Abstract Introduction : Acute cholecystitis (AC) is a prevalent condition in emergency departments (EDs). Standard care involves early laparoscopic cholecystectomy; however, cases of delayed presentation, high surgical risk, or during situations like the COVID-19 pandemic, percutaneous cholecystostomy (PC) serves as an alternative management strategy. This study reports our center’s experience with PC managing AC, providing insights from unique geographical context. Methods We conducted...

Background/objective Acute appendicitis (AA) is one of the most common surgical emergencies that require a proper diagnosis to avoid negative outcome in case missed or delayed diagnosis. Our study aims assess diagnostic power Alvarado score and prediction severity acute correlation intraoperative findings final histopathology (HP) result. Methods This retrospective was applied 1,303 patients with clinically proven available HP results. We correlated gold standard findings. selected cutoff...

This research aims to study whether the time of day impacts outcome laparoscopic appendectomy. Peri/post-operative data including type surgery, operating room time, length stay, re-hospitalization rates, and short/long term morbidity mortality were assembled analyzed.A retrospective review all patient's charts who underwent an appendectomy for acute appendicitis at Acute Care Surgery division Hamad Medical Corporation (HMC) from December 2017 July 2020 was performed. Our institution...

Acute Appendicitis (AA) is the most common abdominal surgical emergency. It requires proper management to decrease mortality and morbidity. Clinical scoring systems for diagnosing AA aimed use of radiological scans rate negative appendectomies (NA). We aim assess adult appendicitis score (AAS) in diagnosis prediction AA.A retrospective study with 1303 cases performed. compared correlation AAS Alvarado scores postoperative histopathology. Specificity, sensitivity, Positive Predictive Value...

Background Internal hernias are infrequent, yet serious, medical conditions with potentially severe consequences. An internal hernia resulting from an Appendices epiploicae (AE) ring is especially rare cause, a mere nine documented instances worldwide. Case report This presents the case of 58-year-old male who suffered originating AE ring. The condition led to gangrenous small bowel, which was treated by laparotomy and resection affected segment, followed primary anastomosis. post-operative...

Key Clinical Message In an 18‐year‐old, Meckel's diverticulum and a rare vitellointestinal fibrous band caused bowel obstruction. Clinicians should be vigilant for such anomalies, especially in young adults with virgin abdomens, as potential sources of intestinal Abstract this case report, we highlight the rarity or omphalomesenteric duct anomalies causing obstruction adult population. The patient, 18‐year‐old male, presented to emergency department two‐day history abdominal pain vomiting....

Vigilant intraoperative inspection is crucial during gallbladder surgery to detect any abnormal tissue including the rare pyloric gland adenomas, which can be easily missed. Thorough examination and removal of unusual lymph nodes or thickened tissues are essential prevent risk malignant transformation ensure comprehensive patient care.

Abstract An intragastric balloon is often used as a temporary solution for weight loss. It endoscopically placed into the stomach and filled with air or saline to encourage fullness reduce meal intake. A 23-year-old female history of gastric procedure presented emergency department generalized abdominal pain recurrent vomiting. Initial imaging ultrasound computed tomography scans revealed collapsed migrated causing small bowel obstruction. Despite initial conservative management, patient...

Meckel's diverticulum is the most common congenital anomaly of gastrointestinal tract. It commonly encountered during surgical practice as cause patient's presentation or an incidental finding other unrelated procedures. This study aimed to evaluate frequency in our clinical and provide adequate level knowledge diagnostic features management diverticulum. We analyzed medical records all cases who were diagnosed with at hospital for over eight years. Age, sex, presentation, procedures,...

Associating Liver Partition and Portal Vein Ligation for Staged -hepatectomy (ALPPS) is an evolving procedure that allows rapid hypertrophy of the future liver remnant (FLR). We describe first two cases performed in Qatar.Case 1: A 53 -year old male with sarcoma metastases to 8 years after resection abdominal wall tumor, requiring extended right hepatectomy but inadequate FLR. ALPPS was done he achieved 147% increase volume FLR within 6 days (from 15.9%-34.2%). The second stage completed...

due to its specificity, accuracy, and easy use, allowing for outcome assessment, prognosis prediction, family counseling. 10MPI is based on eight key prognostic components (Table 1) divided into low, intermediate, high-risk groups mortality. 9,11,12Patients with an MPI score >26 are regarded as high mortality risk. IntroductIonDespite advancements in surgical critical care management, peritonitis remains a major problem real challenge surgeons morbidity rate. 1 Peritonitis can be classified...

Abstract Acute appendicitis is the most frequent cause of abdominal pain and acute emergency surgeries, with a mortality risk 6–7% at its onset. Since atypical deviations in these structures are rare, they can lead to diagnosis confusion increase worsening patient’s clinical picture. We present case 35-year-old patient who had surgery after being diagnosed appendicitis. Based on assessment (Alvarado score 8), appendix agenesis was discovered intraoperatively confirmed by postoperative...

A best evidence topic has been constructed using a described protocol. The three-part question addressed was: In [patients undergoing bariatric surgery], is [intraperitoneal local bupivacaine during the operation ] associated with [ lower pain score and decrease in post operative medications]? search done six randomized trial studies are considered to be appropriate answer this question. outcome assessed value of intraperitoneal surgery terms effect on analgesia. We concluded that causes...

Background: Laparoscopic repair of inguinal hernias is associated with less postoperative pain and a faster rehabilitation, but its high cost was changeling matter. Patients methods:We performed randomized prospective study in Ain Shams University hospitals form July 2012 April 2014 which 50 male patients primary unilateral or bilateral hernia were treated by laparoscopic transabdominal preperitoneal (TAPP) mesh fixation through polyprolene sutures.We recorded information about operative...

Hepatic resection (HR) has been reported as the standard treatment for colorectal liver metastasis.Nevertheless, HR might not be suitable some situations where those patients helped by chemoembolization or radiofrequency ablation (RFA) to treat their disease.RFA was first introduced in late 1990s, however, it is questionable that RFA similar survival rates with resectable metastasis.The aim of present study compare metastasis who were offered versus HR. Patients and methods:This a...

Objective To evaluate the efficacy and safety of our technique in laparoscopic repair ventral hernias. Summary background data Laparoscopic hernia (LVHR) was first reported 1993. The successful application techniques for hernias has been well accepted. recurrence rate after standard may be as high 10%, wide surgical dissection required often results wound complications. Use a approach decrease rates complications repair. Patients methods Data on all patients who underwent LVHR performed...

Background: Acute cholangitis (AC) is a life-threatening condition with mortality risk of 8%–10%. Despite no gold standard for diagnosis, Charcot's triad was introduced to diagnose AC. However, the had low sensitivity (50%–70%). Recently, Tokyo guidelines (TG) diagnosis AC gained international recognition their excellent diagnostic rate. Objective: In this study, we aimed apply TG18 in retrospective manner Qatar validate TG18. Methods: This observational study recruited 295 patients...

Background: Acute appendicitis is one of the most prevalent surgical conditions that necessitate emergency surgery. Traditional care non-complicated has been operational, whereas appendicular mass or abscesses are usually managed non-operatively. It still controversial if appendectomy would be safely delayed not. Delay in operation time after onset symptoms extensively studied as major factors contributing to prolonged operative times, advanced pathology, difficulty safe completion surgery,...