AIM: To analyse our experiences in the management of traumatic retroperitoneal hematoma (RPH), highlighting the various challenges faced and to report on the outcome of these patients. METHODS: From May 2014 to May 2017, all patients with traumatic RPH who underwent surgical treatment were retrospectively analysed. The kind of injury, intraoperative findings, sites of hematoma, postoperative morbidity and the overall outcomes were recorded. RESULTS: Ninety-six patients; 53 with blunt trauma and 43 with penetrating injury, were included in this study. The centre-medial hematoma was observed in 24 (25%) patients, lateral hematoma in 46 (47.9%) patients, pelvic hematoma in 19 (19.8%) patients, and multiple zone hematomas in 7 (7.3%) patients. All cases were managed surgically. Exploration of the retroperitoneal space was done in 72 cases. Thirty-three patients died, and the overall death rate was 34.4%. CONCLUSION: Surgical exploration should be done in RPH caused by penetrating injury, but the need for urgent exploration in blunt injury is not so high, and it depends on the anatomical site of hematoma, concomitant organ injury and the hemodynamic status of patients.
Background: The World Health Organization (WHO) has announced that coronavirus covid-19 is a pandemic. The first case of covid-19 was confirmed in Iraq on the 24th of February 2020, which was of an international student who travelled recently to Iraq. This review is the universal data analysis of the first 40-days of coronavirus covid-19 patients admitted to Medical City Teaching Hospital (MCTH) including their clinical outcome.
Objective: We have conducted this study to describe the first 40-days experience in management of corona virus covid-19 and the clinical outcomes of patients treated with a protocol adopted in the first of March 2020 (described in the attachment).
Background: Hereditary renal tubular disorders (HRTDs) encompass various clinical syndromes and most of them have profound effects on child's growth and development,.
Patients and methods: We reviewed the medical records of eighty children (48 males and 32 females) seen over an eight years period from (sep.2004-may2012) at children welfare teaching hospital.Objectives: was to review our experience at children welfare teaching hospital in Baghdad with the various types of HRTDs and delineate the spectrum of clinical expression and outcome.
Results: The distribution of patients according to HRTD was as follows: (56.25%) proximal RTA (pRTA), (30 %) distal re
... Show MoreBackground:
Background: Neonatal intensive care unit infants frequently experience acute kidney damage. Estimates of the prevalence of acute kidney vary depending on the definitions used. In Iraq, studies addressing the prevalence and risk factors of acute kidney injury in this age group are scarce, none of which has implicated the KDIGO diagnostic and staging criteria.
Objectives: To describe the prevalence, demographics, risk factors, etiology, and staging of acute kidney injury using KDIGO criteria in the Neonatal intensive care unit and correlate these findings with patient outcomes.
Methods: A retrospective study was conducted in the Neonatal Intensive Care Unit/ CWTH/ Medical Cit
... Show MoreBackground: Changes of coagulation profile have been described in patients with B-Thalassemia major. Prolongation of prothrombin time and partial thromboplastin time and reduced levels of coagulation factors and natural anticoagulants have been variously described though the mechanisms involved in the thrombotic tendency seen in some Thalassemia patients have not been fully clarified.
Objectives: To investigate changes in the coagulation profile in patients with B-Thalassemia according to the available hemostatic parameters in Thalassemia patients in Al-Karama Teaching Hospital in Wasit governorate.
Methods: Hemostatic variables were studied in pre-transfusion blood samples from 50 transfusion-dependent children with Beta Thalassem
Background: Peritoneal dialysis (PD) is the preferred and convenient treatment modality for acute renal failure (ARF) in children and hemodynamically unstable patients, because of its inherent advantages: technique can be initiated simply and quickly, no highly trained personnel nor expensive and complex apparatus are required and systemic anticoagulation is not needed.
Objectives: is to highlight the role of peritoneal dialysis in management of children with acute renal failure and to determined its complications.
Patients and methods: A retrospective study was carried out from 20th April 2012 till1st May 2014 ,on children with acute renal failure admitted to nephrology unit in Child Welfare Teaching Hospi
Background: cardiac myxoma is the most frequent primary cardiac tumour comprising 30 to 50%, they are benign tumours. They are most often reported in women in the third to sixth decade of life.
Objectives: is to evaluate the incidence of surgery of cardiac myxomas and their presentation and outcome in IbnAl-NafeesTeaching hospital over 10 years.
Patient and Methods: This is a retrospective study that was conducted in Ibn Al-Nafees Hospital from January 2005 to December 2014 on patients with cardiac myxoma. Twenty-five patients diagnosed pre-operatively as having cardiac myxoma, they were admitted to the hospital and underwent clinical evaluation, investigation, and surgical treatment.
Result: Cardiac myxomas constituted 1% of th
Background: There is controversy among neurosurgeons whether double Burr Hole craniostomy is better than single Burr Hole, craniostomy in the management of chronic subdural hematoma in terms of lower recurrence rate and complications.
Objective: To assess the outcome and complications including revision rate using Single Burr Hole Craniostomy in the treatment of chronic subdural hematoma (CSDH).
Patients and Methods: This is a retrospective study of 42 cases of chronic subdural hematoma who underwent Single Burr Hole Craniostomy(SBHC) from jan.2012 to jan.2014, preoperative,intraoperative and postoperative data were collected including neurological status ,Brain CT-scan findings, postoperative complications ,recurrent rate and neur
Background: acute abdominal pain is one of the most common presentations in surgical wards. Ultrasound has been grown in popularity as an easy, quick and non-invasive imaging the abdomen. US is very useful means of non-invasively, modality for assessment of acute abdominal pain.
Objective: Study of the most common acute none traumatic abdominal diseases in adult patients admitted to Baghdad Teaching Hospital in department of surgery .Correlate the operative findings with sonographic features as to make the initial diagnosis of the diseases included in this study. Compare the diagnostic yield of abdominal ultrasound with that of computed tomography (CT).
Methods :The present study included eighty nine consec