RESEARCH PROJECTS
Tuberculous epididymo-orchitis following intravesical BCG for superficial bladder cancer Seventy
one year old man with transitional cell carcinoma of the bladder received
intravesical BCG following which he developed left testicular pain and
swelling. This was treated conservatively and he received more BCG for
recurrent disease 6 months later. He developed increasing left testicular
swelling and induration one and a half year following his initial BCG therapy.
Ultrasound confirmed a tumor-like mass, likely an inflammatory process
of the left testicle. He had no systemic symptoms and his prostate felt
benign. Left orhiectomy was done, it was hard with abscess formation. The
discharge contained acid fast bacilli and the testicle had caseating granulomatous
orchitis. M. Bulbul, A. Hijaz, M. Biaini, G. Araj.
Urothelial carcinoma of the vagina six years followcystectomy for invasive cancer Urothelial
carcinoma located outside the urinary tract is rare. A variety of transitional
cell neoplasia have been sporadically identified and reported in the female
genital tract. These include the endometrium (1), the cervix (2), the fallopian
tubes (3) and the ovaries (4) with or without concomitant bladder carcinoma.
Urothelial tumors of the vagina were initially reported by Fetissof in
a 76-year old woman 4 years following nephroureterectomy for transitional
cell carcinoma (TCC) of the renal pelvis (%). Although Bass (6) and Singer
(7) reported on vaginal TCC concomitant with bladder tumors, it was Jendresen
(8) who reported vaginal TCC 9 months following cystectomy and urinary
diversion in an otherwise disease free patient. M. Bulbul, H. Kaspar,
R. Nasr, A. Khalil.
The value of free and total prostate specific antigen in identifying patients for prostatic biopsy and its relationship to Gleason score and volume of prostatic adenocarcinoma We
evaluated the value of F/T PSA in 50 consecutive patients who underwent
prostate needle biopsy and its relationship to the Gleason score and disease
volume. Fifty patients underwent prostate needle biopsy for elevated PSA,
F/T PSA <20% and abnormal digital rectal examination (DRE). 19/21 patients
with positive biopsies had F/T PSA<20%. The sensitivity, specificity
and positive predictive value of F/T PSA<20% was 90.5%, 31% and 48%
respectively. Stratifying patients with positive biopsies to F/T PSA<10%,
F/T PSA>10% and the three PSA groups, there was no relationship to either
Gleason score or number of positive cores (volume of disease). No relationship
was observed between the level of F/T PSA grade or volume of disease. M.
Bulbul, R. Khauli, R. Nasr, K. Hemady, W. Wazzan.
Advantages of the ileal over ileo-cecal orthotopic neobladder in patients with invasive bladder cancer Different
segments of small and large bowel have been used in the construction of
the orthotopic neobladder in patients undergoing cystectomy for invasive
bladder cancer. We compared both ileocecal (GI) and ileal (GII) neobladders
from a single institution. In 29 patients ileocecal neobladder was performed
while 23 patients had ileal neobladder. In the ileocecal the cecum and
ascending colon are mobilized, appendectomy is done, ileo-cecal valve is
opened, ureters are implanted in tenea and a cecostomy tube is placed.
In the ileal group the ureters are subserosally implanted and no suprapubic
tube is exteriorized. There was no operative mortality in both groups 3
patients need intermittent catheterization. Both groups tolerate adjuvant
chemotherapy and radiation therapy. 3 patients from GI developed uretero-intestinal
