Farhan Medical complex _ FMC

12/09/2026

21/07/2026

🌸 بریالی عملیات – د ناروغې روغتیا ته یو بل مهم ګام 🌸

یوه ۳۰ کلنه مېرمن چې د نس د ښکته برخې درد او غیر نورمال میاشتني عادت له ستونزې سره مخ وه، د الټراساونډ له معاینې وروسته د رحم متعدد Fibroids (د رحم غوټې) تشخیص شوه.

د بشپړې ارزونې او لازم چمتووالي وروسته، ناروغه په بریالیتوب سره د فرحان کمپلکس کې عملیات شوه.

موږ د ناروغې د ژر او بشپړې روغتیا هیله لرو، او ټولو مېرمنو ته سپارښتنه کوو چې که د غیر نورمال میاشتني عادت، د نس درد، یا د رحم اړوند نورو نښو سره مخ وي، پر وخت د متخصص ډاکټر سره مشوره وکړي.

🌺 پر وخت تشخیص، غوره درملنه او سالمه راتلونکې.

ډاکتر ادم خان ژوندی

19/07/2026

ناروغ چه تقريبا 38 کاله عمر درلود دتیرو دریو کالو څخه د بطن په ښکتني برخه کي درد درلود ناروغ ته لازم لابراتواری معاینات او راډیولوژی معاینات توصیه شول د ناروغۍ ټول معاینات نورمال وو خو د بطن په التراساوننډ کي په رحم کې یوه غټه کتله رپورټ ورکړي وو چون ناروغ درد درلود ناروغ عملیات ته اماده او عملیات شو او بیوپسې ته سمپل ولیږل شو

14/07/2026

Good day Doctors! Respectfully posting my assignment given to me by Dr. Angel Katrina Cantero on tissue-based and laparoscopic approaches on hernia repair

Tissue-Based Repair:

1.) Bassini Repair
- This begins with dissection of the spermatic cord and high ligation of the hernia sac. The transversalis fascia is then incised from the p***c tubercle to the internal inguinal ring, and the preperitoneal fat is mobilized to allow adequate tissue movement. A triple-layer repair is performed by suturing the internal oblique muscle, transversus abdominis muscle, and transversalis fascia to the inguinal ligament and p***c periosteum with interrupted sutures, thereby reconstructing the posterior wall of the inguinal canal and reinforcing the medial border of the internal inguinal ring.

2.) Shouldice Repair
- a modification of the Bassini repair that distributes tension across multiple tissue layers, resulting in lower recurrence rates. After dissection of the spermatic cord, the ge***al branch of the genitofemoral nerve is routinely divided, and the transversalis fascia is incised from the p***c tubercle to the internal inguinal ring. The superior and inferior fascial flaps are mobilized, and a continuous four-layer repair is performed by suturing the transversalis fascia, iliop***c tract, internal oblique, and transversus abdominis to the inguinal ligament and external oblique aponeurosis, creating a strong reconstruction of the posterior inguinal wall with reduced tension.

3.) McVay Repair
- a tissue-based technique that repairs both inguinal and femoral hernias, making it the preferred tissue repair for femoral hernias and for cases where mesh is contraindicated. After isolating the spermatic cord, the transversalis fascia is incised to enter the preperitoneal space, and Cooper's ligament is exposed. A 2–4 cm relaxing incision is made in the anterior re**us sheath to reduce tension. The superior transversalis fascia flap is then sutured to Cooper's ligament to close the femoral ring, followed by a transition stitch and lateral fixation of the transversalis fascia to the inguinal ligament, completing the repair.

4,) Desarda Repair
- a mesh-free tissue repair that uses an undetached strip of the external oblique aponeurosis (EOA) to reinforce the posterior wall of the inguinal canal. After an oblique incision, the spermatic cord is isolated and the hernia sac is excised (or inverted in small direct hernias). The medial leaf of the EOA is sutured to the inguinal ligament, and a strip of the EOA is created by a splitting incision while keeping it attached. The free edge of this strip is then sutured to the internal oblique muscle or conjoint tendon, forming a new posterior wall of the inguinal canal. The wound is then closed in the usual manner.

Laparoscopic Approach

1.) Transabdominal Preperitoneal (TAPP) Repair
- This technique enters the peritoneal cavity laparoscopically, after which the peritoneum overlying the inguinal region is incised to access the preperitoneal space. The hernia sac is reduced, and a prosthetic mesh is placed over the entire myopectineal or***ce to cover both direct and indirect defects. The peritoneum is then closed over the mesh, separating it from the abdominal contents. TAPP provides a broad view of the groin anatomy and allows evaluation of the contralateral side but requires entry into the abdominal cavity, carrying a small risk of intra-abdominal injury.

