Faisal Nugud | University Of Gezira (original) (raw)

Papers by Faisal Nugud

La Pediatria Medica e Chirurgica

Primary closure techniques that have been updated and longterm follow-up for CBE (classic bladder... more Primary closure techniques that have been updated and longterm follow-up for CBE (classic bladder exstrophy) may be out of reach for many patients living in resource-limited settings. Late referrals to medical care and primary closures that lack the necessary skills and facilities for comprehensive treatment are still common. Alternative and long-term surgical solutions may improve the lives of these unfortunate patients. During surgical outreach missions, patients with CBE, either non-operated or with a previous unsuccessful bladder closure, who were referred from vast under-resourced rural areas to three Eastern African hospitals, were studied. The following information is provided: mode of presentation, clinical history, diagnostic workout, management, and outcome. There were 25 cases (M/F ratio 17/8) ranging in age from two days to twenty years. Five of the seventeen patients who were not treated (35%) were under 120 days old and eligible for primary closure in a qualified terti...

Pediatric Blood & Cancer

PurposeA comprehensive operative report for cancer surgery is crucial for accurate disease stagin... more PurposeA comprehensive operative report for cancer surgery is crucial for accurate disease staging, risk stratification, and therapy escalation/de‐escalation, which affects the outcome. Narrative operative reports may fail to include some critical findings. Furthermore, standardized operative reports can form the basis of a local registry, which is often lacking in limited‐resource settings (LRSs). In adult literature, synoptic operative reports (SOR) contain more key findings than narrative operative reports. In the LRSs, where the capacity of diagnostic pathology services is typically suboptimal, the value of a thorough operative report is even greater. The aim of this study was to develop a SOR template to help standardize childhood cancer surgery reporting in LRSs.MethodsTwenty‐three experts in pediatric cancer with extensive experience practicing in LRSs were invited to participate in a modified Delphi procedure. SOR domains for pediatric oncology surgery were drafted based on ...

Sudan journal of medical sciences, 2013

We report three cases of foreign body esophagus, in two of them the foreign body was a coin, and ... more We report three cases of foreign body esophagus, in two of them the foreign body was a coin, and the third child ingested a disc battery. In all three cases the foreign body was impacted in the mid esophagus. All were initially evaluated by chest X ray which confirmed the diagnosis.One underwent flexible endoscopic extraction initially followed by rigid esophagoscope later and in the other two extractions was performed using rigid esophagoscope, two of them ended with perforation of the esophagus and treated conservatively with only chest tube insertion and supportive management. In the third child who ingested a disc battery, esophagoscopy revealed necrosis and perforation at the site of impaction with formation of trachea-esophageal fistula, extraction was performed but the fistula necessitated surgical closure which failed and therefore underwent stent placement to end with complete cure. Keywords : Foreign body; esophageal perforation; children; rigid endoscope.

Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 2006

In this paper we describe the causes, patterns of presentation, and management of obstructive uro... more In this paper we describe the causes, patterns of presentation, and management of obstructive uropathy in Sudanese patients in a retrospective multi-center audit. All patients who presented with obstructive uropathy during 2005 were included in this study. All of the patients were subjected to serial investigations including imaging and tests of renal function. Diversion, stenting, and/or definitive surgery were performed in order to relieve the obstruction. Five hundred twenty patients were diagnosed with obstructive uropathy during this period; 345 (66%) patients presented with chronic obstruction and 175 (34%) with acute obstruction. Of the study patients, 210 (40%) presented with significant renal impairment; 50 (23%) of them required emergent dialysis. The patterns of clinical presentation of the obstructed patients included pain at the site of obstruction in 48%, lower urinary tract symptoms in 42%, urine retention in 36.5%, mass effect in 22%, and anuria in 4%. Patients in th...

