{"title":"THE EFFECT OF EARLY VERSUS LATE TRACHEOSTOMY ON DURATION OF MECHANICAL VENTILATION AND INTENSIVE CARE UNIT STAY IN TRAUMATIC BRAIN INJURY PATIENTS","authors":"Doaa Abdul-Samad, Abdul-Razzaq Alrubaye, Duraid Altameemi","doi":"10.33762/bsurg.2021.168437","DOIUrl":"https://doi.org/10.33762/bsurg.2021.168437","url":null,"abstract":"","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42347451","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}
Pub Date : 2021-06-30DOI: 10.33762/bsurg.2021.168440
A. Redha, A. Jaber, A. Nassir
{"title":"STAPLES VS SUBCUTICULAR SUTURES FOR SKIN CLOSURE IN INGUINAL HERNIA REPAIR: A COMPARATIVE STUDY","authors":"A. Redha, A. Jaber, A. Nassir","doi":"10.33762/bsurg.2021.168440","DOIUrl":"https://doi.org/10.33762/bsurg.2021.168440","url":null,"abstract":"","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44455763","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}
Pub Date : 2021-06-30DOI: 10.33762/bsurg.2021.168434
H. Abdulsamad, Mazin Al-Hawwaz
{"title":"RISK FACTORS FOR THE DEVELOPMENT OF BRAIN METASTASES IN PATIENTS WITH METASTATIC BREAST CANCER","authors":"H. Abdulsamad, Mazin Al-Hawwaz","doi":"10.33762/bsurg.2021.168434","DOIUrl":"https://doi.org/10.33762/bsurg.2021.168434","url":null,"abstract":"","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41777818","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}
Pub Date : 2020-12-21DOI: 10.1007/978-3-030-54088-3_26
Ahmed M. Al-Abbasi, Sabah A Al-Uraibi, Saddam S Atshan
{"title":"FUNCTIONAL ENDOSCOPIC SINUS SURGERY","authors":"Ahmed M. Al-Abbasi, Sabah A Al-Uraibi, Saddam S Atshan","doi":"10.1007/978-3-030-54088-3_26","DOIUrl":"https://doi.org/10.1007/978-3-030-54088-3_26","url":null,"abstract":"","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43554780","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}
Pub Date : 2020-12-21DOI: 10.33762/bsurg.2020.167422
T. Hamdan, D. Lui
Sadly, despite all the precautions given by (NHS) it is still occurring till now, and will continue to happen even in the best medical centers all over the globe. Our dear patients put their trust and life in our clinical hands and judgment so we must strive to make surgery fruitful and safe as much as possible. Certainly, it never happens if health care providers have implemented existing guidance, safety recommendations, and applies the surgical checklist given by the WHO. The NHS recorded between April 2012 and March 2013 about 290 never events. Out of these, 130 surgical retained foreign objects including: 47 Vaginal swab, tampon, cotton wool, 34 Surgical swab, 11 Instruments, 6 Guide wire–central line, 5 Laparoscopic specimen bag (with specimen), 4 Surgical drain, 3 Glove remnant, 2 Pins, 2 Surgical needle, 2 Drill guide, 2 Guide wire–chest drain, 2 Throat pack, 2 Unknown, 2 Part of broken instrument, 1 Hypodermic needle, 1 Nasal tampon (used for a laparoscopic procedure), 1 Anterior cruciate ligament implant, 1 Guide wire–femoral line, 1 Guide wire–shoulder surgery, and 1 Silicone tubing. There were 83 wrong site surgery including; 26 Wrong side, 21 Wrong tooth, 12 Wrong procedure, 24 Wrong implant or prosthesis including eye lenses, knee prosthesis and much more. Probably the number is higher in the United States. Never events rarely happen if the surgeon is competent, with good skill, have wise judgment, good ethical background, and backed by a well-trained surgical team. Surgical events are; wrong site surgery, wrong patient, wrong technique, or even wrong surgeon leaving foreign material before closing the skin, inserting wrong material such as prosthesis or implant.
