Comparison Between Using Monocryl Suture and Polypropylene Suture in Closer of Alar Base Excision in Rhinoplasty

2020 ◽  
pp. 229255032096965
Author(s):  
Saud A. Aldhabaan ◽  
Jibril Y. Hudise ◽  
Badi F. Aldosari
Keyword(s):  
Wound Closure ◽  
University Hospital ◽  
Kingdom Of Saudi Arabia ◽  
Alar Base ◽  
P 75 ◽  
Significant Difference ◽  
Different Types ◽  
King Abdulaziz University ◽  
Males And Females ◽  
Base Excision

Background: Rhinoplasty is one of the most common surgery that act as a challenge for consistent outstanding results. Alar base reduction is a technique of rhinoplasty that is prescribed in many conditions. Wound closure requires using of sutures and there are several types of sutures for this purpose; however, good scar results are necessary for patients’satisfaction. Aim: To evaluate alar base resection scar results after surgical resection using different types of suturing material. Methods: This is a retrospective cohort study that was conducted at King Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia. The study was performed by reviewing patient’s records and performing post-operative photography for patient who underwent alar base resection. The patients were divided into 2 groups, the first group of patients had the alar base wound closed with interrupted Polypropylene 6/0 and the other group wound was closed with monocryl 6/0 sutures. Visual analogs scale was used to investigate basal views. Results: The study included 80 patients divided into 2 groups, each group included 40 patients, in the first group (Polypropylene group) there were 25% males and 75% females with a total mean age of 32 years, whereas in the second group (monocryl) there were 15% and 85% males and females, respectively. There were 85% and 82.5% unnoticeable scar reported by the first and second group, respectively; however there was no significant difference between the 2 groups ( P = .75). Conclusion: Both Polypropylene and monocryl suture result in the same result for closing alar base wound post surgically.

scholarly journals Prevalence of Hepatitis C Virus in the Population of Albania for the Period 2007-2010

2014 ◽  
Vol 2 (3) ◽  
pp. 525-528 ◽  
Author(s):  
Hysaj Vila Brunilda ◽  
Shundi Lila ◽  
Abazaj Erjona ◽  
Bino Silva ◽  
Rexha Tefta
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Age Groups ◽  
Viral Disease ◽  
Hcv Infection ◽  
University Hospital ◽  
P Value ◽  
Hcv Rna ◽  
Significant Difference ◽  
Males And Females

BACKGROUND: Hepatitis C is a blood-borne, infectious, viral disease that is caused by a hepatotropic virus called Hepatitis C virus (HCV).AIM: The aim of this study is to determine the prevalence of active HCV infection (HCV–RNA) in the cases that were anti-HCV positive.MATERIAL AND METHODS: Plasma of 301 high-risk for HCV infection consecutive from University Hospital Centre “Mother Theresa” Tirana-Albania, during January 2007 to December 2010 was included in this study. To identify the presence of HCV RNA, the samples were examined by Cobas Amplicor HCV test (qualitative method).RESULTS: From 301 samples analyzed in total, 214 of them resulted positive for the presence of HCV-RNA's, corresponding to a prevalence of 71.1%, with 95% CI interval [65.8 - 75.9] for value of χ2 = 52.7 p value <0.0001. Divide by the sex 56% were males and 44% females, with statistically significant difference between them for value χ2 =4306 p value=0.0380. Among the age groups the highest prevalence was observed in the age groups > 25 years with a significant difference with other age groups for p value <0.001.CONCLUSION: Among tested samples, 71.1 % were confirmed to be positive for HCV –RNA infections. The prevalence of male was highest compared to female. For males and females infected the prevalence was highest in the age group of > 25 years.

scholarly journals HAND INFECTIONS

2006 ◽  
Vol 13 (02) ◽  
pp. 279-283
Author(s):  
ABDUL NASIR
Keyword(s):  
Elderly Patients ◽  
Working Hours ◽  
Left Hand ◽  
Hand Infection ◽  
Significant Difference ◽  
Different Types ◽  
Immunosuppressed Patients ◽  
Hand Involvement ◽  
Males And Females ◽  
Infecting Organisms

