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.
capable of the measuring with a high degree of precision in a single instrument. Total stations device are used for station setting up, setting-outmany points from one station. Their major purpose of this work is to take advantage of total station for setting up building and to establish 3D representation using AutoCAD program. The area of the study was Civil Engineering Department at Baghdad University campus AL Jadiriyah. The completion of the work is done in two stages; 1. The field work: In this stage, the Total Station Nikon Nivo-5C was selected for the current study. This device was measured horizontal and vertical distance, elevations, and coordinates from a single set up. This data directly stored on memory. 2. The office work: In t
... Show MoreIraqi EFL teachers face problems in teaching “English for Iraq Series” for primary public school pupils. In this paper, the researchers are going to identify the main problems faced by our teachers and try to find solutions to these problems. To achieve the aim of the study, list of questions asked and from teachers’ responses, the researchers have got an idea about the main problems which are related to textbook material, parents, learners, environment and technology. Therefore, the researchers adapted a questionnaire to achieve the purpose of the study with some changes and modifications. This questionnaire with five point scale (strongly agree, agree, undecided, disagree, strongly disagree). To achieve face validity, the
... Show MoreThe main targets for using the edge detection techniques in image processing are to reduce the number of features and find the edge of image based-contents. In this paper, comparisons have been demonstrated between classical methods (Canny, Sobel, Roberts, and Prewitt) and Fuzzy Logic Technique to detect the edges of different samples of image's contents and patterns. These methods are tested to detect edges of images that are corrupted with different types of noise such as (Gaussian, and Salt and pepper). The performance indices are mean square error and peak signal to noise ratio (MSE and PSNR). Finally, experimental results show that the proposed Fuzzy rules and membership function provide better results for both noisy and noise-free
... Show MoreComputer systems and networks are increasingly used for many types of applications; as a result the security threats to computers and networks have also increased significantly. Traditionally, password user authentication is widely used to authenticate legitimate user, but this method has many loopholes such as password sharing, brute force attack, dictionary attack and more. The aim of this paper is to improve the password authentication method using Probabilistic Neural Networks (PNNs) with three types of distance include Euclidean Distance, Manhattan Distance and Euclidean Squared Distance and four features of keystroke dynamics including Dwell Time (DT), Flight Time (FT), mixture of (DT) and (FT), and finally Up-Up Time (UUT). The resul
... Show MoreThe process of converting coordinates is, still, considered an important and difficult issue due to the way of conversion from geographic ellipsoidal system to the projected flat system. The most common method uses contiguous UTM system as one of the most accurate systems in the conversion process, but the users of the
system face problems related to contiguity, especially at the large areas that lie within more than one zone. The aim of the present research is to solve the problem related to the multiple zones coverage found in the Iraqi territory using a mathematical model based on the use of Taylor series. The most accurate conversion equation used in this paper was based on the 4th order polynomial of two variables. The calculatio
Face Detection by skin color in the field of computer vision is a difficult challenge. Detection of human skin focuses on the identification of pixels and skin-colored areas of a given picture. Since skin colors are invariant in orientation and size and rapid to process, they are used in the identification of human skin. In addition features like ethnicity, sensor, optics and lighting conditions that are different are sensitive factors for the relationship between surface colors and lighting (an issue that is strongly related to color stability). This paper presents a new technique for face detection based on human skin. Three methods of Probability Density Function (PDF) were applied to detect the face by skin color; these ar
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