{"title":"SURGICAL NEVER EVENTS; SHOULD NEVER HAPPEN (Patient safety is a top priority)","authors":"T. Hamdan, D. Lui","doi":"10.33762/bsurg.2020.167422","DOIUrl":"https://doi.org/10.33762/bsurg.2020.167422","url":null,"abstract":"Sadly, despite all the precautions given by (NHS) it is still occurring till now, and will continue to happen even in the best medical centers all over the globe. Our dear patients put their trust and life in our clinical hands and judgment so we must strive to make surgery fruitful and safe as much as possible. Certainly, it never happens if health care providers have implemented existing guidance, safety recommendations, and applies the surgical checklist given by the WHO. The NHS recorded between April 2012 and March 2013 about 290 never events. Out of these, 130 surgical retained foreign objects including: 47 Vaginal swab, tampon, cotton wool, 34 Surgical swab, 11 Instruments, 6 Guide wire–central line, 5 Laparoscopic specimen bag (with specimen), 4 Surgical drain, 3 Glove remnant, 2 Pins, 2 Surgical needle, 2 Drill guide, 2 Guide wire–chest drain, 2 Throat pack, 2 Unknown, 2 Part of broken instrument, 1 Hypodermic needle, 1 Nasal tampon (used for a laparoscopic procedure), 1 Anterior cruciate ligament implant, 1 Guide wire–femoral line, 1 Guide wire–shoulder surgery, and 1 Silicone tubing. There were 83 wrong site surgery including; 26 Wrong side, 21 Wrong tooth, 12 Wrong procedure, 24 Wrong implant or prosthesis including eye lenses, knee prosthesis and much more. Probably the number is higher in the United States. Never events rarely happen if the surgeon is competent, with good skill, have wise judgment, good ethical background, and backed by a well-trained surgical team. Surgical events are; wrong site surgery, wrong patient, wrong technique, or even wrong surgeon leaving foreign material before closing the skin, inserting wrong material such as prosthesis or implant.","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46405021","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}
Pub Date : 2020-12-15DOI: 10.33762/bsurg.2020.167512
M. A. Mohammad, Firas S Attar, Khaldon Sadek Alkhateep
{"title":"THE OUTCOME OF LONGITUDINAL DORSAL ISLAND FLAP FOR REPAIR OF HYPOSPADIAS IN CIRCUMCISED PATIENTS AND THOSE WITH FAILED PREVIOUS REPAIR","authors":"M. A. Mohammad, Firas S Attar, Khaldon Sadek Alkhateep","doi":"10.33762/bsurg.2020.167512","DOIUrl":"https://doi.org/10.33762/bsurg.2020.167512","url":null,"abstract":"","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42882771","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}
Pub Date : 2020-12-15DOI: 10.33762/bsurg.2020.167509
R. Lafta, H. Habeeb
The increased incidence of caesarean section has got an important issue in the recent researches in obstetrics. The evaluation of the condition and factors that make a decision for an operation still a main challenge to both doctors and patients in evaluating benefits and risk factors both pre and post-operative to the mother and the baby. Continuous studies all over the world are still in run focusing on this problem. World Health Organization reported an incidence lower than 15% to be accepted. Almost all countries still recording higher rates, both in developed and developing countries. This study has aimed to spotlight the problem in the main teaching obstetrics and gynecology hospital in Basrah, calculating the rate and risk factors associated with caesarean section which, similar to other countries, the rate is growing up. A retrospective study was conducted to review the statistical data during the last ten years calculating the incidence rate of caesarean operations, reviewing the data of 700 first caesarean operations in year 2019 to assess the main causes for an operation. It was clear that the rate of caesarean section has increased during the period from 2010 to 2019 from 24.2% to 38.5% with a study increment in both the total number of birth and the operation rate. The main reasons for operation were; repeated caesarean after a previous one in nearly 50%, while for a first caesarean, the causes were; failure to progress in 35%, infertility in 20.4%, breech presentation in 14.4%, meconium in 8.2%, cephalopelvic disproportion in 7%, and elevated blood pressure in 4%. In conclusion, the decision for an operation is still a challenge to both doctors and patients, the included reasons for an operation are; patient background, fear of labor pain, advances in anesthesia, private sectors and family economic situations, all interacts with the obstetrical, gynecological and medical risk factors for an operation leading to an increasing rate of caesarean operations. Clear criteria are still in need with more expanded studies to reduce the rate, taking in account all the possible post-operative complications.
