Azzam Al-Kadi

Qassim University · College of Health Sciences at Onizah

Hepatic haemangioma and is the second most common tumour seen in the liver after metastases and accounts for 73% of all benign liver tumours with a frequency of 0.4-7.3% at autopsy . They are composed of masses of blood vessels with atypical or irregular in arrangement and size. They are also referred to as cavernous haemangiomas due to the caverno...

Abstract Umbilical hernia is one the commonest surgical lesions and there is a variety of methods available for its repair. Proceed Ventral Patch is a recent and novel innovation in hernia management and we present a successful management of umbilical hernia in a 45 years old obese patient with this technique.

About 1% of all breast cancers occur in males. The disease has shown increasing incidence in recent decades with the aging of global populace. Due to small size of breasts in male, the disease is easier to detect, yet the lack of awareness about this disease results in late reporting of patients. This article reviews the various aspects associated...

Advances in simulation technologies have enhanced the ability to introduce the teaching and learning of laparoscopic surgical skills to novice students. In this meta-analysis, a total of 18 randomized controlled studies were identified that specifically looked at training novices in comparison with a control group as it pertains to knowledge retent...

Anal cancer accounts for only 1.5% of gastrointestinal malignancies but this disease has shown a steady increase in incidence particularly in HIV positive males. The understanding of pathophysiology and treatment of anal cancer has changed radically over last thirty years . Risk factors have been identified and organ preservation by chemoradiothera...

Background. Hand hygiene is a cost-effective method in preventing infection transmission. Hand hygiene practices have been found to be faulty in most healthcare settings. We conducted a study to evaluate the awareness, and compliance of hand hygiene among undergraduate medical students during their clinical phase in Qassim College of Medicine, Saud...

Murphy's sign is one of the contributions made by a noted American surgeon J B Murphy about a century ago. This sign retains its validity even today. This article is written with the aim of reviewing Murphy's sign briefly.

Anal cancer accounts for only 1.5% of gastrointestinal malignancies but this disease has shown a steady increase in incidence particularly in HIV positive males. The understanding of pathophysiology and treatment of anal cancer has changed radically over last thirty years. Risk factors have been identified and organ preservation by chemoradiotherap...

There is increasing interest in using simulators for laparoscopic surgery training, and simulators have rapidly become an integral part of surgical education. We searched MEDLINE, EMBASE, Cochrane Library, and Google Scholar for randomized controlled studies that compared the use of different types of simulators. The inclusion criteria were peer-re...

Introduction: Tumors of hand are uncommon entities. Giant Cell Tumour of Tendon Sheath (GCTTS) is the second most common soft tissue tumour, next only to ganglion cysts. Method and Result: We report two cases of giant cell tumours of tendon sheath. One arose from the flexor tendon in the palm of a 22 years old female and the second was a recurrence...

Zenker diverticulum (ZD) is a rare disease usually seen in elderly patients who present with symptoms of worsening dysphagia and regurgitation. Although open surgical approach is still the standard management for symptomatic patients, the endoscopic technique has evolved as an alternative approach, especially for highly morbid patients. We are repo...

Guidewire within jugular vein - long axis. Ultrasound guided placement of a left internal jugular central line. The hyperechoic guidewire can be seen within the internal jugular vein along its entire visible course in the long axis.

Identification of jugular vein by obliteration with pressure. Ultrasound guided placement of a left internal jugular central line. The artery and vein are differentiated by the complete obliteration of the vein with compression compared with the artery.

Identification of carotid artery by color flow Doppler. Ultrasound guided placement of a left internal jugular central line. The artery and vein are differentiated by color flow Doppler confirming pulsatile flow within the artery and not the vein.

Guidewire within jugular vein - short axis. Ultrasound guided placement of a left internal jugular central line. The hyperechoic guidewire can be seen within the internal jugular vein along its entire visible course in the short axis.

Identification of carotid artery by pulsation. Ultrasound guided placement of a left internal jugular central line. The artery and vein are differentiated by the pulsation within the carotid artery.

Ultrasound guidance during central line insertion has significantly reduced complications associated with this procedure and has led to it being incorporated as standard of care in many institutions. However, inadvertent arterial penetration and dilation remains a problem despite ultrasound guidance and can result in significant morbidity and even...

Traumatic injury is a leading cause of morbidity and mortality in developed countries worldwide. Recent studies suggest that many deaths are preventable if injuries are recognized and treated in an expeditious manner - the so called 'golden hour' of trauma. Ultrasound revolutionized the care of the trauma patient with the introduction of the FAST (...

Bone has one of the highest acoustic densities (AD) in the human body. Traditionally, bone has been considered to be a hindrance to the use of ultrasound (US), as US waves are reflected by the dense matrix and obscure underlying structures. The intense wave reflection, however, can clearly illustrate the cortical bony anatomy of long bones, making...

We established a pilot tele-ultrasound system between a rural referring hospital and a tertiary care trauma centre to facilitate telementoring during acute trauma resuscitations. Over a 12-month period, 23 tele-ultrasound examinations were completed. The clinical protocol examined both the Focused Assessment with Sonography for Trauma (FAST) and th...