Munier M S Nazzal

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Although duodenal perforation in neonates is an extremely rare entity, it should be suspected in any case with signs of viscus perforation. If found in the absence of possible causes, duodenal perforation is considered to be spontaneous. It is believed to be of multifactorial origin. Once found primary closure with or without omental patching is the(More)
AIM To study the biomechanism, pattern of injury, management, and outcome of major vascular injuries treated at Mubarak Al-Kabeer Teaching Hospital, Kuwait during the Second Gulf War. METHODS This is a descriptive retrospective study. War-related injured patients who had major vascular injuries and were treated at Mubarak Al-Kabeer Teaching Hospital from(More)
BACKGROUND An increasing interest in the role of Doppler ultrasound and duplex scan in screening for renovascular hypertension has recently been noted. We conducted this study to define the role of renal hilar Doppler ultrasound (RHDU) in evaluating renal artery stenosis and its value in the postoperative follow-up after renal revascularization. METHODS(More)
Iliofemoral venous thrombosis treated by anticoagulants alone almost invariably results in postthrombotic sequelae with deep venous reflux alone or combined with an outflow obstruction. This study evaluates the result of iliofemoral venous thrombectomy with temporary proximal arteriovenous fistula (AVF) performed on 48 consecutive patients. In 10 patients(More)
UNLABELLED Forskolin, a diterpene obtained from coleus forskolii, is a potent cAMP stimulator. We have evaluated the effects of forskolin on blood flow, platelet aggregation and metabolism. It was found that forskolin has a dose dependent vaso-relaxing effect in an in vivo sheep model, when infused intra-arterially. Furthermore forskolin, in a(More)
The aim of the paper is to determine the incidence of celiac artery compression (CAC) based on computed tomography (CT) scan and correlate the findings to the clinical presentation of patients presenting for CT scan in a hospital. Abdominal CT scans of patients were reviewed between September 2010 and November 2010. CAC was diagnosed if the celiac axis(More)
Traumatic rupture of the thoracic aorta is a potentially fatal injury that leads to death in 75-90% of cases at the time of injury. In this report, we present our experience with traumatic thoracic aortic injury and compare the outcome in patients with respect to their hemodynamic stability at presentation and the timing of surgical repair. We performed a(More)
Pressure ulcers are common, increase patient morbidity and mortality, and costly for patients, their families, and the health care system. A retrospective study was conducted to evaluate the impact of pressure ulcers on short-term outcomes in United States inpatient populations and to identify patient characteristics associated with having 1 or more(More)
BACKGROUND Minimally invasive breast biopsy is a recommended biopsy method for suspicious lesions. This study examines national trends and factors associated with the use of open breast biopsy (OBB). METHODS The national inpatient sample database was used to examine trends and factors associated with the use of OBB. Factors associated with OBB were(More)
With the worldwide acceptance of laparoscopic cholecystectomy (LC) as the treatment of choice for symptomatic gallbladder disease, great concern has grown over the spectrum of complications associated with this new procedure. The nature, causes, frequency, as well as ways to avoid these complications have been the subject of many articles and studies.(More)