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The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals

The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals

The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals

The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals
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20/02/2021

 A patient was transferred from the Neurology Clinic to the Thoracic Surgery Clinic at Al-Mouwasat Hospital in Dammam. A 36-year-old lady complained of acute myasthenia gravis as she was suffering from multiple symptoms such as: muscle weakness, inability to raise the hand, difficulty when speaking, slurred speech, difficulty in swallowing and chewing, as well as high level of reverse immunity.

The case was evaluated under the supervision of Dr. Fawzi Alimi, consultant thoracic surgeon, and Dr. Muhammad Mustafa, consultant of internal and kidney diseases, and an immediate decision was taken to remove the thymus gland, which is an endocrine gland located on the trachea above the heart and behind the sternum. This gland is responsible for secreting hormones regulating the immunity system and helps to produce lymphocytes.

The patient was under general anesthesia, and then (the thymus gland) was removed through the laparoscopic technique through small openings in the far left side and the far right side of the rib cage with the latest international technologies that differentiates the Mouwasat Hospitals group in all its hospitals.

Artificial respiration was not used after the operation, and the patient got recovered completely, and was discharged on the third day after the operation and transferred to the neurology clinic for follow-up and reassurance.




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19/02/2026

Al Khobar – Mouwasat Hospital 

Mouwasat Hospital in Al Khobar continues to strengthen its position as a leading center in pediatric urology and advanced robotic surgery, following the successful treatment of a 4-year-old girl who was suffering from recurrent flank pain and severe renal discomfort caused by a congenital ureteral obstruction. 

Accurate Diagnosis Through Advanced Imaging 

The young patient was referred to Mouwasat Hospital after undergoing a series of diagnostic studies, including:

  • Ultrasound imaging 
  • CT scan 
  • Nuclear medicine renal scans conducted in the hospital’s Nuclear Medicine Department 

The results revealed a significant narrowing of the ureter, the tube responsible for transferring urine from the kidney to the bladder. This obstruction led to hydronephrosis, reduced kidney function, and repeated pain episodes, increasing the risk of recurrent urinary infections. 

Congenital ureteral obstruction is considered one of the more complex pediatric urological conditions, and if left untreated, it may gradually progress to kidney damage or even renal failure. 

Robotic Repair of the Ureteral Obstruction 

Thanks to the expertise of Dr. Abdulrahman bin Abdulkarim Al Muhrej, Consultant in Urologic Oncology, the robotic system allowed for high-precision suturing and delicate handling of the tissues, ensuring an optimal reconstruction outcome. The procedure was completed smoothly, and the child was able to leave the hospital the next day, resuming eating and walking with only minimal pain. 

Why Robotic Surgery Is the Preferred Technique 

Robotic-assisted surgery has become the gold standard for managing complex ureteral conditions due to several advantages:

  • Exceptional precision in tissue handling 
  • Smaller incisions and reduced postoperative pain 
  • Lower blood loss 
  • Faster recovery time 
  • Higher success rates, especially in delicate pediatric cases 

Dr. Al Muhrej has performed numerous robotic repairs for ureteral obstruction in both children and adults, achieving consistently excellent clinical outcomes. 

Expanding the Role of Robotic Surgery in Urology 

Robotic systems are now widely utilized at Mouwasat Hospital for a variety of urological procedures across all age groups, including the following:

  • Partial and radical nephrectomy (kidney removal) 
  • Adrenal gland surgery 
  • Prostate surgery 
  • Bladder surgery 

This reflects Mouwasat Hospital’s commitment to incorporating advanced surgical technology and providing patients with advanced, minimally invasive treatment options. 

Important Medical Advice 

Dr. Al Muhrej stresses the importance of early evaluation when kidney dilation is detected, as determining the cause promptly is crucial to preserving kidney function. Not all cases require surgery, but timely consultation with a specialist helps guide appropriate management and prevent long-term complications. 

The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals

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The Excision of the Thymus Gland by Endoscopy Instead of Surgery, for the First Time in Mouwasat and Eastern Region Hospitals
26/02/2026

Qatif - Mouwasat Hospital 

Mouwasat Hospital in Qatif continues to achieve outstanding medical successes in the diagnosis and treatment of gastrointestinal diseases using advanced endoscopic technologies. This comes following the successful diagnosis and management of a complex case involving a 60-year-old patient who had been experiencing rectal bleeding for several months without receiving a clear diagnosis. 

A Diagnostic Journey: From Prolonged Symptoms to a Precise Discovery 

The patient had visited several hospitals within and outside the region over the course of months, yet no definitive explanation for his recurrent symptoms was identified. Upon arriving at Mouwasat Hospital in Qatif, he was evaluated by the Gastroenterology Clinic team led by Dr. Mahdi Al-Jaroudi, Gastroenterology & Endoscopy Consultant, who conducted a comprehensive assessment while taking into account his chronic respiratory condition and hypertension—factors that required careful medical decision-making. 

Based on the initial evaluation, the medical team recommended performing a colonoscopy at the hospital’s Advanced Endoscopy Unit to determine the source of bleeding. 

Discovery and Endoscopic Removal of the Lesion 

During the colonoscopy, the medical team discovered a large polyp measuring 4.5 cm inside the colon. Thanks to the expertise of the specialized team and the advanced capabilities of the endoscopy unit, the polyp was completely removed endoscopically without the need for surgical intervention and without any complications—demonstrating the high level of precision and skill in handling such cases. 

Pathology Findings: Early-Stage Colon Cancer Successfully Controlled 

Pathology results confirmed that the lesion was a cancerous colon tumor. The positive outcome was that the tumor had been fully removed, and all surrounding tissues were completely clear, indicating successful early control of the condition and eliminating the need for further invasive treatments. 

Advanced Care Aligned with International Standards 

This achievement reflects Mouwasat Hospital in Qatif’s commitment to delivering advanced medical care using state-of-the-art diagnostic and therapeutic endoscopic technologies. The hospital continues to provide high-quality services led by a distinguished team of specialists dedicated to ensuring the best outcomes for patients.

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Mouwasat Medical Dammam Dispensary in '75, evolved into LLC managing multiple facilities in '97 under same registration.

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