Preferred Language
Articles
/
jkmc-963
The Surgical outcomes of fundus-first technique in lowering the rate of bile duct injuries and bleeding during open cholecystectomy that facing intraoperative difficulties: A single-center prospective study: The surgical outcomes of open fundus-first cholecystectomy technique.
...Show More Authors

Background: The problem of difficult gallbladder is not clearly defined and associated with real missing of therapeutic approaches that decreased morbidity. Moreover, the difficult gallbladder was reported as a contributing risk factor for biliary injury due to raised difficulty in surgical dissection within Calot’s triangle. The aim of this study is to determine the surgical outcomes of the open fundus-first cholecystectomy in lowering the rate of lethal intraoperative risks.

Subjects and Methods: Our prospective study conducted during the period of January 2019 to December 2022 at Ibn Sina specialized hospital, Khartoum, Sudan, for two hundred and fifty-three patients underwent elective open fundus-first cholecystectomy for intraoperative difficulties.

Results: the majority of cases had long-standing cholelithiasis with intraoperative difficulties revealed by pre-operative TUS and MRCP which required open fundus-first cholecystectomy in 173 (68.4%) of patients, (P-value <0.05). The operative surgical time was 120 minutes in 103 patients (40.7%), (P-value <0.05). During open cholecystectomy, variable intraoperative difficulties were found in all patients, (P-value <0.05) and were divided into: (A) Contracted intra-hepatic gallbladder seen in 157 (62.1%) of cases; (B) Distorted anatomy within Calot's triangle seen in 135 (53.4%) of patients; and (C) Intraoperative bleeding from the liver bed was observed as bloody oozing form in 150 (59.3%) of cases. Our patients had minimal postoperative complications like mild wound infection in 8 (3.2%) of cases and mortality rate was zero. 

Conclusions: There is a need for appropriate therapeutic and preventive strategies in healthcare systems for safe dealing with difficult cholecystectomy. Unclear anatomy due to severe inflammatory dense adhesions at Calot’s triangle and CBD stones needing difficult surgeries are the most important limiting factors for fundus-first laparoscopic cholecystectomy. Hence, we humbly recommend an open approach of fundus-first cholecystectomy as safe surgical option to reduce the incidence of bile duct injuries and intra-operative bleeding.

Scopus Crossref
View Publication Preview PDF
Quick Preview PDF
Publication Date
Sat Aug 31 2019
Journal Name
МИР НАУКИ, КУЛЬТУРЫ, ОБРАЗОВАНИЯ
ARABIC-RUSSIAN GLUTTONIC DISCOURSE FEATURES: SOCIOLINGUISTIC, SYSTEM-STRUCTURAL AND FUNCTIONAL-STYLISTICS ASPECTS
...Show More Authors

The paper deals with a study of peculiarities of gluttonic text structures in the Arabic-Russian language pair at the sociolinguistic, system structural, functional-stylistic and lexico-semantic aspects from the standpoint of view at functional approach to the phenomena of language systems and the gluttonic discourse as a special type of ver bal and social discourse. Profound attention is paid to the consideration of lexical and grammatical means of explication of glutton discourse on the examples of identi cal Arabic and Russian literary texts as well as language situations in Arab countries and Russia, features of which are due to the characteristics of gluttonic discourses that reflect the features of the two different ethnolingual cu

... Show More
Publication Date
Fri May 01 2020
Journal Name
Journal Of Engineering
Thermal Efficiency for Passive Solar Chimney with and Without Heat Storage material
...Show More Authors

In this study, a different design of passive air Solar Chimney(SC)was tested by installing it in the south wall of insulated test room in Baghdad city. The SC was designed from vertical and inclined parts connected serially together, the vertical SC (first part) has a single pass and Thermal Energy Storage Box Collector (TESB (refined paraffin wax as Phase Change Material(PCM)-Copper Foam Matrix(CFM))), while the inclined SC was designed in single pass, double passes and double pass with TESB (semi refined paraffin wax with copper foam matrix) with selective working angle ((30o, 45o and 60o). A computational model was employed and solved by Finite Volume Method (FVM) to simulate the air i

... Show More
View Publication Preview PDF
Crossref (3)
Crossref
Publication Date
Fri Jan 01 2021
Journal Name
Ieee Access
IFFT-Based Microwave Non-Destructive Testing for Delamination Detection and Thickness Estimation
...Show More Authors

