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"From Qatar to the World
Abstracts" -
Presented at International
Conferences/or Published in Medical Journals
Edited by: A. A. Gehani and Mohammed Hammoudeh
This Abstract was published in "Journal of
Pediatric Urology" August 2005.
Postnatal Management of
Antenatally Diagnosed
Ureteropelvic Junction Obstruction
A.
Ismail, A. Elkholy, O. Zaghmout, A. Alkadhi, O.
Elnagaar, A. Khairat, H. Elhassanat,
A. Mosleh, B. Hamad, J. Elzomer and A. El Kaabi
Pediatric Section, Department of Surgery, Hamad
Medical Corporation
P.O. Box 3050, Doha, Qatar
Objective: The management of
antenatally diagnosed ureteropelvic junction
obstruction (PUJO) is controversial. Here, we
present our experience over a period of 13 years
and discuss our management protocol.
Materials and Methods: We received
the files of 234 patients with antenatally
diagnosed congenital hydronephrosis due to PUJO.
Management was tailored to each patient, based
on a combination of
diethylenetetraminepentacetic acid renogram
outcome, pelvic diameter, as well as the
patient’s symptoms.
Results: Pyeloplasty was carried
out early in 52 kidneys. Of the total 182
patients were managed expectantly. Out of these
45 underwent delayed pyeloplasty. The remaining
137 patients (189 units) were managed
non-operatively. In patients who underwent early
pyeloplasty, the mean split differential renal
function was 37% before and 40.05% after
surgery. In Those with delayed intervention, the
mean renal function was 37.8% before and 42,2%
after surgery. In patients who did not have
surgery, the mean differential renal function
was 45.7% initially and 48,2% at the last
accepted follow-up. The overall operative
success rate was 97.9%.
Conclusion: We believe that
pyeloplasty is the proper treatment for babies
with congenital PUJO and < 40% split
differential function and/or pelvic diameter >
35 mm at the initial visit. In other patients, a
period of observation is warranted, and
pyeloplasty should be carried out only if their
kidney function deteriorates or the renogram
curve does not show improvement. With the
excellent results of pyeloplasty we believe that
a safer approach is to operate on more kidneys
rather than risk of losing valuable kidney
function.
This abstract was published in “Chest.“ 2005;
128: 2835-2846
THE RESUSCITATION OUTCOME
*
Revisit the Story of the Stony Heart
Ayman A. El Menyar,
MD, MRCP
Cardiology & Cardiovascular Surgery Department
Hamad Medical Corporation, Doha, Qatar
Postresuscitation syndrome is a state of
myocardial dysfunction
after the restoration of circulation by
successful resuscitation. Despite several
advances in the field of resuscitation, the
management of out-of-hospital cardiac arrest is
still suboptimal. The high fatality rate shortly
after successful resuscitation is mainly related
to postresuscitation myocardial dysfunction.
Postresuscitation myocardial stunning is
reversible, while stony heart is irreversible
due to prolonged unsuccessful resuscitation.
This article reviews most of the published
articles concerning the causes, mechanism,
pathophysiology, and the updated trials for
management of postresuscitation myocardial
dysfunction. Further studies are warranted to
highlight postresuscitation disease and its
hemodynamic sequences and then to intervene
according to the different phases of cardiac
arrest. By modifying the conventional modalities
of resuscitation together with new promising
agents, the rescuers will be able to salvage the
jeopardized postresuscitation myocardium and
prevent its progression to the dismal stony
heart. Community awareness and staff education
are crucial to shorten resuscitation time and
improve short-term and long-term outcomes. There
is an urgent need to revise the guidelines for
cardiopulmonary resuscitation in community
setting, but how? It is a matter of where and
when it is of enough value to be efficacious and
cost-effective.
Key Words:
myocardial stunning • postresuscitation disease
• postresuscitation syndrome • stony heart •
successful cardiopulmonary resuscitation
This abstract was published in “Journal of
Pediatric Surgery “ February 2005, Vol. 40, No.
2
Serial Transverse Enteroplasty
in Intestinal Atresia Management
Adel Ismail, Abdulrahman
Alkadhi, Osama Alnagaar, Abubaker Khirate
Pediatric Surgery Section, Surgery Department
Hamad Medical Corporation, P.O. Box 3050, Doha,
Qatar
Abstract
In intestinal
atresia, resection of the proximal dilated bowel
segment, if long, might lead to bowel length
compromise. Although tapering enteroplasty and
plication are well described to avoid such a
resection, the use of serial transverse
enteroplasty is proposed here as an alternative
in this situation.
This abstract was published in “Journal of
Pediatric Surgery “ August 2005, Vol. 40,
No. 8
Splenogonadal Fusion:
Case presentation and literature review
Abou Bakr M., Khairat, Adel M.
Ismail
Pediatric Surgery Section, Surgery Department
Hamad Medical Corporation, P.O. Box 3050, Doha,
Qatar
Abstract:
Splenogonadal
fusion is a rare congenital anomaly in which
there is fusion of the spleen and the gonad or
mesonephric derivatives. To date, approximately
150 cases have been reported since the condition
was first described by Bostroem in 1883 (Bostroem
E. Demonstration eines Praparates von
Verwachsung der Milz mit dem lenken Hoden.
Gesellschaft deutscher Naturforscher und Aerzte,
Verhandlungen der 56 Versammlung, Freiburg;
1883. p. 149). Very few cases have been
diagnosed preoperatively, and many cases
presenting as a testicular swelling underwent an
unnecessary orchiectomy with the suspicion of a
testicular neoplasm. A case is presented and the
related literature is reviewed.
This abstract was published in “British
Journal of Neurosurgery” December 2003, Vol.:
17, No.: 6
Hemangiopericytoma Presenting as Acute Subdural
Hematoma
*O.A. Ajani,
**G.C. Ejeckam, *A. Raza
*Neurosurgery Section and **Pathology Section
Hamad Medical Coporation, Doha, Qatar
Abstract:
Hemangiopericytomas are vascular neoplasms that
arise from capillary pericytes. They rarely
present with hemorrhage. We report a patient
whose meningeal tumor was revealed by acute
subdural and intratumoral hemorrhage. |
