The Journal of Middle East and North Africa Sciences

1

Authors: Zhong Jia; Zhi-Tian Li; Kai W

Up to date, all of us have to face a common challenge that the discomfort of bulging in patients after groin hernia repair happened frequently despite there are no any specific findings from ultrasound examination in its early stage. In fact, the majority of people prefer to choose a high-quality Herniorrhaphy rather than a low-cost mesh (Löfgren et al., 2016). Herein, Authors would like to introduce a novel groin hernia repair named as “Hernia Sac Top (HST) pathway”. The method can tie hernia sac, mesh, and loophole-closing into an entire unit with suture (Zhong et al., 2015; Wang et al., 2016), and promise a high-degree supportive power exist in the groin area. The unique technique appears to be very interesting but really does matter to reduce the discomfort of bulging after surgery. Authors get the truth and learn more from our practical experiences. Obviously, HST could maintain the integrity of groin area as the most extent as possible. Authors just walk on Bassini's footprint, who emphasizes to close the hole exist in transversalis fascia with purse string suture and high ligation. HST pins the hole and hernia sac on the mesh simultaneously. All joint dedication to reconstruct a stronger and firm groin area will make a hernia go further as time marches on.

10-21

Authors: Hana A. Nemer; Ale J. Hejase; Hussin J. Hejase; Mahmoud Othman; Mona Chawraba; Mohammad Ali Trad

Background: In 2014, the World Health Organization (WHO) has identified Colorectal Cancer (CRC) as the fourth leading cause of cancer-related deaths (694,000 deaths) after lung (1.59 million deaths), liver (745,000 deaths) and stomach (723,000 deaths) cancers. Thus, CRC awareness is needed in order to promote CRC screening which is widely recommended but remains underused, especially among poor populations. Objective: The study assessed the current understanding of CRC among the Lebanese population in order to propose recommendations that may contribute to increasing the screening rates where it is widely known that the survival rate increases significantly with early interventions. Materials and Methods: The study surveyed 1140 participants that were approached in public places, universities, entrances of the hospitals or places of work as well as following a snowball tactic by giving some potential participants few surveys to complete within their own social circles. The survey included questions related to risk factors, symptoms, and methods of screening. Quantitative data was analyzed using SPSS version 23.0 software. Results: The results of this study underline the lack of knowledge on CRC where the percentage of respondents that has never heard about it exceeds 59%; likewise, the study underlines the lack of knowledge on CRC screening where the percentage of respondents that have heard about it while claiming that they are familiar with CRC does not exceed 57.17%. Similarly, the results revealed poor knowledge in what relates to CRC risk factors and symptoms. Conclusions: Lack of awareness on CRC and its common risks and symptoms terminology is a barrier to CRC screening; accordingly, effective awareness campaigns are needed to highlight these issues.