Background The swift advances in interventional cardiology combined with the increasing risk of cardiac surgical procedures resulted in diminishing volume of coronary and valvular surgery and affected the future of cardiac surgery service and training. Application to cardiac surgery training programs have steadily declined. This cross‐sectional study aimed at identifying main weakness facing cardiac surgery and advocating some recommendations to improve the status of current and future of cardiac surgery. Methods Cross‐sectional study was authorized by the institutional review board of King Abdulaziz University and performed among cardiac surgeons and cardiologists in the Kingdom of Saudi Arabia, from May to June 2021. Data were collected by sending questionnaires through email to cardiac surgeons and cardiologists in different cardiac centers all over Saudi Arabia. Out of 200 emails sent to our participants only 55 who responded. Results A total of 55 doctors who participated in the study have completed the self‐administered questionnaire by electronic mail. Seventy‐six percent of the respondents are cardiac surgeons and 24% are cardiologists. Most of the respondents (72.7%, 63.6%) think that the volume of coronary and valvular cardiac surgery patients nowadays is less than before compared to invasive cardiology patients. Most of the respondents (91%) think that coronary cardiac surgery is better than invasive cardiology in left main disease and complex lesions but carries higher risk. Sixty‐nine percent of the respondents think that one cardiac center in each city according to the population will provide better cardiac health services compared to small cardiac units. Conclusion In the recommendations to improve the future of cardiac surgery, 83% of the respondents agree that residents training in cardiac surgery should be modified to add at least one extra year of training in the Catheterization Laboratory (Cath lab) procedures including coronary, valvular, aortic and arrhythmia, thus introducing the interventional surgeon.

Colorectal cancer (CRC) is a type of widespread, deadly malignancy that took thousands of lives around the globe. In the last two decades, CRC represented the most common cancer among men and ranked third among women in Saudi Arabia. Positron emission tomography with fluorodeoxyglucose (FDG-PET), can incidentally detect malignancy, as in our case, FDG-PET disclosed high abnormal FDG far away from the first primary malignancy. The current case is of a 65-year-old female who was following up on her nasopharyngeal carcinoma (first primary). During her last management, FDG-PET was requested to find any FDG uptake in the nasopharyngeal region; stunning FDG uptake was incidentally found at the ascending colon diagnosed as early-stage (pT2N0) colon cancer. Colonoscopy was done and India Ink was injected to facilitate localizing the mass during the laparoscopic removal of the tumor, which was delayed due to the pandemic of COVID-19. This took place in March 2020 at King Abdul-Aziz University Hospital in Jeddah.

Background: Mesh is beneficial in the repair of umbilical hernias. But it may cause chronic pain due to inflammatory reactions, which may impair the patient's quality of life.Objectives: To assess and compare the quality of life of patients following umbilical hernia repair with and without mesh.Methods: During the study period, 45 patients underwent umbilical hernia repair. The study was conducted at King Abdul-Aziz University Hospital (KAUH), KSA. Data were collected using medical records, and each patient was contacted by telephone, to fill the "Carolina Comfort Scale (CCS)" survey. The survey assesses the grade of pain, sensation of mesh, and movement limitation in different situations.Results: A non-significant difference was found between mean quality of life (QOL) scores of mesh and nonmesh groups. The relationship between CCS and gender was not significant in both groups. However, males had significantly higher CCS scores in mesh-treated cases. There was no statistically significant relationship between CCS and comorbidity, nationality, or symptoms. The overall CCS score did not differ statistically between mesh-treated and non-mesh-treated cases. Conclusion:The CCS score did not differ between mesh-treated and non-mesh-treated cases. It is suggested that future multicentric studies with a larger sample size be conducted.Categories: General Surgery, Anatomy Keywords: hernia, quilty of life, surgical repair, umbilical hernia, kingdom of saudi arabia (ksa) retrospective randomized control trials [12]. Umbilical hernias are currently treated with both mesh and suture repair [13].As the postoperative QOL has become an important outcome measure following herniorrhaphy [9][10][11], this study aimed to measure the QOL of patients after umbilical hernia repair with mesh and compare them with non-mesh-treated cases. Materials And Methods

Background Family medicine is one of the primary specialties in medicine. This study aims to obtain in-depth information from medical interns at King Abdul-Aziz University in Saudi Arabia who are interested in choosing family medicine as their future speciality and highlight key points of misconception and knowledge gaps regarding family medicine that might affect their decision-making process. Methods: A cross-sectional study was conducted from June 2021 to October 2021 among medical interns enrolled at King Abdul-Aziz University. Data were collected via online questionnaires distributed on social media. The study excluded first- to sixth-year medical students. The questionnaire included sex, grade point average, perception of family medicine as a future speciality, and knowledge about the family medicine residency program in Saudi Arabia. We used IBM Statistical Package for the Social Sciences (SPSS) Statistics for Windows, Version 23.0. (Armonk, NY: IBM Corp.) for data analysis. P

Background: Several modalities are available for the diagnosis of rectal cancer, including conventional gold standard rigid endoscopy and recent flexible endoscopy and magnetic resonance imaging (MRI). Each modality affects the management of these patients.Aim: To compare the accuracy of flexible endoscopy and MRI in the measurement of tumor height in patients with rectal cancer. Methods and Results:This study included 174 patients with rectal cancer who underwent flexible endoscopy and MRI for the measurement of tumor height. Data on patient demographics, comorbidities, treatment, and histopathology were identified and collected. We evaluate intraclass correlation coefficient (ICC) and Bland-Altman plot to test the agreement between the measurements. ICC were excellent with an ICC of 89% (95%CI 48%-99%). The mean ± standard deviation of the distance from the anal verge to the distal part of the tumor was 7.73 ± .47 for flexible endoscopy and 6.21 ± 0.39 for MRI, with mean difference of 1.52 (p < .001). The accordance between the two modalities was not affected by sex, age, body mass index, histopathology, or metastasis. Conclusion:Excellent agreement between flexible endoscopy and MRI was noted, and no factor was found to affect such concordance.