Background:Following a bariatric surgery and massive weight-loss, the outcome is usually sullied by consequences on the body's contour and redundant skin.Aims:We aimed to record the frequency of contour irregularities and quantify patients’ satisfaction with appearance and anticipations from body contouring surgery.Materials and Methods:The ethical committee at King Abdulaziz University Hospital approved the study, and patients were consented. A cross-sectional study targeting the post-bariatric patients from May 2011 to April 2012 was conducted at our hospital. We used post-massive weight loss Satisfaction Questionnaire.Results:The total numbers of patients were 64 (51 women and 13 men), of which 57 patients (89.2%) developed sagging skin. Most patients were dissatisfied with their appearance after weight loss. The most common zones were the upper arms (50%) and abdomen (45%). Considerably more women (36.2%) than men (24%) were dissatisfied with certain body areas. The most noticeable expectation of patients from body contouring surgery was improved cosmetic appearance (65.6%) and self-confidence (64.1%). More women (70.58%) than men (46.15%) expected a better cosmetic appearance after body contouring (P = 0.003).Conclusion:After bariatric surgery, sagging excess skin is an unsatisfactory problem. Therefore, body contouring surgery must be included in morbid obesity management.
Background: Abdominal lymphangioma is a rare benign tumor can occur in children but its discovery in adults is very rare. This article was undertaken to study the presentations, diagnostic difficulties and surgical outcome of abdominal cystic lymphangioma in adult patients.
Materials and Methods:Clinical and imaging files of thirteen patients with abdominal cystic lymphangioma (ACL) treated in Tanta University hospital during a period of 15 years were reviewed for demographic data, presentations, radiological studies, histopathology and surgical outcome.
Primary complete surgical removal of tumor is advisable in localized NBL with a good outcome, whereas in advanced cases, it is better to start with pre-operative chemotherapy to downsize the tumour mass and safe delayed surgical excision. An increase in patient's age is associated with advanced stage of NBL and poor prognosis except in ganglioneuroblastoma cases due to maturation of tumor cells.
Objective. To investigate the best mobile phase for separation of Paracetamol (PAR) and Caffeine (CAF) using TLC
method. Methods. Different mobile phases which were mentioned in literature review were tried and retention times for
both PAR and CAF were recorded for each experiment separately. Results : It was found that retardation factors for solvent
A Rf (PAR) =0,59 and Rf(CAF)=0,90 ; for solvent B Rf(PAR)=0,92 and Rf(CAF)=0,81; Rf(PAR)=0,22 and Rf
(CAF)=0,16. Solvent A is composed of n-hexane-ethyl acetate-ethanol (2.5 + 1.5 + 0.4, v/v/v), solvent B is composed
of chloroform,ethyl acetate and ammonia (15,0 + 4,3 + 0,3 v/v/v) and solvent C is composed of methanol,glacial acetic
acid and water (25,0 +4,3+70,7 v/v/v ). Conclusion: It was found that the best solvent for separation of CAF and PAR in
TLC chromatographic method was composed of n-hexane-ethyl acetate-ethanol (2.5 + 1.5 + 0.4, v/v/v).
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