Researches and Scientific Papers البحوث والأوراق العلميةhttp://159.69.53.182:8080/xmlui/handle/123456789/12024-03-29T15:51:56Z2024-03-29T15:51:56ZOutcome and Complications of Laparoscopic Appendectomy in Almak Nimir University Hospital Shendi University Single Centre Experience, SudanElssayed, Osman ElssayedMohanned, Omer AbassAbdelrahman, Babekir Mhammedhttp://159.69.53.182:8080/xmlui/handle/123456789/10032024-02-21T09:18:42Z2019-11-01T00:00:00ZOutcome and Complications of Laparoscopic Appendectomy in Almak Nimir University Hospital Shendi University Single Centre Experience, Sudan
Elssayed, Osman Elssayed; Mohanned, Omer Abass; Abdelrahman, Babekir Mhammed
Introduction: Appendicitis is the most common cause of abdominal pain and a prevalent reason for emergency surgery. Laparoscopic appendectomy is the method of choice, owing to its many advantages, less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity than to observation in unequivocal cases. Laparoscopic surgery can serve as a diagnostic tool for patients with suspected acute appendicitis (AA), specially for female because of its low associated morbidity and mortality and it affords a direct diagnosis of the problem, allowing determination of the appropriate treatment. It is concluded that laparoscopic appendectomy should be offered as the method of choice in any patient population with suspicion of acute appendicitis. This study aim to evaluate the outcome and complications of laparoscopic appendectomies in Almak Nimir University Hospital Shendi University single centre experience. Material and Methods: This is a prospective observational hospital base study on patients who underwent laparoscopic appendectomy for acute appendicitis from January to June 2019 in Almak Nimir University Hospital Shendi University, Sudan. 143 patients underwent laparoscopic appendectomies for acute appendicitis or suspected acute appendicitis.Results: Out of the 143 patients analyzed, female predominant 124(86.7%) and male were 19 (13.3%). 5 cases (3.5%) were converted to open surgery, intraabdominal abscess encountered in 2 patients 1.4%. Surgical-site infection was observed in 6 patients (4.2%). The study showed statistically significant negative-positive appendectomy (normal appendix but another pathology found). Conclusions: Laparoscopic surgery can serve as a diagnostic tool for patients with suspected (AA) specially for female because of its low associated morbidity and mortality and it affords a direct diagnosis of the problem, allowing determination of the appropriate treatment. It is concluded that laparoscopic appendectomy should be offered as the method of choice in any patient population with suspicion of acute appendicitis.
Introduction: Appendicitis is the most common cause of abdominal pain and a prevalent reason for emergency surgery. Laparoscopic appendectomy is the method of choice, owing to its many advantages, less invasiveness, faster recovery and adequate exploration of the entire abdominal cavity than to observation in unequivocal cases. Laparoscopic surgery can serve as a diagnostic tool for patients with suspected acute appendicitis (AA), specially for female because of its low associated morbidity and mortality and it affords a direct diagnosis of the problem, allowing determination of the appropriate treatment. It is concluded that laparoscopic appendectomy should be offered as the method of choice in any patient population with suspicion of acute appendicitis. This study aim to evaluate the outcome and complications of laparoscopic appendectomies in Almak Nimir University Hospital Shendi University single centre experience. Material and Methods: This is a prospective observational hospital base study on patients who underwent laparoscopic appendectomy for acute appendicitis from January to June 2019 in Almak Nimir University Hospital Shendi University, Sudan. 143 patients underwent laparoscopic appendectomies for acute appendicitis or suspected acute appendicitis.Results: Out of the 143 patients analyzed, female predominant 124(86.7%) and male were 19 (13.3%). 5 cases (3.5%) were converted to open surgery, intraabdominal abscess encountered in 2 patients 1.4%. Surgical-site infection was observed in 6 patients (4.2%). The study showed statistically significant negative-positive appendectomy (normal appendix but another pathology found). Conclusions: Laparoscopic surgery can serve as a diagnostic tool for patients with suspected (AA) specially for female because of its low associated morbidity and mortality and it affords a direct diagnosis of the problem, allowing determination of the appropriate treatment. It is concluded that laparoscopic appendectomy should be offered as the method of choice in any patient population with suspicion of acute appendicitis.
