Online ISSN: 2515-8260

Keywords : Doppler

EvaluationHigh-Resolution Sonography and Colour Doppler in assessment of Complicated Anterior Abdominal Wall Hernia

Yara Ibrahim Abdel Hamid, Enas Mohamed Khattab, Ahmed Abdel Azim Isamail,Sameh Saber Baioumy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4087-4096

Background: There are wide range of pathology affecting the anterior abdominal
wall which range from simple fluid collection to hernias to complex neoplasms.
Anterior abdominal wall hernias are the most common lesion of anterior
abdominal lesions. The aim of the present study was to evaluate high-resolution
sonography and colour Doppler in assessment of complicated anterior abdominal
wall hernia. Patients and methods: This study includes (48) patients were referred
for sonography due to vomiting and abdominal pain of unobvious cause. Patients
were subjected to full clinical examination and high-resolution Ultrasound and
Doppler examination and X-Ray for intestinal obstruction if needed. Results: Mean
defect size of hernia associated with bowel ischemia was 1.3±0.85 cm while the
bowel wall thickness mean was 4.1 ±0.3 mm, in contrary, the mean defect size of
hernia with non-ischemic bowel was 2.9 ±0.65 cm and the bowel wall thickness
mean was 2.2 ±0.89 mm. Among the studied group, Reduction of viable loops and
herniorrhaphy were done in 45.8 % of patients, Reduction of viable loops and
hernioplasty in 22.9% of cases, while resection and primary anastomosis were done
in (14.6) of cases. The ultrasound finding comparing with the operative data
revealed that ultrasound had 100% sensitivity, while accuracy in diagnosis of
peristalsis, bowel irreducibility, bowel thickness was ranged from 93.4% to 98.8%.
Also Doppler accuracy was 100% Conclusion:High-resolution ultrasonography
(US) is non-invasive, safe and effective and simple diagnostic tool for detecting the
presence of abdominal wall hernias and accurately detecting the contentand the
possible associated complications.

Assessment of effectiveness of Doppler in Patients with Pregnancy Induced Hypertension

Naresh Kumar, Rajesh K Badhan

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 2687-2690

Background:Hypertensive disorder of pregnancy is a major cause of maternal and perinatal
morbidity and mortality in developing countries. The obstetrical use of Doppler sonography for
monitoring high-risk pregnancies is today an indispensable procedure. Hence; the present study
was conducted for assessing the effeteness of Doppler in Patients with Pregnancy Induced
Hypertension.Materials & methods: A total of 20 pregnant patients between 28 to 36 weeks of
pregnancy clinically diagnosed as PIH. Control group comprised of 20 patients with 28 to 36 weeks
with no clinically detectable hypertension. Inclusion criteria Comprised of patients with rise of
atleast 30 mm Hg and 15 mm of Hg in systolic and diastolic pressures respectively over the previous
known blood pressure, patients whose previous blood pressures were not known, the blood pressure
of atleast 140/90 mm of Hg were considered abnormal, singleton pregnancy, regular periods and
normotensive pregnant patients with gestational age between 28 to 36 weeks of gestation. Blood
pressure was recorded and ultrasound examination was done followed by Doppler. All the results
were recorded and analysed using SPSS software.Results: A total of 20 patients were included in
the study group and 20 subjects were enrolled in the control group. In the study group, normal S/D
ration was seen in 12 subjects while abnormal was seen in 8 subjects. Among the subjects with
abnormal S/D ratio, still birth and low birth weight were seen in 4 subjects and 3 subjects
respectively. Conclusion: Doppler velocimetry is useful in distinguishing the serious patients from
those where the approach can be a bit more conservative.

Program For Diagnosing The Degree Of Urodynamic Disorders And Kidney Functions And Determining Tactics Of Managing Children With Obstructive Uropathies.

Mavlyanov Farkhod Shavkatovich; Mavlyanov Shavkat Khodzhamkulovich; Shirov Timur Furkatovich; Khayitov Ulugbek Khudzhakulovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 2546-2554

Background: The objective of the study is to develop a program of scoring for determining the degree of impairment of urodynamics and the preservation of renal function in children with obstructive uropathy on the basis of data from ultrasound - Doppler studies.
Methods: The work is based on the results of ultrasound and Doppler examination of 484 children with congenital obstructive uropathy. In accordance with the obtained data, a point assessment of the degree of impairment of urodynamics and preservation of renal function was carried out in 60 children with obstructive uropathies (30 children with congenital hydronephrosis and 30 children with congenital ureterohydronephrosis).
Results: Analysis of ultrasound and Doppler studies in congenital obstructive uropathy in children by comparing the data, depending on the severity and level of obstruction, revealed 3 degrees of congenital obstruction of the upper urinary tract in children. A comparative study of the urodynamics and state of the renal parenchyma, depending on the degree of obstruction, established a close relationship between the indicators of the functional state of the renal parenchyma and the degree of dilatation and disorders of the urodynamics of the upper urinary tract.
Conclusion: The developed program allows the safe and most informative methods to reliably determine the functional state of the renal parenchyma and the degree of urodynamic impairment in children with obstructive uropathy. Study Registration ( ID NCT04605835.