strictures versus one from GII. Mucous production was significantly more
in GI. Operating time more for GI. Both ileal and ileocecal neobladder
are excellent urinary substitute and functionally comparable. The ileal
neobladder offers the following advantages: 1. No mobilization of cecum
and ascending colon and no appendectomyless operating time. 2. Intact
ileo-cecal valve. 3. Less uretero-intestinal strictures. 4. Less mucous
productionno need for suprapubic tube. B. Bulbul, W. Wazzan, W. Farhat,
J. Kaouk, K. Hemady.
The value of endoscopic biopsy of the prostate or intraoperative biopsy of the urethro-protic margin in patients with invasive bladder cancer and endoscopically tumor free urethra in selecting patients for orthotopic neobladder substitution The
criteria for selecting patients with bladder cancer for orthotopic neobladder
substitution includes a motivated patient, negative transurethral (TUR)
prostate biopsy prior to cystectomy and/or tumor free margin biopsy at
the time of cystectomy. In this report we evaluate the value of these biopsies
in the endoscopically tumor free prostatic urethra. Three out of forty
patient had limited-localized transitional cell carcinoma in the prostate
(TCC) and one had localized adenocarcinoma. All 40 patients including the
3 with prostatic TCC had negative prostatic apical resection margin. To
date, none of the patients developed urethro-neobladder recurrence. TUR
biopsy of the prostatic urethra prior to cystectomy or biopsy of the prostatic
apical margin at the time of cystectomy in patients with endoscopically
tumor free prostatic urethra has limited value in selecting candidates
for orthotopic neobladder substitution. M. Bulbul, W. Wazzan, R. Nasr,
K. Hemady.
Prevention of posttraumatic spinal cord injury using bosentan an endothelin antagonist Y.
Comair. (Supported by IRB and LNCSR.)
Outcome analysis in aneurysmal subarachnoid hemorrhage. Review of the American University of Beirut Series Y.
Comair. (Supported by IRB.)
Central line exchange policy in the ICU, 1999 Short
term central venous access catheters exchange policy in the Intensive Care
Unit at the American University of Beirut Medical Center consists of exchange
of the catheter over a guide wire after five days (catheter sent for cultures)
and removal and change of site after the second five days (Control Group).
We are testing the following policy in a prospective randomized fashion:
All short term central venous access catheters will be kept until there
is a change in the fever pattern to the worse where they will be exchanged
over a guide wire and the tip and the transcutaneous segments are sent
for quantitative cultures by the plate roll technique. If the cultures
are negative, then the catheter is kept. If the cultures are positive the
catheter is removed and the site is changed (Experimental Group). We are
hypothesizing, based on a review of the literature, that the experimental
group will require fewer procedures, have more catheter-days, and cost
less than the control group. All this with the infection rate being equal
in both groups. I. Dandan, G. Abi Saad.
Munchausens syndrome in plastic surgerythe A.U.B.M.C. experience Munchausens
Syndrome is a factitious illness that is characterized by one or more medical
complaints dramatically presented with false and often life threatening
symptoms and histories from patients who wander from doctor to doctor and
hospital to hospital. Caring for these patients who frequently find their
way into Plastic Surgery practices, is very time consuming because they
usually fail to respond to standard modalities of treatment. The medical
system is thus abused by seeking care from one or more care provider at
the same time and therefore depleting expensive diagnostic procedures.
This project reviews four such patients who presented to the Plastic Surgery
service at the American University Medical Center of Beirut. Because of
the scanty publication of such a condition in the Plastic Surgery literature
this was found as a possible worthwhile contribution for study and review.
I.
Kaddoura.
The efficacy of free rectus abdominus tissue transfer in reconstructive surgery, 1999 50
patients who underwent reconstructive surgery with rectus abdominus free
tissue transfer are being assessed in this study to determine the efficacy
of such a flap. R. Musharafieh, B. Atiyeh.
Complications of free tissue transfer: a review of 95 cases, 1999 95
patients were operated at AUBMC with microsurgical free tissue transfer.
They are being evaluated for complications of such reconstructive procedures.
R.
Musharafieh, B. Atiyeh.
The radial forearm fasciectomies flap; its use in microsurgical reconstruction, 1999 32
patients were underwent reconstructive surgery utilizing the radial forearm
fasciotomies free flap. They are being assessed at a mean follow up of
3-6 years. R. Musharafieh, B. Atiyeh.
