Laparoscopic splenectomy alone for sickle cell disease account of 50 paediatric cases

Objectives: In Oman, the most frequent indication for a splenectomy in children is sickle cell disease [SCD], which is one of the most common haematological disorders in the Gulf region. This study aimed to describe paediatric laparoscopic splenectomies alone for SCD at a tertiary hospital in Oman

Methods: This study was conducted between February 2010 and October 2015 at the Sultan Qaboos University Hospital, Muscat, Oman. The medical records of all children aged

Results: A total of 71 children underwent laparoscopic splenectomies during the study period; of these, 50 children [28 male and 22 female] underwent laparoscopic splenectomies alone for SCD. The children's weight ranged between 11-43 kg. The most common indication for a splenectomy was a recurrent splenic sequestration crisis [92%]. Surgically removed spleens weighed between 155-1,200 g and measured between 9-22 cm. Operative times ranged between 66-204 minutes and intraoperative blood loss ranged between 10-800 mL. One patient required conversion to an open splenectomy. Postoperative complications were noted in only four patients. The median hospital stay duration was three days

Conclusion: Among this cohort, the mean operating time was comparable to that reported in the international literature. In addition, rates of conversion and postoperative complications were very low. These findings indicate that a laparoscopic splenectomy alone in paediatric patients with SCD is a feasible option

Scapular bronchogenic cyst: a case report and literature review

Bronchogenic cysts originate from abnormal budding of the tracheal diverticula during the embryological period. Inaccuracy in the process of growing of the ventral foregut will give rise to bronchogenic cyst. Scapular bronchogenic cyst is an extremely rare form of this anomaly. A three years old boy suffered for 2 years with left sided suprascapular cystic lesion which was gradually increasing in size. The swelling was 4x3 cm in size and non tender. The cyst was evaluated by CT scan that showed complex cystic lesion over the left scapular spine. Total excision of the cyst was done and histopathology showed cutaneous bronchogenic cyst. The proposed mechanism for such cutaneous lesion is that the accessory buds from the tracheobronchial tree/primitive foregut migrated from the thorax in an aberrant manner to lie in periscapular positions. The definitive treatment of scapular lesions is total surgical excision. The final diagnosis is based on the histopathological findings in the majority of cases

[Survey of effective factors on nursing graduated motivation to participate in job training programs in affiliated baqiyatallah university hospitals]

One of the useful and cost-saving methods in promotion and coordination of nursing profession with improvement resulted from technology social and medical science is the in- service training, to participate of medical centers staff in the course depend on a variety of motivational factors. This study intend to determine the factors related to nurses motivation in participating the program of in service training. In a descriptive study, 229 nurses chose their motivation factors in participation in the in service training through completion of standard 27-qusestion-questionnaire with the likert scale about domains of personal, organizational, professional factors and factors related to periodical programming. About factors involved in nurses motivation for participating in the in service training, they select professional [85.2%], personal [79%], programming [30.6%] and organizational [30.6%] factors for participating in the in service training. The significant relationship were observed between organizational factors and sex [P<0.001] and workplace [P<0.005], between professional factors and the type of employment [p<0.004], and between program factors and sex [P<0.004], and type of employment nurses [p<0.002]. Most of motivation factors to participation of nurses in the in service training is personal and professional factors. Therefore it is necessary that health care organizations consider other organizational related factors. This study is the first study in military hospitals therefore the results could be useful for other military medical centers