Background: urethrocutaneous fistula after hypospadias surgery repair is the most common complication and remains a frustrating problem for surgeon and the patient. The problem is exacerbated because the urethrocutaneous fistula may recur which adds more demands surgery.
Objectives: The purpose of this study is to evaluate of the use of oral mucosal graft for management of recurrent urethrocutaneous fistula after hypospadias repair.
Patients and Methods: twelfth patients with age ranging from 4 year to 15 years were presented with history of recurrent fistula. Most of fistula were located in proximal penile and penoscrotal region (58.3%) . those patients were repaired by using oral mucosal graft with mean postoperative follow up period up to 6 months.
Results: analysis of results showed 10 out of 12 cases (83.3%) had a final successful outcome with no recurrent fistula during follow up period. The two patients with failed repair were candidate for another attempt for fistula repair later on. No donor site morbidity was observed in all patients.
Conclusion: Oral mucosal graft showed very good take and promising results when used for management of recurrent urethrocutaneous fistula after hypospadias repair.
Background: Genital mycoplasma are implicated in pelvic inflammatory disease, puerperal infection, septic abortion, low birth weight, nongonococcal urethritis and prostatitis as well as spontaneous abortion and infertility in women.
Objective: We aimed to find a relationship between repeated abortions of unknown etiology and caused of Mycoplasma hominis and\or Ureplasma urealyticum.
Methods: one hundred sixty cases, (15-49 years old) with history of recurrent abortion, intrauterine fetal death and\or neonatal death (after exclusion of other factors as cause abortion), and hundred women with normal pregnancy outcome with the same age were chosen as contro
... Show MoreBackground: Cervical spondylosis is a degenerative disease of the cervical spine and can occur at any age but mostly after 5th decade.
Objectives: is to focus a light on the clinical features, radiological findings and the result of the surgical treatment with comparison to the global results in the same field.
Patients and method: This is a prospective study of 50 patients with cervical spondylosis managed with surgery at surgical specialty hospital in the medical city, Baghdad, from the period from Jun. 2011 till Jan. 2012. The clinical, radiological, neurophysiological studies together with surgical outcome were all reviewed and included in the study.
Background: Management of hyperbilirubinemia remains a challenge for neonatal medicine because of the risk for serious neurological complications related to the toxicity of bilirubin.
Objectives: This study aimed to assess the knowledge and practice of a sample of Baghdadi pediatricians regarding the risk factors, management of hyperbilirubinemia.
Subjects and Methods: This survey study was conducted from 1st of March 2011 to 31st December 2011, 10 questions questionnaire was handled to a random sample of 100 Arab and Iraqi board certified pediatricians in Baghdad who is working in governmental hospitals and/or in private sector. These questions include various aspects of neonatal hyperbilirubinemia management.
Results: Thirty f
Background: Laparoscopic sleeve gastrectomy (LSG)is derived from the biliopancreatic diversion with duodenal switch operation(BPD-DS). Specific and potentially severe complications of LSG are bleeding from the staple line and staple line leakage (SLL). A staple line leak may result in severe morbidity with potential sepsis and multi- organ failure.
Objectives: To review our experience with the definitive surgical management of staple line leak Post sleeve gastrectomy and its outcomes.
Patients and methods: retrospective review of patients who underwent definitive surgical treatment of staple line leak post sleeve gastrectomy from May 2014 till June 2016 at Saint Raphael center of morbid obesity, Primary surgery was laparoscopic sle
Background: Sciatic nerve injury is a common complication following IM gluteal injection in children. A controversy still exists regarding management and outcome.
Objective: To find the outcome of conservative and surgical treatment and compare it with other studies.
Patients and Methods: This is a retrospective study of 24 children( less than 15 years old) with sciatic nerve injection injury at the gluteal region. The child age, gender, type of injection drug, time of injury with complete neurological examination and EMG study were recorded. Conservative treatment including physiotherapy and surgical treatment including surgical exploration and neurolysis at the buttock region were done with follow-up 6 months to one year.
Resu
Background: Civil violence in Iraq has reached an epidemic level during the last few years, and an increasing number of urological injuries were faced in dealing with unprotected civilians who were exposed daily to violence in streets, at homes, and at work. Bladder injuries are an example of injuries which were faced rarely before but increasingly now, if not dealt with properly such injuries may end with serious morbidity and even crippling, on the other hand proper management will greatly decrease morbidity and mortality of such injuries.
Patients and method: over the period from March 2004 to June 2005 all the patients triaged to the emergency unit of Medical City with genitourinary trauma were includ
Background :Intrauterine foetal death is defined by World Health Organization (WHO) as ‘death prior to complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of pregnancy; the death is indicated by the fact that after such separation the fetus does not breath or show any other evidence of life.
Objective: The aim of the study is to assess obstetric outcome in the subsequent pregnancy in comparison with that following live birth in first pregnancy.
Patients and methods: A cross sectional, observational study carried out in department of Obstetrics and Gynaecology of Baghdad Teaching Hospital. during the period from March 2008 to April 2009 The studied group include 53 women in th
OBJECTIVE: Synthetic vertebral body replacement has been widely used recently to treat different spinal conditions affecting the anterior column. They arrange from trauma, infections, and even tumor conditions. In this study, we assess the functional outcome of this modality in different spinal conditions. PATIENTS AND METHODS: Thirty-six cases operated from October 2010 to December 2017. Twelve patients had spinal type A3 fractures, 11 cases with spinal tuberculosis (TB), and 13 cases with spinal tumors. They were followed clinically for a mean period of 2.4 years. RESULTS: All the cases were approached anteriorly. Seven cases had a post-operative infection. No neurological worsening reported. We had dramatic neurologic
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Photorefractive keratectomy (PRK) is the refractive technique that began with a physical scraping of the epithelial layer of cornea subsequent by laser treatment. Post this procedure to about 48 hours the removed epithelial layer regenerated to protect the eye again. The regeneration process (called re-epithelization) started from the limbus of the cornea toward the central part of it. The re-epithelization mechanism consists of a change in cell density (mitosis) and cell concentration (migration) with a velocity in two directions: radial and tangential. In the present study, an estimation for both radial (responsible for the overlapped layers toward the outward direction of the cornea) and tangential comp
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