2.) Totally Extraperitoneal (TEP) Repair
- The TEP approach repairs the hernia without entering the peritoneal cavity. A working space is created in the preperitoneal plane, where the hernia sac is reduced and a mesh is placed over the myopectineal or***ce. Since the peritoneal cavity is not entered, TEP reduces the risk of bowel injury and postoperative intra-abdominal adhesions. However, it is technically more challenging and offers a smaller operative field than TAPP.

Reference
Schwartz Principles of Surgery 11th Ed

24/06/2026

NEW IN JVIR: Feasibility and Early Outcomes of Single-Session Percutaneous Cholecystolithotomy Using Holmium Laser Lithotripsy Followed by Primary Tract Closure via Cholecystopexy

🔍 Clinical Question:
To evaluate the feasibility and early outcomes of single-session percutaneous cholecystolithotomy using holmium laser lithotripsy with primary tract closure by cholecystopexy in patients with symptomatic gallbladder stones.

💡 Key Insight:
Single-session percutaneous cholecystolithotomy using holmium laser lithotripsy and primary tract closure by cholecystopexy achieved 90% technical success and 100% clinical success in 30 patients. No cases required cholecystectomy; 80% of patients discharged within 3 days. Adverse events (bleeding or bile leak) occurred in 16.7% of cases, all managed conservatively. The technique provides a feasible, minimally invasive, gallbladder-preserving alternative to surgery.

👉 Why it matters:
This gallbladder-preserving technique offers shorter hospital stay and reduced drainage duration with a favorable safety profile, potentially serving as an alternative to cholecystectomy for select patients with symptomatic gallstones and preserved gallbladder function.

➡️ Full Article: https://brnw.ch/21x3zGH

21/06/2026

Here are some diagrams that explain why colostomy prolapse may happen. When looking at the colon, some portions of it are fixed into the abdominal wall, and other portions are mobile. If we open a colostomy in a mobile portion, the stoma will have a tendency to prolapse. When we open the colostomy near a fixed portion, prolapse will not happen.
Unfortunately, almost the entire small bowel is mobile (not fixed to the abdominal wall) and that is why ileostomies have a tendency to prolapse. We try to avoid that from happening by fixing the ileum, proximal to the stoma, into the abdominal wall.
Together we can Improve Colorectal Care Everywhere for Everyone!

01/05/2026

Ovarian cyst torsion

25/03/2026

A new cancer treatment dissolves tumors using sound, offering a revolutionary (and noninvasive) alternative to traditional surgery.

Medical science is entering a new era of noninvasive oncology with the introduction of histotripsy, a procedure that uses highly focused ultrasound waves to mechanically break down liver tumors. Unlike traditional surgery or radiation, this method utilizes "bubble clouds" that rapidly expand and collapse, generating enough physical force to liquefy tumor tissue while sparing surrounding healthy structures. The process is entirely incision-free, requiring no scalpels or radiation, and is performed with such precision that many patients are able to return home the same day.

This technology is proving to be a lifeline for patients with inoperable liver cancers, including those that have metastasized from other organs. In recent clinical trials, histotripsy successfully met performance goals in 95% of cases, with a remarkably low complication rate. As researchers begin to explore its application in other organs, this shift from "cutting and burning" to "breaking apart with sound" represents a significant leap forward in making cancer treatment safer, more efficient, and less traumatic for the human body.

source: UCI Health. (2025). Dissolving Liver Tumors with Sound Waves. UCI Health Newsroom.

14/03/2026

Researchers in Italy have been studying biological enzymes that may help break down plaque buildup inside arteries, a condition known as atherosclerosis. This buildup of cholesterol, fats, and other substances can narrow blood vessels and increase the risk of heart attacks and strokes.

In laboratory and early experimental studies, certain enzymes have shown the ability to dissolve or reduce fatty deposits that form arterial plaque. By breaking down these deposits, scientists hope to restore blood flow and improve the elasticity of affected arteries.

Current treatments for blocked arteries often involve medications that slow plaque growth or surgical procedures such as angioplasty, stent placement, or bypass surgery. A therapy that could directly remove plaque would represent a major shift in cardiovascular treatment.

However, most enzyme-based plaque removal approaches are still in the research or early testing stages. Scientists must first confirm their safety, effectiveness, and targeted delivery before they can be widely used in human patients.

If future clinical trials prove successful, enzyme-based therapies could potentially offer a less invasive way to treat cardiovascular disease, which remains one of the leading causes of death worldwide.