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Update Management Of Thromboembolism, Ashraf M. Mostafa, Enas A. E. Shahin, Mostafa F. El-Said
Update Management Of Thromboembolism, Ashraf M. Mostafa, Enas A. E. Shahin, Mostafa F. El-Said
Menoufia Medical Journal
Objective The aim of this review was to perform a systematic review to highlight thromboembolic diseases and current strategies to manage and prevent it. Data sources Data were obtained from Medline databases (PubMed, Medscape, and Science Direct) and all materials available on the internet from the start data of each database to 2017. Study selection The selected articles are systematic reviews and experimental studies that address the management of thromboembolic diseases. Data extraction Extraction was performed according to the validity, quality, and originality of the selected reviews and studies that fulfilled the previous criteria; in addition, the focus was on …
Predictive Factors For Conservative Treatment Of Liver Trauma, Hatem A. Saleh, Hesham S. Abu-Gruida, Walid R. A. Youssef
Predictive Factors For Conservative Treatment Of Liver Trauma, Hatem A. Saleh, Hesham S. Abu-Gruida, Walid R. A. Youssef
Menoufia Medical Journal
Objectives The aim of this study was to evaluate the management of patients with liver injury and the possible predictive factors for conservative treatment. Background Injuries are a major public health problem. The liver is the most commonly injured intra-abdominal organ. Conservative treatment thereby not only decreases the number of nontherapeutic laparotomies, but also achieves a reduction in morbidity and mortality. Patients and methods The present study was conducted on all patients with traumatic liver injury (20 patients) admitted to Menoufia University Hospital and El-Senbellawein General Hospital in the period between April 2015 and April 2016. Liver trauma was classified …
Operative Versus Conservative Management Of Splenic Trauma In Pediatric Patients, Medhat A. Dewedar, Shawky S. Mohamed Gad, Tamer Ali Sultan
Operative Versus Conservative Management Of Splenic Trauma In Pediatric Patients, Medhat A. Dewedar, Shawky S. Mohamed Gad, Tamer Ali Sultan
Menoufia Medical Journal
Objective The aim of this study was to compare between operative and conservative management of splenic trauma in pediatric patients. Background In the past the management of blunt splenic injuries was carried out using splenectomy. However, the high rate of operative complications caused a paradigm shift from operative to nonoperative management in hemodynamically stable blunt abdominal trauma patients. Patients and methods This prospective study included a total of 40 patients. The patients were managed conservatively or operatively. Nonoperative management criteria included hemodynamic stability and absence of other injuries requiring laparotomy. Unstable patients were operated using splenectomy. Results Road traffic accident …
The Role Of Fibrinolytics In Prevention Of Adhesive Intestinal Obstruction, Alaa A. Elsesi, Asem F. Moustafa, Mohammed M. Ahmed
The Role Of Fibrinolytics In Prevention Of Adhesive Intestinal Obstruction, Alaa A. Elsesi, Asem F. Moustafa, Mohammed M. Ahmed
Menoufia Medical Journal
Objective The objective of this study was to evaluate the efficacy and safety of fibrinolytic drugs in the prevention of adhesive intestinal obstruction in high-risk patients. Background Postoperative peritoneal adhesions represent an important clinical challenge in gastrointestinal surgery. Fibrin plays an important role in postoperative adhesion formation. Resolution of the intraperitoneal fibrin deposits is essential for proper restoration of preoperative, noninflamed conditions. Patients and methods This randomized controlled trial study included 60 patients randomized into two groups (A and B). Each group included 30 patients presented with bacterial peritonitis of different causes. All patients were treated surgically. Patients in group …
Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Mini-Gastric Bypass In Management Of Morbid Obesity And Its Comorbidities, Elsayed A. Mostafa, Elsayed M. Abdel Wahab, Mohamed H. Gafar, Yehia G. Abo Sayed
Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Mini-Gastric Bypass In Management Of Morbid Obesity And Its Comorbidities, Elsayed A. Mostafa, Elsayed M. Abdel Wahab, Mohamed H. Gafar, Yehia G. Abo Sayed
Menoufia Medical Journal
