Medicine and Health Sciences Commons^™

Jacuzzi-Induced Pneumoperitoneum: Case Report And Literature Review, Obteene Azimi-Ghomi, Dieter Brummund, Vasiliy Ovakimyan, Gerardo Kahane

HCA Healthcare Journal of Medicine

Radiographically-detected pneumoperitoneum in the setting of acute onset abdominal pain is a classic case among surgical emergencies. The spectrum of etiology ranges from benign to catastrophic, and the ability to differentiate depends in large part on the history and physical exam findings. Included among non-surgical types of pneumoperitoneum are (1) post-operative, (2) diagnostic/experimental, (3) gynecologic tract air entry, (4) the difference in intra- and extra-alveolar pressures, pneumothorax-associated and (5) miscellaneous. Jacuzzi-induced pneumoperitoneum is an extremely rare form of non-surgical pneumoperitoneum. We discuss a case of a 32-year-old female presenting with pneumoperitoneum and acute onset abdominal pain secondary to vaginal insertion …

Factors Affecting Renal Function On Ileostomy In Dr. Cipto Mangunkusumo General Hospital: A Cross-Sectional Study, Lam Sihardo, Agi S. Putranto

The New Ropanasuri Journal of Surgery

Introduction. Every year, about 30—60 ileostomy with various underlying diseases and indications were created in Dr. Cipto Mangunkusumo General Hospital (CMGH). There were a lot of complications attributable to these creations; one is the decline of renal function. The study goal was to find out factors influencing the renal function of ileostomy in CMGH.

Method. A cross-sectional study was conducted using medical records in April – May 2021. Samples were taken using the purposive sampling method. Inclusion criteria include male or female patients who underwent ileostomy closure in CMGH in the last four years with complete BMI, ileostomy creation and …

Prognostic And Predictive Factors Of Mortality In Burn Patients At Dr. Cipto Mangunkusumo General Hospital, Indonesia, Muhamad Irfan A. Hasibuan, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

Introduction. Some prognostic– and predictive factors in burn have never been investigated in Indonesian specific characteristics, which is delayed treatment. A study was conducted to determine prognostic and predictive factors in this specific characteristic.

Method. A retrospective cohort focused on burn mortality in extensive burns managed in CMGH from 1998–2010. Some known prognostic– and predictive factors and unknown ones were the variables of interest. Bivariate and multivariate using logistic regression analysis proceeded to find out these factors.

Results. Out of all factors investigated, the variables that showed a significant correlation were: TBSA, inhalation injury, Baux score, revised …

Survival Rate Of Critically Ill Coronavirus Disease 2019 Patients On Tracheostomy In Indonesia, Aris Ramdhani, Dita Aditianingsih, Raihanita Zahra, Muhammad A. Putra, Wuryantoro Soeharto, Melvin D.B. Kwa

The New Ropanasuri Journal of Surgery

Introduction. During COVID-19 global pandemic, tracheostomy is often performed on critically ill COVID-19 patients. There is no available data on the survival rate of critically ill COVID-19 patients on tracheostomy in Indonesia. This study aimed to find the survival rate of critically ill COVID-19 patients on tracheostomy in Indonesia.

Methods. A descriptive survival analysis study enrolled critically ill COVID-19 patients in RSUI who underwent a tracheostomy procedure. Baseline data, including clinical characteristics and laboratory findings before tracheostomy, were recorded. Survival analysis was conducted using the Kaplan-Meier plot.

