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  1. Article ; Online: Outcome of Colorectal Robotic Surgery in Newly Established Robotic Surgery Center: A Case Series.

    Alkhamis, Ahmed A / Soliman, Diaa M / Alsadder, Khaled A / Busalha, Hashem M / Alrashed, Ahmad S / Alshaban, Bader H / Alsafran, Salman K / Almazeedi, Sulaiman M

    Medical principles and practice : international journal of the Kuwait University, Health Science Centre

    2024  

    Abstract: Introduction: The robotic platform compared to laparoscopy has proven to have similar postoperative outcomes, however its adoption in the Middle East has been slow and there is limited data regarding outcomes with its use in small newly established ... ...

    Abstract Introduction: The robotic platform compared to laparoscopy has proven to have similar postoperative outcomes, however its adoption in the Middle East has been slow and there is limited data regarding outcomes with its use in small newly established robotic colorectal programs. Our aim was to report our experience and outcomes of robotic colorectal surgery performed by fellowship-trained robotic colorectal surgeons and compare them to larger, more experienced centers.
    Methods: This is retrospective review of data collected between November 2021 and March 2023 from a tertiary health care referral center. The series included 51 patients who had elective or urgent robotic colorectal surgery. Patients who had emergency surgery were excluded. The outcomes were overall morbidity, serious morbidity, mortality, conversion to open, length of hospital stay, and quality of oncological specimen.
    Results: The overall morbidity was 31.4% (n = 16 patients). Only 9.8% (n = 5) had serious morbidity of which three required interventions under general anesthesia. The median length of hospital stay was 6 days (IQR = 4), and there was no mortality. Of 17 rectal cancer resections, 88% had complete mesorectal excision, 15 of them were R0 resections, median lymph node harvested was 14 (IQR = 7) and two cases were converted to open. All the colon cancer resections had R0 resection, median lymph nodes harvested was 21 (IQR = 4) and none were converted to open.
    Conclusions: The implementation and integration of robotic colorectal surgery at a newly established center in a small country, when led by fellowship trained robotic colorectal surgeons, is safe and effective in terms of morbidity, mortality, conversion to open and specimen pathological quality.
    Language English
    Publishing date 2024-04-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 645108-1
    ISSN 1423-0151 ; 1011-7571
    ISSN (online) 1423-0151
    ISSN 1011-7571
    DOI 10.1159/000538635
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Semaglutide and Tirzepatide for the Management of Weight Recurrence After Sleeve Gastrectomy: A Retrospective Cohort Study.

    Jamal, Mohammad / Alhashemi, Mohsen / Dsouza, Carol / Al-Hassani, Sara / Qasem, Wafa / Almazeedi, Sulaiman / Al-Sabah, Salman

    Obesity surgery

    2024  Volume 34, Issue 4, Page(s) 1324–1332

    Abstract: Background: Metabolic and bariatric surgery (MBS) is the most effective treatment for obesity and improvement of obesity-associated comorbidities. However, a proportion of these patients may suffer from weight recurrence and recurrence of obesity- ... ...

    Abstract Background: Metabolic and bariatric surgery (MBS) is the most effective treatment for obesity and improvement of obesity-associated comorbidities. However, a proportion of these patients may suffer from weight recurrence and recurrence of obesity-associated comorbidities.
    Method: A retrospective cohort study of patients who underwent SG between January 2008 and August 2022 and sought treatment for weight recurrence with semaglutide or tirzepetide from January 2022 onwards.
    Result: A total of 115 patients were included, of which 70 had SG and treated for weight recurrence with semaglutide and 45 had SG and treated with tirzepatide. The mean age of patients was 38.8 (10.4) and 80.9% of patients were female. The mean pre-treatment weight and BMI was 94.0 (23.8) kg and 35.1 (6.0) kg/m
    Conclusion: Short-term outcomes show that semaglutide and tirzepatide can be an effective treatment for managing weight recurrence after SG. Studies with longer follow-up are needed to determine the durability, as weight regain after discontinuation of the medication is highly likely, and the high cost of these medications can limit their use.
    MeSH term(s) Humans ; Female ; Male ; Obesity, Morbid/surgery ; Retrospective Studies ; Obesity/surgery ; Treatment Outcome ; Gastrectomy/adverse effects ; Weight Loss ; Glucagon-Like Peptide-2 Receptor ; Glucagon-Like Peptides ; Gastric Inhibitory Polypeptide
    Chemical Substances tirzepatide (OYN3CCI6QE) ; semaglutide (53AXN4NNHX) ; Glucagon-Like Peptide-2 Receptor ; Glucagon-Like Peptides (62340-29-8) ; Gastric Inhibitory Polypeptide (59392-49-3)
    Language English
    Publishing date 2024-03-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-024-07137-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Outcomes in robotic-assisted compared to laparoscopic-assisted colorectal surgery in a newly established colorectal tertiary center: a retrospective comparative cohort study.

