Dr.zaeem dahla Al.dahla - Academia.edu (original) (raw)

Dr.zaeem dahla Al.dahla

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Papers by Dr.zaeem dahla Al.dahla

Research paper thumbnail of Incidence and Management of Splenic Injury in Abdominal Trauma

A prospective study of 109 patients with splenic injury due to abdominal trauma was collected fro... more A prospective study of 109 patients with splenic injury due to abdominal trauma was collected from the causalty department of two centers, teaching hospital, Saddam Medical College and a AI-Yarmouk teaching hospital in the period from January 1992January 1997. The aim of our study is to evaluate the Incidence, causes and management of injured spleen with abdominal trauma taking into account that the spleen is the most common solid organ injured with blunt abdominal trauma(1), and major cause of this trauma Is auto-mobile accident, while In penetrating trauma (stab, shotgun) the incidence of splenic injury with associated injury come next in incidence. 60 patients out of 109 patient have splenic injury due to blunt trauma, while (49) patients got splenic injury from penetrating trauma. Since our policy is to explore all penetrating trauma the problem of early recognition arise In patients with blunt trauma whom need frequent physical examinations and close observation to detect signs...

Research paper thumbnail of The Role of Internal Optical Urethrotomy in the Management of Urethral Stricture

International Journal of Science and Research (IJSR)

Urethral stricture in the male still presents one of the most common and challenging problems to ... more Urethral stricture in the male still presents one of the most common and challenging problems to the urologist. Treatment options include dilation, endoscopic internal urethrotomy & urethroplasty, however optical internal urethrotomy offers faster recovery, minimal scarring, and less risk of infection. Aim of the study was to evaluate the efficacy of internal optical urethrotomy in the treatment of patients with urethral stricture. A total of 75 male patients (16-25 years of age) having urethral strictures were treated with internal optical urethrotomy at Al-Yermouk Teaching Hospital/Baghdad/Iraq in the period between January 2013 and January 2016.Follow-up period ranged from 1-3 months. Outcome was graded as good, fair & poor. It was found that out of 75 patients, 28(37.3%) were between 21 and 30 years of age. The most common cause of stricture was trauma in 40 (53.3%) & the most common presenting complaint was poor urinary stream in 32(42.6%) patients while the most common site was bulbous urethra in 48 (64%) cases followed by penile urethra in 16 (21.3%) cases. Overall response rate was good in 52 (69.3%) patients. Eleven (14.6%) cases showed minor post-operative bleeding with no major complications. We concluded that internal optical urethrotomy is a safe and effective procedure in treating urethral stricture.

Research paper thumbnail of The Role of Internal Optical Urethrotomy in the Treatment of Male Urethral Stricture

Open Journal of Urology, 2018

Background: Male urethral stricture is as yet considered one of the very popular and defying dile... more Background: Male urethral stricture is as yet considered one of the very popular and defying dilemmas to the urologist. Treatment modalities include dilation, endoscopic urethrotomy and urethroplasty, however internal optical urethrotomy displays rapid cure, lower scarring, and minimal hazard of infection. Purpose: To evaluate the efficacy of internal optical urethrotomy in the treatment of patients with urethral stricture. Patients & Methods: This study was carried out at Al-Yermouk Teaching Hospital/Baghdad/Iraq in the period between January 2015 and January 2018. A group of 75 male patients (16-25 years of age) presented with urethral strictures had been treated with internal optical urethrotomy. Follow-up period ranged from 1-3 months. Outcome was graded as good, fair and poor. Results: Out of 75 patients, 28 (37.3%) were (21-30) years of age. Trauma was the most popular source of stricture found in 40 (53.3%) and the most widespread presenting feature was poor urinary flow in 32 (42.6%) patients. Stricture in the bulbous urethra in 48 (64%) cases was found to be the most prevalent area followed by penile urethra in 16 (21.3%) cases. Overall response rate was good in 52 (69.3%) patients. Eleven (14.6%) patients exhibited only minor bleeding postoperatively with no other considerable complications. Conclusion: Internal optical urethrotomy is a dependable and effective procedure in treating urethral stricture.