Results. Forty-two subjects were enrolled in the study: 25 males (59.5%) and 17 …

Different Approaches Of Suspected Unilateral And Bilateral Maxillary Sinus Myxoma, Two Rare Cases Report, Marlinda Adham, Ferucha Moulanda

The New Ropanasuri Journal of Surgery

Maxillary sinus myxoma is a rare benign tumor with locally aggressive behavior and can infiltrate surrounding structures. Surgical intervention is considered the primary procedure with several approaches for wider tumor exposure, complete tumor removal, and better wound healing. In this article, two cases of suspected unilateral and bilateral maxillary sinus myxoma were presented with different approaches applied for both cases. We managed two patients, a 37-year-old male with mass at right maxilla and a 60-year-old male with mass at both maxillae. Physical examination, radiology imaging, and pre-operative histopathology examination showed maxillary sinus myxoma. The total maxillectomy procedure with Weber Ferguson …

Cutaneous Horn On The Right Supraclavicular Region In An Adolescent Female, A Rare Case Report, Rohit Gupta, Manoj Kumar, Ruchi Sinha, Reva Shankar Sahu

The New Ropanasuri Journal of Surgery

Cutaneous horn (CH) is an outgrowth from the skin surface, composed of keratin, and associated with benign to malignant skin lesions. We report a case of CH in a 15-year-old female associated with Keratoacanthoma. It is uncommon in young people and is associated with a good prognosis because of its benign nature. This case needs to be reported as it highlights the rare occurrence of this condition in the younger age group and its good prognosis. Surgical excision is the treatment of choice, with histopathologic diagnosis playing a critical role in determining the nature and further treatment of this condition …

The New Version Of Accreditation For Higher Education In Health, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

No abstract provided.

Consequential Surgeries Limit Recurrence Of Skin Malignancies In Xeroderma Pigmentosum: A Case Report, Ahmad Kurnia, Diani Kartini, Novinda Herwirastri, Zoya M. Adyasa

The New Ropanasuri Journal of Surgery

Xeroderma Pigmentosum (XP) is a rare inherited skin malignancy with no causative treatment options. Reporting a 23-year-old woman with xeroderma pigmentosum who underwent several surgical tumor removals followed by further five procedures to apply tissue expander, facial resurfacing using full-thickness skin grafts with a donor from abdominal. The next series was tumor resection in the chin, forehead, nasal reconstruction, tumor removal on bilateral third digits, and defect closure. No recurrence after nine years of postoperative monitoring with an aesthetically acceptable result.

Thyroidectomy In Mechanical Circulatory Support - A Salvage Treatment For Thyrotoxicosis-Induced Cardiogenic Shock: Case Series, Rody G. Bou Chaaya, Lauren M. Saint, Onyedika J. Ilonze Md, Mph

The VAD Journal

Amiodarone is frequently used to treat arrhythmias in patients supported with left ventricular assist devices. Long term amiodarone use can cause hyperthyroidism ultimately leading to cardiomyopathy and sometimes thyrotoxicosis-induced cardiogenic shock (CS). We describe two cases of thyrotoxicosis-induced CS rescued by successful thyroidectomy under mechanical circulatory support (MCS) – one with a Heartmate III (Abbott Laboratories) and another supported with veno-arterial extracorporeal membrane oxygenation (V-A ECMO). In refractory CS, the initiation of V-A ECMO as a bridge to recovery is critical. In thyrotoxicosis-induced CS that is refractory to medical therapy requiring MCS, thyroidectomy is feasible, and a growing body of …

Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy

Al-Azhar International Medical Journal

Background: Ilizarov fixator has more advantages in some types of distal tibial fractures as open, type C3according to AO classification and give satisfactory results more than plates and screws fixation because it minimizes complications. The aim of the work: To estimate the techniques, results and complications of Ilizarov in management of distal tibial fractures with or without minimal internal fixation . Patient: During the period from August 2020 through June 2021, a prospective study was conducted on fifteen patients with fifteen tibial plafond fractures treated with Ilizarov fixator. The study consisted of 12 men and 3 women, with an average …

Neurophysiologic Study In Children With End Stage Renal Disease On Regular Hemodialysis, ‪Mohamed ‬ Hasan, Moftah Rabeea, Hassan Hassan, Ann Abd-Elkader, Eman Elzamarany

