Surgery

Introduction: Cancellation of elective surgical operations is common, and most of these cancellations are due to preventable causes. Cancellation of operations increases cost and decreases efficiency. It wastes time and resources and causes emotional distress to the patients and their families. Aims and Objectives: The aims of this study were to investigate and analyze the reasons of cancellation of surgical operations, establish its extent, and suggest solutions. A prospective observational, hospital-based study conducted at Khartoum Bahri Teaching Hospital during a period of 1 year. Methodology: The study subjects included all patients, of all ages, both genders, scheduled for surgery from all surgical subspecialties except emergency, trauma operations, ophthalmology, obstetrics/gynecology, and cardiothoracic operations. Results: A total of 3990 patients were scheduled for surgery during 48 weeks. A total of 3185 operations were performed (79.8%), and 805 (20.2%) operations were c...

Methods: A session of training of trainer was first organized. Senior students from the colleges of medicine, nursing, aenesthesia and midwifery were invited to participate voluntary in the IPE. 36 multi professions students were selected and divided into 6 multi professions groups. Selected students attended one lecture and four sessions on the IPE and the roles and responsibility of the different professions. The participants learned and practiced six different scenarios of breaking bad news. The IPE was evaluated by administration of a pre and post questionnaires to determine the attitude of the participants to the IPE and towards the training of communication skills within multi professions teams. Abstract. Our aims were to teach multi-professions students, from Alzaeim Alazhari University, Sudan, to learn together and gain the knowledge, skills and attitude to work together. And to train them together to acquire the specific communication skill associated with “breaking bad new...

Incisional hernia is one of the most common post operative complications of abdominal surgery. Its prevalence varies between 11%23%. The recurrence rate of incisional hernia remains high in spite of the many procedures described for its repair and advancement of the measures taken for its prevention. The aim of our study was to evaluate the outcomes of repairing large incisional hernias by a combined fascial flaps reinforced by polypropelene mesh at Ribat university hospital Khartoum, Sudan. A cohort of forty two patients with large incisional hernias, with mean age of 38-year, underwent repair of their incisional hernias by a combined fascial flap and mesh technique, between January 2006 and December 2008. Thirty four (80.9%) were females and 8 males. Thirty one percent (31%) of the hernias were recurrent. The size of the repaired hernias varies between 15 – 25 cm in length and 5 – 10 cm in width. The mean operative time was 2.5 hours and the mean hospital stay 7.9 days. No intra o...

Career selection and decision to pursue a medical career is a multi factorial process. It is influenced by the personal capabilities and the available resources as well as the social, educational, economical and cultural factors. Sudan is one of the African countries with a high number of medical colleges and an increasing number of Sudanese students are joining the medical colleges each year.