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Congenital lobar emphysema surgical versus conservative management

Back ground: Congenital lobar Emphysema (CLE) is a rare yet serious condition which requires early detection and management, and usually present during infancy.

Patients and methods: This retrospective study aimed to review and evaluate methods adopted for the management of congenital lobar emphysema cases and it aimed to report and to document any observation which might need further research. The study retrospectively reviewed medical records of 53 cases whom were admitted to the department of thoracic surgery-medical city teaching complex over a period of 4 years (from June 2005 to June 2010). All of them had been diagnosed and managed as cases of congenital lobar emphysema based on their clinical picture and radiologic examination.Objectives:

Results: The commonest age group affected were infants in the second month of life(40 patients) (75.47%), 10 patients (18.86%) within the next 3 months, 2 cases (03.77%)were over 6months old and only one case (01.88%) was over 1y. The number of male patients in this study was higher than the female patients (38 versus 15) with a male to female ratio was 2.53:1. The affected lobes were left upper lobe in 39 patients (73.60%), right middle lobe in 9 patients (16.98%), right upper lobe in 3 cases (5.66%), and right upper and middle lobes in 2 cases (3.77). Postoperative complication encountered in 6 patients; chest infection (2 patients), bronchopleural fistula and empyema (2 patients), wound infection (1 patient), and postoperative atelectasis (1 patient). Each treated accordingly. No intraoperative mortality was recorded, yet postoperative mortality happened in 3 cases, two cases due to respiratory failure and other one due to septicaemia. The significant finding in this review was that, 8 cases out of the 53, during the period of observation and conservative management, they eventually developed complete clinical improvement of their signs and symptoms and complete resolution of their radiologic findings. All other patients (45) required surgical resection, were lobectomy was the commonest type of surgical resection (39 patients), combined lobectomy and wedge resection performed in (6) patients.

Conclusions: A group of cases diagnosed with CLE can benefit from a period of observation and monitoring aiming for conservative management

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Publication Date
Thu Oct 01 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Congenital pouch colon: A rare presentation of Anorectal malformation

Background: Congenital pouch colon is an usual abnormality associated with anorectal malformation in which the colon is partially or totally replaced by a pouch like dilatation connected to the genitourinary tract by a fistula(colovesical).The condition varies from complete absence of normal colon with the ileum opening into colonic pouch to the presence of nearly normal colon with only the rectum or recto sigmoid being attached to a pouch which in turn connected to bladder by a band or fistula.
Objective: is to evaluate the methods of diagnosis and management of(C.P.C) with studying environmental factors especially pesticides and its prevalence.
Patients and Methods: A total number of seven cases of(C.P.C) associated with high typ

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Publication Date
Sun Jan 02 2011
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Congenital diaphragmatic hernia: prevalence and management

Background: The morbidity and mortality of congenital diaphragmatic hernia is related to the severity of lung hypoplasia ,pulmonary hypertension and associated anomalies.
Patients and methods: fifty nine consecutive patients with surgically proved diaphragmatic hernia (excluding hiatal hernia) were included in this prospective study. All patients were seen at Al- Kadhymia hospital for children and Al-Mustansyria hospital, in the period from January 2003 to December 2009.Plain chest x-ray was done for all the patients understudy, but barium study was arranged for only nine patients.
Results: There were fifty nine child with congenital diaphragmatic hernia , Bochdalek hernia forms 81.4% of all congenital

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Publication Date
Sun Jul 24 2022
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Traumatic Haemothorax: Diagnostic approaches and surgical management: diagnostic approaches and surgical management

 

Background: Traumatic haemothorax is a collection of blood within the pleural cavity due to a penetrating or blunt injury leading to blood accumulation inside the pleural space with its respiratory and hemodynamic consequences.

Objectives: Is to retrospectively study eighty victims of traumatic haemothorax regarding their age, gender, types of injury, and their sequel, as well as the methods of investigation, treatment modality (conservative or operative) and their outcome.  

Patients and methods: The data of 80 patients with traumatic haemothorax admitted to Ibn AL-Nnafees teaching hospital from (1st of August 2018 to 30th. of September 2019), w

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Publication Date
Thu Sep 12 2019
Journal Name
Al-kindy College Medical Journal
K. wire fixation versus conservative treatment of closed displaced intra-articular calcaneal fractures

Background: Calcaneus is a spongy cancellous bone with rich blood supply , its fracture heals more rapidly providing no occurrence of infection and soft tissue injury around ,no gross malposition of fragments. The associated pain leads to a major impairment in life quality. The aim of treatment for calcaneal fractures is the decrease of pain and rebuilding of walking ability for patients with normal foot shape and the ability to wear normal foot wear. To reduce complications, a minimally invasive technique for the treatment of displaced intra-articular fractures of the calcaneus was preferred to use. The purpose of this study was to determine whether the closed reduction and percutaneous K. wire fixation of displaced intra-art

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Publication Date
Thu Sep 12 2019
Journal Name
Al-kindy College Medical Journal
K. wire fixation versus conservative treatment of closed displaced intra-articular calcaneal fractures

Background: Calcaneus is a spongy cancellous bone with rich blood supply , its fracture heals more rapidly providing no occurrence of infection and soft tissue injury around ,no gross malposition of fragments. The associated pain leads to a major impairment in life quality. The aim of treatment for calcaneal fractures is the decrease of pain and rebuilding of walking ability for patients with normal foot shape and the ability to wear normal foot wear. To reduce complications, a minimally invasive technique for the treatment of displaced intra-articular fractures of the calcaneus was preferred to use.

The purpose of this study was to determine whether the closed reduction and percutaneous K. wire fixation of displ

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Publication Date
Thu Jan 02 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Cervical Spondylosis, Surgical Management and Outcome

Background: 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.

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Publication Date
Sun Apr 02 2017
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Surgical management of staple line leak after laparoscopic sleeve gastrectomy

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

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Publication Date
Mon Jun 30 2014
Journal Name
Al-kindy College Medical Journal
Is Elective Interval Appendicectomy after Successful Initial Conservative Management of Appendicular Mass Necessary?

Background The traditional management of appendicular mass is an initial conservative treatment followed by interval appendectomy. Recently interval appendicectomy has been questioned.
Objective: The purpose of this study was to clarify the need and the role of interval appendicectomy after successful initial conservative treatment.
Method: This is a prospective study conducted in a major hospital in Basra from April 2006 to Septemper2010, included 65 patients with appendicular mass which subsequently proved postinflammmatory (phlegmonous) changes of the appendix were treated conservatively.
Results: Routine interval appendicectomy was not performed and needed after successful treatment in the majority of the patients (84.6%). F

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Publication Date
Sun Jul 01 2018
Journal Name
Journal Of Craniofacial Surgery
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Publication Date
Mon Jan 01 2018
Journal Name
International Journal Of Surgery Open
Effectiveness of conservative management of uncomplicated acute appendicitis: A single hospital based prospective study
<bold>ABSTRACT</bold> <sec> <title>Background:

Acute appendicitis is one of the commonest causes of acute abdomen. There is a wide discussion and controversy on the surgical and nonsurgical treatment of acute uncomplicated appendicitis. The aim of this study was to evaluate the efficacy and outcomes of the conservative management of selected cases of acute appendicitis with an antibiotic first plan.

Patients and methods:

This was a single hospital-based prospective study with a durat

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