Aram Baram

University of Sulaimani | UNIVSUL · Department of Surgery

Objective The long-term outcomes of primary carotid artery closure after carotid endarterectomy (CEA) have not been sufficiently studied. This prospective study was performed to analyze the 5-year outcomes of the non-shunting and primary arterial repair technique for CEA. Methods This study involved 150 patients who underwent CEA with the primary...

Background Pediatric vascular reconstructions (PVRs) are rare and technically difficult operations. The combination of a technically difficult condition, with little established protocol and potentially devastating outcomes makes PVRs an important issue. Patients and methods Retrospective analysis of a prospectively collected data, in a single ter...

Background Myasthenia gravis (MG) is an auto-immune disorder characterized by the production of abnormal antibodies to the acetylcholine receptors at the neuromuscular junction. Radical thymectomy in many forms of MG may lead to clinical improvement in 70-80% of cases. Our objectives were to demonstrate our short and long-term results of radical tr...

Introduction Involvement of the large vessels is rarely reported and poorly understood in cases of Corona virus disease-19 (COVID-19). The aim of this study is to present a series of cases with large vessel thrombosis (LVT). Methods This is a multicenter prospective case series study. The participants were consecutive in order. All the patients we...

Background Oesophageal carcinoma (EC) is the eighth most common cancer. Surgery is the cornerstone of management for resectable EC. Trans-thoracic oesophagectomy (TTE) and trans-hiatal oesophagectomy (THE) are the two most widely practised procedures. Most of the related controversies are centred on both early and late post-operative complications...

Objective Peripheral arterial disease (PAD) is the main cause behind non-healing painful foot ulcers, disabilities and amputation diabetic patients. Diabetes Milletus (DM) negatively affects long-term patency and limb salvage operations. Peripheral indirect femoropopliteal bypass is one of the most common method of revascularization for diabetic pa...

Introduction. Pediatric thoracic empyema is a special entity with increasing frequency. Consensus regarding the best management strategy is still evolving. We describe our single-center 10-year experience adopting intrapleural thrombolytics using tissue plasminogen activator as first-line treatment following failure of simple thoracostomy drainage...

Introduction. Pediatric thoracic empyema is a special entity with increasing frequency. Consensus regarding the best management strategy is still evolving. We describe our single-center 10-year experience adopting intrapleural thrombolytics using tissue plasminogen activator as first-line treatment following failure of simple thoracostomy drainage...

Beta-blocker exposure for short-term outcomes following non-cardiac surgery: A meta-analysis of observational studies”

Background: Pulmonary resection is the preferred therapeutic option for non-small cell lung cancer (NSCLC). Despite the physiological insult, pneumonectomy (PN) may be unavoidable in patients with early-stage central tumors. This study aimed to analyze the management of early-stage left-sided NSCLC by PN. Methods: This was a prospective observation...

Introduction Pediatric primary spontaneous pneumothorax (PSP) is defined as the presence of air in the pleural cavity without underlying lung disease or thoracic trauma. Metachronous recurrence of PSP whether ipsilateral or contralateral is rare. Apical bullae and sub-pleural blebs are found in the majority of PSP patients. As in adults, surgery is...

Introduction Surgical site infections (SSIs) are either superficial or deep and may involve the organ. The reported incidence of SSIs in coronary artery bypass grafting (CABG) surgery ranges from 0.3% to 8%. While the incidence of superficial wound infection is 3–5% and deep sternal wound infection is 0,5-5%. Objectives of the current study is to d...

Introdcution Cardiac echinococcosis is a zoonotic parasitic infection that necessitates a high index of suspicion in endemic areas. The purpose of this study is to introduce different clinical scenarios of four cases in two major cardiac centers. Methods A retrospective, case series study, conducted in three centers for the last two years. Address...

Background: Peripheral occlusive arterial disease (POAD) is a steadily increasing global epidemic. Femoropopliteal bypass (FPB) is the traditional therapeutic option whenever endovascular treatments failed or not indicated. We present our experience in lower limb revascularization. Patients and Methods: Prospective observational cohort single cente...