2019-11-01T00:00:00ZCancer Incidence in Shendi and Almatamma Localities, River Nile State - SudanAhmed Mohamed, Ahmed IbrahimAhmed Salih, Ahmed Salihhttp://159.69.53.182:8080/xmlui/handle/123456789/10022024-02-21T09:18:42Z2013-01-01T00:00:00ZCancer Incidence in Shendi and Almatamma Localities, River Nile State - Sudan
Ahmed Mohamed, Ahmed Ibrahim; Ahmed Salih, Ahmed Salih
Objective: To study the pattern and incidence of cancer in Shendi and Almatamma Localities, River Nile State, Sudan. Methods: The records of all confirmed cancer cases were retrieved and studied from the files of the histopathology, haematology and chemotherapy departments at El Mack Nimir University Hospital, Shendi, Sudan during the period June 2009 to December 2012. The major types of cancer were ranked in order of relative frequency rates, the mean age, age range; male to female ratio, the crude incidence rate and age standardised rate were calculated. Results: The numbers of patients included in the study were 365. The male were 141 patients and female were 224 patents. The male to female ratio was 1: 1.6. The mean age of overall age of presentation was 54.4 years. The range of patients’ age was 4 - 90 years. The incidence rate was 21.7 per 100,000. The age standardised rate was 194.4 per 100,000. The most common cancers irrespective of sex were breast, gastrointestinal tract, female genital tract, head and neck and Leukemias. In female the most common types were breast, female genital tract, gastrointestinal tract, head and neck and leukaemia. In male the most common cancers were gastrointestinal tract,prostate, leukaemia, head and neck and Lymphoma. Conclusion: The age standardised rate and cancers frequencies are compatible with the last World Health Organization records of cancer in North Africa. Thus the study data is representative to the Shendi and Almatamma localities population.
Objective: To study the pattern and incidence of cancer in Shendi and Almatamma Localities, River Nile State, Sudan. Methods: The records of all confirmed cancer cases were retrieved and studied from the files of the histopathology, haematology and chemotherapy departments at El Mack Nimir University Hospital, Shendi, Sudan during the period June 2009 to December 2012. The major types of cancer were ranked in order of relative frequency rates, the mean age, age range; male to female ratio, the crude incidence rate and age standardised rate were calculated. Results: The numbers of patients included in the study were 365. The male were 141 patients and female were 224 patents. The male to female ratio was 1: 1.6. The mean age of overall age of presentation was 54.4 years. The range of patients’ age was 4 - 90 years. The incidence rate was 21.7 per 100,000. The age standardised rate was 194.4 per 100,000. The most common cancers irrespective of sex were breast, gastrointestinal tract, female genital tract, head and neck and Leukemias. In female the most common types were breast, female genital tract, gastrointestinal tract, head and neck and leukaemia. In male the most common cancers were gastrointestinal tract,prostate, leukaemia, head and neck and Lymphoma. Conclusion: The age standardised rate and cancers frequencies are compatible with the last World Health Organization records of cancer in North Africa. Thus the study data is representative to the Shendi and Almatamma localities population.
2013-01-01T00:00:00ZPREVALENCE OF MALNUTRITION AMONG CHILDREN UNDER 5 YEARS IN KASSAB AND FATABRNO CAMPS AT KUTUM LOCALITY, NORTH DARFUR STATE, SUDANAbdallah, Ahmed Adam BelalHamed, Fadalalla Hamed Fadalallahttp://159.69.53.182:8080/xmlui/handle/123456789/9742019-11-19T11:34:21Z2019-10-01T00:00:00ZPREVALENCE OF MALNUTRITION AMONG CHILDREN UNDER 5 YEARS IN KASSAB AND FATABRNO CAMPS AT KUTUM LOCALITY, NORTH DARFUR STATE, SUDAN
Abdallah, Ahmed Adam Belal; Hamed, Fadalalla Hamed Fadalalla
Malnutrition it’s one of main problem that lead to death among children under 5 years. There is a high nutritional requirement for children under 5 years of age because they are undergoing a period of rapid growth. This descriptive cross-sectional study saw conducted in Kutum locality – North Darfur State aimed to assess the nutritional status of children under 5 years at Kassab and Fatabarno IDPs camps, in addition to assess the others factors influence child feeding practices. To achieve these aims, a survey was carried out on 101 children, age zero to 59 months in study area. Data were collected by anthropodermic measurement as well as direct interview with mothers to collect certain socio-demographic factors which were associated with the nutritional status of study population. Age was determined from mothers and weight and height were measured using standard techniques. After analyzed of obtained data by SPSS version 20 the main results are: prevalence of malnutrition in Kassab and Fatbarno IDPs camps is 15.8%, of which 6.6% is moderate acute malnutrition (MAM) and 8.9% is severe acute malnutrition (SAM), 76% of the mothers with normal children were started complementary feeding after 6 months while 69% of mothers with malnourished children were started complementary feeding before 6 months, Most of the children identified with malnourished either SAM or MAM were in the age group between 12 – 24 months representing by 63%. Then the study recommended that: raising awareness of mothers about importance of breast feeding for infant to improve nutritional status of their children, encourage complementary feeding and begin it in right age according to WHO recommendations.
