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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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30/12/2025

Madinah - Mouwasat Hospital 

In a remarkable achievement that reflects the advanced surgical expertise and commitment to excellence at Mouwasat Hospital in Madinah, a specialized medical team successfully performed a radical gastrectomy to remove an advanced stomach tumor in a 70-year-old female patient who had been suffering from severe fatigue, significant weight loss, and persistent vomiting—unable to consume even water or juice. 

Comprehensive Case Evaluation 

The patient was referred from another hospital for feeding tube placement. Upon arrival, her case was immediately reviewed by a multidisciplinary medical committee led by Dr. Ahmed Al-Husseini, Consultant of General Surgery and Oncology, with participation from specialists in gastroenterology, endoscopy, diagnostic radiology, and oncology

After conducting essential investigations, including multi-slice CT scans and endoscopic biopsy, the team decided on urgent surgical intervention to remove the tumor. 

Advanced Surgical Gastrectomy 

The complex surgery involved: 

  • Radical resection of approximately 85% of the stomach. 
  • Complete removal of surrounding lymph nodes and peritoneal membranes to ensure no cancer cells remained, confirmed later by histopathology. 
  • Creation of a gastrointestinal anastomosis to connect the remaining stomach to the intestines, restoring the patient’s ability to eat. 

Recovery after Gastrectomy 

Following five days of intensive care, the patient gradually regained strength and was able to eat orally for the first time in over a month—a milestone in her recovery journey. She was discharged in excellent health, marking a significant success for the surgical team. 

Mouwasat commitment to excellence 

This achievement underscores Mouwasat Hospital’s dedication to providing advanced medical care using cutting-edge technology and highly skilled professionals, ensuring optimal outcomes even in the most challenging cases. 

 

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
30/12/2025

Madinah - Mouwasat Hospital 

Mouwasat Hospital in Madinah proudly announces the successful completion of a complex microsurgical procedure performed by Dr. Ahmed El Shazly, Consultant in Orthopedic Surgery and Microsurgical Hand Procedures

Case Details 

A 41-year-old patient presented with chronic pain in the right leg, numbness, and altered sensation in the sole of the foot for over five years. The pain worsened with pressure or touch and intensified at night, causing severe insomnia. Despite consulting multiple physicians, the condition remained undiagnosed. 

Accurate Diagnosis 

Clinical examination and advanced imaging (X-ray and MRI) revealed a Tibial Nerve Schwannoma, a benign nerve sheath tumor located in the posterior compartment of the leg. This nerve controls foot movement and sole sensation. Continuous pressure from the tumor posed a risk of loss of sensation or motor weakness in the foot and toes. 

What is Tibial Nerve Schwannoma? 

A Tibial Nerve Schwannoma is a rare, benign tumor originating from Schwann cells that form the nerve sheath. It affects the tibial nerve, which is responsible for foot movement and sensation in the sole. While the tumor grows slowly, its enlargement can compress nerve fibers, leading to: 

  • Chronic leg pain 
  • Numbness or loss of sensation in the sole 
  • Weakness in foot and toe movement 

Microsurgical Tumor Removal 

Dr. El Shazly successfully performed a microsurgical excision of the tumor (5×3 cm) while preserving nerve fibers. The patient was discharged the next day without complications and experienced significant pain relief and restored sensation within days. Histopathology confirmed the complete removal of the schwannoma. 

Mouwasat Commitment to Excellence 

This achievement reflects Mouwasat Hospital’s dedication to advanced neurosurgical and orthopedic techniques, ensuring accurate diagnosis and minimally invasive procedures for optimal patient outcomes—aligned with our vision of delivering world-class healthcare.

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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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