Scaphoid-capitate syndromes: case report, 1999 A
rare entity; a patient with such a syndrome is reported. R. Musharafieh,
B. Atiyeh.
Trapezium-dislocation a case report, 1999 A
rare injury; a case is being presented. R. Musharafieh, B. Atiyeh.
Intraarticular tilcotil injection: its analgesic effect post arthroscopic surgery of the knee, 1999 A
prospective study was performed comparing tilcotil (NSAID), Depomedrol,
Marcaine and Tramal analgesic effects when used intraarticular in arthroscopic
surgeryof the knee; 150 patients are being analyzed. R. Musharafieh,
B. El-Hassan.
Contribution of some immune mechanisms to the pathogenesis of hypertension M.
Obeid, W. Mudawar and N. Nuwayri-Salti. (Supported MPP.)
Clinical trial: diarrhea control during enteral nutrition A
quality care clinical study where Guam fiber enriched enteral feeding is
compared to standard feeding formula. Patients are entered into the study
if they have been on enteral nutrition with three or more liquid stools
per day grossly in excess of 300cc volume. Patients with short bowel syndrome,
acute bacterial infection or hyperthyroidism are excluded. Patients are
given 25-35 K Cal/kg/day enteral feeding through pump assisted system.
The number and amount of liquid stools are monitored and the nursing/medical
staff subjective impressions are recorded. A.M. Taha. (Supported
by Novartis.)
Hemorrhagic shock decreases alanine absorption in the rat jejunum Little
is known about the absorption of nutrients by the gut following severe
hemorrhage. Single pass perfusion technique is used to measure net alanine
absorption and water transport in an isolated jejunal segment of adult
rats. Shock is induced by bleeding the rat down to 60% of its blood volume
for one hour. Severe hemorrhage causes a marked decrease in alanine absorption
that persists during the shock state. Resuscitation with blood and saline
restores only a part of this absorptive defect. Addition of calcium channel
blockers to the resuscitation regimen returns the absorption of alanine
to control values. Resuscitation from hemorrhagic shock is associated with
a persistent defect in absorption of amino-acids in the rat jejunum. Calcium
channel blockers correct this defect by either improving gut blood flow
or preventing reperfusion injury and therefore it may have a major therapeutic
role in the treatment of hemorrhagic shock. A.M. Taha, B.S. Hejazi,
C.F. Nassar. (Supported by URB.)
The effect of septic shock on the absorption of aminoacids in the rat jejunum Experimental
model for septic shock has been developed in the adult rat. Single pass
perfusion technique is used to measure net alanine absorption and water
transport in an isolated jejunal segment. Mesenteric blood flow is measured
by a transducer placed on the portal vein artery. Septic shock is induced
by injecting the rat with 20mg/kg lipopolysaccharide. Severe sepsis decreases
alanine absorption that persists and worsens despite of resuscitation with
fluids and calcium channel blockers. Addition of norepinephrine to the
regimen restores the absorptive capacity of the gut to the control value.
These findings may have a major therapeutic implications in the resuscitation
of shock and the pharmacologic manipulation of the gut to restore it absorptive
capacity for nutrients. A.M. Taha, C.F. Nassar. (Supported by URB
and MPP.)
