Indian Journal of Public Health Research & Development

Raakad Kamel Saadi ¹, Mohammed Mohammud Habash ¹

Affiliations
1 College of Medicine, Diyala University, Diyala, IQ

Abstract

Thyroid hormone viz, triiodothyronine (T3), thyroxine (T4) and thyroid-stimulating hormone (TSH) plays an important role during pregnancy to both the mother and fetus. This study included 60 pregnant women enrolled in the Al_ Batool teaching hospital in February to July 2019. The enrolled patients are between the age group between 25-35 years. The fasting blood was collected in the plain vacutainers from the vein after getting participant oral consent. Serum were used to evaluate the serum T3, T4 and TSH level. About 96.72%response rate was observed. The average respondent age was 27.37±3.52 years. About 36 (60%) and24 (40%) women were included in the age group of 25-30 and 30-35 years, respectively. About 82.32% women were under overt hypothyroidism category i.e. they showed increased levels of TSH as compared to the healthy pregnant women. The serum TSH levels were found to be 7.076±2.01mIU/ml and 4.146±0.37mIU/ml in thyroid hormone deficiency (TD) and normal groups, respectively. In the TD groups, about 80.32% women showed a caesarean delivery while about 97.45% women showed normal delivery. Normal delivery time takes about 39.22±0.34 weeks while TD groups showed a premature delivery at about 36.64±1.93 weeks. Iraqi women showed overt hypothyroidism. This abnormal levels of the thyroid hormones can be lead to miscarriage caesarean delivery with high weight infants.

Keywords

Thyroxine, Triiodothyronine, Thyroid-stimulating Hormone, Overt Hypothyroidism, Caesarean Delivery. Corresponding.

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Mohammed Mohammud Habash ¹

Affiliations
1 B.Ch, B - F.I.C.M.S, Assistant Professor in General Surgery, College of Medicine, Diyala University, Diyala, IQ

Abstract

A laparoscopic cholecystectomy is a surgery which includes the removal of gallbladder. It is a minimally invasive cholecystectomy wherein inside of the abdomen is visualize with the help of camera introduced through 4 small incisions to remove the gallbladder by using long tools. The aim of the present study is to evaluate the correlation between abdominal wall hernia (paraumbilical hernia) and laparoscopic cholecystectomy in the Iraqi patients (n=100). The age of the patients was 25 to 36 years. Before surgery, the red blood cells, white blood cells and serum urea were found to be 105.67 ± 3.00; 13731 ±1940.4 and 33.48 ± 0.47, respectively. After surgery, the red blood cells, white blood cells and serum urea were found to be 117.95 ± 4.21; 10307.9 ± 1057.7 and 35.25 ± 0.46, respectively. The laparoscopic cholecystectomy with previous abdominal wall hernia is the easiest operative procedure. However, it required good experience and careful dissection.

Keywords

Abdominal Wall Paraumbilical Hernia, Surgery, Laparoscopic Cholecystectomy.

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