Research paper thumbnail of Incidence and Management of Splenic Injury in Abdominal Trauma

A prospective study of 109 patients with splenic injury due to abdominal trauma was collected fro... more A prospective study of 109 patients with splenic injury due to abdominal trauma was collected from the causalty department of two centers, teaching hospital, Saddam Medical College and a AI-Yarmouk teaching hospital in the period from January 1992January 1997. The aim of our study is to evaluate the Incidence, causes and management of injured spleen with abdominal trauma taking into account that the spleen is the most common solid organ injured with blunt abdominal trauma(1), and major cause of this trauma Is auto-mobile accident, while In penetrating trauma (stab, shotgun) the incidence of splenic injury with associated injury come next in incidence. 60 patients out of 109 patient have splenic injury due to blunt trauma, while (49) patients got splenic injury from penetrating trauma. Since our policy is to explore all penetrating trauma the problem of early recognition arise In patients with blunt trauma whom need frequent physical examinations and close observation to detect signs...

Research paper thumbnail of The Role of Internal Optical Urethrotomy in the Management of Urethral Stricture

International Journal of Science and Research (IJSR)

Urethral stricture in the male still presents one of the most common and challenging problems to ... more Urethral stricture in the male still presents one of the most common and challenging problems to the urologist. Treatment options include dilation, endoscopic internal urethrotomy & urethroplasty, however optical internal urethrotomy offers faster recovery, minimal scarring, and less risk of infection. Aim of the study was to evaluate the efficacy of internal optical urethrotomy in the treatment of patients with urethral stricture. A total of 75 male patients (16-25 years of age) having urethral strictures were treated with internal optical urethrotomy at Al-Yermouk Teaching Hospital/Baghdad/Iraq in the period between January 2013 and January 2016.Follow-up period ranged from 1-3 months. Outcome was graded as good, fair & poor. It was found that out of 75 patients, 28(37.3%) were between 21 and 30 years of age. The most common cause of stricture was trauma in 40 (53.3%) & the most common presenting complaint was poor urinary stream in 32(42.6%) patients while the most common site was bulbous urethra in 48 (64%) cases followed by penile urethra in 16 (21.3%) cases. Overall response rate was good in 52 (69.3%) patients. Eleven (14.6%) cases showed minor post-operative bleeding with no major complications. We concluded that internal optical urethrotomy is a safe and effective procedure in treating urethral stricture.

Research paper thumbnail of The Role of Internal Optical Urethrotomy in the Treatment of Male Urethral Stricture

Open Journal of Urology, 2018

Background: Male urethral stricture is as yet considered one of the very popular and defying dile... more Background: Male urethral stricture is as yet considered one of the very popular and defying dilemmas to the urologist. Treatment modalities include dilation, endoscopic urethrotomy and urethroplasty, however internal optical urethrotomy displays rapid cure, lower scarring, and minimal hazard of infection. Purpose: To evaluate the efficacy of internal optical urethrotomy in the treatment of patients with urethral stricture. Patients & Methods: This study was carried out at Al-Yermouk Teaching Hospital/Baghdad/Iraq in the period between January 2015 and January 2018. A group of 75 male patients (16-25 years of age) presented with urethral strictures had been treated with internal optical urethrotomy. Follow-up period ranged from 1-3 months. Outcome was graded as good, fair and poor. Results: Out of 75 patients, 28 (37.3%) were (21-30) years of age. Trauma was the most popular source of stricture found in 40 (53.3%) and the most widespread presenting feature was poor urinary flow in 32 (42.6%) patients. Stricture in the bulbous urethra in 48 (64%) cases was found to be the most prevalent area followed by penile urethra in 16 (21.3%) cases. Overall response rate was good in 52 (69.3%) patients. Eleven (14.6%) patients exhibited only minor bleeding postoperatively with no other considerable complications. Conclusion: Internal optical urethrotomy is a dependable and effective procedure in treating urethral stricture.

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