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Hypospadias Repair and Its Complications at the Plastic Surgery Department, Khoula Hospital

Modern Plastic Surgery 2017年第2期7卷 13-19页

作者： adel hashish Amal Al Balushi Karim Haridi Said Al-Busaidi Khoula Hospital Muscat Oman

This study reviewed the complications associated with hypospadias repair surgery done at Khoula hospital, Oman during the period of January, 2010 to October, 2015. During this period, 178 cases were operated. Snodgrass and Bracka’s techniques were the most used techniques. Complications were noted in 16 out of 82 patients operated using Snodgrass technique and 2 out 10 patients operated via Bracka’s technique. This study helped in shifting the practice towards the technique associated with the lowest complications. As a result we adopted for our practice MAGPI for glandular hypospadias, Snodgrass for any type of hypospadias without chordee and Bracka’s two stages repair for hypospadias with chordee.

关键词： Hypospadias Post-Operative Complications Bracka’s Snodgrass

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12 Years Analysis of Bacterial Isolates and Their Antibiotics Sensitivity in a Tertiary Care Burns Unit

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Modern Plastic Surgery 2016年第3期6卷 11-19页

作者： Said Saud Al-Busaidi Zainab Said Al-Hashimy adel Mohamed hashish Sheikh Mohammad Ashik Iqbal Faruquee Hassan Ahmed Hamouda Ahmed Osama Abdulhamed Fawzi Mohamed Abdul-Aleem Department of Plastic Reconstructive and Craniofacial Surgery Khoula Hospital Muscat Sultanate of Oman Directorate of Pharmacy and Medical Stores Khoula Hospital Muscat Sultanate of Oman

The aim of this study was to review the changes in distribution of bacterial populations and their antibiotic sensitivity over 12 years in a tertiary care burn unit. Understanding the periodic variation of isolated microorganisms and their antibiotic sensitivity helps in selecting the appropriate antimicrobial therapy before culture and sensitivity are reported. It also aids the design of antibiotics protocols. The study was retrospective. The data were obtained from the computerised hospital medical record system and the burn unit records. Overall, Pseudomonas aeruginosa was the most commonly isolated microorganism followed by Staphylococcus aureus, Meticillin-resistant Staphylococcus aureus (MRSA), and the genus Acinetobacter. Acinetobacter isolation rose rapidly and became more prevalent than P. aeruginosa over the last three years. Other organisms became isolated more frequently, such as Klebsiella pneumoniae, but their overall prevalence was low. Pseudomonas species frequency of isolation declined. P. aeruginosa, MRSA, and other microorganisms showed increasing sensitivity to a number of antibiotics. MRSA remained highly sensitive to vancomycin, and Acinetobacter showed high resistance to all antibiotics tested except colistin. K. pneumoniae was highly resistant to most of the antibiotics tested except the carbapenems, but the resistance to carbapenems increased over time.

关键词： Burn Microorganism Antibiotic Resistance Sensitivity

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