Al-Azhar International Medical Journal

Background: Patients undergoing hemodialysis for chronic kidney disease (CKD) commonly have neurological problems. Both the central and peripheral nerve systems may be affected by these problems. Uremic encephalopathy, cognitive impairment, peripheral neuropathies, and uremic myopathy are all common neurological consequences in CKD. Aim of the study: to detect neurophysiologic changes using electroencephalography (EEG), nerve conduction velocity (NCV) and electromyography (EMG) in children with CKD on regular hemodialysis and to correlate these changes with duration of dialysis and duration of disease. Patients and Methods: thirty patients with CKD who are on regular hemodialysis at pediatric nephrology unit at Al-azher university hospital. …

Pectoral Etching In Early Grades Gynecomastia, Elsayed Shaaban, Mostafa Mikki, Hazem Dahshan

Al-Azhar International Medical Journal

Background: Nowadays there is a great introduction of 3D,4D and high-definition body contouring. Applicability and evaluation of such techniques in gynecomastia surgery needs more investigation. Objective: The aim of this study was to assess high definition liposculpture to get masculinized appearance of the chest for treatment of early grades gynecomastia. Patients and methods: 30 patients with grade I&II gynecomastia were selected with age group between 18 and 50 years old with mean 24.73 ± 2.62. It was a prospective observational cohort study to assess the applicability of pectoral etching in early grades gynecomastia. The study was conducted at Al-Azhar university …

Assessment Of Platelet Rich Plasma (Prp) Therapy In Prevention Of Chronic Wound Complications, Mahmoud Shehata, Amr Rezk

Al-Azhar International Medical Journal

Background: Delayed wound healing is a key factor in the development of chronic wound complications so we can utilize the wound healing promotion properties of platelet rich plasma in decreasing the incidence of these complications. Patients and Methods: A total number of 50 patients with open wounds resulting after surgical debridement of various types of soft tissue infection were included in this study, two groups with 25 patients for each were divided randomly. Group A patients were treated with PRP while group B was the control group treated with ordinary dressing. The two groups were monitored every other day for …

Study The Efficacy Of Repetitive Transcranial Magnetic Stimulation On A Sample Of Resistant Schizophrenic Patients With Positive And Negative Symptoms, Omar Aglan, Amgad Gabr, Mohamed Helmy

Al-Azhar International Medical Journal

Abstract: Background: Transcranial magnetic stimulation one of the tools that may help schizophrenic patients. Aims: To Examine the validation of rTMS in treatment positive and negative symptoms of refractory schizophrenic patients. Setting: Department of Psychiatry, Faculty of Medicine, Al-Azhar University, Cairo. Patients and methods: The study inclusive 40 resistance schizophrenic patients separated into two groups: Group A: 20 patients received 15 sessions of r-TMS for 3 weeks, With five daily sessions with a two day break, Group B: 20 patients were randomly (one every one patients) chosen for sham stimulation. The Positive and Negative Syndrome Scale was used to examine …

Assessment Of Cardiac Functions In Neonatal Sepsis, Mohamed Hassan, Ahmed Abdel Hakeem, Mahmoud Abdelmotalep, Tarek Eldahshan

Al-Azhar International Medical Journal

Background; One of the major organs influenced in neonatal sepsis is the heart. Echocardiogram gives real-time data on the cardiovascular execution instead of reliance on the clinical signs alone. Aim and objectives; to study the role of transthoracic echocardiogram in the assessment of systolic and diastolic cardiac functions in septic neonates . Subjects and methods; This cross sectional study was carried out on 80 neonate subdivided into 4 groups (septic full-term, septic preterm, non-septic full-term and non-septic preterm) admitted to the tertiary care NICU of Bab Elsheria Hospital, Al-Azhar University . Result; Septic patients gather had essentially higher myocardial execution …

Atrial Fibrillation Post Coronary Artery Bypass Grafting Surgery Incidence And Risk Factors, Ahmed Hamdy Basiony, Medhat Refaie, Ahmed Sultan

