Sudan medical journal
- Impact factor0.00
- 5-year impact0.00
- Cited half-life0.00
- Immediacy index0.00
- Article influence0.00
- Other titlesMajalah al-Lībiyah al-Soudāniyah
- Material typePeriodical
- Document typeJournal / Magazine / Newspaper
Publications in this journal
- Sudan medical journal 09/2013;
- Sudan medical journal 01/2013;
- Sudan medical journal 12/2012;
Article: indications of revision TKA in Sudan[Show abstract] [Hide abstract]
ABSTRACT: Abstract Total knee arthroplasty is a highly successful procedure, with the Percentage of patients requiring revision relatively small. However, when considering the large number of these procedures performed annually, this small percentage of failures constitutes a significant number of patients. This is a retrospective hospital based study, defined causes and consequently the indications for revision TKA, that done in Saheron, Sherg Elniel and Soba hospitals in Khartoum State, Sudan from Jan 2007 to Jan 2012. Total number of patients of this study was 29 patients (31 knees). 16 of them were females. The main causes of failure among the study group were septic loosening 41.9%, aseptic loosening 35.5%, instability 12.9%. Seventeen patients (54.8%) of the study group was defined as early failure and the main cause of this early failure was infection 53%(9 patients). Thirteen patients (42%) of the studied group underwent their primary procedure inside Sudan and the main cause of revision of was septic loosening 61% (8 of 13 patients), while the cause for revision in operation that done outside Sudan was aseptic loosening 55.5% (10 of 18 pts).Infection, aseptic Loosening, and instability were the preeminent factors necessitating revision of primary total knee arthroplasty in Sudan in this study. This study recommended, establishment of a national data registry of joint replacement in Sudan. Establishment of a national surgical protocol of arthroplasty in Sudan. Resources should be devoted to increased researches focused on prevention, early diagnosis and treatment of prosthetic joint infection. Surgeons should continue to be vigilant in preventing infection preoperatively and aggressive in treating postoperative wound complications.Sudan medical journal 05/2012;
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ABSTRACT: Background The risk provided by general anaesthesia is increased in patient undergoing mastectomy when co-morbidities exist. The need for a safe, easy and effective alternative anaesthetic technique that can provide an adequate postoperative analgesia in such group of patients was the main indication for this study. Methods Two hundred patients, with coexisting medical diseases, were the candidates for interpleural block to provide surgical anaesthesia, as a surrogate for general anaesthesia for mastectomy, supplemented with midazolam to achieve conscious sedation. The candidates were studied with regard to intraoperative analgesia, haemodynamic stability, the duration of postoperative analgesia and the incidence of complications related to the technique. Results The mean age of patients was 54.3 (STD 12.5) years and all of them were suffering from coexisting medical diseases. Following interpleural block, the intraoperative mean heart rate was 78.5 (STD 6.3) beats/min and the mean blood pressure was 82.7 (STD 7.0) mmHg. Pain score was 1 in 80 (40%) patients, 2 in 62 (31%) patients, 3 in 54 (27%) patients and 4 in only 4 (2%) patients. Neither postoperative pneumothorax nor pain in the first 3 hours was observed and the mean duration of postoperative analgesia was 9.3 (STD 1.8) hours. All candidates were fully satisfied with the procedure. Conclusion In this study, interpleural block provided satisfactory anaesthesia for mastectomy in patients having co-morbid diseases, with haemodynamic stability, less incidence of complication and long-lasting postoperative analgesia. The skill of this technique should be mastered by anaesthetist working in developing countries.Sudan medical journal 01/2012; 48(2):141-146.
- Sudan medical journal 01/2012; 5.
- Sudan medical journal 01/2012; 48.
Article: Conducting health services research.Sudan medical journal 01/2012; 4(3).
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