Background Laparoscopic mini-gastric bypass (MGBP) is gaining popularity among the bariatric procedures today, and laparoscopic sleeve gastrectomy (SG) as a single-stage procedure for the treatment of morbid obesity is becoming increasingly popular. Patients and methods Between October 2016 and July 2018, 50 obese patients were randomized, operated upon, and followed up for 12 months in Al Zahraa Hospital and Shebin El-Kom teaching Hospital. A total of 25 patients underwent SG, and 25 patients underwent MGBP. The mean BMI of all patients was 47.8 ± 5.5 kg/m2, their mean age was 30 ± 8.3 years, and 80% of them …
Anesthetic Considerations During Intraoperative Neurophysiological Monitoring In Spine Surgery, Adel G. E. Dawoud, Ahmed A. Abd Elaziz, Safaa M. Helal
Anesthetic Considerations During Intraoperative Neurophysiological Monitoring In Spine Surgery, Adel G. E. Dawoud, Ahmed A. Abd Elaziz, Safaa M. Helal
Menoufia Medical Journal
Objective We conducted an overview of the intraoperative neurophysiological monitoring (IONM) modalities in spine surgeries and effects of anesthesia and physiological factors on these modalities. Background The development of IONM minimizes iatrogenic neurological complications. All anesthetic agents impact on the modalities of IONM. Materials and methods Medline, articles in Medscape, ScienceDirect, and PubMed were searched. The search was performed in January 2016 and included all articles with no language restriction. The initial search presented 50 articles. The articles studied the types of IONM modalities and effects of anesthesia on these modalities. Data from each study were independently abstracted to capture …
Pentraxin3 As An Early Marker In The Diagnosis Of Ventilator-Associated Pneumonia, Amany S. Ammar, Asmaa E. Salama, Ibrahim I. El-Mahalawy, Walaa S. Mokhtar, Waleed M. Fathy
Pentraxin3 As An Early Marker In The Diagnosis Of Ventilator-Associated Pneumonia, Amany S. Ammar, Asmaa E. Salama, Ibrahim I. El-Mahalawy, Walaa S. Mokhtar, Waleed M. Fathy
Menoufia Medical Journal
Objective The aim of this study was to assess the role of pentraxin3 (PTX3) in the early diagnosis of ventilator-associated pneumonia (VAP). Background The early diagnosis of VAP remains a challenge because the clinical signs and symptoms lack sensitivity and specificity and because microbiological analysis and identification of organisms may take 48–72 h. Patients and methods This prospective randomized study was carried out on 40 patients diagnosed with VAP using clinical pulmonary infection score in Menoufia University Hospital's ICU. We measured the level of PTX3 in serum and bronchoalveolar lavage and the level of C-reactive protein within 24 h from …
Ventilator-Waveforms Analysis Improves Gas Exchange And Patient-Ventilator Synchrony During Noninvasive Ventilation, Abdelrhman A. Aboshady, Elham M. El-Fekky, Khaled M. Mahmoud
Ventilator-Waveforms Analysis Improves Gas Exchange And Patient-Ventilator Synchrony During Noninvasive Ventilation, Abdelrhman A. Aboshady, Elham M. El-Fekky, Khaled M. Mahmoud
Menoufia Medical Journal
Objective The aim of this study was to assess the role of waveforms analysis in optimizing patient–ventilator interactions. Background Ventilator-waveforms analysis may help in optimizing patient–ventilator interactions, especially during noninvasive ventilation (NIV). However, published data on this tool are very limited. Patients and methods A randomized controlled trial was conducted in which 50 patients with acute exacerbation of chronic obstructive pulmonary disease who underwent NIV were randomly allocated to receive either optimized ventilation guided by waveform analysis or standard ventilation. Our primary outcome was pH normalization rate during first 24 h of treatment. Secondary outcomes included physiological response [tidal volume, …
Arthroscopic Management Of Work-Related Overhead Shoulder Injuries: A Retrospective Case Series, Ahmed I. Zayda, Ahmed A. El-Herraoui, Amr A. Kandeel, Bahaa-Eldin M. El-Serwi, Mohamed H. Dawoud
Arthroscopic Management Of Work-Related Overhead Shoulder Injuries: A Retrospective Case Series, Ahmed I. Zayda, Ahmed A. El-Herraoui, Amr A. Kandeel, Bahaa-Eldin M. El-Serwi, Mohamed H. Dawoud
Menoufia Medical Journal
