Medical principles and practice : international journal of the Kuwait University, Health Science Centre
-
To report a case of metastatic leiomyosarcoma, in which a patient developed chest pain accompanied by acute left bundle-branch block (LBBB) after gemcitabine infusion. ⋯ This case showed that chemotherapeutic agents must be administered with intensive cardiac monitoring especially in patients with cardiac disease and well-known risk factors to prevent the development of cardiac complications, despite an agent not being known to be 'cardiotoxic'.
-
The objectives of this study were to report the incidence of gastrojejunal anastomic strictures that occurred in laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery and to determine the time course of presentation, associated perioperative factors, and response to balloon dilation. ⋯ Symptomatic anastomotic strictures developed in nearly a quarter of patients who underwent LRYGB utilizing a transoral 21-mm circular stapled gastrojejunal anastomosis. A single endoscopic balloon dilation was usually adequate. Strictures were not predicted by perioperative factors.
-
To study the relationship between postoperative infectious complications and glycemic control for diabetic patients in an orthopedic hospital in Kuwait. ⋯ Our study confirmed a close association between preoperative glucose control indicated by HbA(1c) levels <7% and a decreased risk of postoperative infectious complications. Ideally, preoperative blood sugar should be controlled prior to elective surgery. Prophylaxis by antibiotics with preoperative patient preparation, proficient surgical technique and postoperative wound care is recommended for uncontrolled diabetics subjected to surgery.
-
To present the clinical and radiological results of treatment of periprosthetic fractures of the femur after hip and knee replacements. ⋯ Our data show that metaphyseal fractures, regardless of type of implant, had better healing potential and did not require additional surgery. Diaphyseal fractures of the femoral shaft around the stem of femoral component of the hip or knee prosthesis required a bone graft and had less favorable outcomes. Women were more frequently affected by periprosthetic femoral fractures.
-
To assess the knowledge, attitude, and practice regarding cervical cancer screening among Kuwaiti women. ⋯ Our findings showed that a well-designed health education programme on cervical cancer and benefits of screening would increase the awareness among Kuwaiti women.