Al-Azhar International Medical Journal

Background: Atrial fibrillation is a common complication following cardiac surgery, especially coronary artery bypass grafting. Although this condition mostly benign but it can increase mortality and morbidity postoperative and leading to longer ICU stay and increase the costs. Aim of the work: to investigate and analyse the atrial fibrillation incidence and risk factors in patient undergoing CABG in addition to its effect on intensive care unit and postoperative hospital stay. Patients and methods: Our study was retrospective non-randomized. Between January 2018 and January 2020, 50 patients were recruited from a total of 225 patients who underwent coronary artery bypass graft …

Hook Plating Versus Tension Band Wiring In Treatment Of Displaced Lateral End Clavicle Fracture, Alaa Elmohamady, Ehab Elzahed, Ismail Hammouda

Al-Azhar International Medical Journal

Abstract Background: Lateral end clavicular fractures represent about 15% of clavicular fractures. Nonunion rate is about 22 to 44% due to interacting forces between arm weight and trapezius muscle . Objective: To assess the clinical and radiological outcomes of fixation by HP versus TBW and to determine which technique provides enough stability to permit early range of motion. Patients and Methods: A prospective comparative study on 40 patients( 20 patients fixed by HP and others 20 by TBW) was done and followed up at Al-Azhar University Hospitals between December 2019 to April 2021. Results: The mean age of patients is …

Evaluation Of Adaptive Radiation Therapy In Treatment Of Locally Advanced Head And Neck Cancers, Mostafa Mostafa, Wael Elshishtawy, Ahmed Al-Agamawi

Al-Azhar International Medical Journal

Background: Radiation therapy is the main player in management of locally advanced head and neck squamous cell carcinoma. Intensity-modulated radiation therapy IMRT does not compensate for anatomical changes or tumor shrinkage during the treatment course. Adaptive radiation therapy may be the suggested solution to consider these changes. Aim of the Work: Evaluate dosimetric and clinical effects of adaptive RT. in advanced head and neck squamous cell carcinoma. Patients and Methods: A total number of 49 patients with a provisional diagnosis of locally advanced squamous cell carcinoma of head and neck treated with definitive concurrent chemo-radiotherapy with the original plan optimized …

Panniculectomy During Cesarean Section, Ahmed Elsharkawy, Farid Hassan, Wael Taha, Mohammed Khalifa

Al-Azhar International Medical Journal

ABSTRACT Background: Many women in clinical practice desire a panniculectomy following a cesarean section to remove excess skin and stretch marks that have grown during pregnancy. This study aimed to see how panniculectomy and cesarean section worked together. Subjects and methods: This is a prospective randomized controlled trial that took place in the obstetric department of a hospital. Elmahalla, Elkobra -general hospital. Eligible 66 patients had been randomly collected; the groups were divided into two equal groups using a computer-generated randomization table, with group assignments hidden in sealed opaque envelopes: (n=33) Control Group (C): Patients underwent elective CS alone. Combined …

Acute Cholecystitis In Elderly Patients; Management And Outcome, Mahmoud Mohamed, Mohamed Abdel-Maksoud, Mohamed El-Kaseer

Al-Azhar International Medical Journal

Background: The most prevalent consequence of cholelithiasis is acute cholecystitis (AC), which is also one of the most common diseases needing emergency surgery in the elderly. Aim and objectives: The goal of this training was to assess the characteristics, management, results, and danger factors for complications of acute cholecystitis in elderly patients. Furthermore, proof of our current management strategy or recommendations for its modification was sought. Patients and methods: Twenty patients over sixty-five years old with acute cholecystitis were submitted to elective laparoscopic cholecystectomy at Al-Azher University hospitals. Sixteen of them were females (80%) and four were males (20%). Result; …

Evaluation Of Surgical Versus Vaser Assisted Liposuction In Management Of Submental Adiposity In Moderate To Severe Skin Laxity And Significant Lipodystrophy, Ahmed Borhamy, Ahmed Taha, Abd Elmonem Hota

