Background: Acute cholecystitis is common surgical
problem, which was treated previously by conservative
treatment .Later early open has been introduced as an
alternative to interval for treatment of acute cholecystitis.
Early open was found to be a safe, successful with
comparable postoperative complication rate. With the
advent of laparoscopy laparoscopic have been used for
chronic cholecystitis and became the first line of
treatment. New reports have shown that laparoscopic can
be used as an alternative to open for surgical treatment of
acute cholecystitis.
Objectives: to compare the success, safety of early
laparoscopic versus early open as a primary treatment of
acute cholecystitis.
Methods: out of 68 patients were treated for clinical
acute cholecystitis between January 2002 and February
2004 in the department of surgery, at Al – Kindy teaching
hospital. A total of 62 patients underwent early for acute
cholecystitis as soon as possible after diagnosis. The
preferred preoperative imaging technique was ultrasound.
30 (48.3%) of the operations were attempted
laparoscopically, whereas the remaining 32 patients
(51.7%) underwent initial open .
Results: The mean operative time for the open cases
was 75 minutes versus 60 minutes for the laparoscopic
group. There was no perioperative mortality in either
group. The incidence of conversion to open was 10% (3
patients). Surgical complications related to laparoscopic
and open occurred in 2 (6.6%) and 3 (9.3%) cases,
respectively. There was no difference between the open
and laparoscopic groups in regard to the major
postoperative complications.
Conclusion: The current study shows that early
(whether performed by open or laparoscopically) is a
safe and effective treatment for acute cholecystitis. Low
conversion rates can be maintained with strict guidelines
for appropriate patient selection, adequate experience,
and proper laparoscopic technique.
Background: Techniques of Inguinal hernia repair have seen an evolution from the pure tissue repair to the prosthetic repair and in the recent years past to laparoscopic repair. High recurrence rates using fascia for the hernia repair or the use of sutures under tension prompted the development of polypropylene mesh to reinforce the posterior wall of the inguinal canal.The aim of this study is to compare the post operative results of Lichtenstein mesh technique with Dar ning repair.<br />Patients and methods:-A prospective study of "100" patients with inguinal hernia were conducted to evaluate two methods, of open repair of inguinal hernia Lichtenstein mesh technique with Traditional non-mesh technique (modified Bassini or Darning)
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Background: The accumulation of the lipid in the vascular smooth muscle cell within the arterial intima is a key process of the pathogenesis of atherosclerosis. Atherosclerosis is a degenerative disease of blood vessels leading to stroke.
Materials & Methods.One hundred and ten patients with acute stroke were included in this study 88 patients with ischaemic or infarction stroke and 22 patients with hemorrhagic type ) as well as thirty apparently normal healthy subjects as controls.
Results.Triglycerides levels and AI only were statistically significant in ischaemic type of stroke (P<0.005) while other lipid fractions were similar to the control values.
Conclusion: Acute stroke patients (infarction type) had significantly
Background: Gastroschisis and omphalocele are the most common congenital defects of the anterior abdominal wall which need urgent and prompt intervention post-operative time outcomes of gastroschisis and omphalocele differ between different countries, especially between developed and developing countries.
Objectives: Is to determine the early outcome of patients born with gastroschisis and omomphalocele
Patients and Methods: An analytical study including 30 patients (11 gastroschisis and 19 omphaloceles) were treated in Erbil city during 2015 -2018. Patients with associated bladder and cloacal exstrophies were excluded.
Resul
... Show MoreBackground: Acute renal failure (ARF) in children is a catastrophic, life -threatening event
Aim of the study: the aim of the present study is to find out the etiology and outcome of patients with acute renal failure below two years of age admitted to the hospital.
Patients and methods: A prospective study was carried out on children below 2 years of age (with exclusion of neonatal period) presented with acute renal shut down
admitted to Children Welfare Teaching Hospital during the period from Jan. 1st, 2007tojan30th,2008.
Results: the study group included 100 patients with acute renal failure, 69 males and 31 females with M/F ratio 2.2:1.Age range was between (2 months - 2 years).
Prerenal ARF wa
Background: Leukemia is a group of malignant disorders
associated with increased numbers of blood white blood
cells. Acute leukemia occurs at all ages. Because zinc
influences many body systems and functions, zinc is an
essential nutrient for tissue growth, cellular division,
protein synthesis DNA and RNA replication it also ought to
play a critical role in the growth of tumor. In this study,
serum zinc was estimated in leukemic patients and
compared with healthy subjects.
Methods: The subjects in the present study were; fourtyfour depressed patients aged (14-48 year), thirty-one
apparently healthy subjects were selected as control group.
Their sex and age were comparable to that of patients.
Determin
BACKGROUND-to explor the infections associated with acute appendicitis in surgically removed appendices in Diyala.
Materials and Methods: this study include 160 surgically removed appendices with acute appendicitis . the patients were 66 fenales and 94 males. the age range was 5-53years with mean age 22.9±7.2 years.the surgically removed appendicitis were submitted for gross inspection and microscopic examination including direct mount, sedimentation and flotation techniques. Additionally specimens from 25 appendices were processed and examined histopathologically.
Results: The rate of parasitic infection in surgically removed appendices was 26.2%. the rate of single parastic infection was 23.1%, while the rate of two pa
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The paper starts with the main properties of the class of soft somewhere dense open functions and follows their connections with other types of soft open functions. Then preimages of soft sets with Baire property and images of soft Baire spaces under certain classes of soft functions are discussed. Some examples are presented that support the obtained results. Further properties of somewhere dense open functions related to different types of soft functions are found under some soft topological properties.
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This paper aims to define and study new separation axioms based on the b-open sets in topological ordered spaces, namely strong - -ordered spaces ( ). These new separation axioms are lying between strong -ordered spaces and - - spaces ( ). The implications of these new separation axioms among themselves and other existing types are studied, giving several examples and counterexamples. Also, several properties of these spaces are investigated; for example, we show that the property of strong - -ordered spaces ( ) is an inherited property under open subspaces.
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In this paper, new concepts of maximal and minimal regular s are introduced and discussed. Some basic properties are obtained. The relation between maximal and minimal regular s and some other types of open sets such as regular open sets and -open sets are investigated.