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Article
Long Period Vs Short Period in Situ Drain in Paraumbilical Hernia Repair

Author: Saad Muhmood Hussain سعد محمود حسين
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2011 Volume: 1 Issue: 1 Pages: 17-20
Publisher: Diyala University جامعة ديالى

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Abstract

Background:Paraumbilical Hernia is more likely to be incarcerated or strangulated so the repair of such hernia is advisable as early as possible.Objective: To outcome the benefit of the long period that the drain had been kept in situ after Paraumbilical Hernia repair for reducing the complications.Patients and Methods:150 patients were included in this study which had been perform in Diyala province in the period of January 2004 – December 2006 to whom mayo's repair had been performed for their Paraumbilical Hernia and these patient had been divided in to tow groups, group(1) which include 75 patients in whom the drain had been left for 48 hours only, group(2) include 75 patients in whom the drain had been left for 7 days.Results:We found that in the group (1), 30 (40%) patients had develop seroma collections and 16 (21.33%) patients had developed wound infection with this seroma, 10 (13.33%) patients developed hematoma collections and 7 (9.33%) developed wound infection with this hematoma.In group (2) we found that only 7 (9.33%) patients developed seroma collection and 3 (4%) patients developed wound infection with this seroma, 3 (4%) patients developed hematoma collection and 2 (2.66%) patients developed wound infection with this hematoma.


Article
Does Hepatitis C Virus Infection is a Relevant Factor for Thyroid Dysfunction?

Authors: Saad Muhmood Hussain --- Abdul-Razak Sh. Hasan
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2010 Volume: 6 Issue: 3 Pages: 140-145
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Because hepatitis C virus can replicate in cells other than hepatocytes, more than 5% of infected patients develop during the course of the disease at least one extrahepatic manifestations.Objective: Determination of the seropositivity rate of anti-HCV antibody among patients with thyroid dysfunction in Diyala province.Materials and methods: The present study was conducted from September/2008 to October/2009. 122 patients who presented with abnormal thyroid function tests. 29 (23.3%) of them were males with mean age 35.4 ± 19.0 years and 93 (76.7% ) were females with mean age 37.5±11.5 years. Additionally, 117 normal healthy blood donors were included as control group, the mean age 32.3 ± 8.7 years. Anti-HCV antibody was detected by ELISA technique. Repeatedly positive sera were confirmed by immunoblot assay. Data were statistically analyzed.Results: The preliminary results showed that the anti-HCV seropositivity rate among patients was insignificantly higher than controls (1.6% and 0.8%) respectively. Male and female were equally infected (50%). The age of infected male was 56 years, while the age of infected female was 47 years. Conclusion: Hepatitis C virus infection is not a risk factor for the development of thyroid dysfunction.


Article
Evaluation of the Effect of Varicocelectomy on Semen Parameters and Fertility
دراسة تقييميه لعمليه دوالي الخصية على مكونات السائل المنوي والعقم

Author: Saad Muhmood Hussain Arraki أ.م.د. سعد محمود حسين
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2016 Volume: 11 Issue: 2 Pages: 34-43
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Varicocele is the major reversible cause of male infertility. It is observed in 35%–40% of all men with primary infertility and in up to 80% of those with secondary infertility. While varicocele can be associated with testicular discomfort and atrophy, the negative effects of varicocele on male fertility and semen parameters, as well as recent evidence identifying varicocele as a risk factor for hypogonadism, are the most relevant ramifications of the condition.Objective: To evaluate the negative effect of varicocele on semen parameters (concentration, motility, volume and morphology) and the outcome of varicocelectomy on semen parameters and paternity in infertile men.Patients and Methods: This is a prospective study done in the period from January 2008 to October 2012 at Iraq, Baqubah teaching hospital and private clinic in which 120 patients are included (those men who are infertile and diagnosed to have varicocele on physical examination), all those patients are sent for 3 seminal fluid analysis in different times and different labs , those with impaired semen parameters are subjected to varicocelectomy through high scrotal incision this had been underwent by the same consultant surgeon, then follow up of these patients was done at 3,6,12 months by seminal fluid analysis.Results: The results were as follow, grade 3{(45 patients) the semen parameters improvement were as follow. Mean sperm count from10..6 x106 mL preoperatively to 36.4 x106ml post operatively. Mean sperm Motility improve from 21.3% to 31.4%. Mean semen Volume from 1.3 ml to 3 ml. Serm morphology were abnormal sperm in 18 patients preoperatively , and in 8 patients only post operatively remain abnormal sperm morphology}. Grade 2 {(25 patients) the improvement were as follow. Mean sperm count from17.3 x106ml to 32.4x106ml. Mean sperm Motility from25.4% to35.6 %. Mean semen Volume from 1.9 ml to3ml. Sperm morphology were abnormal in 9 patients preoperatively and in 5 patients postoperatively}. Grade 1 {(20 patients) the improvement were as follow, Mean sperm Count from21.5 x106ml to36.7x106ml, Mean sperm Motility from31.6% to 36.2%, Mean semen Volume from 2.8ml to 3.8 ml, Sperm morphology were abnormal in 6 patients preoperatively and in 2 patients postoperatively. Subclinical varicocele (30 patients) the improvement was very little as follow, Mean sperm Count from 25.4x106ml to 28.3 x106ml, Mean sperm Motility from 23.3% to 26.4%, Mean semenVolume from 2ml to 2.3 ml, Sperm morphology were abnormal in 5 patients preoperatively and in 3 patients postoperatively, 8 (6.66%) patients from grade 3 had got pregnant during the 12 months after operation, 3(2.50%) patients from Grade 2 got pregnancy within 12 months of follow up after operation. One(0.83%) patient got pregnancy from Grade 1 during 12 months of follow up after surgery.Conclusion: Infertile men with clinical varicocele are a good candidate for varicocelectomy and they will get benefits in term of semen parameters improvement and in parity.