Hypospadias case report , 2022

We spot the light on a new variant of hypospadias in a 15 years old boy

is it a fish mouth meatus or a combination of megameatus and megalourethra, 2022

Case report of a rare combination of megalo urethra and megameatus inna fifteen years old child w... more Case report of a rare combination of megalo urethra and megameatus inna fifteen years old child who was circumcised at the age of five years. We describe the surgical management and review the literature

Background: Anorectal malformation (ARM) is a spectrum of structural congenital defects involving... more Background: Anorectal malformation (ARM) is a spectrum of structural congenital defects involving the anorectum and variable segments of the urogenital system in boys and girls, incidence occurs in 1 in 5000 births, The malformations range from skin level defects such as rectoperineal fistulas to complex lesions such as persistent cloaca. Urological anomalies are frequently seen in patients with anorectal malformations and can result in upper urinary tract deterioration. Patients and methods: This study is a retrospective, descriptive, cross-secional hospital based study Conducted at Gezira national center for pediatric surgery in Sudan, from february2016 to Jan 2018, The study sample included (93 cases). the study was conducted in patients with anorectal malformation, data was collected using a questionnaire, data was analyzed using SPSS version 20. Results: A total of 93 ARM patients where studied, 49 males and 44 females, overall urinary anomalies were 31.2% in patients of anorec...

Abstract: Background: Many children are admitted to the National Centre of Paediatric Surgery (NC... more Abstract: Background: Many children are admitted to the National Centre of Paediatric Surgery (NCPS), Gezira State- Sudan because of Cart-related trauma(CRT), those children reside in informal settlements, where there is lack of water supply, so they use a donkey- drawn water cart .Worldwide 78% of lethally injured children die before hospital arrival , demonstrating the need for effective injury prevention.>Objectives: To describe the mechanism of injury, demonstrate the epidemiological parameters of injury and to suggest preventive measures. Design: hospital –based descriptive cross sectional prospective study involved all children admitted to the NCPS because of CRT Between June 2011 and June 2013. Results: Between (June 2011 - June 2013), 54 paediatric patients admitted to the NCPS with CRT, the median age was 9.6 yrs, 92% were males, 97% from rural areas and 3% from suburbs , the most frequent injury diagnosed was Abdominal injuries in 44 patients (81.4%), followed by chest ...

The Journal of medical research, 2013

Introduction: The fact that there are over 250 methods of surgical correction of hypospadias desc... more Introduction: The fact that there are over 250 methods of surgical correction of hypospadias described in the literature indicates that the “hypospadiologists” are still in search of the ideal technique for repair. Objectives: To evaluate the impact of penile anatomy on the surgical management of hypospadias. Results: Fourty four patients with different types of hypospadias 88.6% presented more than one year and 11.4% less .we found that 11.4% had glandular meatus,43.2% distal and 45.4% proximal ,also 43.2% had no chordee,45.4% had superficial and 11.4% deep chordee, meatal site after chordee correction24% distal , 60 % proximal and 16% penoscrotal.

Background: Inguinal hernia is common surgical problem in paediatrics and incarceration is the mo... more Background: Inguinal hernia is common surgical problem in paediatrics and incarceration is the most common subsequent complication if left untreated. The fact that there is effect of the socioeconomic factors on development of incarceration in form of delayed

Gezira Journal of Health Sciences, 2017

Background: The development of pediatric surgical care in Africa has suffered from the neglecance... more Background: The development of pediatric surgical care in Africa has suffered from the neglecance of health policy makers, yet surgery remains an essential component of basic healthcare and an important means of providing preventive and curative treatment. Although the Sudan started with very few specialists who were trained in pediatric surgery to overcome the need of this specialty which started in the late of 70th and early of 1980th with only 5 surgeons.Re-operative surgery in pediatric patients is a challenge that is confronted by every surgeon, a particular operation may be initially done and followed by appropriate post-operative care, functional or anatomical problem may need further surgical intervention. Objective: To evaluate the magnitude of re-operation in pediatric patients seen at GNCPS. Methods: This is a retrospective and prospective descriptive hospital based study that was conducted over two years as from March 2014 to Feb2016 at GNCPS. The study includes all ped...

