This study seeks to report the frequencies of the Emergency Department visits at King Abdulaziz University Hospital, as well as an analysis of its operational parameters. This is a retrospective analysis of all emergency visits over one year. In 2017, 69,522 patients were triaged, 62.55% adults, 20.12% pediatrics, and 17.33% OB/GYN. Ineligible patients (lower acuity stable non-Saudi patients who hold health insurance through their sponsors) were 12.84% of triaged patients, they were advised to go to another hospital. Females were 57.11%, and 40.92% were between 24 and 43 years, 18.49% younger than 14 years, and 9.22% older than 64 years. Saudi patients were 64.76%. Only 0.40% arrived by ambulance. Full management was provided for 73.83% of registered patients, whereas 26.17% left the waiting room after triage and initial evaluation by a physician without being treated due to bed unavailability; 97.22% were lower acuity and stable. Admission rates were 23.44%. The overall emergency department mortality rate was 0.52%, and death on arrival rate was 0.25%. Most registered patients (86.18%) were lower acuity and stable. All cases in which the patient needed resuscitation were treated immediately. Emergency department use by patients with low acuity conditions that are potentially treatable in other settings must be addressed.
{"title":"Characteristics of Emergency Department Visits at King Abdulaziz University Hospital: A One Year Analysis","authors":"J. Abualenain","doi":"10.4197/MED.25-1.1","DOIUrl":"https://doi.org/10.4197/MED.25-1.1","url":null,"abstract":"This study seeks to report the frequencies of the Emergency Department visits at King Abdulaziz University Hospital, as well as an analysis of its operational parameters. This is a retrospective analysis of all emergency visits over one year. In 2017, 69,522 patients were triaged, 62.55% adults, 20.12% pediatrics, and 17.33% OB/GYN. Ineligible patients (lower acuity stable non-Saudi patients who hold health insurance through their sponsors) were 12.84% of triaged patients, they were advised to go to another hospital. Females were 57.11%, and 40.92% were between 24 and 43 years, 18.49% younger than 14 years, and 9.22% older than 64 years. Saudi patients were 64.76%. Only 0.40% arrived by ambulance. Full management was provided for 73.83% of registered patients, whereas 26.17% left the waiting room after triage and initial evaluation by a physician without being treated due to bed unavailability; 97.22% were lower acuity and stable. Admission rates were 23.44%. The overall emergency department mortality rate was 0.52%, and death on arrival rate was 0.25%. Most registered patients (86.18%) were lower acuity and stable. All cases in which the patient needed resuscitation were treated immediately. Emergency department use by patients with low acuity conditions that are potentially treatable in other settings must be addressed.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115544799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Jamal, E. Raml, Mazen O. Kurdi, Ettedal A. Aljahdali, Abdullah Y. Jamal
{"title":"Discontinuous-type splenogonadal fusion in abdominoscrotal hydrocele","authors":"Y. Jamal, E. Raml, Mazen O. Kurdi, Ettedal A. Aljahdali, Abdullah Y. Jamal","doi":"10.4197/med.25-1.7","DOIUrl":"https://doi.org/10.4197/med.25-1.7","url":null,"abstract":"","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125036513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Alhazmi, F. Alyami, R. Almannie, Jawaher S. Al-Emran, M. Hussain, Rana F. Alhumaemydi, Sara S. Aljebrin, Aljohara K. Aldhaish, M. Trbay
With the appropriate knowledge of the age to initiate toilet training and acknowledging the factors that influence it, parents can prevent many health issues related to voiding. Our study aimed to determine the average age of the initiation of toilet training among Saudi children and the factors that may affect this training. This study was carried out by distributing questionnaires to mothers who attended various clinics in our institute. A sample included 1000 healthy Saudi children. The mean age of the initiation of toilet training in healthy children was 25.6 ± 9.4 months while the median was 24 months, the mean duration of training was 6.3 ± 9.1 months. Most children (92%) were trained in the summer months. Mother’s educational level, number of siblings, and socioeconomic status were significant factors that affected the age of initiation. However, mother’s occupation, caregiver, and the order and gender of the child did not have a significant effect on the initiation of toilet training. The median age of toilet training among our children matched other studies. Summer seems to be the preferred season to initiate training.
