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Halawani HM, Alami RS, Abi Saad GS. Laparoscopic cyst-gastrostomy after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis 2015; 11:975-7. [PMID: 26003895 DOI: 10.1016/j.soard.2015.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Revised: 01/31/2015] [Accepted: 02/02/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Hamzeh M Halawani
- Department of General Surgery, American University of Beirut Medical Centre, Beirut, Lebanon
| | - Ramzi S Alami
- Department of General Surgery, American University of Beirut Medical Centre, Beirut, Lebanon.
| | - George S Abi Saad
- Department of General Surgery, American University of Beirut Medical Centre, Beirut, Lebanon
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Tawil AN, Boulos FI, Chakhachiro ZI, Otrock ZK, Kandaharian L, El Saghir NS, Abi Saad GS. Clinicopathologic and immunohistochemical characteristics of male breast cancer: a single center experience. Breast J 2011; 18:65-8. [PMID: 22017630 DOI: 10.1111/j.1524-4741.2011.01184.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Male breast cancer (MaleBC) is a rare tumor that has been insufficiently described in the Middle East. The purpose of this study is to report the first MaleBC series in Lebanon, describing its clinicopathologic and immunohistochemical phenotype, and how it compares with MaleBC in the West and with female breast cancer in Lebanon and the Middle East. Forty-seven cases of MaleBC were reviewed. Results showed younger ages at presentation (62 years versus 67 years), higher incidence of lobular carcinoma (6% versus 1%), and more frequent p53 positivity and axillary node metastases in our series than in those reported about MaleBC. Other results such as higher estrogen receptor (ER) positivity and lower HER-2/neu over-expression were comparable to the literature. These findings suggest that MaleBC in our region may represent a biologically different tumor with potentially distinct prognostic and therapeutic implications.
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Affiliation(s)
- Ayman N Tawil
- Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon
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Musallam KM, Abi Saad GS, Majdalani MN, Muwakkit SA, Bou-Khalil PK, Aoun EG, Sawaya RA, Khalil I, Taher AT. Use of Recombinant Activated Factor VII for Intractable Bleeding in Patients Without Hemophilia: A Developing Country Tertiary Care Center’s Experience. Clin Appl Thromb Hemost 2010; 16:658-62. [DOI: 10.1177/1076029609343448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Although the use of recombinant activated factor VII (rFVIIa) to control intractable bleeding in nonhemophiliac patients is expanding, several issues pertinent to its potential thrombotic complications and effect on patient mortality are still of concern. We herein describe our experience at a developing country tertiary care center over a period of 4 years. A total of 49 patients were identified of whom 28.6% belong to the pediatric age group. The most common bleeding settings were intracerebral hemorrhage, abdominal aortic surgery, general surgery, and disseminated intravascular coagulopathy. All patients achieved cessation or significant reduction in bleeding. Only 1 patient had a documented postuse thrombotic complication. Of the whole group, 12 patients (24.4%) eventually died with only 1 death having a possible association to rFVIIa use. There was a statistically significant reduction in the need for blood product transfusion after the use of rFVIIa. The use of rFVIIa was in accordance with the hospital’s algorithm (identifying salvageable patients, preconditioning, blood product replacement, and dosing) in 30 (61.2%) patients. We conclude that rFVIIa should continue to be considered in nonhemophiliac patients failing to respond to conventional measures of bleeding control. However, this off-label use should be coupled with strict adherence to the treatment algorithms, which remains essential in developing countries with limited health care resources.
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Affiliation(s)
- Khaled M. Musallam
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - George S. Abi Saad
- Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
| | - Marianne N. Majdalani
- Department of Pediatrics, American University of Beirut Medical Center, Beirut, Lebanon
| | - Samar A. Muwakkit
- Department of Pediatrics, American University of Beirut Medical Center, Beirut, Lebanon
| | - Pierre K. Bou-Khalil
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Elie G. Aoun
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Raja A. Sawaya
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ismail Khalil
- Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ali T. Taher
- Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon,
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Abi Saad GS, Musallam KM, Korban ZR, Reslan OM, Mneimne M. Solitary hydatid cyst of the thigh: a challenging diagnosis. Vector Borne Zoonotic Dis 2010; 9:743-5. [PMID: 19272001 DOI: 10.1089/vbz.2008.0086] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
A 53-year-old woman presented with an enlarging mass in the medial aspect of her right thigh. Magnetic resonance imaging suggested an intramuscular hydatid cyst. The cyst was surgically excised. Although muscular hydatidinosis is rare, its resemblance to soft tissue tumors warrants careful diagnosis since any invasive diagnostic measures may lead to fatal complications.
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Affiliation(s)
- George S Abi Saad
- Department of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
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Khreiss M, Karam J, Musallam KM, Al Harakeh AB, Nasr VG, Abi Saad GS. Distinctive presentation of a diaphragmatic hernia 15 years after a traumatic insult. Ann Thorac Surg 2009; 88:651-3. [PMID: 19632432 DOI: 10.1016/j.athoracsur.2008.12.057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2008] [Revised: 11/21/2008] [Accepted: 12/15/2008] [Indexed: 10/20/2022]
Abstract
Diaphragmatic hernias are well-known sequelae of abdominal and chest wall trauma. However, they may go undiagnosed in the acute setting but present later due to gastrointestinal or respiratory complications. A distinctive presentation of a diaphragmatic hernia 15 years after a traumatic insult is herein described. Management strategies are also discussed.
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Affiliation(s)
- Mohamad Khreiss
- Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon
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Abi Saad GS, Musallam KM, Kazzi AA, Korban ZR, Reslan OM, Mneimne M. Caught up with time. Dig Surg 2009; 26:24. [PMID: 19153490 DOI: 10.1159/000193327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
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