{"title":"CAESAREAN SECTION: TIME TREND AND RISK FACTORS","authors":"R. Lafta, H. Habeeb","doi":"10.33762/bsurg.2020.167509","DOIUrl":"https://doi.org/10.33762/bsurg.2020.167509","url":null,"abstract":"The increased incidence of caesarean section has got an important issue in the recent researches in obstetrics. The evaluation of the condition and factors that make a decision for an operation still a main challenge to both doctors and patients in evaluating benefits and risk factors both pre and post-operative to the mother and the baby. Continuous studies all over the world are still in run focusing on this problem. World Health Organization reported an incidence lower than 15% to be accepted. Almost all countries still recording higher rates, both in developed and developing countries. This study has aimed to spotlight the problem in the main teaching obstetrics and gynecology hospital in Basrah, calculating the rate and risk factors associated with caesarean section which, similar to other countries, the rate is growing up. A retrospective study was conducted to review the statistical data during the last ten years calculating the incidence rate of caesarean operations, reviewing the data of 700 first caesarean operations in year 2019 to assess the main causes for an operation. It was clear that the rate of caesarean section has increased during the period from 2010 to 2019 from 24.2% to 38.5% with a study increment in both the total number of birth and the operation rate. The main reasons for operation were; repeated caesarean after a previous one in nearly 50%, while for a first caesarean, the causes were; failure to progress in 35%, infertility in 20.4%, breech presentation in 14.4%, meconium in 8.2%, cephalopelvic disproportion in 7%, and elevated blood pressure in 4%. In conclusion, the decision for an operation is still a challenge to both doctors and patients, the included reasons for an operation are; patient background, fear of labor pain, advances in anesthesia, private sectors and family economic situations, all interacts with the obstetrical, gynecological and medical risk factors for an operation leading to an increasing rate of caesarean operations. Clear criteria are still in need with more expanded studies to reduce the rate, taking in account all the possible post-operative complications.","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48534465","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}
Pub Date : 2020-12-15DOI: 10.33762/bsurg.2020.167510
T. Hamdan, Mofeed Y Alwaaly
{"title":"NONUNION OF LONG BONES IN BASRAH; EVALUATION AND MANAGEMENT","authors":"T. Hamdan, Mofeed Y Alwaaly","doi":"10.33762/bsurg.2020.167510","DOIUrl":"https://doi.org/10.33762/bsurg.2020.167510","url":null,"abstract":"","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43587364","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}
Pub Date : 2020-12-15DOI: 10.33762/bsurg.2020.167515
M Muhammed, Adnan Adafa AL-Adham, Mohammed Fawzi Hamza
Premature ejaculation (PE) is the most common sexual dysfunction compliant in about 35 to 45% of men younger than 40 years. In this study, the efficacy of two drugs (Fluoxetine and Citalopram) which are selective serotonin reuptake inhibitors (SSRI) used for treatment of patients suffering from PE is evaluated. The effectiveness of both drugs in PE patients was studied with different protocol to find out the most effective drugs with least side effect. A total of 93 patients were referred to the Urology Clinic in Basrah Teaching Hospital for the treatment of PE. Patients were randomly divided into two groups; Patients in group 1 (N=49) received 40mg (2 capsules of 20mg) fluoxetine daily for 4 weeks, and patients in group 2 (N=44) received 40mg citalopram daily for 4 weeks. The mean intravaginal ejaculation latency time (IVELT) before treatment in patient of group 1 was 65.81±27.63 seconds, while after treatment it raised to 311.47± 43.29 seconds. In group 2, the mean IVELT before treatment was 61.42±32.65 seconds, while after treatment it raised to 293.15± 51.72 seconds. In conclusion, both drugs (Fluoxetine and Citalopram) improved ejaculation duration significantly.