{"title":"Age of Initiation and the Factors Associated with Toilet Training in Healthy Saudi Children","authors":"H. Alhazmi, F. Alyami, R. Almannie, Jawaher S. Al-Emran, M. Hussain, Rana F. Alhumaemydi, Sara S. Aljebrin, Aljohara K. Aldhaish, M. Trbay","doi":"10.4197/MED.25-1.3","DOIUrl":"https://doi.org/10.4197/MED.25-1.3","url":null,"abstract":"With the appropriate knowledge of the age to initiate toilet training and acknowledging the factors that influence it, parents can prevent many health issues related to voiding. Our study aimed to determine the average age of the initiation of toilet training among Saudi children and the factors that may affect this training. This study was carried out by distributing questionnaires to mothers who attended various clinics in our institute. A sample included 1000 healthy Saudi children. The mean age of the initiation of toilet training in healthy children was 25.6 ± 9.4 months while the median was 24 months, the mean duration of training was 6.3 ± 9.1 months. Most children (92%) were trained in the summer months. Mother’s educational level, number of siblings, and socioeconomic status were significant factors that affected the age of initiation. However, mother’s occupation, caregiver, and the order and gender of the child did not have a significant effect on the initiation of toilet training. The median age of toilet training among our children matched other studies. Summer seems to be the preferred season to initiate training.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130580919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Citation Altyar AE. Gastric bypass and absorption of antihypertensive medications. JKAU Med Sci 2018; 25 (1): 39-44. DOI: 10.4197/Med. 25.1.6 Abstract Little is known about the eff ects of gastric bypass on the absorption of prescription medications in the post-operative state. This poses a considerable clinical dilemma especially that the prevalence of morbid obesity continues to escalate in the United States of America, and as a result the number of gastric bypass procedures performed each year has similarly increased dramatically. The author presented a case of a 45-year-old male with refractory hypertension, secondary to mechanical complications after a Roux-en-Y gastric bypass procedure due to anatomical alteration contributing to pill retention and change in medications' pharmacokinetics. Investigations for secondary causes of hypertension were made, patient’s blood pressure had become exceedingly diffi cult to control after his Roux-en-Y gastric bypass procedure and had only been controlled with IV medications. Further investigations confi rmed the diagnosis of a mechanical gastrointestinal complication.
{"title":"Gastric Bypass and Absorption of Antihypertensive Medications","authors":"A. Altyar","doi":"10.4197/med.25-1.6","DOIUrl":"https://doi.org/10.4197/med.25-1.6","url":null,"abstract":"Citation Altyar AE. Gastric bypass and absorption of antihypertensive medications. JKAU Med Sci 2018; 25 (1): 39-44. DOI: 10.4197/Med. 25.1.6 Abstract Little is known about the eff ects of gastric bypass on the absorption of prescription medications in the post-operative state. This poses a considerable clinical dilemma especially that the prevalence of morbid obesity continues to escalate in the United States of America, and as a result the number of gastric bypass procedures performed each year has similarly increased dramatically. The author presented a case of a 45-year-old male with refractory hypertension, secondary to mechanical complications after a Roux-en-Y gastric bypass procedure due to anatomical alteration contributing to pill retention and change in medications' pharmacokinetics. Investigations for secondary causes of hypertension were made, patient’s blood pressure had become exceedingly diffi cult to control after his Roux-en-Y gastric bypass procedure and had only been controlled with IV medications. Further investigations confi rmed the diagnosis of a mechanical gastrointestinal complication.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130249468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Alghamdi, M. Abdelwahed, Abdulaziz Alghamdi, H. Marzouki, Ghadeer A. Mokhtar, S. Alkhayyat
Kikuchi–Fujimoto disease is a benign disease of self-limiting course characterized by lymphadenopathy that is often mistaken clinically as lymphoma or infectious lymphadenitis. To prevent such a mistake, a clinical and pathological correlation is recommended. In this retrospective study, we are documenting the clinical and pathological features of this disease through the last 15 years (2001-2016) in King Abdulaziz University Hospital; and comparing results with that of international findings. From a total number of 1805 lymph nodes sent for histopathological examination during that period, only 9 cases had been diagnosed as Kikuchi–Fujimoto disease. Three (33%) cases were 20 years old and under; five (56%) cases were in the ages between 20 to 40 years old and only one (11%) was above 40 years old. Eight (89%) cases were females. Regarding the outcome, all cases showed complete recovery and there was no recurrence. Only two histological phases were seen, namely proliferative and necrotizing phases.