Hand infections are the prime cause of loss of working hours for manualworkers and housewives. The objective was to study different types of hand infections, infecting organisms and to findout different residual complications. This prospective study was carried out at C.M.H., Peshawar from March 1, 2000to March 1, 2003. All patients above 12 years were included in the study. Diabetics, immunosuppressed patients, drugaddicts, and patients on steroid or cytotoxic therapy, were excluded from the study. Other exclusion criteria were crushinjuries, burns, compound fractures and skin lacerations. The diagnosis of hand infection was based on history,physical and roentgenographic examinations of the hand. All the patients were put on Cloxacillin & Gentacin and theiraffected hands were elevated. In cases of suppuration, surgical drainage was done & pus was sent for C/S. Earlyphysiotherapy was instituted & residual complications were recorded..Relative frequencies of different types of handinfections in 176 cases included Paronychia (22.16%), Cellulitis (21.02%), Felon (19.32%), Proximal & Middle VolarSpace infection (16.48%), web space infection (14.77%), Thenar Space Abscess (3.41%) and midpalmar abscess1.70%). Frequencies of hand infections in adolescents, young, middle and elderly patients were 14.77%, 52.84%, 25%and 7.39% respectively. There was no significant difference in frequencies of hand infection amongst males andfemales. The percentages of right hand and left hand involvement were 57.38% and 42.61% respectively. The ratiobetween manual workers and other patients of hand infections was 2.5:1. Staphylococcus aureus was detected as asingle offending organism in most of the cultures(62.59%) and stiffness was the leading complication(14.20%). Thefrequency of complications was significantly more in elderly patients (53.28%) but there was no significant differenceof complications amongst males and females.

scholarly journals Rate of Infection in Rheumatoid Arthritis Patients

2014 ◽  
Vol 4 (1) ◽  
pp. 15-21
Author(s):  
Aisha A. Al Ghamdi ◽  
Suzan M. Attar
Keyword(s):  
Rheumatoid Arthritis ◽  
University Hospital ◽  
Inflammatory Disorder ◽  
Risk Of Infection ◽  
Kingdom Of Saudi Arabia ◽  
Steroid Use ◽  
Increased Risk ◽  
King Abdulaziz University ◽  
Associated Risk Factors ◽  
Common Infections

Objectives: Rheumatoid arthritis is an autoimmune inflammatory disorder associated with increased risk of infection. The aim of this study was to evaluate infections frequency in rheumatoid arthritis patients and to report the independent associated risk factors. Methods: Rheumatoid arthritis patients (n = 200) were retrospectively reviewed at King Abdulaziz University Hospital Jeddah, Kingdom of Saudi Arabia from January 2008 to December 2010. The rate and predictors of infection were evaluated. Results: The frequency of infection in rheumatoid arthritis patients was (36%). The most common infections were pneumonia, bacteremia and urinary tract infection occurring in 18%, 12%, and 10%, respectively. The strongest and significant predictors for infection were cardiovascular disease (OR = 8.87), renal impairment (OR = 7.12), and steroid use (OR = 1.67). Conclusions: Infection rate in rheumatoid arthritis patients was high but lower than other studies. Comorbid illnesses (renal and cardiovascular diseases) and steroids in rheumatoid arthritis patients predisposed them to develop infections that may necessitate hospitalization. Comorbid illnesses should be managed early and steroids to be used cautiously in order to reduce infection risk among rheumatoid arthritis patients.

Electrosurgical energy. Is it a risk factor for post-thyroidectomy hypocalcaemia?

2021 ◽  
pp. 23
Author(s):  
Keyword(s):  
Risk Factor ◽  
Total Thyroidectomy ◽  
Protective Factor ◽  
Harmonic Scalpel ◽  
Malignant Tumors ◽  
Significant Difference ◽  
Different Types ◽  
Additional Protection ◽  
Males And Females ◽  
Postoperative Hypocalcaemia

Aim and objective: The aim of this study was to investigate a relationship between the different types of electrosurgical energy (monopolar, bipolar, and ultrasonic-harmonic scalpel) and postoperative hypocalcaemia after total thyroidectomy. Additionally, to analyze the frequency of postoperative hypocalcaemia, according to age group, gender, and pathological diagnosis. Materials and Methods: An observational, retrospective and correlational study was carried out in a series of patients who underwent total thyroidectomy in a public and a private hospital in Quito, Ecuador, South America, from January 2016 to July 2019. Results: Among 665 patients, post-thyroidectomy hypocalcaemia was observed in 127 (18.8%) patients. There was no significant difference between males and females. Hypocalcaemia was significantly higher in patients aged between 26 and 35 years, patients operated for malignant tumors and in patients in whom at least one parathyroid gland was removed. Postoperative hypocalcaemia occurred in 52.2% of patients (n = 24) [RR: 3.14; 95% CI: 2.26-4.36; p: 0.001] in the bipolar group, 29.2% (n = 7) [RR: 1.56; 95% CI: 0.82-2.97; p: 0.087] in the harmonic group, 17.3% (n = 34) [RR: 0.87; 95% CI: 0.61-1.24; p: 0.219] in the monopolar group, and 15.2% (n= 60) [RR: 0.61; 95% CI 0.45-0.84; p: 0.001] in the monopolar + harmonic group. Conclusions and clinical significance: The use of a bipolar device appears to be a risk factor for hypocalcaemia, while the use of monopolar + harmonic seems to be a protective factor. Although, when analyzing monopolar + harmonic vs monopolar alone, the addition of the harmonic scalpel didn’t provide statistically significant additional protection against hypocalcaemia.