Al-Azhar International Medical Journal

Background Submental adiposity is one of visible signs of the aging process which affects the aesthetic look of the face and neck , and its management usually is difficult without surgery, nowadays we can achieve a good results in double chin without surgical lifting of neck by new technology (VASER liposuction) in many cases. Aim of the work: To Evaluation of surgical versus VASER assisted liposuction in management of submental adiposity in moderate to severe skin laxity and significant lipodystrophy. Patient and Methods: This study is prospective study was conducted on 30 male and female patients starting from September 2018 …

Fetal Macrosomia; Risk Factors And Validity Of Its Diagnostic Tools, Osama Abdelazem, Ahmed Mohammed

Al-Azhar International Medical Journal

Background& Aim: Macrosomia, defined as a birth weight of 4000 g or above, is one of the most frequent prenatal problems so, the aim of this study was to assess the accuracy of clinical evaluation and 2D ultrasound examination in prediction of fetal macrosomia. Patients and methods: This study was carried out in the Obstetric and Gynecology Department of Al Azhar University Hospital. All pregnant who were admitted to our hospital and were delivered by CS indicated by prenatal diagnosis of fetal macrosomia were included in our study. Results: Fetal macrosomia is a common cause of maternal and newborn morbidity, …

Evaluation Of Nailfold Capillaroscopy Pattern In Patients With Primary Osteoarthritis Of The Hands, Yasser Gazar, Sherif Ismail, Ahmed Fahmy

Al-Azhar International Medical Journal

Background: Hand osteoarthritis (OA) can be a distressing disorder that impairs a patients' quality of life. There is a relation between OA and vascular damage, especially atherosclerosis, and OA are both common chronic conditions associated with aging and obesity. Aim of the study: The objective of this research was to examine nailfold microcirculation in individuals with hand OA Patients and Methods: a cross-sectional, observational study, about 56 patients with hand OA were enrolled. All subjects underwent a standard radiology X-Ray examination of the hands and a Nailfold vascular examination was performed. Results: of the 56 patients studied were females, and …

Assessment Of Serum Vitamin D Level In Women With Polycystic Ovary Syndrome, Osama Khalifa, Esmael Elgarhy, Fahd Alomda, Mohamed Yehia

Al-Azhar International Medical Journal

Back ground: PCOS is the commonest endocrinopathy among women of reproductive age. Its worldwide prevalence has been estimated between5-10%. Rotterdam criteria is known to be the most important in such patients.Vitamin D, a fat-soluble vitamin, can be produced in two ways: by intestinal absorption and endogenous synthesis from a precursor of 17-hydroxyl cholesterol on the skin with sufficient exposure to ultraviolet sunlight. Most references consider a serum 25(OH) vitamin D of < 20 ng/ml as vitamin D deficiency. Aim of the work: The aim of this work is assessment of the level of vitamin D in female have polycystic ovary syndrome & healthy female. Patient and methods: This is a case control study held in Misr Al-Gadeda Military Hospital in gynecology outpatient clinic from May 2020 - May 2021.Patients selected from attendees of the outpatient gynecological clinic and inpatient gynecological ward at Misr Al-Gadeda Military Hospital. Group A: 45 women diagnosed with PCO based on Rotterdam Criteria 2003. Group B: 45 fertile women without PCOS . Results: The results indicated that 25(OH) vitamin D was significantly lower in PCOS group than in control group. There were no significant correlations between 25(OH) vitamin D and age and BMI. Conclusion: PCOS is known to be one of the commonest endocrine problems between female of the reproductive age.25 (OH) Vitamin-D was significantly lower in PCOS group than in the control group.No significant difference was found in Vitamin D level related to age group and body mass index.

