BASRAH JOURNAL OF SURGERY

3-9

Authors: THAMIR A. HAMDAN---- Mubder A Mohammed Saeed --- Abbas Salman ISMAEL

THE EFFECT OF DENERVATION ON FRACTURE HEALING , AN EXPERIMENTAL STUDY ON RABBITS Thamer A Hamdan , Mubder A Mohammed Saeed & Abbas Salman Ismael Abstract Many studies suggested a relation between denervation and fracture healing either in positive or negative effect. This is a prospective experimental study on 20 rabbits carried out in the experimental animal’s research laboratory of Basrah University, Medical College from April 2014 to November 2014 according to ethical rules of institution. They were housed under controlled conditions of temperature and lighting, same diet was given for all animals. The rabbits was divided into two groups; group A with sciatic denervation and fracture of the tibia while group B, with fracture tibia only. The state of fracture healing was studied radiologically after 4 weeks and histopathologically at 6 weeks. The results showed significant difference between the two groups, the denervated group had poor fracture healing compared with non denervated group. In conclusion, denervation affects fracture healing negatively in rabbits.

17-22

Authors: Ali Kadhim Nazir --- Issam Merdan

PORT SITE INFILTRATION OF LOCAL ANESTHETIC IN REDUCTION LAPAROSCOPIC CHOLECYSTECTOMY Ali Kadhim Nazir & Issam Merdan *MB,ChB, FICMS General Surgeon, Al-Sadder Teaching Hospital, Basrah, Iraq. Professor of Surgery, Department of Surgery, Basrah College of Medicine, Basrah University, Iraq. Abstract Laparoscopic cholecystectomy has become a standard technique for gallbladder surgery of symptomatic cholelithiasis. However, pain is the dominant complaint after this surgical procedure. This study aimed to evaluate the efficacy of long acting local anesthetic (Bupivacaine), infiltrated at port sites in amelioration of pain following laparoscopic cholecystectomy. Seventy two patients underwent elective laparoscopic cholecystectomy enrolled in this study, patients were divided into treatment and control groups of 36 patients each. Following removal of the gallbladder, treatment group received 20 ml of 0.25% Bupivacaine in divided doses at the trocar sites, unlike control group which receive no treatment. The evaluation of postoperative pain was done at fixed time intervals by McGill Pain Questionnaire, and the dosage of narcotic analgesic Tramadol, was also recorded. Mean pain scores at 6 hours postoperatively in treatment group was less than that of the control group (4.5 and 7.6) respectively with (p<0.05). Pain scores at 12 and 24 hours postoperatively did not differ between the two study groups (p>0.05). The mean total narcotic analgesic dose used during the first 24 hours postoperatively was less in the treatment group compared to the control group (92 mg and 158 mg) respectively with (p<0.05). The localization of pain during the first 24 hours postoperatively was 58% incisional, 36% intra-abdominal, and shoulder tip pain 6%. In conclusion, postoperative infiltration of long lasting local anesthetic (Bupivacaine) into the port sites of laparoscopic cholecystectomy may be desirable. This is simple, inexpensive, and effective technique to minimize early postoperative pain which can be practiced for elective laparoscopic cholecystectomy.

29-40

Authors: Nada H Al-jassim --- Zuhair F Fathallah --- Nawal M Abdullah

ANTHROPOMETRIC FACE IN BASRAH Nada H Al-jassim , Zuhair F Fathallah & Nawal M Abdullah MB,ChB, DGO. Anatomy. Abstract Anthropometry is the systematic quantitative representation of the human body, it is used to measure the absolute and relative variability in size and shape of the human body. Over the centuries, there have been remarkable changes in anthropometric measurements due to geographical, cultural, genetic and environmental factors. The studying of human face and the assessment of facial dimensions attract the attention of the artists, poets and scientists and takes a prime importance in medical and dental fields in both diagnosis and treatment planning. Anthropometry also used for the design of clothing and equipment, e.g. Gas masks, oxygen masks, dust masks and respirators as well as design of military and industrial helmets. There had been no studies done on facial measurement in Basrah therefore, this study is to be considered as the first in this field and the baseline for further studies. This study had attempted to quantitatively measure the human face in different ethnic groups of the local population and to identify the differences between individuals of different races and sexes, also to identify the differences between the people of Basrah and other people worldwide. These differences which are responsible for the special facial features in different ethnic groups should be maintained during reconstructive or aesthetic surgery otherwise the patients will lose their ethnic features. The people of Basrah have different racial and ethnic background, there are Semites which are the Arabs and Syrian (Assyrian & Chaldean), Arian, who are the Armenian, Kurdish and Persian, and then there is the mixed group result from interracial marriages. This study is a cross sectional study with a comparative component conducted in Basrah governorate. The data was randomly collected from volunteers, for the period from February to July 2013. Raw data used in this study was originated from a total number of 1000 Iraqi adults (526 females and 474 males) living throughout Basrah governorate and were used to create a database for statistical analysis. The result of this study shows that there are differences between the races and between the local people and the surrounding countries and indeed there is a great difference from the standard measurement advocated by western researchers. Introduction he human face is a living mirror held Tout to the world, it has the power to common expression is “I may forget a name, but I’d never forget a face’ Anthropometry quantitative representation of the human individual understanding human physical variations . Over remarkable measurements cultural, Bas J Surg, December, 20, 2014 Original Article MEASUREMENTS OF HUMAN MB,ChB, MSc, Assist. Prof. Plastic Surgeon. MB,ChB, MSc, Assist.Prof. o