{"title":"A Clinical and Pathological Study of Kikuchi–Fujimoto Disease in A University Hospital in Saudi Arabia","authors":"F. Alghamdi, M. Abdelwahed, Abdulaziz Alghamdi, H. Marzouki, Ghadeer A. Mokhtar, S. Alkhayyat","doi":"10.4197/MED.25-1.4","DOIUrl":"https://doi.org/10.4197/MED.25-1.4","url":null,"abstract":"Kikuchi–Fujimoto disease is a benign disease of self-limiting course characterized by lymphadenopathy that is often mistaken clinically as lymphoma or infectious lymphadenitis. To prevent such a mistake, a clinical and pathological correlation is recommended. In this retrospective study, we are documenting the clinical and pathological features of this disease through the last 15 years (2001-2016) in King Abdulaziz University Hospital; and comparing results with that of international findings. From a total number of 1805 lymph nodes sent for histopathological examination during that period, only 9 cases had been diagnosed as Kikuchi–Fujimoto disease. Three (33%) cases were 20 years old and under; five (56%) cases were in the ages between 20 to 40 years old and only one (11%) was above 40 years old. Eight (89%) cases were females. Regarding the outcome, all cases showed complete recovery and there was no recurrence. Only two histological phases were seen, namely proliferative and necrotizing phases.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128896743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Citation Alzahrani FM, Shaikh SS, and Rasheed MA. Frequency of ABO-rhesus blood groups in the western region of Saudi Arabia. JKAU Med Sci 2018; 25 (1): 9-13. DOI: 10.4197/Med. 25.1.2 Abstract The western region of Saudi Arabia is known as a multinational region with diff erent ethnic groups of people. This study aims to evaluate the ABO and rhesus blood groups among study subjects in the Western area of Saudi Arabia and their comparison with other regions of the Kingdom. It is a retrospective study. 35,388 participants were included. ABO blood grouping was done using tube method. Agglutination in any tube or hemolysis was considered as positive. Blood grouping was done by a preliminary fi nger prick, and was repeated again and a serum sample was obtained at the time of donation. Statistical Package for Social Sciences software was used for the data analysis. Results showed that the most common blood group is O, (50.1%) followed by A (29.7%), B (16%) and less frequent is AB (4.1%). Rhesus positive were 91.3%, while rhesus negative were 8.63%. These results demonstrate that the most common blood group in the Western province is O. Blood group A was noticed to be less frequent. Understanding the frequencies of the blood groups and their phenotypes is crucial for blood banking and for setting transfusion service protocols.
引证:Alzahrani FM, Shaikh SS和Rasheed MA。沙特阿拉伯西部地区abo -恒河猴血型的频率。中华医学会医学杂志2018;25(1): 9-13。DOI: 10.4197 /地中海。25.1.2摘要沙特阿拉伯西部地区是一个多民族聚居的地区。本研究旨在评估沙特阿拉伯西部地区研究对象的ABO和恒河猴血型，并与王国其他地区进行比较。这是一项回顾性研究。35,388名参与者被纳入研究。采用试管法进行ABO血型分型。任何一管凝集或溶血均为阳性。通过初步手指刺血进行血型鉴定，并在献血时再次进行血清检测。使用Statistical Package for Social Sciences软件进行数据分析。结果:O型血最常见(50.1%)，其次为A型(29.7%)，B型(16%)，AB型较少见(4.1%)。恒河鼠阳性占91.3%，阴性占8.63%。这些结果表明，在西部省份最常见的血型是o型血，而A型血的出现频率较低。了解血型及其表型的频率对血库和制定输血服务方案至关重要。
{"title":"Frequency of ABO-Rhesus Blood Groups in the Western Region of Saudi Arabia","authors":"F. Alzahrani, S. Shaikh, Muzaheed Abdul Rasheed","doi":"10.4197/med.25-1.2","DOIUrl":"https://doi.org/10.4197/med.25-1.2","url":null,"abstract":"Citation Alzahrani FM, Shaikh SS, and Rasheed MA. Frequency of ABO-rhesus blood groups in the western region of Saudi Arabia. JKAU Med Sci 2018; 25 (1): 9-13. DOI: 10.4197/Med. 25.1.2 Abstract The western region of Saudi Arabia is known as a multinational region with diff erent ethnic groups of people. This study aims to evaluate the ABO and rhesus blood groups among study subjects in the Western area of Saudi Arabia and their comparison with other regions of the Kingdom. It is a retrospective study. 