Objective This study was conducted to review the results of arthroscopic management of different work-related overhead shoulder injuries. Background Acute and overuse shoulder injuries are common among overhead workers, usually with secondary compromised glenohumeral stability due to mechanical damage, muscular fatigue, and neuromuscular control deficits. Patients and methods This study was conducted retrospectively on 30 patients who underwent shoulder arthroscopy for the diagnosis and management of different work-related overhead shoulder injuries with minimum postoperative follow-up of 6 months. Patients had been reviewed for history, examination, arthroscopic findings, and lines of management. Patients had been evaluated using University of California Los …
Limbal Conjunctival Autograft Versus Simple Excision With Intraoperative Mitomycin C In Pterygium Surgery, Asmaa M. Shalaby, Hany A. Khairy, Moustafa K. Nassar
Limbal Conjunctival Autograft Versus Simple Excision With Intraoperative Mitomycin C In Pterygium Surgery, Asmaa M. Shalaby, Hany A. Khairy, Moustafa K. Nassar
Menoufia Medical Journal
Objective The aim of this study was to evaluate the recurrence and complications of limbal conjunctival autograft (LCAG) compared to simple excision with intraoperative mitomycin C (MMC). Background Pterygium recurrence is the most common postoperative complication. Many adjunctive methods have been used to reduce the recurrence such as chemical agents as MMC. In addition, the traditional bare sclera technique largely has been replaced by procedures that cover the sclera with conjunctival graft. Patients and methods This is a follow-up study of a randomized uncontrolled trial conducted on 100 eyes of 100 patients presented for pterygium excision. They were randomly allocated …
Reconstruction Of The Middle Third Of The Leg By Distally Based Hemigastrocnemius Muscle Flap, Mohammad K. Bassam, Shawky S. Gad, Sherif M. Elkashty, Tarek F. Kishk
Reconstruction Of The Middle Third Of The Leg By Distally Based Hemigastrocnemius Muscle Flap, Mohammad K. Bassam, Shawky S. Gad, Sherif M. Elkashty, Tarek F. Kishk
Menoufia Medical Journal
Objective The aim of this study was to evaluate coverage of middle third leg soft tissue defects using distally based hemigastrocnemius muscle flap regarding advantages, disadvantages, and rate of complications. Background Skin defects of the leg still present a reconstructive problem particularly if associated with complicated orthopedic lesions, which is why coverage of the soft tissue defects of the middle third leg is a challenge to plastic surgeons Patients and methods This study was done at the Department of Plastic and Reconstructive Surgery, Menoufia University Hospitals, from January 2015 to January 2017, with a follow-up period of 12 months. The …
Preoperative Intra-Aortic Balloon Pumping In Poor Left Ventricular Function Patients Undergoing Coronary Bypass Graft Surgery, Ahmed L. Dokhan, Amr M. Allama, Mohamed A. Helmy, Mohamed A. A . Salama
Preoperative Intra-Aortic Balloon Pumping In Poor Left Ventricular Function Patients Undergoing Coronary Bypass Graft Surgery, Ahmed L. Dokhan, Amr M. Allama, Mohamed A. Helmy, Mohamed A. A . Salama
Menoufia Medical Journal
Objective Assessment of the effectiveness associated with preoperative intra-aortic balloon pump (IABP) treatment on postoperative cardiac performance, morbidity, and mortality. Background Preoperative IABP enhances the end result in poor left ventricular function patients undergoing coronary artery bypass grafting (CABG). Patients and methods A prospective analytical cohort study was conducted on 40 patients with preoperative left ventricular ejection fraction (<40%) who experienced myocardial revascularization (CABG) at Nasser Institute Hospital between February 2014 and July 2016. There was a random allocation of patients before surgery, where group I (N = 20) had been inserted with the IABP 1–2 h before aortic cross-clamp and group II (N = 20) was the control group, which did not have IABP inserted preoperatively. Results The mean cardiac index in group I (IAB) …
Blood Eosinophil Levels In Newborns With Severe Indirect Hyperbilirubinemia Treated With Phototherapy, Asmaa M. Tolba, Ghada M. El Mashad, Hanan M. El Sayed
Blood Eosinophil Levels In Newborns With Severe Indirect Hyperbilirubinemia Treated With Phototherapy, Asmaa M. Tolba, Ghada M. El Mashad, Hanan M. El Sayed
Menoufia Medical Journal
