The recurrence rate after primary resection cystic echinococcosis: A meta-analysis and systematic literature review.

Cystic echinococcosis (CE) is a chronic, complex, zoonotic disease caused by Echinococcus Granulose tapeworms. The disease may present with a variety of symptoms, ranging from asymptomatic to fatal. Surgical intervention is the primary treatment modality for CE.

Solid pseudopapillary tumor of pancreas: A report of two cases and literature review.

Solid pseudopapillary neoplasm of the pancreas is rarely encountered in clinical practice. It is a tumor with a good prognosis and overall curative rates. It primarily affects young females in their twenties.

A Large Splenic Epidermoid Cyst Initially Misdiagnosed as a Hydatid Cyst.

BACKGROUND Splenic cysts are classified as either parasitic or non-parasitic cysts, with both types sharing similarities in their clinical presentation and imaging findings. Most splenic cysts are of parasitic origin, while non-parasitic splenic cysts are less common. Splenic epidermoid cysts (SECs) are a rare subtype of non-parasitic cysts and compromise only around 10% of them.

Effect of low-pressure pneumoperitoneum on pain and inflammation in laparoscopic cholecystectomy: a randomized controlled clinical trial.

Objective: We aim to assess the effect of low-pressure pneumoperitoneum on post operative pain and ten of the known inflammatory markers.

Background: The standard of care pneumoperitoneum set pressure in laparoscopic cholecystectomy is set to 12-14 mmHg, but many societies advocate to operate at the lowest pressure allowing adequate exposure of the operative field. Many trials have described the benefits of operating at a low-pressure pneumoperitoneum in terms of lower post operative pain, and better hemodynamic stability.

Pseudomyogenic Hemangioendothelioma Involving the Esophagus: A Case Report.

Herein, we describe the case of a 20-year-old woman who presented with dysphagia of 2 months' duration associated with vomiting, moderate abdominal pain, decreased oral intake, and significant weight loss. During the past 3 years, the patient experienced intermittent mild abdominal pain with infrequent vomiting. Endoscopy at Jordan University Hospital showed a mass in the esophagus, and endoscopic biopsies were performed.

Burnout Syndrome during Residency Training in Jordan: Prevalence, Risk Factors, and Implications.

Burnout syndrome is common among healthcare professions, including resident physicians. We aimed to assess the prevalence of burnout among resident physicians in Jordan, and a secondary aim was to evaluate the risk factors associated with the development of burnout syndrome in those residents, including gender, working hours, psychological distress, training sector, and specialty. In this cross-sectional study, 481 residents were recruited utilizing multistage stratified sampling to represent the four major health sectors in Jordan.

A case series of hilar cholangiocarcinoma: A single surgeon experience over 20-years.

Objective: To report our experience in the surgical management of hilar cholangiocarcinoma in a nontransplant center.

Methods: We reviewed the medical charts of patients who underwent surgical resection of hilar cholangiocarcinoma from 1996 to 2016. The preoperative workup as well as the operative techniques were presented.

Primary non-Hodgkin's lymphoma of the common bile duct: A case report and literature review.

Hepatobiliary involvement by malignant lymphoma is usually a secondary manifestation of systemic disease, whereas primary non-Hodgkin's lymphoma of the extrahepatic biliary ducts is an extremely rare entity. We describe the case of a 57-year-old man who presented with an acute onset of obstructive jaundice and severe itching. Abdominal ultrasonography and computed tomography revealed intrahepatic and common hepatic ducts dilatation.

Jejunojejunal intussusception induced by a gastrointestinal stromal tumor.

Background. Adult intussusception is a rare entity representing less than 1% of all intestinal obstructions. Diagnosis of the condition is difficult requiring a high index of suspicion and the utilization of imaging studies, especially CT scans.

Rupture of spleen post colonoscopy.

We review an interesting case of elective colonoscopy for rectal bleeding in a 68-year-old woman complicated by splenic rupture. She was managed by aggressive fluid and blood resuscitation followed by splenectomy. She had a smooth recovery and was discharged home 4 days after admission.

Profile and predictors of bile infection in patients undergoing laparoscopic cholecystectomy.

Objective: To study the bacteriological profile, and to determine predictors of bile infection and septic complications following laparoscopic cholecystectomy.

Methods: This cross-sectional study reviewed 1248 laparoscopic cholecystectomy cases performed between January 1994 and December 2007 by one surgical team at the Jordan University Hospital, Amman, Jordan. Bile cultures were performed for all patients and statistical analysis was performed on culture results and postoperative complications as well as, on the possible predictors of bile infection including age, gender, associated diseases, preoperative retrograde cholangiopancreatography (ERCP), and indications for surgery.

Optimization of anesthesia antiemetic measures versus combination therapy using dexamethasone or ondansetron for the prevention of postoperative nausea and vomiting.

Background: More than half of the patients undergoing laparoscopic cholecystectomy experience postoperative nausea and vomiting (PONV). This condition is related to the surgical, anesthetic, and patient factors. Volatile anesthetics, nitrous oxide, and opioids are known anesthetic risk factors for PONV, and thus preventive measures are justified.

Duration of venous occlusion with lidocaine for preventing propofol induced pain.

Objective: To study the effect of the venous occlusion duration using lidocaine on the incidence and severity of propofol induced pain.

Methods: A prospective double-blind randomized study was designed at Jordan University Hospital, Amman, Jordan between October 2007 and November 2007. One hundred and fifty patients aged 14-70 years, American Society of Anesthesiologists (ASA) clinical status I and II who underwent elective surgeries under general anesthesia, were divided into 3 groups.

Predictors of morbidity and mortality in the surgical management of hydatid cyst of the liver.

Background/aims: Surgery for hydatid cyst of the liver is widely practiced worldwide; this type of management is still associated with high mortality and morbidity. The aim of this study is to find out possible predictors for this high mortality and morbidity.

Materials And Methods: The medical records of 169 patients who underwent surgery for hydatid cyst of the liver were retrospectively reviewed.

Factors affecting common bile duct diameter.

Background/aims: The purpose of the study was to see the effect of age, sex, body mass index, previous cholecystectomy, hepatomegaly and fasting status on the common bile duct diameter.

Methodology: A series of 463 patients, 283 females and 180 males, with no hepatobiliary or pancreatic pathology were included in this study, the mean age was 45 +/- 16 years. Their age, sex, weight, height, fasting status and previous cholecystectomy was assessed and recorded by a physician prior to ultrasound examination.

Laparoscopic cholecystectomy: analytical study of 1208 cases.

Background/aims: To review our experience and to compare it with similar series published in the literature with emphasis on the safety, the rate of conversion, the mortality and the morbidity of the procedure.

Methodology: From January 1994 to February 2003, the files of 1208 cases of laparoscopic cholecystectomy were retrospectively analyzed; the technique of surgery as well as the associated co-morbid conditions, the rate of conversion to open cholecystectomy, and the morbidity and mortality was analyzed and compared to other series. Simple descriptive statistics were used.

Transjugular preoperative portal embolization (TJPE) a pilot study.

Background/aims: Because of our previous experience with transjugular intrahepatic portosystemic shunt, we decided to apply the transjugular approach to preoperative portal embolization. The aim of this pilot study was to determine the feasibility and the potential advantages and disadvantages of this new method.

Methodology: Under ultrasound guidance the right or left portal branch was punctured from the right, median or left hepatic vein.