Muthanna Medical Journal

The purpose is using the occlusive hydrocolloid dressing (OHD) and gauze dressing (GD) to compare incidence of infection of wound and cost-effectiveness of dressing after hernia operation in children. Eighty children was undergo hernia surgery, wounds were dressing by OHD or GD. Hydrocolloid dressing was remain till suture was removed, and GD changed every day after operation. Calculations of cost dressing mean dressing alterations frequency and cost for each dressing in every treatment cluster. There are no variances amongst the two clusters concerning the incidence of wound infection. OHD was less costly and complex than GD, and GD necessary to be altered each day (p = 0.001).
In conclusion, OHD is less costly to use, and less complex than GD because GD wanted to be altered more times during the period of healing.

Retroperitoneal traumatic lesions are among the most challenging and serious emergencies, and necessitate a maximum of attention and expertise by the surgical team involved. Only with a careful judgment about the procedures to carry on it is possible to obtain valid results, which often means to safe the patients life. This is a prospective study, which included 30 patients with traumatic retroperitoneal hematoma, admitted to AL-Hussien Teaching Hospital for the period between Dec. 2017 – Nov. 2019 (22 months). They were analyzed regarding age, sex, type of trauma, signs and symptoms, relevant laboratory tests and radiological studies, operative findings, associated organ injured, methods of treatment, postoperative complications and their mortality rate. Most patients were males (77.2%). Young age group was more frequently injured (34.85%) of patients were in their third decade. Penetrating injury was the cause in majority of collected patients (83.3%). The commonest zone of retroperitoneal hematoma was zone 2 (74.24%) and the commonest site was the lateral perirenal hematoma. In conclusion; the presence of lesions on the retroperitoneum generally worsens the prognosis in traumatic pathology. All types of trauma, blunt or open, may involve retroperitoneal structures and organs. Associated abdominal organs injury may include the great vessels, pancreas, duodenum, oesophagus and genitourinary apparatus.

Breast cancer is the most commonly diagnosed cancer in women and is a leading cause of cancer death in women worldwide. Despite the significant benefit of the use of conventional chemotherapy and monoclonal antibodies in the prognosis of breast cancer patients and although the recent approval of the anti-PD-L1 antibody atezolizumab in combination with chemotherapy has been a milestone for the treatment of patients with metastatic triple-negative breast cancer, immunologic treatment of breast tumors remains a great challenge. In this review, we summarize current breast cancer classification and standard of care, the main obstacles that hinder the success of immunotherapies in breast cancer patients, as well as different approaches that could be useful to enhance the response of breast tumors to immunotherapies.