Akel, S., Halabi, J. and Shawis, R., Abdominal inversus with congenital duodenal stenosis: rare association. European Journal of Pediatric Surgery, 8 (1), 55-57, February 1998. Akel, S., Haddad, F., Hashem, H., Soubra, M., and Mounla, N. Traumatic injuries of the alimentary tract in children. Pediatric Surgery International, 13, 104-107, March 1998. Akel, S., Khoury, Gh., Saghieh, S., Zaatari, Gh., and Jabbour, S., Meckels diverticulum: revisited. Journal of the Arab Board of Medical Specializations, 1 (1), 67-71, January 1999. Atiyeh,B.S., Tissue expansion: a possibly valid reconstructive alternative in electric burns of the mouth. Annals of Burns and Disasters, 12 (1), March 1999. Atiyeh,B.S., Hashim, H.A., Kayle, D.I., and El-Douaihy, Y., Perinipple round-block technique for correction of tuberous-tubular breast deformity. Aesthetic Plastic Surgery, 22, 284-288, 1998. Atiyeh,B.S., Hashim, H.A., Rubeiz, M.T., Hamdan, A.M., Serhal, H.M., and Bitar, F.F., Necrotizing infection of the orofacial tissues in the neonate (Noma Neonatorum): Case Report and Review of the Literature. The Scandinavian Journal of Plastic and Reconstructive and Hand Surgery, 32, 343-345, 1998. Atiyeh,B.S., Hussein, M.M., Tayim, A.M., Zaatari, A.M., and Fakih, R.R., Early microvascular reconstruction of gustilo type III-C lower extremity wound. The Scandinavian Journal of Plastic and Reconstructive and Hand Surgery, 31, 351-355, 1997. Atiyeh,B.S., Hashim, H.A., Hamdan, A.M., and Musharafieh, R.S., Temporary arterio venous fistula for microsurgical reconstruction of an extensive scalp defect.The Mediterranean Journal of Surgery and Medicine, 5 (3), 105-108, 1997. Atiyeh,B.S., Kayle, D.I., and Nasser, A.A. , Burn-like syndromes. Annals of Burns and Disasters, 12 (1), March 1999. Atiyeh,B.S., and Musharrafieh, R.S., Staged arterio-venous fistula (AVF) and free flap transfer. Letter to the Editor. Annals of Plastic Surgery, 38 (2), 193-194, 1997. Bulbul, M., Farhat, W., Salem-Shabb, N., and Salem Z., Late recurrence with malignant degeneration of testicular teratoma. Lebanese Medical Journal, 46 (2),103-104, March 1998. Bulbul, M., Wazzan, W., Farhat, W., Kaouk, J., Hemady, K., Shamseddine, A., Feasibility of radiation and chemotherapy following cystectomy and orthotopic neobladder for invasive bladder cancer. The Canadian Journal of Urology, 1, 469-471, March 1998. Dandan, I., and Farhat, W. Upper Genito-Urinary Trauma. In Medicine: Emergency Medicine, ed. Adler, J.N., Brenner, B., Dronen, S., Feied, C., Mallon, W.K., OConner, R.E., Plantz, S.H., Pollack, C.V. Boston: Medicine Corporation, 1998, 1999. Haddad, F.S., Methylene blue for x-ray localization. Surgical Neurology 49, 338, 1998. Haddad, F.S. and, Bitar E., Primary hydatid disease of the spine: report of 14 cases and review of the literature. Pan Arab Journal of Neurosurgery, 1, 46-52, 1997. Haddad, F.S., Haddad G.F. and Zaatari G., Cranial osteomas: their classification and management. Report on a giant osteoma and review of the literature. Surgical Neurology, 48, 143-7,1997. Haddad, F.S., Hanbali F, and Abdo A., Medulloblastoma Experience with 142 cases. Pan Arab Journal of Neurosurgery, 2, 36-42, 1998. Haddad, G.F., and Al-Mefty, O., Petrosal presigmoid approach to the clivus. In Operative Skull Base Surgery, ed. Torrens, M., Al-Mefty, O., Kobayashi. New York: Churchill Livingstone, 1997. Haddad, G.F., Haddad, F.S., and Zaatari, G., Dural Osteochondroma: Case report, review of the