Background: Myelomeningocele is the single most common congenital anomaly that affects the CNS
and vertebral column. The third world countries having a higher incidence. The management is usually
surgical with relative high incidence of complications.
Objectives: to evaluate the possible risk factors that may predispose to early wound complications of
myelomeningocele.
Methods: This prospective study was carried out in the Surgical Specialization Hospital in Medical City
Complex - Baghdad from 2009-2012. 147 cases were included in the study. Requested data were
gestational age, type of delivery, gender, age at operation, type of suturing of the wound, tension of
suturing, duration of operation, site of the lesion, ruptured vs non ruptured myelomeningocele, associated
shunting, peri-operative stay in hospital and associated jaundice.
Result: Forty four (44 %) of the total developed complications. All premature infants developed
complications. Hydrocephalic cases was associated with higher rate of complication (86%). Type of
delivery, age at operation, duration of operation, ruptured cases and site of the lesion were not associated
with complications.
Conclusion: Myelomeningocele was predominantly affecting female. Most of the complications were
wound infection with or without dehiscence, CSF leakage or seroma.
The rate of births delivered by cesarean section (CS) has gone up substantially all over the world. Post-cesarean surgical site infection (SSI) is a common cause of maternal morbidity and mortality that results in prolonged period of hospitalization with increased cost and direct health implications, especially in low socioeconomic population, resource- restricted settings, and war- related conditions with internal forced movement. This study was aimed to find incidence of post cesarean section surgical site infection withthe accompanying risk factors.Pregnant ladies admitted to department of obstetrics and gynecology at Medical City Hospital in Baghdad who had undergone CSs were followed up prospectively from first of January 2017 till end
... Show MoreBackground: Mesh infection after hernia repair is a devastating complication. Preoperative prediction of high risk patients may be useful to avoid infections. This study aims at evaluating risk factors for mesh related wound infection in our setting.
Patients and methods: This prospective cohort analysis study included 120 patients underwent ventral hernioplasty with polypropylene mesh from October 2009 to February 2013 at Baghdad Teaching Hospital. Clinical data analyzed to determine risk factors of mesh related wound infection.
Results: After one year follow up for each of 120; 21 patients (17.5%) developed mesh related wound infection. Predictors of infection were: age ≥ 45 years, BMI≥35 kg/m2, diabetes mellitus, past histor
Objectives: The study aims to assess some of the contributing factors to abdominal postoperative wound infection and
to find out the relationship between postoperative wound infections and some socio-demographic characteristics such as
age, gender, level of education, occupation and residential area.
Methodology: A descriptive study was carried out in Sulaimani Teaching Hospital (Kurdistan Region). The study has
started from January 15th up to October 31th, 2009. To achieve the study objectives, a purposive "non probability"
sample of (100) patients who have abdominal postoperative wound infection, Adult female and male patients who were
admitted to Sulaimani Teaching Hospital was selected.
The data were collected th
Background: One of the major health concerns and possible risk factors in open heart surgery is the increasing prevalence of obesity among patients.
Methodology: Over a period of sixteen months (February 2017 to June 2018), 246 patients underwent coronary artery bypass graft surgery (CABG) in Slemani Cardiac Hospital (SCH). The patients were divided according to the WHO classification into two groups: The obese (BMI ≥ 30) and the non-obese (BMI < 30) and were compared in regard to the rate of occurrence of early postoperative complications.
Objective: To evaluate the impact of obesity [body mass i
... Show MoreBackground: Venous thromboembolic (VTE) disease with i t ' s h i g h morbidity and mo r t a l i t y is currently one of the most serious postoperative complication, (DVT) can lead to
fatal pulmonary embolism (PE). or the development of post thrombotic syndrome.
Patients and methods: This is a prospective study which was carried on 85 patients had s i n g l e lower l i m b open fracture with no other major i n j u r i e s in other sites of body
(with the exception of superficial wounds or b r u i s e s ) .They were d i v i d e d i n t o groups according to age, gender, weight, type of fracture, methods of immobilization, duration of
h o s p i t a l i z a t i o n , duration of operation. All the patients includin
The aim of the study was to evaluate the efficacy of diode laser (λ=940 nm) in the management of gingival hyperpigmentation compared to the conventional bur method. Materials and methods: Eighteen patients with gingival hyperpigmentation were selected for the study with an age between 12-37 years old. The site of treatment was the upper gingiva using diode laser for the right half and the conventional method for the left half. All patients were re-evaluated after the following intervals: 3 days, 7 days, 1 month and 6 months post-operation. Pain and functions were re-evaluated in each visit for a period of 1 day, 3 days and 1 week post-operation. Laser parameters included 1.5 W in continuous mode with an initiated tip (400 μm) placed in
... Show MoreBackground: The critically ill patient is at risk of developing intensive care acquired infection, with the lungs being especially vulnerable. Ventilator associated pneumonia (VAP) occurring after two days of mechanical ventilation and it is the most nosocomial infection seen in the intensive care unit .The establishment of an accurate diagnosis of ventilator associated pneumonia remains problematic and yet there is still no accepted "gold standard" for the diagnosis.
Patients& Methods: This is a cross section study for 328 patients admitted to intensive care unit at medical city teaching hospital. Full history, physical examination and investigation were done after 48 hours of admission according to
Background: Hypocalcaemia is a well-recognized complication of thyroid surgery. It is the most often transient event that occurs after extensive thyroid resection that may require calcium and/or vitamin D supplements to alleviate or prevent the symptoms.
Objective: of this study is to determine the incidence of hypocalcaemia after thyroid surgery and find out the risk factors involved regarding the patient age, gender, and muscular build, clinical diagnosis, the extent of surgery, ligation of the inferior thyroid artery, pathology report and the experience of the surgeon.
Patients and methods: This prospective study was carried out on 100 patients who underwent thyroid surgery for
Background: Hypocalcemia is a well-recognized complication of thyroid surgery. The aim of this study was to determine the incidence of hypocalcemia after thyroid surgery and find out the risk factors involved regarding the patient’s age, gender, muscular build, clinical diagnosis, extent of surgery, ligation of the inferior thyroid artery, and pathology report.
Patients and Methods: This case series study was carried out on 50 patients who have undergone thyroid surgery for various thyroid diseases at the surgical department of Al-Karama Teaching Hospital for the period between January 2016 and July 2017. Serial serum calcium measurements were recorded as well as details of the operation, patie
... Show MoreBackground: Patients with rheumatoid arthritis show predominance of metabolic disorder characterized by overweight, central obesity, dyslipidemia, and impaired glucose tolerance, specifically, few studies have explained insulin resistance in this disease.
Objective: The aim of the present study is to examine insulin resistance and the risk of developing diabetes mellitus in middle age Iraqi women with early rheumatoid arthritis.
Patients and methods: This work involved seventy female with early rheumatoid arthritis. Who was attending to the National Diabetic Center (NDC) of Al-Mustansiriya University and 35 healthy subjects as a control group. From all subjects blood sample was drawn in fasting state to measure the biochemical para