    Alkhamis, Ahmed / Soliman, Diaa / Alkandari, Omar / Alrashed, Ahmad / Alansari, Mohammad / Alsadder, Khaled / Chamkha, Zeinab / Souza, Dante / AlShaban, Bader / Alsafran, Salman / Almazeedi, Sulaiman

    Journal of robotic surgery

    2024  Volume 18, Issue 1, Page(s) 152

    Abstract: The robotic platform matches or surpasses laparoscopic surgery in postoperative results. However, limited date and slow adoption are noticed in the middle east. We aimed to report outcomes of robotic and laparoscopic colorectal surgery performed by ... ...

    Abstract The robotic platform matches or surpasses laparoscopic surgery in postoperative results. However, limited date and slow adoption are noticed in the middle east. We aimed to report outcomes of robotic and laparoscopic colorectal surgery performed by fellowship-trained robotic colorectal surgeons and compare it to larger more experienced centers. Retrospective review of prospectively collected data between 2021 and 2023 of 107 patients who had robotic-assisted or laparoscopic-assisted colorectal surgery was included in the study. The outcomes were overall morbidity, serious morbidity, mortality, conversion to open, length of hospital stay, and the quality of oncological specimen. Of 107 patients, 57 were in the robotic and 50 were in the laparoscopic surgery groups. Overall, there were no significant differences in overall morbidity (46.8 vs. 53.2%, p = 0.9), serious morbidity (10.5 vs. 8%, p = 0.7), or mortality (0 vs. 4%, p = 0.2). Regarding oncological outcomes, there were no significant difference between the two groups regarding the number of lymph node harvested (17.7 ± 6.9 vs 19.0 ± 9.7, p = 0.5), R0 resections (92.7 vs. 87.1%, p = 0.5), and the rate of complete mesorectal excision (92.7 vs. 71.4%, p = 0.19). The study found that the robotic group had an 86% reduction in conversion rate to open surgery compared to the laparoscopic group, despite including more obese and physically dependent patients (OR = 0.14, 95% CI 0.03-0.7, p = 0.01). Robotic surgery appears to be a safe and effective as laparoscopic surgery in smaller colorectal surgery programs led by fellowship-trained robotic surgeons, with outcomes comparable to those of larger programs.
    MeSH term(s) Humans ; Robotic Surgical Procedures/methods ; Retrospective Studies ; Cohort Studies ; Colorectal Surgery ; Laparoscopy ; Colorectal Neoplasms/surgery
    Language English
    Publishing date 2024-04-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-024-01908-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Intragastric balloon insertion and pancreatitis: Case series.

    Alqabandi, Omar / Almutawa, Yousef / AlTarrah, Dana / Alhajeri, Mufarrej / Jamal, Mohammad H / Almazeedi, Sulaiman

    International journal of surgery case reports

    2020  Volume 74, Page(s) 263–267

    Abstract: Introduction: Obesity is a complex multifactorial disease that affects populations worldwide. In Kuwait, the prevalence of obesity is a major public health problem. Intra-Gastric Balloon (IGB) is commonly used as a non-operative strategy among bariatric ...