Introduction: Primary diaphragmatic lipoma (PDL) is a very rare condition. The aim of this paper is to report a case of diaphragmatic lipoma presenting as a case of diaphratmatic hernia with a brief literature review. A 73-year-old female presented with chronic dry cough for three month duration. The patient was stable, there was no significant fi...

Objective To present and discuss the clinical course, management, recurrence and survival of patients with thymoma at a single centre. Methods This prospective observational study included patients with confirmed thymoma who were diagnosed and managed over a 10-year period. Results The study included 89 patients (mean ± SD age, 48.53 ± 11.60 year...

Thymic epithelial neoplasms consist of thymomas, thymic carcinoids and thymic carcinomas. Carcinomas are malignant tumors of the thymus; they compromise only 4%-14% of thymic epithelial neoplasms. Thymic carcinoma cells do not resemble healthy cells but similar to cancer cells that originate from other parts of the body and grow more quickly when t...

Objective We aimed to estimate the long-term outcomes of transthoracic Heller's myotomy without fundoplication. Methods This single centere, retrospective study included patients followed up for signs of cure, recurrence of symptoms, and different aspects of quality of life estimated over several years. Data were obtained directly from the patient...

Introduction Scalpel blades and suture needles are the two most perilous nonhollow-bore gadgets causing percutaneous injuries in hospitals. The prevalence of these injuries and type of injuries in the Kurdistan federal region is not known. Patients and methods a retrospective, multicenter study, enrolling four medical personnel suffering from sign...

Introduction: Unilateral chest trauma has been perfectly described in the literature while bilateral chest trauma has never been specifically probed, the aim of this study is to highlight the specificities, presentations, the difference in the therapeutic algorithm and outcome of patients with bilateral thoracic trauma. Patients and methods: A s...

Case Report 11 months old infant presented to our consultation department as a referred case from pediatric teaching hospital as a case of anterior mediastinal mass, the mother gave a history of flu like illness since 1 months that lasted 3 days without any treatment after that the baby developed elevation in body temperature that's why they consul...

Aims: Great saphenous vein harvesting by traditional open technique (TOT) is associated with several wound complications and delayed patient mobilization. Minimally invasive vein harvesting techniques such as the standard bridging technique (SBT) are developed to decrease postoperative complications. This randomized aims to compare post saphenectom...

Aims: The aim of the study is to analyze the risk factor and outcome of patients underwent open repair of abdominal aortic aneurysm in Slemani thoracic center-Iraq. Method: This is prospective, single cohort study, included patients who underwent open abdominal aortic aneurysm repair. Diameter of 5-5.5 centimeter represents the cut point for interv...

Introduction The role of carotid shunting in carotid endarterectomy is controversial. Many studies have concluded that patch angioplasty is preferable to primary closure, while others found that it had no value. The aim of this study was to report the results of our first series of patients undergoing carotid endarterectomy with a non-shunting tech...

Foreign body aspiration (FBA) is a common and lethal accident in the pediatric age group. It requires early recognition and treatment by rigid bronchoscopy to avoid fatal outcomes. Objective. The aim of this study was to study the pattern of FBA in the tracheobronchial tree as well as the success rate of rigid bronchoscopy in children admitted to a...

Background Foreign body aspiration refers to the inhalation of an object into the respiratory system and is a serious and potentially fatal event. A distinct group of patients has recently been recognized among Muslim nations. These patients include women who wear headscarves and place the safety pin in their mouth prior to securing the veils, lead...

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties. Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual...

Introduction: Thoracolumbar fracture dislocation is a trauma of high energy which generally is treated with longsegment stabilization. Anterior spine exposure may be used alone or in combination with a posterior midline approach in a staged or sequential fashion. In this study, we report the 7-years’ experience of the anterior approach to the thora...

Background: Mediastinal masses include a wide variety of tumors; could be congenital or acquired, cystic or solid, primary or secondary. They may arise from anterior, middle or posterior mediastinum. Neurogenic tumors are commonest childhood lesions; whereas lymphomas and thymic lesions are commonest in adults. Methods: Retrospective analysis of al...

