات مظاعفات هذا المرض. اعراض المرض مختلفة وتشخيصها صعب ولكن الأجراء الجراحي لهذه الحالات يكون مثمرا في معظم الأحيان.مفتاح الكلمات: تدرن الجهاز الهضمي، التشخيص، التداخل الجراحي.


Article
Surgical Management of Dorsal Wrist Ganglions: A Comparative Study Between Two Surgical Modalities

Author: Ali Adwal Ali
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2014 Volume: 13 Issue: 3 Pages: 375-378
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Ganglions are the most common benign cystic swellings found around the wrist, they can be treated conservatively or by different surgical techniques. Our surgical modality (excision of ganglion complex with fat graft) has given encouraging results.OBJECTIVE: To compare the efficacy of excising dorsal wrist ganglions and fat graft and excision alone .PATIENTS AND METHODS: A prospective study was conducted on patients with dorsal wrist ganglions. Surgical procedure in 25 cases was excision of the cysts and its neck , while for the rest 25 cases, excision of the cysts followed by fat graft, then an immobilization for 7-10 days.12-18 months period of follow-up was adopted for detection any recurrence.RESULTS: Most of the patients were females. Most of the patients presented mainly because of cosmetic reasons. Recurrence was the most frequent complication encountered and involved 16 % in those of group A and only 4% in those of group B.CONCLUSION: The technique of excision of dorsal wrist ganglions and fat graft is simple and effective.


Article
Laminectomy versus interlaminar approach for Lumbar disc herniation
عمليات فتح الظهر بطريقة فتح الصفائح العظمية مقابل عمليات الفتحة الصغيرة بدون فتح الصفائح العظمية لحالات انزلاق الفقرات القطنية

Authors: Ahmed Aman د. أحمد أمان --- Mohammed Q. Abdulrazzaq د. محمد عبد الرزاق --- Ammar S. Al-adhami د. عمار الاعظمي --- Moneer K. Faraj د. منير خماس فرج
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2018 Volume: 60 Issue: 3 Pages: 126-130
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Low back pain is the most common health problem in men and women between the ages of 20and 50 years. The lumbar disc prolapse has a major role in this condition. Treatment is either conservative orsurgical. The most common surgical interventions are either laminectomy or interlaminar approach.Objective: To determine which is the best surgical approach for the patient according to his/her type ofdisc herniation.Patients and methods: A comparative clinical study conducted in the Neurosciences Hospital, Baghdad,Iraq from January 2016 to January 2018. In this paper we evaluated the clinical outcome following bothapproachesResults: We studied sixty cases; thirty-four patients had interlaminar approach for lumbar discectomy whiletwenty-six patients had laminectomy with discectomy.Conclusion: Both methods can manage different types of lumbar disc prolapse, apart from far-lateral discwhich favors laminectomy approach.

ومن اهم اسبابه الانزلاق الغضروفي بالفقرات القطنية. تكون المعالجة عادة تحفظيا وفي حالة عدم الاستفادة يكون التداخل الجراحي هو البديل. يوجدنوعين من التداخل، اما بفتح الصفائح العظمية او بدونهالهدف: ارتأينا في هذه الدراسة مقارنة مخرجات المرضى الذين اجري لهم أحد هذين النوعين من التداخل الجراحي وايهما أفضل حسب نوع الانزلاقالغضروفي لكل مريضالمرضى والطريقة: اجريت الدراسة في مستشفى العلوم العصبية ببغداد للفترة من كانون الثاني ٢٠١٦ ولغاية كانون الثاني ٢٠٠٨ . وشملت ستين مريضااجري لكل منهم نوع من التداخل الجراحيالنتائج: كلتا الطريقتين حققتا النتائج المرجوة للمرضى ماعدا في حالة الانزلاق الوحشي البعيد حيث كانت النتائج أفضل لمن اجرى العملية بفتح الصفائحالعظميةالاستتنتاج: العملية الجراحية تبقى الخيار الاخير في علاج الانزلاق الغضروفي للفقرات القطنية وتعتمد على مهارة الجراح في اي نوع من العملياتيفضل ان يجريها والنتائج متقاربة ويفضل في حالات الانزلاق الوحشي البعيد ان تجرى بفتح الصفائح العظمية

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