Gezira Journal of Health Sciences, 2012

Tracheoesophageal fistula (TOF) is a congenital communication between the trachea and oesophagus.... more Tracheoesophageal fistula (TOF) is a congenital communication between the trachea and oesophagus. TOF often leads to severe and fatal pulmonary complications. It is usually combined with esophageal atresia. More than 95 types had been described in the literature up to 1976 (1) . Since then newer subtypes also were described (2-7) . The commonest one is type iii. The latter is diagnosed by suggestive clinical presentation and gaseous abdomen in the X-Ray. Gasless abdomen in this type of oesophageal atresia is an extremely rare condition and makes a diagnostic dilemma.

Background: In the Gezira National Center of Pediatrics Surgery (GNCPS), we observed that most of... more Background: In the Gezira National Center of Pediatrics Surgery (GNCPS), we observed that most of the children presented with acute appendicitis coming from rural areas of Gezira state in Sudan and some of them are having perforated appendicitis at operation. This study is designed to reflect our local experience in GNCPS regarding the contributing risk factors and outcomes of management of children presented with perforated appendicitis. Methods: This prospective study comprised 200 consecutive patients (age <16 yrs) who were admitted with acute appendicitis at GNCPS between 2016 and 2017. Patients were divided into two groups: Perforated appendicitis group and non-perforated appendicitis (including; simple appendicitis, appendicular abscess, and appendicular mass) group. Results: Two patient’s groups were analyzed. Among 200 patients, 31 patients (15.5%) were classified in the Perforated Appendicitis group, and 169 patients (84.5%) were in the NonPerforated Appendicitis group. ...

Sudanese Journal of Paediatrics, 2020

Neuroblastoma (NBL) is the most common malignant solid extracranial tumour in children. It accoun... more Neuroblastoma (NBL) is the most common malignant solid extracranial tumour in children. It accounts for about 8%-10% of overall childhood malignancies in developed countries and only 1%-3% in developing countries. We aim to study the clinical presentation and outcome of NBL in children treated at the National Cancer Institute (NCI), University of Gezira, Wad Madani, Sudan. This is a retrospective, descriptive, hospital-based study, where patients' records were reviewed from the years 2004-2015. During this period, 38 paediatric patients were treated in the Paediatric Oncology Unit at the NCI, accounting for about 4% of the overall childhood malignancies. Of them, 24 (63%) were males and 14 (37%) were females with a ratio of 1.7: 1. The age at presentation ranged between 2 months and 7 years with a mean age at the presentation of 3 years. Twenty-nine (76%) of them were classified as high-risk disease, no one received highdose chemotherapy, 33(87%) died and only 5 (13%) achieved complete remission. This study reflects the poor outcome of NBL among Sudanese children which can be explained by the late presentation of the patients, lack of the diagnostic modalities and lack of the sophisticated treatment modalities for highrisk NBL.

Global Surgery, 2015

Acute Handlebar hernia is a rare type of hernia which might be a source of anxiety to the family ... more Acute Handlebar hernia is a rare type of hernia which might be a source of anxiety to the family as well as it could be associated with serious abdominal injuries. Here we reported a case of this type. He is a boy of 3 years presented to emergency department after sustaining a blunt abdominal trauma by a handlebar. The final diagnosis was confirmed using U/S and surgical treatment was achieved. Discussion Acute abdominal wall hernias caused by traumatic force are exceedingly rare [1]. There are fewer than 50 cases reported in the

$Research paper thumbnail of Penile fracture epigrams from our experience in 15 Sudanese patients$

Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia

The evaluation of the complications of uretero-neocystostomy is very scant in the literature. The... more The evaluation of the complications of uretero-neocystostomy is very scant in the literature. The objectives of this study were to determine the indications for uretero-neocystostomy and to evaluate the complications of different techniques. This retrospective descriptive study was conducted in the Gezira Hospital for Renal Diseases and Surgery, Sudan between January 2001 and January 2004. A total of 65 patients were enrolled in this study. All of them underwent reimplantation of either one or both ureters for various indications. The methods of reimplantation were direct, Lich Gregoire, Cohen, Boari's and ileum substitution. The mean follow-up period was18 months. The 65 patients underwent a total of 77 reimplanted ureters. Of them, 39 ureters were gynecological ureters, 21 were renal transplant and 17 others had miscellaneous indications. The direct method was used for 25 transplanted cases (27.5%), Lich Gergoire for 40 patients (51.9%), Cohen for eight patients (10.4%) and Bo...

Pediatric Blood & Cancer, 2008

Wilms tumour is one of the commonest childhood solid tumours which has an excellent outlook in th... more Wilms tumour is one of the commonest childhood solid tumours which has an excellent outlook in the developed world with 5-year overall survival exceeding 90%. There is little information from Sudan regarding Wilms tumour. Records of patients with Wilms tumour diagnosed and treated at Institute of Nuclear Medicine, Molecular Biology and Oncology (INMO) in the University of Gezira from May 1999 to June 2007 were reviewed. Thirty-seven children presented at a mean age of 4.1 years (range 2 months-13 years). The male to female ratio was 0.9-1. Abdominal swelling or mass was the commonest symptom. There was 1 child with Stage I (2.7%), 7 with stage II (18.9%), 25 with Stage III (67.6%) and 4 with Stage IV (10.8%). Following diagnosis 27% of children did not receive further treatment (5.4% died prior to treatment, 5.4% were not able to finance treatment and for the rest 16.2% no cause was identified). More than half of the children did not have a nephrectomy and only 4 (11%) completed treatment. The poor outlook is related to several factors. Delayed presentation, poor awareness of treatment options, lack of finances, no provision of food, lodging and transport, absence of paediatric trained staff are the obstacles to better outcomes. Empowering parents with information, giving chemotherapy prior to nephrectomy, training staff and establishing links with a tertiary cancer centre in the developed world are some of the options to improve survival.

Tropical Health and Medical Research, 2021

The study's main objective is to determine the epidemiology, treatment, and outcome of the ac... more The study's main objective is to determine the epidemiology, treatment, and outcome of the acquired anorectal conditions seen at the GNCPS. This study was a retrospective and prospective descriptive hospital-based study involving (131) child with Acquired anorectal conditions (AARC) who presented to GNCPS during the two-year study period. Data regarding the presentation, management, and post-operative course to look after complications and outcomes were collected. Data were collected using a formulated questionnaire and analyzed using (SPSS 17). Data considered statistically significant when P-value is less than 0.05. The study involved a total number of 131 children with AACS. The mean age of presentation is (5.78 years) with an overall 1.4:1 male to female ratio. Most of the study subjects are from rural areas, 66.4 percent. Most of them treated surgically, 83.2 percent, and 16.8 percent medically, with an overall complication rate of 24.4 percent. Conclusion Acquired Ano Rect...

Objectives: To determine the pattern, demographic features, clinical features, the common types o... more Objectives: To determine the pattern, demographic features, clinical features, the common types of vesical stones and diagnostic tools accuracy of endemic vesical stone in children. Materials and Methods: In this study the records of 73 patients with endemic vesical stones were reviewed at Gezira National Center For Pediatric Surgery (GNCPS). The data were analyzed for age, sex, locality, clinical features the diagnostic tools, the treatment offered and outcomes. Results: A total of 73 patients were included in this study, males were 64 (87.7%), < 5 years were 54 cases ( 74%), the majority from rural areas of low socio-economic status. Conclusion: Endemic vesical stones in children is common in males below 5 years and low socio-economic status, with UTI like symptoms and penile itching