Objective The aim of this study was to investigate the effect of phototherapy on peripheral eosinophil counts in newborns with severe indirect hyperbilirubinemia needing phototherapy. Methods We conducted a search of Medline databases (PubMed, Medscape, ScienceDirect) and all materials available on the Internet. The initial search presented one articles that met the inclusion criteria. The articles studied the relation between peripheral eosinophil count and exposure to phototherapy. If the studies did not fulfill the inclusion criteria, they were excluded. Studies were assessed for whether ethical approval had been obtained, eligibility criteria has been specified, appropriate controls had been considered, adequate …
Assessment Of Circulating Endothelial Cells In Preeclamptic And Normotensive Pregnancies, Ahmed A. Sonbol, Bahaa El-Deen W. El-Aswad, Shymaa A. El Askary, Wael G. Al-Damaty, Waleed M. Fathy
Assessment Of Circulating Endothelial Cells In Preeclamptic And Normotensive Pregnancies, Ahmed A. Sonbol, Bahaa El-Deen W. El-Aswad, Shymaa A. El Askary, Wael G. Al-Damaty, Waleed M. Fathy
Menoufia Medical Journal
Objective The aim of this study was to assess the level of circulating endothelial cells (CECs) in women with preeclampsia (PE) in comparison with normotensive healthy pregnant controls. Background PE is a medical disorder that may affect pregnant women after 20th week of gestation, and in this condition, the patients experience new-onset hypertension and new-onset proteinuria or organ dysfunctional. There is placental ischemia with systemic maternal endothelium dysfunction. CECs are mature cells that shed from the endothelium in various diseases associated with vessel damage, and they are characterized as being CD146+ and CD45− cells. Patients and methods …
Changes In Choroidal Thickness In Diabetic Retinopathy, Asmaa M. Ibrahim, Ghada Z. Al Abeden Rajab, Ibrahim M. Ibrahim Gohar, Khaled El-Ghonemy
Changes In Choroidal Thickness In Diabetic Retinopathy, Asmaa M. Ibrahim, Ghada Z. Al Abeden Rajab, Ibrahim M. Ibrahim Gohar, Khaled El-Ghonemy
Menoufia Medical Journal
Objective The aim of this study was to evaluate choroidal thickness (CT) in patients with diabetic retinopathy (DR) and normal individuals. Data sources Data were collected from Medline databases (PubMed, Medscape, Science Direct, and EMF-Portal) and all materials available in the Internet from 2004 to 2015. Study selection The initial search presented 27 articles, of which five met the inclusion criteria. The articles studied the changes in the mean subfoveal choroidal thickness (SFCT) in different stages of DR. Data extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was …
Noninvasive Ventilation As A Method Of Weaning From Mechanical Ventilation, Amany S. Ammar, Elham M. El-Feky, Mohammed A. Rahman
Noninvasive Ventilation As A Method Of Weaning From Mechanical Ventilation, Amany S. Ammar, Elham M. El-Feky, Mohammed A. Rahman
Menoufia Medical Journal
Objective The aim of this study was to evaluate the adequacy of noninvasive ventilation (NIV) as a technique of weaning from mechanical ventilation. Materials and methods Medline databases (PubMed, Medscape, and ScienceDirect), all materials accessible on the Internet from the beginning date of every database to 2016. The initial investigation exhibited 43 articles, of which, nine met the incorporation criteria. The articles concentrated on the viability of NIV as a technique of liberation from mechanical ventilation. In light of heterogeneity in the gathered information, it had been impractical to perform meta-investigation. Noteworthy information had been gathered; accordingly an organized audit …
Predictive Value Of Angiographic Characteristics For Endovascular Revascularization Of Ischemic Diabetic Foot, Abdelmonem F. Abdallah, Ahmed S. Atta, Said I. El-Mallah
Predictive Value Of Angiographic Characteristics For Endovascular Revascularization Of Ischemic Diabetic Foot, Abdelmonem F. Abdallah, Ahmed S. Atta, Said I. El-Mallah
Menoufia Medical Journal
Background Endovascular techniques have undergone major advances with regard to the treatment of infrapopliteal arterial occlusive disease. Objective The objective of this study was to determine angiographic characteristics of infrapopliteal arterial lesions that are dependent predictors of endoluminal revascularization in diabetic patients with ischemic foot ulcers. Patients and methods The present study included 64 patients with ischemic diabetic foot ulcers who were admitted to the vascular surgery unit at Gamal Abdel Naser Hospital (Alexandria) during October 2014–December 2015. Informed consent was obtained from all patients. Patients underwent angioplasty and were followed-up for an average of 12 months. The clinical and …