    Abstract Introduction: Obesity is a complex multifactorial disease that affects populations worldwide. In Kuwait, the prevalence of obesity is a major public health problem. Intra-Gastric Balloon (IGB) is commonly used as a non-operative strategy among bariatric patients. However, with the increasing use of IGB, life-threatening adverse outcomes are widely reported.
    Presentation of cases: A case series five patients presenting with pancreatitis from IGB in Kuwait is reported to better investigate the emerging complications of IGB. Three types of IGB were inserted, these include the Orbera Intragastric Balloon System, Orbera365 Intragastric Balloon System, and the Spatz Adjustable Gastric. The clinical course of balloon pancreatitis is described.
    Discussion: The case series examined existing case reports of IGB associated pancreatitis in the literature, in addition to the investigated clinical outcomes. Patients presented with mild pancreatitis, and removal of balloon resulted in significant improvement in symptoms. Pathogenesis of balloon pancreatitis could be secondary to the pancreas compression by the IGB.
    Conclusion: Despite the rarity of balloon pancreatitis, it needs to be recognized as a complication of IGB insertion. Further research is needed to better understand the implications of the balloon size, shape, volume and location of balloon insertion in order to prevent this fatal complication.
    Language English
    Publishing date 2020-08-29
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2020.08.043
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: GASTROGASTRIC FISTULA AFTER ROUX-EN-Y GASTRIC BYPASS: A CASE REPORT AND REVIEW OF LITERATURE.

    Alyaqout, Khaled / Almazeedi, Sulaiman / Alhaddad, Mohanned / Efthimiou, Evangelos / Loureiro, Marcelo de Paula

    Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

    2020  Volume 33, Issue 2, Page(s) e1509

    MeSH term(s) Abdominal Pain/etiology ; Adult ; Anastomosis, Roux-en-Y/adverse effects ; Female ; Gastric Bypass/adverse effects ; Gastric Fistula/diagnostic imaging ; Gastric Fistula/surgery ; Gastroscopy/methods ; Humans ; Laparoscopy/methods ; Obesity, Morbid/surgery ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/therapy ; Reoperation ; Treatment Outcome ; Vomiting/etiology
    Language Portuguese
    Publishing date 2020-08-24
    Publishing country Brazil
    Document type Case Reports ; Letter ; Review
    ISSN 2317-6326
    ISSN (online) 2317-6326
    DOI 10.1590/0102-672020190001e1509
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: COVID-19: Impact of obesity and diabetes on disease severity.

    Al-Sabah, Salman / Al-Haddad, Mohannad / Al-Youha, Sarah / Jamal, Mohammad / Almazeedi, Sulaiman

    Clinical obesity

    2020  Volume 10, Issue 6, Page(s) e12414

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic is straining the healthcare system, particularly for patients with severe outcomes requiring admittance to the intensive care unit (ICU). This study investigated the potential associations of obesity and ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic is straining the healthcare system, particularly for patients with severe outcomes requiring admittance to the intensive care unit (ICU). This study investigated the potential associations of obesity and diabetes with COVID-19 severe outcomes, assessed as ICU admittance. Medical history, demographic and patient characteristics of a retrospective cohort (1158 patients) hospitalized with COVID-19 were analysed at a single centre in Kuwait. Univariate and multivariate analyses were performed to explore the associations between different variables and ICU admittance. Of 1158 hospitalized patients, 271 had diabetes, 236 had hypertension and 104 required admittance into the ICU. From patients with available measurements, 157 had body mass index (BMI) ≥25 kg/m
    MeSH term(s) Adult ; Betacoronavirus ; Body Mass Index ; COVID-19 ; Comorbidity ; Coronavirus Infections/complications ; Diabetes Mellitus/virology ; Female ; Hospitalization/statistics & numerical data ; Humans ; Intensive Care Units ; Kuwait ; Male ; Middle Aged ; Obesity/complications ; Obesity, Morbid/complications ; Overweight/complications ; Pandemics ; Pneumonia, Viral/complications ; Retrospective Studies ; Risk Factors ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-10-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2625816-X
    ISSN 1758-8111 ; 1758-8103
    ISSN (online) 1758-8111
    ISSN 1758-8103
    DOI 10.1111/cob.12414
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Innovative design of 3D-printed nasopharyngeal pediatric swab for COVID-19 detection.