literature and proposal of a new classification. British Journal of Neurosurgery, 12 (4), 380-384, 1998. Haddad, G.F., Hanbali, F., Mufarrij, A., Nassar, A., and Haddad, F.S., Concomitant fibrous dysplasia and aneurysmal bone cyst of the skull base: Case report and review of the literature. Pediatric Neurosurgery, 28, 147-153, 1998. Haddad, R., Jurjis, A.R., Ibrahim, M.Z.M., Nahle, Z.A., El-Kasti, N.M,. Bitar, K.M, Kreidiyyeyh, S.I., Saadeh, F.A., and Bikhazi, A.B., Binding of 125 I-insulin on capillary endothelial and myofiber cell membranes in normal and streptozotocin-induced diabetic perfused rat hearts. Comparative. Biochemistry & Physiology, 117A, 523-530, 1997. Hussein, M.K., Khoury, G., and Taha, A.M., Laparoscopic inguinal hernia repair. International Surgery, 83, 253-255, 1998. Hussein, M.K., Taha, A.M., Haddad, F.F., and Bassim Y.R., Bupivacaine local injection in anorectal surgery. International Surgery, 83, 56-57, 1998 Hussein, M.K., Taha, A.M, and Wehbeh, M., Laparoscopic reduction of intussusception in the adult. Surgical Rounds,3, 375-378, August 1998. Kaddoura, I., and Moufarrij, A., Juvenile hyaline fibromatosis. A 47 year follow-up. The Canadian Journal of Plastic Surgery, 7 (3), 123-128, May-June 1999. Kaddoura, I., Hashim, H., Kayle, D., and Shabb, B. Intercostal thoracoscopic harvesting of the internal mammary artery for supercharging of a pedicled rectus abdominus flap. Annals of Plastic Surgery. 40 (5), 655-658, June 1998. Kaddoura, I., and Khoury, Gh., Laparoscopic transverse rectus abdominus flap delay for autogenous breast reconstruction. Journal of the Society of Laparoendoscopic Surgeons, 2 (1), 63-65,1998. Kaddoura, I., and Nasser, A., Abdominoplasty: the use of stapled Prolene mesh in severe muslaxity. American Aesthetic Surgery, Journal, 18 (5), 335-341, 1998. Musharafieh, R., Bassim, Y., and Atiyeh, B., Ulnar collateral ligament injury of the first metacarpophalangeal joint, a frequently missed injury in the emergency unit. The Journal of Emergency Medicine, 15 (2), 1-4, 1997. Musharafieh, R., Emergency medicine in Lebanon. The Medical Periodical Journal, 1 (1), 6-8, October 1997. Musharafieh, R., Free tissue transfer and replantation surgery at AUBMC. The Medical Periodical Journal, 1 (6), 6-7, July 1998. Musharafieh, R., Microsurgical free tissue transfer for lower extremity reconstruction: A review of 52 cases. Journal of the Arab Board of Medical Specialization. 1 (1), 81-87, 1999. Musharafieh, R., Osmani, O., Musharafieh, U., Saghieh, S., and Atiyeh, B., The efficacy of microsurgical free tissue transfer in the treatment of chronic osteomyelitis of the leg and foot: a review of 22 cases. The Journal of Reconstructive Microsurgery, 15 (4), 239-244, May 1999. Nassar, S.I., Haddad, F.S., Hanbali, F.S., and Kanaan, N.V., Abscess superimposed on brain tumor. Two case reports and review of the literature. Surgical Neurology, 47:484-8, 1997. Nassar, S.I., Hanbali, F.S., Haddad, M.C., and Fahl, M.H., Thoracic vertebral hemangioma with extradural extension and spinal cord compression: Case Report. Clinical Imaging, 22, 65-68, 1998. Sidani, M., Biliarycolonic fistula. International Surgery, May 1999. Taha, A., and Mansour, A., Simplification of the musculoskeletal tumor society classification. Journal of the Royal College of Physicians and Surgeons, 1997. Talhouk,
A., Abi Saad, G., Is superior mesenteric artery syndrome a real clinical
entity? Contemporary Surgery, 54 (6), 365-366, 1999.