35,388 participants were included. ABO blood grouping was done using tube method. Agglutination in any tube or hemolysis was considered as positive. Blood grouping was done by a preliminary fi nger prick, and was repeated again and a serum sample was obtained at the time of donation. Statistical Package for Social Sciences software was used for the data analysis. Results showed that the most common blood group is O, (50.1%) followed by A (29.7%), B (16%) and less frequent is AB (4.1%). Rhesus positive were 91.3%, while rhesus negative were 8.63%. These results demonstrate that the most common blood group in the Western province is O. Blood group A was noticed to be less frequent. Understanding the frequencies of the blood groups and their phenotypes is crucial for blood banking and for setting transfusion service protocols.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128299078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Citation Binmahfouz AS. Right breast metaplastic carcinoma with chondroid diff erentiation (chondrosarcoma). JKAU Med Sci 2015; 22 (4): 45-51. DOI: 10.4197/Med. 22.4.6 Abstract Metaplastic breast cancer is rare, representing < 5% of breast cancer (only eight cases have been reported so far). We present here a 42-year-old female complaining of a painless lump in the right breast for the previous two months. Physical examination revealed a palpable mass. Lumpectomy was performed and histopathologic examination revealed metaplastic breast carcinoma with foci of chondrosarcoma. The patient received adjuvant radiation therapy and chemotherapy and is currently following up as an outpatient. We also discuss diff erent imaging diagnostic features of this specifi c type of breast cancer using mammography, ultrasonography, and magnetic resonance imaging.
{"title":"Right Breast Metaplastic Carcinoma with Chondroid Diff erentiation (Chondrosarcoma)","authors":"A. Binmahfouz","doi":"10.4197/med.22-4.6","DOIUrl":"https://doi.org/10.4197/med.22-4.6","url":null,"abstract":"Citation Binmahfouz AS. Right breast metaplastic carcinoma with chondroid diff erentiation (chondrosarcoma). JKAU Med Sci 2015; 22 (4): 45-51. DOI: 10.4197/Med. 22.4.6 Abstract Metaplastic breast cancer is rare, representing < 5% of breast cancer (only eight cases have been reported so far). We present here a 42-year-old female complaining of a painless lump in the right breast for the previous two months. Physical examination revealed a palpable mass. Lumpectomy was performed and histopathologic examination revealed metaplastic breast carcinoma with foci of chondrosarcoma. The patient received adjuvant radiation therapy and chemotherapy and is currently following up as an outpatient. We also discuss diff erent imaging diagnostic features of this specifi c type of breast cancer using mammography, ultrasonography, and magnetic resonance imaging.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128058815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Citation Gholman RR, El Meligy OE. Multidisciplinary treatment approach of a patient with amelogenesis imperfecta superimposed by thumb sucking habit: a case report. JKAU Med Sci 2017; 24 (4): 31-39. DOI: 10.4197/Med. 24.4.5 Abstract A seven-year-old boy was presented with discontent of his teeth appearance, mild teeth sensitiveness, bad masticatory eff ectiveness, diffi culty in speech and low self-esteem. The clinical and radiographic results indicated amelogenesis imperfecta. Because of uncooperative behavior, treatment was accomplished under general anesthesia. The use of composite resin and stainless steel crowns produced eff ective and satisfying improvement of the patient’s aesthetic looks, in addition to prevention of further sensitivity and wear so enhancing his functional needs. The lastingness of the thorough management of this patient needed powerful stress on careful oral hygiene. There is a major role of multidisciplinary team to the eff ective management of patients with hypomaturation type of amelogenesis imperfecta. Many factors have a signifi cant part in treatment planning of amelogenesis imperfecta cases such as patient’s age, socioeconomic condition, seriousness of the defect, the patient’s collaboration and association with other medical conditions.
