Social trends of living renal donors in Libya

Renal transplantation is the best treatment for end-stage renal disease. We conducted this study to assess the epidemiological patterns and social trends in our living related renal donors pool in Libya. The medical records of 461 living related renal donors were evaluated from August, 2004 to January, 2010. Of the 461 living related donors studied, 266 [57.7%] were operated. There were 381 [82.6%] men and 80 [17.4%] women aged from 18 to 63 [mean: 32.6] years. Most of the donors aged between 20 and 39. The most common donor recipient relationship was sibling-sibling [n=157; 59.1%] with a male: female ratio of 2.6:1. The reported frequencies from our center differed with those from other countries. That might be due to cultural issues

Congenital orbital lymphangioma in a 20-years old girl a case report and review of literature

We report a case of a 20-year-old girl who presented to the out-patients' department with congenital, progressive unilateral proptosis and reduced vision. Ultrasound, computed tomography [CT] scan and magnetic resonance imaging [MRI] were performed. Diagnosis of orbital lymphangioma was made on imaging. Authors highlight the crucial role of imaging in diagnosis and to plan therapeutic approach. This case is reported because of its extreme rarity and unusual presentation

Reasons for unwillingness of Libyans to donate organs after death

Organ transplantation in Libya depends exclusively on donations from live relatives. This limitation increases mortality and prolongs the patients' suffering and waiting time. The aims of this study were to explore willingness to donate organs after death and to identify the reasons for refusal. A population-based cross-sectional study was conducted from April to July 2008 on a cluster sample of 1652 persons [58% males and 42% females]. The questionnaire included demographic information and mainly enquired about willingness to donate organs after death and the reasons for refusal when applicable. About one-third [29.7%] of participants were in favor of donating their organs after death, 60.1% refused and 10.2% were undecided. Willingness was significantly associated with being male, younger age, having a college or graduate degree, and being single [P <0.05 for all]. Lack of adequate knowledge about the importance of deceased organ donation and uncertainty about its religious implications were the most predominant reasons for refusal [43.8% and 39.5%, respectively]. Other reasons included ethical concerns about retrieving organs from dead bodies [37.9%], preference for being buried intact [28%], and uneasiness about the idea of cadaver manipulation [33%]. There were a considerable resistance to deceased organ donation, especially among females, those of older age, married people, and those with a low education level. The barriers to cadaveric donations were lack of adequate knowledge, unease about body manipulation, and concerns about religious implications. Public educational campaigns should be coordinated with religious leadership

Management of gastrointestinal-cutaneous fistula

Gastrointestinal cutaneous fistula can be a threat to life unless carefully handled. Of the cases of G.I.C.F. treated at the Surgical Department of the Central Hospital, Tripoli, Libya, three occurred post-operatively, one after trauma and one after inflammatory duodenal disease [perforated duodenal ulcer]. Two were high output, three low output. In two cases abscess drainage was performed and all the cases were managed by gastric suction, blood transfusion, fluid and electrolyte replacement, antibiotics, hyperalimentation, suction of fistula discharge, skin ointment. A very important role was played by total parenterals nutrition [T.PN.] Two cases healed after two weeks. The same treatment was given to the other three cases for a period of four weeks, during which time preparation for surgical intervention was made. Resection and anastomosis of terminal ilium was performed med in Case I transfer of BI to BII was performed but there was persistent leakage. The patient was re-explored and later developed septic shock and died. Four of the cases were treated successfully but one died