Cholecystectomy without drainage. A controlled clinical trial

A prospective randomized study of the value of drainage in uncomplicated cholecystectomy is presents were allocated to a control group without drainage, and another fifty patients were provided with surgical drains. All patients were from the surgical department of Ain Shams University hospitals and AL-Gubail new hospital eastern area Saudia Arabia along the period from November 1989 to January 1992. complications were few in either group, but the rate of subjective discomfort was greater in the drain group. The non drain group had a significantly shorter hospital stay. The observations suggest that routine drainage in uncomplicated cholecystectomy is unnecessary

Laparotomy for abdominal injury in road traffic accidents

This study presents an analysis of 178 road traffic accident victims on whom laparotomy was indicated in AL-Gubail new hospital Eastern Area Saudi Arabia from march 1989 to February 1992. they accounted for 3.8% of total road traffic accident patients admitted to that hospital during the previous three years [1989-1992]. One hundred seventy two cases under went surgery, the remaining six died in the admission area before surgery. The incidence of male patients to female patients was 8 1. saudies comprised 56% of the victims. Diagnostic peritoneal lavage yielded an accuracy of 98% with no complications. Rupture Spleen [70 patients] and rupture liver [69 patients] were the two most common injured organs. Overall mortality among the operated cases was 20.9%. Mortality appeared to be directly related to the extent of injury to other systems involved

Combined anal dilatation and rubber band ligation. Therapeutic choice for internal hemorrhoids

During a 2 year period from January 1990 to January 1992, in Al-Gubail hospital and king Fahd Hospital Al Kaseem Saudi Arabia 100 cases of first to third degree internal haemorrhois were treated with a combination of rubber band ligation and manual anal dilatation. The results were excellent with no evidence of immediate postoperative complication, except for one instance of recurrence. Based on our results we are of the opinion, that anal dilatation along with band ligation, is the best choice of treatment of internal haemorthoids

Role of cholecystectomy in chronic acalculous cholecystitis

Chronic acalculous cholecystitis is a controversial disorder, and surgeons are reluctant to perform cholecystectomy in the absence of clear evidence of biliary calculi, this study described the clinical picture, investigations, and results of cholecystectomy in 20 patient diagnosed as having chronic acalculous cholecystitis. All the patients were from Al-Gubail hospital Saudi Arabia. They had right upper quadrant pain highly suggestive of gall bladder origin. In six patients ultrasonography and cholecystogrphy were completely normal, two patients showed evidence of biliary sludge in the gall bladder and in the remaining 12 patients the sole abnormality was ultasonographic demonstration of a thickened gall bladder wall. At assessment one year after cholecystectomy, 17 patients were completely relieved of symptoms, two were improved and only one patient failed to benfit. Despite the increasing sophistication of biliary tract investigative methods, the diagnosis of chronic acalculous cholecystitis remains predominantly clinical. In the presence of typical symptoms, and with exclusion of other upper abdominal pathology, cholecystectomy successfully relieves the majority of symptoms