Background: Laparoscopic sleeve gastrectomy has gained more popularity as an independent bariatric procedure because laparoscopic sleeve gastrectomy was reported to be an effective, safe, and time-savingprocedure, leading to adequate weight loss for morbidly obese patients and becoming one of the most common procedures performed for the treatment of morbidly obese patients in the last few years until now.
Objectives: The aim of this study is to compare two different techniques of the reinforcement of staple line during LSG in the reduction of major complications (bleeding and leak).
Patients and methods: prospective randomized study of a consecutive series of 126 patients that underwent LSG between April 2014 till August 2015. Patients were randomly enrolled in two different techniques of reinforcing the staple line during LSG, Group A consisted of 63 patients that underwent sleeve gastrectomy using Ethicon Endo GIA stapleTM with staple line oversewn using 2.0 prolene continuous suture, group B also 63 patients who had the staple-line oversewn with a continuous suture using V-locTM and Covidien Endo GIA tristapleTM.
Results: 126 patients who underwent LSG, 82(65%) were women and 44(35%) were men. Median age was 36 years (range, 19–58 years) and median preoperative BMI was 45.4 kg/m2 (range, 37–62 kg/m2), Three patients (4.76%)from group (A) and 2 patients (3.17%)from group (B)developed primary hemorrhage (within the first 24 hours post operatively), overall bleeding rate in both groups was (3.96%), no leak in both groups and no mortality.
Conclusion: laparoscopic sleeve gastrectomy is a safe procedure as a sole weight reduction operation. The combination of meticulous surgical technique, reinforcement of the gastric staple line, lead to decrease the incidence of staple line leak whatever the suture material or stapler type used, but there is no significant decrease in the incidence of bleeding with staple line reinforcement.
External Morphological study of species Saprinus discoidalis of subfamily saprininae from family Histeridae of the order coleopteran. The specements of the present study were collected from Salahdin Governor-ate (Beigi &Balad) and Governorate during May 2012. The present study included detailed description of most body parts (Head, Thorax, Abdomen and their appendages) identification and recognition of species study male genitalia. The species Saprinus discoidalis LeConte is a new record to Iraqi fauna of Coleoptera.
Carbon dioxide (CO2) capture and storage is a critical issue for mitigating climate change. Porous aromatic Schiff base complexes have emerged as a promising class of materials for CO2 capture due to their high surface area, porosity, and stability. In this study, we investigate the potential of Schiff base complexes as an effective media for CO2 storage. We review the synthesis and characterization of porous aromatic Schiff bases materials complexes and examine their CO2 sorption properties. We find that Schiff base complexes exhibit high CO2 adsorption capacity and selectivity, making them a promising candidate for use in carbon capture applications. Moreover, we investigate the effect of various parameters such as temperature, and pressu
... Show MoreBackground: It's believed that HBD-3 is involved in the tissue remodeling process of articular cartilage. Also, HBD-3 has anti-inflammatory properties. Objectives: The purpose of this study is to assay human beta-defensine-3 (HBD-3) in serum from rheumatoid arthritis (RA) patients and investigate its correlation with proinflammatory cytokines. Methods: In this case-control study, fifty-eight RA patients were aged 20–65 years, and 29 age-matched healthy subjects (HS) had no inflammatory rheumatic diseases. The disease activity score-28 joint erythrocyte sedimentation rate (DAS28-ESR) was used to measure RA activity. CRP, ACPA, HBD-3, TNF-α, and IL-1β were assessed using the enzyme-linked immunosorbent assay technique (ELISA). Res
... Show MoreThis research examines the electronic check slip of an educational doctrinal study, in terms of explaining the truth of the electronic check and the legal organization of it and the way it is handled, and then devising the jurisprudence related to it.
The Baha'is are a group that belongs to the Baha'iya, the Baha'iya according to the encyclopedia of Religion Sciences is a modern religious sect appeared in existence in the middle of the ninetieth century. The number of their believers is around six million people of different parts of the world. its main center lies in Haifa city in Palestine
After this trip start to get interesting conclusion, conclusion and maintenance station,
the conclusion, where we summarize the most important findings:
1. We found that the triads are the conversations that will be assigned in three narrators
between the workbook and the Prophet.
2. The number of triangles is the Imam recaps (15) recently, and all true only recently one
well in the Book of Rites and the modern were weak in the book authorization and the Book of
Virtues of the Quran.
3. Triads varied in the ways of drama at the gates of Islamic jurisprudence, he may talk and
one each from the Book of purity and prayer, fasting, marriage and the tortillas and the virtues
of the Quran, and has had three conversat
Intelligence is the production of nervous system function and it's contents memory and creative thinking and understanding and other processes. It's a general cognitive ability and it's a concept. It's essential for good judgment and reasoning, there's an argument about definition of intelligence, is it one ability or multiple abilities. Multiple intelligences theory presented by (Gardner 1983) view intelligence as composing from six types of intelligences: (1) linguistic. (2) mathematical. (3) visual – spatial. (4) musical. (5) bodily – kinesthetic. (6) personal. Present research has reached to several conclusions. Most important one is that multiple intelligences theory is based on the conception of distinct varieties of intelligen
... Show MoreThis research examines the electronic check slip of an educational doctrinal study, in terms of explaining the truth of the electronic check and the legal organization of it and the way it is handled, and then devising the jurisprudence related to it
In the research I dealt with the form of the preference verb, as well as the elements of the preference noun and its states in its abstraction from the and addition and its conjugation with (the) and its addition to the negation and knowledge. It is (good, evil, and love) omitting the hamza in it.