Mesh Repair In Complicated Inguinal Hernia, Ahmed G. El Tatawy, Amr N. Frig, Ashraf A. Zeineldin
Mesh Repair In Complicated Inguinal Hernia, Ahmed G. El Tatawy, Amr N. Frig, Ashraf A. Zeineldin
Menoufia Medical Journal
Objective The aim of this study was to evaluate the role of mesh repair short-term outcome in adult incarcerated inguinal hernia from the point of view of availability, advantages and disadvantages. Background Hernia is the most frequent abdominal surgery. The standard treatment of inguinal hernia is hernioplasty with mesh repair; we aimed to evaluate the short-term complications after mesh repair in incarcerated inguinal hernia in emergency. Patients and methods This study was carried out on 20 consecutive adult men in Menoufia University Faculty of Medicine and Dessouq General Hospital; all of them presented with symptoms of irreducible inguinal hernia from …
Factors Affecting Success Rate Of Endoscopic Retrograde Cholangiopancreatography In Malignant Obstructive Jaundice, Hamed A. Khodeer, Hatem M. Sultan, Tarek M. Rageh
Factors Affecting Success Rate Of Endoscopic Retrograde Cholangiopancreatography In Malignant Obstructive Jaundice, Hamed A. Khodeer, Hatem M. Sultan, Tarek M. Rageh
Menoufia Medical Journal
Objective The aim of the study was to assess the success of endoscopic retrograde cholangiopancreatography (ERCP) for malignant obstructive jaundice using laboratory and radiological investigation. Background ERCP is a diagnostic and palliative treatment, which is used as the standard of investigation for patients with malignant obstructive jaundice; however, it failed in some patients. The prediction for success will be useful in the decision of management plan for patients with malignant obstructive jaundice and time and costs for patients and even countries. Patients and methods Collected laboratory investigation and radiological data for 20 patients presenting with malignant obstructive jaundice are included …
One-Stage Versus Multiple-Stage Surgery In The Management Of Left Colorectal Emergencies, Ashraf A. E. Z. El-Din, Hossam A. E. El Fol, Tamer A. Sultan, Waleed M. Allam
One-Stage Versus Multiple-Stage Surgery In The Management Of Left Colorectal Emergencies, Ashraf A. E. Z. El-Din, Hossam A. E. El Fol, Tamer A. Sultan, Waleed M. Allam
Menoufia Medical Journal
Objective The aim of this study was to compare between the surgical outcomes of one-stage and multiple-stage surgery in patients with left colorectal emergencies. Background Classically a primary colonic anastomosis is not performed in the emergency conditions, but recently there is a trend toward primary anastomosis aiming to avoid second hospital admission and second operation required to re-establish intestinal continuity. Patients and methods This is a prospective randomized study that included 40 patients. A total of 20 patients agreed to undergo one-stage primary anastomosis subtotal colectomy (group A). The other 20 patients underwent Hartmann's procedure (group B). Exclusion criteria were …
Effect Of Different Episiotomy Techniques On Perineal Pain And Sexual Activity 3 Months After Delivery, Alaa El-Deen F Al-Halaby, Eman A. Al-Sharkawy, Hamed E. Al-Lakwa, Mohamed M. Fahmy
Effect Of Different Episiotomy Techniques On Perineal Pain And Sexual Activity 3 Months After Delivery, Alaa El-Deen F Al-Halaby, Eman A. Al-Sharkawy, Hamed E. Al-Lakwa, Mohamed M. Fahmy
Menoufia Medical Journal
Objective The aim of this study was to examine the relationship between different episiotomy techniques and sexual activity and perineal pain 3 months after delivery with episiotomy. Background Despite the controversy regarding the routine use of episiotomy-assisted delivery, it is still one of the commonly performed procedures worldwide. Patients and methods This study comprised a purposive sample of 150 uncircumcised, primigravida with episiotomy during normal delivery. These women were divided into three equal groups according to the type of episiotomy. The first group was patients with lateral episiotomy (N = 50), the second group was patients with mediolateral episiotomy …
Analysis Of Tonsillectomy Malpractice Claims In Egypt: 2010–2015, Ahmed Ragab, Ayman A. Abdel Fatah, Mohammed F. Abdelhakim, Safaa A. Amin, Tarek A. Rahman