Relation Of Implantation Site To Placental Site In Presence Or Absence Of Cesarean Section Scar With Doppler Assessment Of Retro Chorionic Blood Flow, Mohamed Elhosary, Fahd Elomda

Al-Azhar International Medical Journal

Retracted

Retinopathy Of Prematurity, A Study Of Prevalence And Risk Factors, Ibraheem Awad, Ali Afia, Abd El-Sattar El-Sayeh, Mahmoud Ali, El Sayed Abo Zied

Al-Azhar International Medical Journal

Background: Premature term infants are commonly impacted by retinopathy of prematurity (ROP), a blinding illness. The most significant risks are low birth weight, preterm, and oxygen treatment for prolonged period. Objective: Is to assess the frequency of ROP in premature infants and to determine the hazard factors that lead to retinopathy of prematurity. Patients and Methods: In this research, 100 preterm infants were hospitalized to Al-Azhar University Hospitals' NICU. Clinical examination was done included weight, gestational age, vital signs, , CNS, chest , heart , and abdominal examination .Local eye examination was done by according to specific protocol . All …

The Role Of Intrapartum Ultrasonography In Assessment Of Labor Progression Among Term Women, Maher Rashad, Abd-Elmonsef Seddik, Awad Awad

Al-Azhar International Medical Journal

Background; Unprompted vaginal labor with no obstetric interventions is the appropriate outcome for the majority of gestations. But some cases fail to develop in the 2nd-stage of labour and therefore need surgical delivery. Aim and objectives: The current work aimed to evaluate the role of ultrasound (US) in labour to determine embryonic head station, dilatation, location and viewpoint. Subjects and methods: This prospective observational investigation has been performed at the obstetrics and gynecology department, at Bab el-sharia, Al-azhar University Hospital on 85 women with singleton term (37 to 40-wks) gestations. The study was conducted in the Obstetrics and Gynecology department …

Repopulation Of Multipotent Stem Cells Derived From Adult Male Rabbits On A Polycaprolactone Scaffold: An In Vitro Study, Hassan Adly, Abd El-Wahab Okby, Abdel-Aziz Mahmoud, Ahmed El-Shamy, Rania Galhoom, Mohamed Hashem, Mahmoud Ahmed

Al-Azhar International Medical Journal

ABSTRACT Background: MSCs (mesenchymal stem cells) are multipotent, spindle-shaped cells that give them the ability to differentiate into a broad lineage of tissues. Polycaprolactone (PCL) is a synthetic material that has been used several times for the fabrication of scaffolds to be utilized in the field of tissue engineering. Aim of the work: The main goal of this research is to develop a protocol for isolating, cultivating, and characterizing rabbit bone marrow mesenchymal stem cells (BMSCs), as well as to investigate their capacity to repopulate PCL scaffolds. Results: In Dulbecco's Modified Eagle's Medium (DMEM) supplied with 10% fetal bovine serum …

Audiovestibular Profile Of Patients Attending Audiology Unit Of Al-Hussin University Hospital, Mostafa Bastaweesy, Mohammed Ali, Ali Azab

Al-Azhar International Medical Journal

Background: Hearing loss can be categorized as a conductive, sensorineural, or mixed hearing loss based on the anatomic location of the problem. A hearing loss may also be considered unilateral or bilateral. Dizziness and vertigo are common clinical complaints. A disturbed vestibular system causes vertigo. Aim and objectives: Study the profile of patients based on various variables and compare retrospective and prospective profiles of patients attending the Audiovestibular unit at Al-Hussin University Hospital. Patients and Methods: This study was conducted on 1868 subjects who attended the Unit of Audiovestibular Medicine at Al-Hussin University Hospital from 1/7/2016 to31/12/2016, then from1/1/2017 to …

Association Between Cytomegalovirus And Ulcerative Colitis In Diabetic Patients, Ahmed Moussa, Ayman Abdel Aziz Hassan

Al-Azhar International Medical Journal

Background: Inflammatory bowel disease (IBD) is a term that refers to a category of idiopathic chronic inflammatory bowel diseases. There are a number of theories that link microbial infections to IBD. One of the opportunistic viral infections linked to this disease is cytomegalovirus. Aim of the Work: to evaluate the role of CMV infection in diabetic patients with ulcerative colitis especially after failure of medical treatment. Material and Methods: This study carried out on 185 patients, attending and admitted in the Theodore Bilharz Research Institute at the clinic and the department of gastroenterology from January, 2019 till January, 2021. At …