scholarly journals Rate of Infection in Rheumatoid Arthritis Patients

2014 ◽  
Vol 4 (1) ◽  
pp. 15-21
Author(s):  
Aisha A. Al Ghamdi ◽  
Suzan M. Attar
Keyword(s):  
Rheumatoid Arthritis ◽  
University Hospital ◽  
Inflammatory Disorder ◽  
Risk Of Infection ◽  
Kingdom Of Saudi Arabia ◽  
Steroid Use ◽  
Increased Risk ◽  
King Abdulaziz University ◽  
Associated Risk Factors ◽  
Common Infections

Objectives: Rheumatoid arthritis is an autoimmune inflammatory disorder associated with increased risk of infection. The aim of this study was to evaluate infections frequency in rheumatoid arthritis patients and to report the independent associated risk factors. Methods: Rheumatoid arthritis patients (n = 200) were retrospectively reviewed at King Abdulaziz University Hospital Jeddah, Kingdom of Saudi Arabia from January 2008 to December 2010. The rate and predictors of infection were evaluated. Results: The frequency of infection in rheumatoid arthritis patients was (36%). The most common infections were pneumonia, bacteremia and urinary tract infection occurring in 18%, 12%, and 10%, respectively. The strongest and significant predictors for infection were cardiovascular disease (OR = 8.87), renal impairment (OR = 7.12), and steroid use (OR = 1.67). Conclusions: Infection rate in rheumatoid arthritis patients was high but lower than other studies. Comorbid illnesses (renal and cardiovascular diseases) and steroids in rheumatoid arthritis patients predisposed them to develop infections that may necessitate hospitalization. Comorbid illnesses should be managed early and steroids to be used cautiously in order to reduce infection risk among rheumatoid arthritis patients.

scholarly journals Cardiovascular risk factors in Saudi Arabian and non-Saudi Arabian diabetic patients in Saudi Arabia

2003 ◽  
Vol 9 (5-6) ◽  
pp. 884-892
Author(s):  
D. H. Akbar
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Blood Glucose Control ◽  
Saudi Arabian ◽  
University Hospital ◽  
Diabetic Patients ◽  
Significant Difference ◽  
King Abdulaziz University

To determine frequency of cardiovascular risk factors in Saudi and non-Saudi diabetics, we studied patients attending King Abdulaziz University Hospital for follow-up in the period January 1997 to December 2001. Cardiovascular risk factors, including hypertension, hyperlipidaemia, obesity and smoking, were studied as well as degree of blood glucose control. Of 1122 patients in the study, 48% were Saudis and 52% non-Saudis. No statistically significant difference was found for prevalence of cardiovascular risk factors between the two groups. Correlation of each of the risk factors to patient’s age showed significant correlation to hypertension and smoking

scholarly journals Outcomes of Primary Bidirectional Glenn in Children with Single Ventricle Physiology and Increased Pulmonary Blood Flow

2020 ◽  
Vol 23 (6) ◽  
pp. E850-E856
Author(s):  
Ahmed Mohamed Dohain ◽  
Muhammed A. Mashat ◽  
Ahmed M.A Al-Mojaddidi ◽  
Mohamed E. Abdelmotaleb ◽  
Abdulla A. Mashat ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Blood Flow ◽  
Single Ventricle ◽  
Fontan Operation ◽  
Length Of Hospital Stay ◽  
University Hospital ◽  
Second Stage ◽  
Bidirectional Glenn ◽  
Significant Difference ◽  
King Abdulaziz University

Background: We reported our experience in managing patients with single ventricle (SV) physiology and increased pulmonary blood flow (PBF), aiming to assess if it is feasible to proceed with primary Bidirectional Glenn (BDG) without a prior operation to limit PBF. Materials and methods: This is a retrospective study with 51 consecutive patients who underwent BDG operation as a primary operation or a second stage prior to the definitive Fontan operation at King Abdulaziz University Hospital (KAUH) in Jeddah, Saudi Arabia between 2010 and 2018. Patients were categorized into two groups based on their PBF prior to the operation: Patients who had SV physiology and increased PBF (seven patients) vs. patients with SV physiology and restricted PBF (44 patients). Results: The median age for the increased PBF group was 9.9 months [interquartile range (IQR): 2-16.9 months], and the median age for the restricted PBF group was 15.3 months (IQR: 6.7-42.6 months). Although the length of hospital stay was longer in patients with increased PBF (P = 0.039), we couldn't find a statistically significant difference in early mortality, duration of mechanical ventilation, length of pleural drainage, and length of intensive care unit (ICU) stay between the groups. Conclusion: In our experience, we found that primary BDG could be done safely for patients having SV physiology and increased PBF with acceptable short-term outcomes. It might further reduce the morbidity and mortality for those patients by avoiding the risk of initial pulmonary artery banding or aortopulmonary shunts.

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