ABSTRACTS,
PRESENTATIONS AND PROCEEDINGS
Akel, S., Urinary retention secondary to mullerian duct remnant in an infant. The Sixth International Congress of the Arab Association of Pediatric Surgeons, Manama, Bahrain, 1997. , Meckels diverticulum: revisited. The Sixth International Congress of the Arab Association of Pediatric Surgeons, Manama, Bahrain, 1997. Atiyeh, B.S., Musharafieh, R., Hashim, H., and Saghieh, S., Microsurgical composite tissue transfer: AUB MC experience. The 8th Pan Arab Surgical Congress, Beirut, Lebanon, September 11-13. 1997,. , Perinipple round-block technique for correction of tuberous-tubular breast deformity. Vascularized fascial patch for repair of sub-occipital dural defect. The Fourth congress of the Pan Arab Association for Burns and Plastic Surgery (PABPS), Aleppo, Syria, 1997. , Perinipple round-block technique for correction of tuberous-tubular breast deformity. Le Deuxième Congrés Francophone de Chirurgie Esthétique, Beirut, Lebanon, 1998. , Temporary AV fistula for scalp defect microvascular reconstruction. Diabetic foot reconstruction. Update on Microsurgical Free Tissue Transfer and Replantation Surgery in Lebanon, Beirut, Lebanon, 1998. , Muscle transposition flap for salvage of exposed peripheral prosthetic vascular grafts. Perinipple round-block technique for correction of tuberous-tubular breast deformity. 47th. National Congress of the Italian Society of Plastic, Reconstructive and Aesthetic Surgery, Palermo, Italy, 1998. , Soft tissue coverage of amputation stumps. Traumatic Amputations with Emphasis on Land Mine Injuries, Beirut, Lebanon, 1998. , Burn like syndromes. 4th International Conference on Burns and Fire Disasters and 10th Meeting of the Mediterranean Club for Burns and Fire Disasters, Athens, Greece, October 29-31, 1998. , Microsurgical free-tissue transfer: Review of 75 cases. 2ème Journée Annuelle de la Société Libanaise de Chirurgie Plastique, Beirut, December 5, 1999. , Ultrasonin liposculture/liposuction. Live demonstration at Dabbit Hospital. Aleppo. The Medical Syndicate of Aleppo, Syria, February 16-18, 1999. Bulbul, M., Unapparent adenocarcinoma of the prostate in 80 consecutive prostatectomies performed for clinically benign disease. (Proceedings). 24th World Congress, International Society of Urology, Montreal, Canada, September 1997. , Feasibility of radiation and chemotherapy following cystectomy and orthotopic neobladder for invasive bladder cancer. (Proceedings). 24th World Congress, International Society of Urology, Montreal, Canada, September 1997.Bladder tumors and urinary diversion. 16th Annual Congress of the Syrian Urological Society, Latakia, Syria, October 1997. , BPH, evaluation and medical management. Meeting of The Jordanian Urological Association, Amman, Jordan, November 1997. , Orthotopic neobladder in bladder cancer. Meeting of The Jordanian Urological Association, Amman, Jordan, November 1997. , Management of localized prostate cancer. Meeting of The Jordanian Urological Association, Amman, Jordan, November 1997. , Management of localized prostate cancer. Lebanese Society of Oncology Meeting, Tyre, September 5, 1998. , The value of free/total PSA in the diagnosis of prostate cancer. American College of Surgeons, Lebanon Chapter meeting, Beirut, September 1998. , The value of endoscopic biopsy of the prostate or intraoperative biopsy of the urethro-prostatic margin in patients with invasive bladder cancer and visibly normal prostatic urethra in selecting patients for orthotopic neobladder substitution. The 17th Annual Congress of the Syrian Urological Society, Damascus, September 16, 1998. , Orthotopic neobladder; advantages of the ileal over the ileo-cecal neobladder; a