خلفية الدراسة: تعد دوالي الخصية من العوامل الرئيسية الممكن علاجها والتي تسبب العقم عند الرجال , وقد لوحظ ان 35%-40% من الرجال الذين يعانون من العقم الأولي و80% من الذين يعانون من العقم الثانوي هو بسبب دوالي الخصيتين.الهدف من الدراسة: لتقييم التأثير السلبي لدوالي الخصية علي مكونات السائل المنوي و تقييم نتائج عمليه دوالي الخصيتين علي مكونات السائل المنوي والحمل للأشخاص الذين يعانون من العقم.المرضى وطرائق العمل: هذه الدراسة أنجزت في محافظه ديالى – العراق للفترة من كانون الثاني عام 2008 الي تشرين الأول عام 2012 شملت المرضى الذين راجعوا مستشفى بعقوبة التعليمي والعيادة الخاصة والتي شملت الدراسة 120 مريض يعانون من العقم وبعد إجراء الفحص السريري والسونار الملون تم إرسالهم الي فحص السائل المنوي حيث تم إجراء فحص المني بثلاث مختبرات مختلفة وبأوقات مختلفة وبعدها تم إجراء العملية للمرضى الذين يعانون من الدوالي وثبت بالتحليل ان مكونات السائل المنوي قد تاثرت سلبا كما تم متابعه هؤلاء المرضى بعد العملية لفترات ثلاث, ستة واثنى عشر شهرا.النتائج: اظهرت نتائج الدراسة الحالية مايلي ان المرحلة الثالثه كانت عند 45 مريض وكانت تحسن مكونات السائل المنوي بعد العمليه كالتالي من (10.600000) قبل العملية الى (36.400000 ) بعد العملية معدل حركه المني من21.3% قبل العمليه الى 31.4% بعد العمليه وحجم السائل المنوي من 1.3 مللتر قبل العملية الى3 مللتر بعد العمليه, الدرجه الثانيه عند 25 مريض التحسن الى عدد الحيامن من 17.300000 الى32.400000 قبل وبعد العمليه بالتتابع وحركه الحيمن من25.4% الى 35.6% وحجم السائل المنوي من1.9 الى 3مللتر, الدرجه الأولي النتائج هي حصل تحسن بعدد الحيامن من 21.500000 الى 36.700000 وحركه الحيامن من 31.6% الى36.2% وحجم المني من 2.8 الى 3.8 مللتر تم حصول حمل الى زوجات المرضى بعد العمليه الي 8 زوجات للرجال ذوو الدرجه الثالثه من الدوالي والي3 زوجات لاصحاب ا لدرجه الثانيه وزوجه واحده لمريض من الدرجه الاولي من الدوالي.الاستنتاجات : الرجال الذين يعانون من العقم مع دوالي الخصية السريري الاجراء المناسب قطع القيلة الدوالية وسوف يحصل المريض على فوائد من حيث تحسين المعلمات السائل المنوي و التكافؤ.

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