Analysis Of Tonsillectomy Malpractice Claims In Egypt: 2010–2015, Ahmed Ragab, Ayman A. Abdel Fatah, Mohammed F. Abdelhakim, Safaa A. Amin, Tarek A. Rahman
Menoufia Medical Journal
Objective The aim of this study was to analyze malpractice claims following tonsillectomy in Egypt in the period 2010–2015, including the risk of liabilities (surgical complications), adverse events, and plaintiff (patient) and definitive (doctor) characteristics. Background Analyzing malpractice litigation trends following tonsillectomy will help in improving physician awareness and preventing future litigation. Patients and method The data were collected from archived reports in Egypt's Forensic Medical Authority and from Egyptian doctor's syndicate. Data analysis of malpractice cases after tonsillectomy operations in Egypt (2010–2015) was performed. The authors analyzed the different criteria of the alleged physicians, practicing places, patients' criteria, and …
Percutaneous Vertebroplasty In The Treatment Of Thoracolumbar Fractures, Ahmed I. Zayda, Mahmoud M. Hadhoud, Mohammed N. Ali El Agreed
Percutaneous Vertebroplasty In The Treatment Of Thoracolumbar Fractures, Ahmed I. Zayda, Mahmoud M. Hadhoud, Mohammed N. Ali El Agreed
Menoufia Medical Journal
Objective The objective was to determine the effect of percutaneous vertebroplasty (PV) through cement injection in relief of pain in case of painful osteoporotic and pathological thoracolumbar fractures. Background Vertebroplasty is a percutaneous polymethylmethacrylate cement injection inside the vertebral body through the pedicle and used mainly in the treatment of painful osteoporotic and pathological spinal fractures. Patients and methods A total of 20 patients in this study had thoracolumbar fractures (15 of them had osteoporotic fractures and five of them had pathological fractures). Patients were submitted into one of the three age groups. Group 1: less than 60 years, group …
Intraocular Pressure Changes After Laser-Assisted In-Situ Keratomileusis Versus Photorefractive Keratectomy In Myopic Eyes, Faried M. W. Faried, Hatem A. Anwer, Moustafa K. Nassar
Intraocular Pressure Changes After Laser-Assisted In-Situ Keratomileusis Versus Photorefractive Keratectomy In Myopic Eyes, Faried M. W. Faried, Hatem A. Anwer, Moustafa K. Nassar
Menoufia Medical Journal
Objective The aim was to compare intraocular pressure (IOP) changes after laser-assisted in-situ keratomileusis (LASIK) versus photorefractive keratectomy (PRK) in myopic eyes. Background IOP measurement is necessary for diagnosing glaucoma. LASIK and PRK are used for correction of myopia. IOP is underestimated after LASIK and PRK. It is very important to evaluate IOP changes after LASIK and PRK especially in myopic patients, as myopia is a risk factor for primary open-angle glaucoma. Patients and methods A total of 50 patients diagnosed clinically to have myopia were selected. Their ages ranged from 18 to 48 years. A total of 50 eyes …
Surgical Aspects Of Common Acute Abdominal Problems In Infants And Children, Eslam M. Abd El-Hafez, Tamer A. Sultan, Tamer F. Abd El-Aziz
Surgical Aspects Of Common Acute Abdominal Problems In Infants And Children, Eslam M. Abd El-Hafez, Tamer A. Sultan, Tamer F. Abd El-Aziz
Menoufia Medical Journal
Objective The aim of this study was to discuss and evaluate the best diagnostic tool (clinical, radiological, laboratory, or endoscopy) used to reach a final diagnosis and best intervention for most common presentation of surgical causes of common acute abdominal problems in infants and children. Background Acute abdominal pain is a group of acute life-threatening condition that requires emergency hospital admission and often emergency surgical intervention within 24 h of duration. Patients and methods Hundred children of both sexes aged between 1 day and 12 years who presented with surgical causes of common acute abdominal problems were divided into two …
Reconstruction Of Complex Soft Tissue Defects In The Lower Extremities With Free Anterolateral Thigh Perforator Flap, Ahmed Abdelaziz Taalab, Mohamed A. M. El-Nahas, Sherif M. El Kashty, Tarek F. Keshk
Reconstruction Of Complex Soft Tissue Defects In The Lower Extremities With Free Anterolateral Thigh Perforator Flap, Ahmed Abdelaziz Taalab, Mohamed A. M. El-Nahas, Sherif M. El Kashty, Tarek F. Keshk
Menoufia Medical Journal