引用本文:Gholman RR, El Meligy OE。多学科治疗合并吸吮拇指习惯的淀粉性发育不全1例。中华医学会医学杂志2017;24(4): 31-39。DOI: 10.4197 /地中海。24.4.5摘要1例7岁男孩牙齿外观不满意，牙齿轻度敏感，咀嚼效果差，言语困难，自尊心低。临床及影像学表现为无胚性发育不全。由于不合作行为，治疗在全身麻醉下完成。复合树脂和不锈钢冠的使用有效地改善了患者的美观，除了防止进一步的敏感和磨损，从而提高了他的功能需求。该患者的彻底治疗的持久性需要强有力的强调口腔卫生。多学科团队对低不饱和型变性不全患者的有效治疗起着重要作用。患者的年龄、社会经济条件、缺陷的严重程度、患者的配合情况以及与其他医疗条件的关联等因素对变性不完全性病例的治疗计划有重要影响。
{"title":"Multidisciplinary Treatment Approach of a Patient with Amelogenesis Imperfecta Superimposed by Thumb Sucking Habit: A Case Report","authors":"Raed R Gholman, O. Meligy","doi":"10.4197/med.24-4.5","DOIUrl":"https://doi.org/10.4197/med.24-4.5","url":null,"abstract":"Citation Gholman RR, El Meligy OE. Multidisciplinary treatment approach of a patient with amelogenesis imperfecta superimposed by thumb sucking habit: a case report. JKAU Med Sci 2017; 24 (4): 31-39. DOI: 10.4197/Med. 24.4.5 Abstract A seven-year-old boy was presented with discontent of his teeth appearance, mild teeth sensitiveness, bad masticatory eff ectiveness, diffi culty in speech and low self-esteem. The clinical and radiographic results indicated amelogenesis imperfecta. Because of uncooperative behavior, treatment was accomplished under general anesthesia. The use of composite resin and stainless steel crowns produced eff ective and satisfying improvement of the patient’s aesthetic looks, in addition to prevention of further sensitivity and wear so enhancing his functional needs. The lastingness of the thorough management of this patient needed powerful stress on careful oral hygiene. There is a major role of multidisciplinary team to the eff ective management of patients with hypomaturation type of amelogenesis imperfecta. Many factors have a signifi cant part in treatment planning of amelogenesis imperfecta cases such as patient’s age, socioeconomic condition, seriousness of the defect, the patient’s collaboration and association with other medical conditions.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"32 7-8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131520251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The main aim of augmentation mastopexy is to obtain harmonic relation between breast volumes, shape and scar. There are several variations of the modified breast lift, including circumareolar and circumvertical techniques, each of which has its own unique characteristics and approaches. The aim of this retrospective study was to evaluate and compare the uses of circumareolar (n = 55, 27.20%) versus circumvertical (n = 147, 72.80%) augmentation-mastopexy in 202 women over a 10 years period. Results showed that 28 patients (50.90%) with circumareolar augmentation-mastopexy need revised surgery due to undesired breast shape (n = 24, 43.60%), stretched areola (n = 17, 30.90%) and bad scar (n =9, 16.40%); while 32 patients (22.40%) with circumvertical augmentation-mastopexy need revised surgery due to secondary ptosis (n = 29, 19.70%), large areola (n =3, 2.00%) and unpleasant vertical scar (n = 13, 8.80%). The present study concluded that circumareolar augmentation-mastopexy procedure showed less satisfactory results with undesirable breast and areola shape and bad scars, while circumvertical augmentation-mastopexy gives better results for the areola and breast shape with less potential revision.