View Publication
Scopus (22)
Crossref (20)
Scopus Clarivate Crossref
Publication Date
Thu Oct 07 2021
Journal Name
Rimak International Journal And Humanities And Social Sciences
children were exposed to animation on specialized satellite channels and verified gratifications
...Show More Authors

Publication Date
Wed Dec 08 2021
Journal Name
Scientific Reports
Weakly Supervised Sensitive Heatmap framework to classify and localize diabetic retinopathy lesions
...Show More Authors
Abstract<p>Vision loss happens due to diabetic retinopathy (DR) in severe stages. Thus, an automatic detection method applied to diagnose DR in an earlier phase may help medical doctors to make better decisions. DR is considered one of the main risks, leading to blindness. Computer-Aided Diagnosis systems play an essential role in detecting features in fundus images. Fundus images may include blood vessels, exudates, micro-aneurysm, hemorrhages, and neovascularization. In this paper, our model combines automatic detection for the diabetic retinopathy classification with localization methods depending on weakly-supervised learning. The model has four stages; in stage one, various preprocessing techniques are app</p> ... Show More
View Publication
Scopus (8)
Crossref (7)
Scopus Clarivate Crossref
Publication Date
Sun May 14 2023
Journal Name
Agrosystems, Geosciences &amp; Environment
Cover crop and biofuel crop effects on hydraulic properties for claypan soils
...Show More Authors

Perennial biofuel and cover crops systems are important for enhancing soil health and can provide numerous soil, agricultural, and environmental benefits. The study objective was to investigate the effects of cover crops and biofuel crops on soil hydraulic properties relative to traditional management for claypan soils. The study site included selected management practices: cover crop (CC) and no cover crop (NC) with corn/soybean rotation, switchgrass (SW), and miscanthus (MI). The CC mixture consisted of cereal rye, hairy vetch, and Austrian winter pea. The research site was located at Bradford Research Center in Missouri, USA, and was implemented on a Mexico silt loam. Intact soil cores (76‐mm diam. by 76‐mm long) were taken from the

... Show More
View Publication
Scopus (5)
Crossref (5)
Scopus Clarivate Crossref
Publication Date
Sun Jan 01 2023
Journal Name
Computers, Materials &amp; Continua
An Efficient Method for Heat Recovery Process and燭emperature燨ptimization
...Show More Authors

View Publication
Scopus Clarivate Crossref
Publication Date
Tue Oct 09 2018
Journal Name
Journal Of The College Of Education For Women
Nutrition Awareness among Middle School Students and its relation to some Variables
...Show More Authors

    The aim of the study was to identify the nutritional awareness of middle school students and its relation to some variables of the sample of the research according to the gender variable (male and female), the variable type of family and the variable achievement of the parents.       

      The descriptive approach was adopted and the sample of the study consisted of (795) male and female students who were selected by the random stratified method. The research tool was prepared based on the literature and previous studies. The food awareness measure in its final form was (25) after the data collection was processed using the appropriate statistical met

... Show More
View Publication Preview PDF
Publication Date
Fri May 01 2026
Journal Name
Journal Of Engineering
Crosslinked Gelatin for Sunset Yellow Dye Removal: Synthesis, Characterization, and Adsorption Performance
...Show More Authors

Gelatin is a valuable substance that is known to have a complex 3D structure, but it has limited adsorption efficiency, which limit its application at physiological temperature. In this paper, gelatin was improved by the addition of glutaraldehyde (GTA) to enhance its ability to adsorb dye in aqueous solution. The adsorption experiments were conducted under different conditions, such as the amount of adsorbent, the concentration of the dye, and the temperature. The study found that the qe by GTA-GE (4.978 to 23.056 mg/g) and GE (4.8 to 21.333 mg/g) increased with the increase of initial dye concentrations but decreased with the amount of adsorbent. The parameters at equilibrium were at a pH of 4 and a dose of adsorbent of 100 mg in

... Show More
View Publication
Crossref
Publication Date
Tue Aug 01 2017
Journal Name
Journal Of Molecular Structure
Asymmetric 1,3,4-thiadiazole derivatives: Synthesis, characterization and studying their liquid crystalline properties
...Show More Authors

View Publication
Scopus (19)
Crossref (18)
Scopus Clarivate Crossref