single institution experience. The 17th Annual Congress of the Syrian Urological Society, Damascus, September 16, 1998. , The value of free and total PSA in identifying patients for prostatic biopsy. The 17th Annual Congress of the Syrian Urological Society, Damascus, September 16, 1998. , Special invitation. BPH, the role of a -blockers. Syrian Urological Society. Damascus, Syria, February 1998. , The value of prostate biopsy in selecting patients for orthotopic neobladder. The Second Annual meeting of the Pan Arab Urological Association, Cairo, Egypt, October 5-8, 1998. , Comparison between the ileal and the ilocecal orthotopic neobladder. The Second Annual Meeting of the Pan Arab Urological Association, Cairo, Egypt, October 5-8, 1998. , PSA, the value of isoforms in identifying patients for prostate biopsy. The Second Annual Meeting of the Pan Arab Urological Association, Cairo, Egypt, October 5-8, 1998. , Surgical techniques in epilepsy surgery. Annual Meeting of Turkish Neurosurgery held in Ankara, September 15- 20, 1997. , Hemispherectomies: indications techniques and results. Hahecetepe University and Bayindir Medical Center, Ankara, September 1997. , Surgical syndromes in temporal epilepsy. The II International Symposium on Epilepsy Surgery, The Universidad Autonoma of Madrid and Hospital of Princessa, April 1998. , Techniques in temporal lobe epilepsy surgery. The II International Symposium on Epilepsy Surgery. The Universidad Autonoma of Madrid and Hospital of Princessa, Madrid, Spain, April 1998. , Surgical Strategies for Intrinsic Brain Tumors. The 4es Journees Medicales Franco-Syriennes De Neurologie Et Neuro-Chirurgie in Damascus, May 27-29,1998. Haddad, F., Forty years experience with intracranial hydatid disease. World Federation of Lebanese Neurosurgeons, Century Park Hotel, Kaslik, Lebanon, July 1997. , Reminiscences: 48 years of Neurosurgery. University of Arkansas, Little Rock, USA, April 1998. , Penetrating head injuries: personal experience. Société de Chirurgie du Liban Nord, Tenth Congress of Surgery, Tripoli, Lebanon, May 1998. , Experience with 14 cases of hydatid disease of the spine. Lebanese Society of Surgical Neurologists, Sahel Hospital, September 1998. Haddad, G.F., Trans-oral surgery: the AUB-MC experience. Third German-Syrian Neurosurgery Symposium. Damascus, Syria, March 1997. , Base of Skull Surgery. 9th Meeting of the Surgical Society of North Lebanon, Tripoli, Lebanon, May 1997. , Skull tumors: The AUB-MC experience 1994-1997. WALN Homecoming meeting, Kaslik, Lebanon, July 1997. , Skull base surgery. The AUB-MC experience 1994-1997. WALN Homecoming meeting, Kaslik, Lebanon, July 1997. , Approach to the Cavernous sinus - AUB-MC experience. IXth European Association of Neuro-Surgical Societies Pan-Arab Course. Beirut-Lebanon, October 25, 1997. , Approach to the Cavernous sinus - AUB-MC Experience. Lebanese Society of Neurological Surgeons, Jounieh, Lebanon, December 1997. , Surgical Approaches to extra-axial tumors. Montreal Neurological Institute. February 1998. , Interesting neurosurgical cases seen at the American University of Beirut-Medical Center: 1994-1997. University of Arkansas Medical Center. February 1998. , Transoral approach to the upper spine. Journees de la Chirurgie Rachidienne, Sahel Hospital, Lebanon, September 1998. Hussein, M., Presentation of laparoscopic herniorrhaphy and appendectomy for the Ethicon Representative. Marriott Hotel, Beirut. American University of Beirut Medical Center, Animal Laboratory, 1998. , Moderator of Laparoscopic Ultrasonography course. American University of Beirut Medical Center, Animal Laboratory, May 1998. , Moderator and instructor of laparoscopic herniorrhaphy training