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Background: Hydatid disease is endemic in the Mediterranean region, the Middle East and South America. The aim of the study was to follow up the fate of residual liver hydatid cysts cavities after surgery.Methods: From the period of April 2014 to April 2017 a prospective study was conducted on sixty patients who were admitted to Fallujah Teaching Hospital for surgery of hydatid cyst of the liver. There were 36 female and 24 male patients who were followed up by serial abdominal ultrasound examinations at three monthly intervals for a period of up to two year.Results: Complete involution of the hydatid cavities occurs more in those treated by omentoplasty and simple closure and complications are lower than those treated by external drainage.Conclusions: Characteristics of liver hydatid cyst and the type of surgical treatment can be considered as a determinant of postoperative cavity related complication.

Background: Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstone disease. Symptoms of abdominal pain, nausea, food intolerance, and others are common, and their relationship to biliary disease is often well known but other Gastro-Intestinal conditions may cause them also. Continuation of such symptoms post-operatively is the target of this study. Aim of study: To assess the incidence, etiology, management and preventing measures of persistent dyspeptic symptoms following laparoscopic cholecystectomy. Patients and methods: This is a Prospective study performed in Al-Fallujah teaching hospital on One hundred thirty six patients undergoing laparoscopic cholecystectomy between September 2016 and September 2017. They were evaluated using a questionnaire for data collection; inquiring about: indication for laparoscopic cholecystectomy, characteristics of pain, and other associated dyspeptic and colonic symptoms. The patients were re-evaluated with the same questionnaires after surgery during a period from 2-12 weeks, and classified into two groups: first group includes patients get benefit of surgery (relieved symptoms) and those whom symptoms not eliminated by surgery (persistent symptoms). 21 patients were excluded from our analysis; five of them had conversion to open surgery & we lost contact with sixteen patients post-operatively. Results: The median age of the remaining 115 patients was 34.4 year (range 17-55) years; 20 were men. All were diagnosed to have symptomatic gall stones disease and all were scheduled for laparoscopic cholecystectomy (L.C.). 16 patients (13.9%) had persistent symptoms post-operatively during the followup period. Our study concentrated on the correlation between the preoperative presentation and the continuation of post-operative symptoms. Statistical analysis showed that food intolerance and nausea were more common among those with a poor outcome after laparoscopic cholecystectomy. Patients with persistent dyspeptic symptoms despite operation; their symptoms were indeed belongs to GERD and P.U disease in the majority of them. Conclusion: Nonspecific dyspeptic symptoms like heartburn, food intolerance and nausea are not adequate reasons for taking the decision of laparoscopic cholecystectomy. Patients with dyspeptic, or colonic symptoms should be thoroughly evaluated to avoid unnecessary cholecystectomy in those with other Gastro-Intestinal pathology that share the same symptoms of Gallstones.

From 1995From to 2005 patients with mesenteric ischemia diagnosed at laparotomy were studied in Baghdad teaching hospital. Mode of presentation, age, sex, predisposing conditions, diagnostic modalities, operative findings and type of operative procedure performed were all studied and analyzed. There were (24) males and (26) females. Male: female ratio about 0.9: 1, the commonest age groups presented were first between 25 -35 years (14 patients) and second between 46 -55 years (16 patients). The main presentation which is abdominal pain and gastrointestinal bleeding (33 cases) was the most lethal one, with a mortality rate of (64.5%). The main physical finding was patient with signs of peritoneal irritation (38 patients) which carries lower mortality rate (21%), while the highest mortality rate was seen in those having combined features of peritoneal irritation and hemodynamic instability (87.5%). The time interval between hospital admission and time of surgery ranged from (< 24 -244 hours) with a mean =22 patients have two or more predisposing conditions like hypertension, diabetes, ischemic heart disease and atrial fibrillation. Different types of diagnostic modalities were performed, CT scan carries high diagnostic accuracy rate (100 %). The commonest operative findings were focal segmental ischemia (38 cases) explaining the most frequent operative procedure performed which is resection with end to end anastomosis (32 cases). The only significant risk factors affecting the outcome of patients in our study were age (old age group), delayed interval between hospital admission and onset of surgery, late presentation (gastrointestinal bleeding), physical findings (combination of signs of peritoneal irritation and hemodynamic instability), number of predisposing conditions (more than two), operative finding (extensive bowel ischemia) and operative procedure performed (resection with end to end anastomosis).