{"title":"EFFICACY OF SELECTIVE SEROTONIN REUPTAKE INHIBITORS IN PATIENTS WITH PREMATURE EJACULATION","authors":"M Muhammed, Adnan Adafa AL-Adham, Mohammed Fawzi Hamza","doi":"10.33762/bsurg.2020.167515","DOIUrl":"https://doi.org/10.33762/bsurg.2020.167515","url":null,"abstract":"Premature ejaculation (PE) is the most common sexual dysfunction compliant in about 35 to 45% of men younger than 40 years. In this study, the efficacy of two drugs (Fluoxetine and Citalopram) which are selective serotonin reuptake inhibitors (SSRI) used for treatment of patients suffering from PE is evaluated. The effectiveness of both drugs in PE patients was studied with different protocol to find out the most effective drugs with least side effect. A total of 93 patients were referred to the Urology Clinic in Basrah Teaching Hospital for the treatment of PE. Patients were randomly divided into two groups; Patients in group 1 (N=49) received 40mg (2 capsules of 20mg) fluoxetine daily for 4 weeks, and patients in group 2 (N=44) received 40mg citalopram daily for 4 weeks. The mean intravaginal ejaculation latency time (IVELT) before treatment in patient of group 1 was 65.81±27.63 seconds, while after treatment it raised to 311.47± 43.29 seconds. In group 2, the mean IVELT before treatment was 61.42±32.65 seconds, while after treatment it raised to 293.15± 51.72 seconds. In conclusion, both drugs (Fluoxetine and Citalopram) improved ejaculation duration significantly.","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44354164","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}
Pub Date : 2020-12-15DOI: 10.33762/bsurg.2020.167514
H. Almoamin, A. Saleh, A. Majeed, H. Saleh
Wilms tumor is the commonest renal tumor in children. This study aimed to evaluate the characteristics, diagnosis, treatment, and outcome of Wilms tumor in pediatric age group and to analyze factors affecting the outcome. This retrospective study included 61 children younger than 15 years with Wilms tumor who were managed at Basrah Children Specialty Hospital during the period between 2011 and 2016. Patients` characteristics, mode of diagnosis, treatment modalities, complications, relapse, and outcome were all reviewed. The results showed that Wilms tumor was the commonest tumor affecting the kidneys (85%). The median age of onset was 30 months, and mostly in children aged 2-4 years. The most common presenting feature was abdominal mass (44.3%). Twenty three patients were diagnosed as stage 1 (37.7%). Favorable histology Wilms tumor was encountered in only 65.6%. Tumor relapse was seen in 12 patients (19.7%), eight of them died (66.7%). The overall 2-year survival was 70.5% (43 cases). In conclusion, Wilms tumor is the most common renal tumor with high rate of unfavorable histology (anaplasia) in our society. Stage I tumor is the predominant stage but unfortunately carries a relatively high mortality. Advanced stages still represent a significant proportion which may reflect poor awareness and delayed diagnosis which thereafter worsens the outcome. Advanced stages, presence of anaplasia, and tumor relapse are the major factors affecting survival of children with Wilms tumor.
{"title":"CLINICAL EXPERIENCE IN THE MANAGEMENT OF PEDIATRIC WILMS TUMOR","authors":"H. Almoamin, A. Saleh, A. Majeed, H. Saleh","doi":"10.33762/bsurg.2020.167514","DOIUrl":"https://doi.org/10.33762/bsurg.2020.167514","url":null,"abstract":"Wilms tumor is the commonest renal tumor in children. This study aimed to evaluate the characteristics, diagnosis, treatment, and outcome of Wilms tumor in pediatric age group and to analyze factors affecting the outcome. This retrospective study included 61 children younger than 15 years with Wilms tumor who were managed at Basrah Children Specialty Hospital during the period between 2011 and 2016. Patients` characteristics, mode of diagnosis, treatment modalities, complications, relapse, and outcome were all reviewed. The results showed that Wilms tumor was the commonest tumor affecting the kidneys (85%). The median age of onset was 30 months, and mostly in children aged 2-4 years. The most common presenting feature was abdominal mass (44.3%). Twenty three patients were diagnosed as stage 1 (37.7%). Favorable histology Wilms tumor was encountered in only 65.6%. Tumor relapse was seen in 12 patients (19.7%), eight of them died (66.7%). The overall 2-year survival was 70.5% (43 cases). In conclusion, Wilms tumor is the most common renal tumor with high rate of unfavorable histology (anaplasia) in our society. Stage I tumor is the predominant stage but unfortunately carries a relatively high mortality. Advanced stages still represent a significant proportion which may reflect poor awareness and delayed diagnosis which thereafter worsens the outcome. Advanced stages, presence of anaplasia, and tumor relapse are the major factors affecting survival of children with Wilms tumor.","PeriodicalId":52765,"journal":{"name":"Basrah Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43883672","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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