course for surgeons from Appolonian Private Hospital, Cyprus, June 1998. Kaddoura, I., Hashem, H., Shabb, B., Kayle, D., Post mastectomy reconstruction with supercharged rectus abdominus flap. The 8th Panarab Surgical Congress. , Hashem, H., Shabb B., Kayle, D., Breast reconstruction with supercharged pedicled transverse rectus abdominus flap. Le Deuxième Congrès Francophone de Chirurgie Esthétique. Beirut - Lebanon April 14, 1998 , Major burns and electrocution. North Lebanon Order of Physicians Continued Medical Education Seminars. Tripoli Lebanon March, 1999. , Abdominoplasty for the multigravida, a sutureless technique. The Second A.U.B. Medical Conference in Jordan, April, 199. Khalife, M., endoscopic cholangiography following liver transplantation: correlation of biliary complications with acute cellular rejection and vascular anomalies. The 3rd World Congress International Hepato-Biliary Association, Madrid, May 1998. Khoury, Gh., Laparoscopic management of hydatid surgery, World Congress of Endoscopy, Rome, June 1998. , Laparoscopic Splenectomy, World Congress of Gastroenterology, Vienna, September 1998. , Laparoscopic Gastric Surgery, ASPEN meeting, Nice, France, September 1998. , Laparoscopic Splenectomy, AUB Alumni Meeting in Amman, April 1999. Moufarrij, NA., Results in 83 consecutive operations for aneurysms. First Homecoming Meeting of the World Association of Lebanese Neurosurgeons, Century Park Hotel, Kaslik, July 16, 1997. Musharafieh, R., Update on Microsurgical free tissue transfer and replantation surgery in Lebanon. The Lebanese Society of Reconstructive Microsurgery Symposium, Lebanon, 1998. , Microvascular composite tissue transfer for the management of type IIIB and IIIC fractures of the distal leg and foot. Pan Arab Orthopaedic Conference, Amman, Jordan, 1998. , Microvascular composite tissue transfer for the management of osteomyelitis of the lower limb. Pan Arab Orthopaedic Conference, Amman, Jordan, 1998. , Microvascular composite tissue transfer for the management of type IIIB & IIIC fractures of the distal leg and compound foot fractures. The 6th GCC Orthopedic Association Conference, Doha, Qatar, 1998. , Microvascular composite tissue transfer for the management of osteomyelitis of the lower extremity. The 6th GCC Orthopedic Association Conference, Doha, Qatar, 1998. Shabb, B., Minimally Invasive Coronary Artery Bypass. Mediterranean Association of Cardiology and Cardiac Surgery. The 10th Annual Meeting, Beirut, October, 1997. , Thoracoscopy for Empyema. The 2nd Mediterranean Congress on Thoracic Diseases, Athens, March 1998. , Role of Transthoracic Doppler in Minimally Invasive Coronary Artery Bypass. Third Meeting Syrian Cardiovascular Association, Damascus, Syria, May 1998. Skaf, G., and Fehlings, M.G., The medical and surgical management of spontaneous and post operative discitis. Techniques in Neurosurgery, November 1997. , Principles of Surgical Treatment in Spinal Infections Drawn from One Institutions Experience. (Abstract). The Congress of Neurological Surgeons Annual Meeting, Seattle- Washington, October, 1998. Taha, A., Muhyddin, Hejazi, M., Saade, NE., Nassar, CF. The effect of hemorrhagic shock on the absorption of aminoacids in the rat jejunum. FASEB 11 (3): A34 (198), 1997. , Surgical emergencies in the elderly. Eighth International Congress of the Syndicate of Hospitals, Beirut, Lebanon, 1997. , Assessment of the injured patient: Trauma Symposium. Second Lebanese Surgical Congress, Beirut, Lebanon, 1998. , Critical care rounds. Geneva University Hospital, Geneva Switzerland, 1998. ,
Upper endoscopy-update. American University of Beirut, Beirut, Lebanon,
1999.
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