Objectives To study and evaluate the indications, advantages, disadvantages, and complications of reconstruction of complex soft tissue defects in the lower extremities using free anterolateral thigh (ALT) perforator flap. Background Selection of the best suitable free flap for reconstruction of extensive lower limb soft tissue defects continues to pose a formidable challenge for plastic surgeons. The free ALT perforator flap provides a perfect solution for reconstruction of complex lower limb defects. The present study evaluates the usage of free ALT flap in lower limb reconstruction. Patients and methods Twenty-one patients who had extensive soft tissue defect in the lower extremities …
Glutathione S-Transferase Enzyme In Type 1 Diabetes Mellitus, Ahella H. Gad, Maha A. Tawfik, Naglaa F. Barseem, Soheir S. Abou-El-Ella
Glutathione S-Transferase Enzyme In Type 1 Diabetes Mellitus, Ahella H. Gad, Maha A. Tawfik, Naglaa F. Barseem, Soheir S. Abou-El-Ella
Menoufia Medical Journal
Objectives The aim of the present work is to study glutathione S-transferase (GST) genetic variants in patients with type 1 diabetes and its relation to its complications. Background Persistent oxidative stress is one of the several factors that participate in the pathogenesis of type 1 diabetes mellitus. GSTs are a family of antioxidant enzymes that exert important antioxidant roles in the elimination of reactive oxygen species. Patients and methods Forty type 1diabetes mellitus patients were compared with 20 healthy volunteers. GSTM1 and GSTT1 genotypes were screened using PCR and gel electrophoresis. Results The percentage of GSTT1-1 present genotype was 77.5% …
Biomarkers In Sepsis, Ahmed A. Abdelaziz, Hatem A. Atalla, Mohammed A. M. Ragab
Biomarkers In Sepsis, Ahmed A. Abdelaziz, Hatem A. Atalla, Mohammed A. M. Ragab
Menoufia Medical Journal
Objectives To perform a systematic review of the different categories of sepsis biomarkers including the new promising biomarkers and their role in diagnosis and prognosis of sepsis. Data sources Data were obtained from Medline databases (PubMed, Medscape, and Science Direct) and from materials available on the network from 2003 to April 2017. Study selection The initial search presented 30 articles. The research studies that met the inclusion criteria were 10 articles. All articles studied the role of biomarkers in diagnosis and prognosis of sepsis. Data extraction If the studies did not fulfill the inclusion criteria, they were excluded. Study quality …
Surgical Site Infection In Abdominal Surgery: A Prospective Study, Ahmed I. Swelam, Mohamed S. Amar, Mohammed L. Alam El-Din
Surgical Site Infection In Abdominal Surgery: A Prospective Study, Ahmed I. Swelam, Mohamed S. Amar, Mohammed L. Alam El-Din
Menoufia Medical Journal
Objective The objective of this review was to characterize risk factors for surgical site infection (SSI) within observational studies describing incidence of SSI in a real-world setting. Data sources Medline databases (PubMed, Medscape, ScienceDirect and EMF-Portal) and all materials available on the Internet from 1991 to 2016 were used. Study selection An initial search identified 328 titles published in 2000–2016; 57 were identified as relevant for data extraction. The articles studied the incidence and risk factors of SSI in general or in specific types of surgeries on variable number of patients. Data extraction If the studies did not fulfill inclusion …
Conventional Method Versus No-Touch Technique In Radiocephalic Arteriovenous Fistula, Abdalaziz R. Sakr, Hesham S. Abu-Gruidah, Said I. Elmallah, Walid M. Omran
Conventional Method Versus No-Touch Technique In Radiocephalic Arteriovenous Fistula, Abdalaziz R. Sakr, Hesham S. Abu-Gruidah, Said I. Elmallah, Walid M. Omran
Menoufia Medical Journal
Objectives The aim was to evaluate the feasibility of no-touch technique (NTT) in radiocephalic fistula and to compare conventional method with NTT in the creation of radiocephalic fistula regarding the rate of complication, failure of maturity, and patency rate. Background Radiocephalic fistula is consider the first fistula to be created; however, it has a higher failure rate. NTT represents an attractive option for performing radiocephalic fistula. Patients and methods This is a prospective comparative study done on 80 patients with end-stage renal disease who were prepared for dialysis. Half of the patients were operated by NTT and the other half …