Initial Surgery in Tailoring Treatment for Children With Stage II and III Wilms' Tumor: An Experience From Resource Challenged Settings.

Background: Although Wilms' tumor (WT) is ranked first among primary childhood's renal neoplasm, controversy still exists regarding the best approach for its management. The study aimed at evaluating the role of initial surgery in treatment of stage II and III pediatric WT as a part of the short administration schedule as in National Wilms' Tumor Study (NWTS)-4 and evaluating its effectiveness compared to the long administration schedule.

Methods: The study included 30 children who were primarily diagnosed as stage II and III WT.

Laparoscopic transabdominal preperitoneal approach for recurrent inguinal hernia: A randomized trial.

Introduction: The repair of the recurrent hernia is a daunting task because of already weakened tissues and distorted anatomy. Open posterior preperitoneal approach gives results far superior to those of the anterior approach. Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is an evolving technique associated with advantages of a minimally invasive approach.

Trauma patterns in patients attending the Emergency Department of Jazan General Hospital, Saudi Arabia.

Background: Modern civilization and the sharp rise in living standards have led to dramatic changes in trauma pattern in Saudi Arabia. This study aimed to describe the different patterns of injuries of patients attending the Emergency Department of Jazan General Hospital (JGH) in the southwest corner of Saudi Arabia.

Methods: A total number of 1 050 patients were enrolled in the study.

Operative outcome and patient satisfaction in early and delayed laparoscopic cholecystectomy for acute cholecystitis.

Introduction. Early laparoscopic cholecystectomy is usually associated with reduced hospital stay, sick leave, and health care expenditures. Early diagnosis and treatment of acute cholecystitis reduce both mortality and morbidity and the accurate diagnosis requires specific diagnostic criteria of clinical data and imaging studies.

Examination under anesthesia for management of impalpable undescended testis: a traditional technique revisited.

Background: Many new tools for management of impalpable testes have emerged during the last few years, yet, not many studies have compared them to the traditional ways of managing this problem. This work aims to reiterate the importance of the physical examination under general anesthesia prior to the surgical procedure in order to decide the best surgical approach for patients with impalpable undescended testis, especially in developing countries where expensive investigations are at premium.

Patients And Methods: The study included boys who were treated consecutively and recorded prospectively from 2000 to 2010.

Efficacy of protective tube cecostomy after restorative resection for colorectal cancer: a randomized trial.

Background: The construction of colostomy is associated with decreased physical and psychological well-being as well as decreased quality of life. Cecostomy is the creation of an opening in the cecum to provide colonic decompression.

Objective: This work was conducted to evaluate the efficacy of tube cecostomy as an alternative to colostomy in the managing patients with left-sided colonic carcinoma and rectal cancer in terms of occurrence of postoperative morbidity and mortality and the functional outcome.

Laparoscopic elective cholecystectomy with and without drain: A controlled randomised trial.

Background: Laparoscopic cholecystectomy is the main method of treatment of symptomatic gallstones. Routine drainage after laparoscopic cholecystectomy is an issue of considerable debate. Therefore, a controlled randomised trial was designed to assess the value of drains in elective laparoscopic cholecystectomy.

Assessment of causes and patterns of recurrent varicose veins after surgery.

Background: Varicose vein surgery is characterized by high recurrence rate of 60% after 5 years of follow-up observation, and this is a disappointing finding, both for the patient and surgeon.

Aim: To identify the possible causes and patterns of recurrent varicose veins.

Materials And Methods: 92 patients with recurrent varicose veins were enrolled in this study.

Intraincisional vs intraperitoneal infiltration of local anaesthetic for controlling early post-laparoscopic cholecystectomy pain.

Background: The study was designed to compare the effect of intraincisional vs intraperitoneal infiltration of levobupivacaine 0.25% on post-operative pain in laparoscopic cholecystectomy.

Materials And Methods: This randomised controlled study was carried out on 189 patients who underwent laparoscopic cholecystectomy.

The use of topical phenytoin for healing of chronic venous ulcerations.

Background: Many topical agents have been used for promotion of healing of chronic venous ulcers. One such agent that has been tried is phenytoin. The effect of phenytoin on cutaneous healing has been suggested.

The efficacy of laparoscopy in the diagnosis and management of chronic abdominal pain.

Background: Chronic abdominal pain is a difficult complaint. It leads to evident suffering and disability, both physically and psychologically. Many diagnostic and therapeutic procedures have been described in literature, but with little proof or evidence of success.

Assessment of risk factors in diabetic foot ulceration and their impact on the outcome of the disease.

Aims: The current study aims to identify risk factors for diabetic foot ulcer and their impact on the outcome of the disease.

Methods: Three hundred diabetic patients were enrolled in the study. One hundred eighty subjects with diabetic foot ulcer and 120 diabetic controls without foot lesions.