Résumé
Gallstone disease with advanced symptoms is one of the common abdominal emergencies during pregnancy and it is considered to be one of the most frequently reported non-obstetric surgical conditions in pregnant women. This study aimed to evaluate the outcomes of surgical cholecystectomy in pregnant women with symptoms of advanced gallstones. This is a retrospective analysis of 2814 pregnant women who attended various wards in government and private hospitals in the governorates of Diyala and Kirkuk in Iraq for more than 2 years, between February 2020 and June 2022. The hospital database was used to confirm the diagnosis of advanced gallstone symptoms in these pregnant women. The incidence of symptomatic gallstones in pregnant women, diagnosis and method of therapeutic management, cholecystectomy according to the pregnancy periods, and perinatal complications of patients according to therapeutic methods were determined. The results confirmed that out of 2814 pregnancies, only 126 (4%) had symptoms of gallstones. It was found that the majority of cases 67 (53%) were within the first trimester of pregnancy and the least 29 (23%) was observed in the second trimester. Acute cholecystitis was the generality 84 (67%) diagnosed in pregnant women with symptomatic gallbladder disease and only 9 (7%) of the patients had undergone prenatal cholecystectomy versus 117 (93%) who were managed conservatively. A total of 20 (16%) cases with undesirable complications were recorded, where 12 cases with low birth weight were noted, where 4 of them underwent surgery and 8 were treated conservatively. It was concluded that a large proportion of women suffer from symptoms of gallstones during pregnancy. Most cases can be managed conservatively, and intervention should be performed as often as needed.Copyright © 2023, Codon Publications. All rights reserved.
Résumé
Chronic inflammatory diseases that affect the upper respiratory tract may be a risk factor for COVID19 infection. The current descriptive study is to investigate the existence of a relationship between chronic Rhinosinusitis disease (CRS) and infection with Covid 19. A descriptive study was conducted on 1125 participants who came to the specialized outpatient clinic of otolaryngology in Kirkuk) Iraq (, for the period between August and October of 2021. The results confirmed that the incidence of CRS among the participants was 11%, while the co-infection with COVID-19 was developed in 18 % of CRS patients. The incidence of hyposmia was 24 (18.0%) in CRS with COVID-19 patients versus 9 (6.0%) in non-Covid-19 patients. On the other hand, the proportion of nasal polyps was 41% among CRS patients infected with COVID-19. It was concluded that there is a risk relationship between chronic nasal inflammation and infection with Covid 19, so we recommend paying attention and conducting more accurate studies on this topic.
Résumé
Deficits in smell and/or taste are possible neurological manifestations of coronavirus disease-2019 (COVID-19). The study aims to determine the incidence of hyposmia and hypoguesia in patients infected with COVID-19 in Shifa-14 Hospital, Kirkuk, Iraq. Data for this study were taken from the patients' registries. The results showed that out of 117 patients, 73 (62.4%) had hyposmia or hypoguesia, or both. Most of the patients were males 71 (60.7%) with different age groups. The majority of patients was smokers 72 (61.5%) and had mild infection 61 (52.1 %). Men, smoking, and disease seriousness had a vastly significant association with hyposmia and hypoguesia. We concluded that lack of smell and taste was a common symptom of COVID-19. Males, smoking, and severe infection were risk factors hyposmia or hypoguesia in the COVID-19 cases.
Résumé
Surgeries have suffered a worldwide threat due to theCoronavirus disease 2019 (COVID-19) pandemic. The same as the rest of the health care systems in the world. Especially in hospitals that have been designated for patients with this pandemic.The aim of the study is to evaluate patients who are undergoing emergency surgery in the hospital through the pandemic COVID-19. A cross-sectional study of emergency surgeries (retrospective) that was performed between June 1 and December 31, 2020, was conducted in the General Surgery Words of Kirkuk General Hospital in the State of Iraq, which was designated for the admission of pandemic patients.76 patients were listed as a total, 69 among them left the hospital without any event, while 7 of them died during the postoperative period.The patients discharged from the hospital did not have any positive for COVID-19 at follow-up.As for the general surgery cases, there were 36 cases, 29 of them males and 7 females.As well as there were 7 cases that underwent exploratory abdominal surgeries.As for the outcome of 30 patients with Covid-19 who required major surgery, it was as follows: 25 cases recovered, 5 patients died during the postoperative period, and some of them had complications as follows: 10 wound infection, 4 incisional hernia, and 3 septicemia.We concluded that emergency surgeries for the infected patients with the COVID-19 virus and who were present in the hospital were performed with high success rates, due to the full commitment to isolation and prevention measures.
Résumé
The pandemic Coronavirus (Covid-19) is a universal communal health emergency, with millions of infections and lots of mortality globally. Statistics concerning the clinical sequence of hospitalized, discharged and deceased patients are needed. Demographic, clinical features, and outcome statistics for patients who were referred to the hospital designated to receive pandemic patients in Kirkuk governorate, which is affiliated with the Kirkuk Health Directorate, between October 1 and December 30, 2020, were determined through records related to online institutional health. We conducted a cross sectional study of patients who were discharged alive or died in hospital. Of the 450 patients who were admitted to hospital and within the duration of the study, the overall death rate was 3.1% and 96.9% were discharged alive. In those who died, the percentage of men was 2.2%, and in females 0.9%, the percentage for geographical area was 2.2% for districts and sub-districts, and the percentage of Unemployed was 4, 2%. It was concluded that the infection in men are more, especially those over the age of 61 years of them and those who have other comorbidities such as high blood pressure, heart diseases and diabetes. © 2021 Universitatea de Vest Vasile Goldis din Arad. All rights reserved.