Malnutrition it’s one of main problem that lead to death among children under 5 years. There is a high nutritional requirement for children under 5 years of age because they are undergoing a period of rapid growth. This descriptive cross-sectional study saw conducted in Kutum locality – North Darfur State aimed to assess the nutritional status of children under 5 years at Kassab and Fatabarno IDPs camps, in addition to assess the others factors influence child feeding practices. To achieve these aims, a survey was carried out on 101 children, age zero to 59 months in study area. Data were collected by anthropodermic measurement as well as direct interview with mothers to collect certain socio-demographic factors which were associated with the nutritional status of study population. Age was determined from mothers and weight and height were measured using standard techniques. After analyzed of obtained data by SPSS version 20 the main results are: prevalence of malnutrition in Kassab and Fatbarno IDPs camps is 15.8%, of which 6.6% is moderate acute malnutrition (MAM) and 8.9% is severe acute malnutrition (SAM), 76% of the mothers with normal children were started complementary feeding after 6 months while 69% of mothers with malnourished children were started complementary feeding before 6 months, Most of the children identified with malnourished either SAM or MAM were in the age group between 12 – 24 months representing by 63%. Then the study recommended that: raising awareness of mothers about importance of breast feeding for infant to improve nutritional status of their children, encourage complementary feeding and begin it in right age according to WHO recommendations.
2019-10-01T00:00:00ZFAMILIAL BENIGN RECURRENT INTRAHEPATIC CHOLESTASIS RESPONSE TO URTHODOXYCHOLIC ACIDMotwakil, Imam Awadelkareim Imamhttp://159.69.53.182:8080/xmlui/handle/123456789/9632019-11-02T14:59:28Z2019-11-01T00:00:00ZFAMILIAL BENIGN RECURRENT INTRAHEPATIC CHOLESTASIS RESPONSE TO URTHODOXYCHOLIC ACID
Motwakil, Imam Awadelkareim Imam
Introduction: Benign recurrent intrahepatic cholestasis (BRIC) is characterized by episodes of liver dysfunction called cholestasis. Episodes of cholestasis can last from weeks to months, and the time between episodes, during which there are usually no symptoms, can vary from weeks to years. The first episode of cholestasis usually occurs in an affected person's teens or twenties. An attack typically begins with severe itchiness followed by jaundice a few weeks later. Case study: A 23 years old Sudanese male presented to us at ELmek Nimer university hospital complain of generalized itching, constipation, yellowish discoloration of sclera and he passed dark urine, with recurrent attack of similar conditions during the last 5 years with extensively investigations to kwon what are the cause of his jaundice, also with multiple trial of management without any improvement. Based on his condition and positive family we diagnosed him as familial benign recurrent intrahepatic cholestasis. Start treatment with Urthodoxycholic acid with dramatic response and improvement in his condition and liver function test. DISCUSSION: Mutations in the ATP8B1 gene cause benign recurrent intrahepatic cholestasis type1 (BRIC1), and mutations in the ABCB11 gene cause benign recurrent intrahepaticcholestasis type 2 (BRIC2). These two genes are involved in the release of bile, a fluid produced by the liver that helps digest fats. Conclusion: The present case is support the use of Urthodoxycholic acid for the treatment of cholestatic liver diseases, and showed excellent out come in the treatment of familial benign recurrent intrahepatic cholestasis.
Introduction: Benign recurrent intrahepatic cholestasis (BRIC) is characterized by episodes of liver dysfunction called cholestasis. Episodes of cholestasis can last from weeks to months, and the time between episodes, during which there are usually no symptoms, can vary from weeks to years. The first episode of cholestasis usually occurs in an affected person's teens or twenties. An attack typically begins with severe itchiness followed by jaundice a few weeks later. Case study: A 23 years old Sudanese male presented to us at ELmek Nimer university hospital complain of generalized itching, constipation, yellowish discoloration of sclera and he passed dark urine, with recurrent attack of similar conditions during the last 5 years with extensively investigations to kwon what are the cause of his jaundice, also with multiple trial of management without any improvement. Based on his condition and positive family we diagnosed him as familial benign recurrent intrahepatic cholestasis. Start treatment with Urthodoxycholic acid with dramatic response and improvement in his condition and liver function test. DISCUSSION: Mutations in the ATP8B1 gene cause benign recurrent intrahepatic cholestasis type1 (BRIC1), and mutations in the ABCB11 gene cause benign recurrent intrahepaticcholestasis type 2 (BRIC2). These two genes are involved in the release of bile, a fluid produced by the liver that helps digest fats. Conclusion: The present case is support the use of Urthodoxycholic acid for the treatment of cholestatic liver diseases, and showed excellent out come in the treatment of familial benign recurrent intrahepatic cholestasis.
2019-11-01T00:00:00Z