ABSTRACT
Background: Adhesions are bands of scar tissue that form between organs. In the abdomen, they form after an abdominal surgery or after a bout of intra-abdominal infection [i.e., pelvic inflammatory disease, diverticulitis]. More than 95% of patients who undergo abdominal surgery develop adhesions; these are nearly inevitably part of the body's healing process. Though most adhesions are asymptomatic, some can cause bowel obstructions, infertility, and chronic pain
Objectives: Concerning whether patients with chronic pelvic pain benefit from laparoscopic adhesiolysis or whether any appearing advantage is a placebo effect
Materials and Methods: This review was conducted using a comprehensive search of MEDLINE, PubMed, EMBASE, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials from January 1, 1990, through October 31, 2017
Results: The spectrum of treatments for a small-bowel obstruction ranges from conservative management with bowel rest to surgical intervention, sometimes involving bowel resection. The caveat with regard to surgical treatment is that while surgery may be required to release symptomatic adhesions, postoperative reformation of these adhesions is common. Debate continues as to whether laparoscopic adhesiolysis yields added benefit in terms of decreasing postoperative adhesion reformation; however, promising results have been obtained with Open approach
Conclusion: Laparotomy with open adhesiolysis has been the treatment of choice for acute complete bowel obstructions. Patients who have partial obstructions, with some enteric contents traversing the obstruction, might similarly require surgery if nonoperative measures fail
ABSTRACT
Background: the relationship between the sleep pattern and the academic performance among medical students is not well addressed in the literature. This study aimed to assess the association between sleep pattern and academic performance among medical students at King Saud Bin Abdulaziz University for Medical Sciences
Methods: this descriptive cross-sectional study was conducted on male medical students at King Saud Bin Abdulaziz University for Health Sciences at Riyadh, Saudi Arabia. They were included and the Exclusion criteria were students in Basic sciences phase and preparatory phase. The questionnaire was obtained from Groninger Sleep Quality Questionnaire and it was distributed through official university email. Responding rate was 25.7%[n=166] out of 645 students whom were included. SPSS was used to manage and analyze the data
Results: the majority of students [27.1%] who showed adequate sleep had GPA of between 3.5 and 4.49 which was referred to good academic performance. 0.6% of those who showed adequate sleep score less than 2.5 GPA. On the other hand, 22.9% of the students showed inadequate sleep score GPA of between 3.5 and 4.49
Conclusions: our results showed that sleep quantity and quality doesn't play significant roles in academic performance of students. Nevertheless, students should adopt a healthy sleep pattern