    Alazemi, Ameerah / AbdulHussain, Ghadeer / Alawwam, Abdullah / Al-Shatti, Ali / Alghounaim, Mohammad / Almazeedi, Sulaiman / Al Youha, Sarah / Al-Sabah, Salman

    3D printing in medicine

    2021  Volume 7, Issue 1, Page(s) 22

    Abstract: 3-dimensional (3D) printing technology provides a solution to meet the high demand for producing adult nasal swabs. A smaller, more flexible nasopharyngeal swab needs to be developed for children and infants suspected of having coronavirus. The ... ...

    Abstract 3-dimensional (3D) printing technology provides a solution to meet the high demand for producing adult nasal swabs. A smaller, more flexible nasopharyngeal swab needs to be developed for children and infants suspected of having coronavirus. The information shared here presents a novel 3D-printed pediatric swab for the purpose of collecting upper respiratory clinical specimens.
    Language English
    Publishing date 2021-08-20
    Publishing country England
    Document type Journal Article
    ISSN 2365-6271
    ISSN (online) 2365-6271
    DOI 10.1186/s41205-021-00113-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Applying augmented reality to treat Fournier's gangrene in COVID-19 positive patients whilst safeguarding the multi-disciplinary surgical team: A case series.

    Alyaqout, Khaled / AlQinai, Shamlan / Almazeedi, Sulaiman / Karim, Jamila S / Al-Youha, Sarah / Al-Sabah, Salman

    International journal of surgery case reports

    2021  Volume 79, Page(s) 335–338

    Abstract: Introduction: COVID-19 has presented the surgical community with a multitude of challenges. Patients requiring surgical intervention who are positive for COVID-19 are not only more likely to develop complications post-operatively, but also pose an ... ...

    Abstract Introduction: COVID-19 has presented the surgical community with a multitude of challenges. Patients requiring surgical intervention who are positive for COVID-19 are not only more likely to develop complications post-operatively, but also pose an increased infection risk to the surgical team involved in their care. The infection control concerns raised at the peak of the pandemic persist in the post-pandemic era as patients continue to test positive for COVID-19 and the risk of a 'second wave' looms.
    Methods: We present a case series (compliant with SCARE [4] and PROCESS [5] criteria) to demonstrate the effective use of an AR technology platform during the intraoperative treatment of two complex COVID positive patients diagnosed with Fournier's gangrene.Retrospective review of prospectively collected data of all patients that required surgery involving multiple specialties during the COVID-19 pandemic at Jaber AlAhmad hospital in Kuwait between March 2020 to October 2020.
    Presentation of case: We present two cases to highlight the use of an augmented reality (AR) platform during the treatment of COVID-19 positive patients with Fournier's gangrene in order to safeguard surgical teams whilst simultaneously enabling these complex cases to benefit from multi-specialty input intraoperatively.
    Outcome: Augmented reality is a feasible option to minimize surgeons' exposure during surgery without compromising the patients safety.
    Discussion: This case series demonstrates how AR solutions can be employed to bolster infection control measures and may be useful in the treatment of surgical patients who test positive for COVID-19.
    Conclusion: AR solutions could be considered as an infection control strategy to safeguard surgical teams operating on COVID-19 positive patients.
    Language English
    Publishing date 2021-01-19
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2021.01.055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Incidental gastric accessory spleen during laparoscopic sleeve gastrectomy.

    Almazeedi, Sulaiman / Alhaddad, Eliana / Al-Khithr, Talal / Alhunaidi, Mohammed

    International journal of surgery case reports

    2017  Volume 36, Page(s) 119–121

    Abstract: Introduction: Bariatric surgery has shown to produce the most predictable and tangible results for weight loss, with laparoscopic sleeve gastrectomy's being the most popular one of them. However, the occurrence of previously undiagnosed diseases can be ... ...