Background: Vascular injury presents a great challenge to the trauma and vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective cohort study is to determine management and outcome of peripheral vascular injuries in a tertiary centre with very poor facilities. Methods: Analysis of peripheral vascular injuries during...

Introduction: Cardiac injuries are one of the important causes of death in young population. With aggressive resuscitative therapy and emergency room thoracotomy, the salvage rate of these patients can reach 35%. In this case series the types of presentation, methods of resuscitation, surgical approaches, operative and postoperative outcomes are di...

Background: The vast majority of button battery (BB) ingestions occur when curious children explore their environment. Button batteries do not usually cause problems unless they become lodged in the gastrointestinal tract. Objective: To report our experience of button battery ingestion in children focusing on clinical characteristics, management, a...

Background: Pneumothorax is a common problem seen in patients with acute and chronic medical and traumatic conditions with wide range of clinical presentations ranging from subtle decrease in breath sounds to cardiopulmonary arrest caused by tension pneumothorax. Pneumothorax is traditionally diagnosed by chest radiography, ultrasound is fairly a n...

Introduction: The most common site for hydatid cysts in children is the lungs while in adult he-patic cysts are predominant. Bilateral pulmonary involvement is relatively rare and its surgical management is poorly described in the current literature. Until now no definite consensus has been described in the literature for the ideal surgical approac...

Abstract Introduction: Totally implantable venous access port (TIVAP) is essential prerequisite for most of chemotherapy protocols. Flushing with 0.9% sodium chloride becomes an alternative to heparinized solution. As flushing and locking solutions are still controversial, this study was conducted to compare efficacy of heparinized solution versus...

Background: Esophageal perforation is a rare, but potentially life threatening injury. The etiology and management of this condition have changed overtime. Iatrogenic causes are increasingly recognized and management is evolving towards more conservative approaches. Objective: To review our experience in the management of esophageal perforation in...

Background: Primary hyperhidrosis of the upper limbs is characterized by over activity of the ec-crine sweat glands, primarily occurring on palmar, plantar and axillary regions. It is distressing and often socially disabling condition. Conservative treatment is usually not effective in controlling the disease mainly due to adverse effect of therapi...

Leiomyosarcoma of the inferior vena cava (IVC) is a rare soft tissue tumor, mesenchymal in origin that arises from smooth muscles of tunica media; it accounts for about 0.5% of all soft tissue sarcomas, and it is the commonest vascular leiomyosarcoma. The tumor progression is slow, and it is asymptomatic until advanced stage in which involvement of...

Background: Primary hyperhidrosis is characterized by excessive sweating beyond physiological needs. It is a common disease (incidence 2.8%) that causes intense discomfort for patients. In the last decade, advantages of Single-Incision Thoracoscopic Sympathectomy have become clear, particularly in decreasing morbidity of sympathectomy. Patients an...

thoracic outlet syndrome refers to compression of one or more of the neurovascular structures traversing the superior aperture of the thoracic cavity. a symptom-based patient-directed questionnaire was used to evaluate the outcome of the supraclavicular approach for treatment of neurogenic thoracic outlet syndrome. a prospective study was performed...

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties. Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual...

Abstract Background: The vast majority of button battery (BB) ingestions occur when curious children explore their environment. Button batteries do not usually cause problems unless they become lodged in the gastrointestinal tract. Objective: To report our experience of button battery ingestion in children focusing on clinical characteristics, mana...

Numerous conditions can produce chronic exudative pleural effusions. Pleural endometriosis is a rare cause of unilateral effusion with diffuse pleural thickening. We report the case of chronic pleural effusion in a thirty year old African woman, where pleural endometriosis was diagnosed only following pleuro-pulmonary decortication, with the diagno...

IntroductionNumerous conditions can produce chronic exudative pleural effusions. Pleural endometriosis is a rare cause of unilateral effusion with diffuse pleural thickening.Clinical caseWe report the case of chronic pleural effusion in a thirty year old African woman, where pleural endometriosis was diagnosed only following pleuro-pulmonary decort...