RESUMEN
Background: Tracheal resection and primary re anastomosis for tracheal stenosis or tracheal tumor is not uncommon operation
Objective: To assess the aetiology of stenosis of cervical trachea and their surgical reconstruction
Patients and Methods: This is a retrospective study of forty patients with cervical tracheal stenosis ,who were treated at Ibn Al Nafees Hospital during six years period from January 2006 to October 2012 .It illustrates the diagnostic methods and the surgical techniques of reconstruction
Results: Most of the patients ,were male [80%] and only [20%] were female .The most common etiological factor was post intubation stenosis [70%],less common cause was traumatic stenosis and the least was neoplastic stenosis . Progressive dyspnea was the most common presenting clinical feature .The mean length of resection was three rings .Seven patients developed complications, and dealt with successfully with one mortality
Conclusion: Bronchoscopy and radiography remain the main diagnostic tool for evaluating it .Resection and end to end anastamosis is the best method of treatment In special cases .Some cases can be treated by endoscopy and laser therapy
RESUMEN
This case report presents a successful operation of a raptured stomach, herniated through a defect in the diaphragm, due to bullet injury which remained in this position for three years, covered by thick adherent pleura which sealed the stomach
RESUMEN
Patients with end stage renal disease are in utmost need for some form of venous access to be scheduled for chronic haemodialysis program. To review a personal experience in dealing with uraemic patients who required repeated phlebotomies and intravenous infusion, which may have caused thrombosis of many superficial veins. A retrospective study of 500 patients with end stage renal disease underwent creation of arterio venous fistula for chronic haemodialysis program at the department of Thoracic and Vascular surgery at the Medical City Teaching Hospital in Baghdad during five years between [1998 - 2002 inclusive] .It illustrates the technique used and presents the surgical complications met with in these cases. Most of the patients 490 [98%] had successful creation of AV fistula with nice maturation of the vein and they were scheduled on chronic haemodialysis program .Ten patients [2%] were unfit for fistula creation. In only thirty patients [6%] surgical complications are met with. Sparing one limb veins in uraemic patients at the time of diagnosis will aid in the success of arteriovenous fistula, decreasing its complications