    Abstract Introduction: Bariatric surgery has shown to produce the most predictable and tangible results for weight loss, with laparoscopic sleeve gastrectomy's being the most popular one of them. However, the occurrence of previously undiagnosed diseases can be encountered during bariatric operations. The work has been reported in line with the SCARE criteria.
    Case presentation: This is the case of a 54year old morbidly obese female, presenting to our hospital for a laparoscopic sleeve gastrectomy. During her procedure, it was discovered that she has an accessory spleen on the fundus of her stomach. The decision was made to resect it with the specimen of the stomach for histopathalogical examination.
    Conclusion: Incidental findings during routine bariatric surgery are a common occurance, and therefore prompt and effective intra-op management is key to the prognosis of the patient. Accessory spleens, although uncommon, tend to be asymptomatic. However, if undiagnosed, could present with dangerous consequences.
    Language English
    Publishing date 2017-05-19
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2017.05.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Predictors of intensive care unit admission and mortality in SARS-CoV-2 infection: A cross sectional study at a tertiary care hospital.

    Alkhamis, Ahmed / Alshamali, Yousef / Chehadeh, Wassim / Jasem, Amar / Omar, Abdulaziz Alsayed / Alghounaim, Mohammad / Elsaaran, Hussein / Al-Youha, Sarah / Almazeedi, Sulaiman / Alkhamis, Moh A / Alsabah, Salman

    Annals of medicine and surgery (2012)

    2022  Volume 80, Page(s) 104097

    Abstract: Background: The transmissibility and associated morbidity and mortality of severe acute respiratory syndrome-related coronavirus (SARS-Cov-2), have overwhelmed worldwide healthcare systems, resulting in an urgent need to understand this virus and its ... ...

    Abstract Background: The transmissibility and associated morbidity and mortality of severe acute respiratory syndrome-related coronavirus (SARS-Cov-2), have overwhelmed worldwide healthcare systems, resulting in an urgent need to understand this virus and its associated effects. The aim of our study was to identify patient symptoms, clinical characteristics, laboratory, and radiology findings that are associated with serious morbidity and mortality in COVID-19 patients.
    Methods: A cross sectional study was conducted in Jaber Al Ahmad Hospital, the designated COVID-19 center in Kuwait between August 1st, 2020 and January 31st, 2021. The main outcomes measured in this study were to identify variables associated with intensive care unit (ICU) admission, as proxy for serious morbidity, and in hospital mortality.
    Results: Two hundred and seventy-six patients were included in the study. Thirty-six (13%) patients were admitted to intensive care unit (ICU) and 33 (12%) patients expired. On multivariate analysis we found having elevated fibrinogen [OR 1.39, 95% CI 1.08-1.64, P = 0.04], low estimated glomerular filtration rate (eGFR) [OR 0.89, 95% CI 0.81-0.95, P = 0.02], and having bilateral patchy lung shadowing [OR 6.68, 95% CI 1.85-15.28, P < 0.01] to be significantly associated with increase odds of ICU admission. Elevated CRP [OR 1.25, 95% CI 1.10-1.98, P < 0.01], low eGFR [OR 0.95, 95% CI 0.90-0.99, P = 0.05] and having ischemic heart disease [OR 7.03, 95% CI 1.60-46.42, P = 0.04] were independently associated with increased odds of mortality.
    Conclusion: Certain inflammatory and coagulopathy markers, and having certain lung radiological features, in addition to having medical comorbidities, specifically, ischemic heart disease and renal impairment are key predictors for serious morbidity and mortality in patients infected with COVID-19. These should be incorporated into medical institutes risk assessment tools used by physicians and policy makers to instigate, prioritize, and reprioritize care in patients with COVID-19 and instigate preventative strategy to reduce the impact of future outbreak.
    Language English
    Publishing date 2022-07-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2022.104097
    Database MEDical Literature Analysis and Retrieval System OnLINE

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