{"title":"Circumareolar Versus Circumvertical Mastopexy with Augmentation","authors":"B. Awan","doi":"10.4197/med.24-4.4","DOIUrl":"https://doi.org/10.4197/med.24-4.4","url":null,"abstract":"The main aim of augmentation mastopexy is to obtain harmonic relation between breast volumes, shape and scar. There are several variations of the modified breast lift, including circumareolar and circumvertical techniques, each of which has its own unique characteristics and approaches. The aim of this retrospective study was to evaluate and compare the uses of circumareolar (n = 55, 27.20%) versus circumvertical (n = 147, 72.80%) augmentation-mastopexy in 202 women over a 10 years period. Results showed that 28 patients (50.90%) with circumareolar augmentation-mastopexy need revised surgery due to undesired breast shape (n = 24, 43.60%), stretched areola (n = 17, 30.90%) and bad scar (n =9, 16.40%); while 32 patients (22.40%) with circumvertical augmentation-mastopexy need revised surgery due to secondary ptosis (n = 29, 19.70%), large areola (n =3, 2.00%) and unpleasant vertical scar (n = 13, 8.80%). The present study concluded that circumareolar augmentation-mastopexy procedure showed less satisfactory results with undesirable breast and areola shape and bad scars, while circumvertical augmentation-mastopexy gives better results for the areola and breast shape with less potential revision.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131141819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Abdel-Meguid, A. Al-Sayyad, A. Tayib, H. Farsi, H. Mosli, M. Sait, A. Abdelsalam
We prospectively evaluated efficacy and adverse effects of intraprostatic injections of onabotulinumtoxinA to treat premature ejaculation. Twenty-four men ≥19 years-old with premature ejaculation for ≥ 6 months and intravaginal ejaculation latency time ≤ 2 minutes underwent transurethral intraprostatic injections of onabotulinumtoxinA (100 U). Primary endpoint was change of intravaginal ejaculation latency time at 3-months. Secondary endpoints included changes in premature ejaculation profile and patient-reported global impression of change (PGI). Mean baseline ejaculation latency time has significantly increased at 1-, 3- and 6-months, respectively. In premature ejaculation profile “perceived control over ejaculation”, significant improvement was reported at 3-months, while non-significant changes were reported at 1- and 6-months. Patients reported non-significant changes of “personal distress related to ejaculation” and “interpersonal difficulty related to ejaculation”. Only 8.3%, 12.5% and 12.5% of men reported “better” at 1-, 3- and 6-months, respectively, while all other patients reported “no change” or “slightly better” in patient-reported global impression of change. No serious adverse effects were observed. Improvements of intravaginal ejaculation latency time were not clinically meaningful, as most men reported “no change” or “slightly better” in patient-reported global impression of change. These marginal improvements did not support using onabotulinumtoxinA intraprostatic injections to remedy premature ejaculation.
{"title":"Can Intraprostatic Injection of OnabotulinumtoxinA be Benefi cial to Treat Premature Ejaculation? Results of a Prospective Study","authors":"T. Abdel-Meguid, A. Al-Sayyad, A. Tayib, H. Farsi, H. Mosli, M. Sait, A. Abdelsalam","doi":"10.4197/med.24-4.1","DOIUrl":"https://doi.org/10.4197/med.24-4.1","url":null,"abstract":"We prospectively evaluated efficacy and adverse effects of intraprostatic injections of onabotulinumtoxinA to treat premature ejaculation. Twenty-four men ≥19 years-old with premature ejaculation for ≥ 6 months and intravaginal ejaculation latency time ≤ 2 minutes underwent transurethral intraprostatic injections of onabotulinumtoxinA (100 U). Primary endpoint was change of intravaginal ejaculation latency time at 3-months. Secondary endpoints included changes in premature ejaculation profile and patient-reported global impression of change (PGI). Mean baseline ejaculation latency time has significantly increased at 1-, 3- and 6-months, respectively. In premature ejaculation profile “perceived control over ejaculation”, significant improvement was reported at 3-months, while non-significant changes were reported at 1- and 6-months. Patients reported non-significant changes of “personal distress related to ejaculation” and “interpersonal difficulty related to ejaculation”. Only 8.3%, 12.5% and 12.5% of men reported “better” at 1-, 3- and 6-months, respectively, while all other patients reported “no change” or “slightly better” in patient-reported global impression of change. No serious adverse effects were observed. Improvements of intravaginal ejaculation latency time were not clinically meaningful, as most men reported “no change” or “slightly better” in patient-reported global impression of change. These marginal improvements did not support using onabotulinumtoxinA intraprostatic injections to remedy premature ejaculation.","PeriodicalId":287732,"journal":{"name":"Journal of King Abdulaziz University-medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129217520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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