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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 …
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 …