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Reduction Mammoplasty In Conservative Breast Surgery In The Early Stage Of Breast Cancer, Ahmed Sabry El-Gammal, Hossamabdalkader Al Efol, Mohamed Ahmed Megahed, Mohamed Kamel Hamed Faris, Shawky Shaker Gad Dec 2015

Reduction Mammoplasty In Conservative Breast Surgery In The Early Stage Of Breast Cancer, Ahmed Sabry El-Gammal, Hossamabdalkader Al Efol, Mohamed Ahmed Megahed, Mohamed Kamel Hamed Faris, Shawky Shaker Gad

Menoufia Medical Journal

Objective The aim of this study is to evaluate the application and clinical outcomes (oncological and cosmetic) following oncoplastic conservative surgery using bilateral reduction mammoplasty in conjunction with breast conservation therapy for esthetic purposes. Background Breast cancer is the most common malignancy in women worldwide. Until recently, breast surgery could provide only two options for early-stage breast cancer: either modified radical mastectomy or segmental excision, followed by radiation, but the latter causes breast deformities. Reduction mammoplasty is used as a conservative breast surgery with excision of a large volume of tissue without compromising the cosmetic outcome. Patients and methods We …


Evaluating The Role Of Oct In Optic Disc Analysis In Glaucoma Patients, Faried M. Wagdy, Hanan E. Hegazy, Saber H. Elsied, Sarhan A. El Sebaey Dec 2015

Evaluating The Role Of Oct In Optic Disc Analysis In Glaucoma Patients, Faried M. Wagdy, Hanan E. Hegazy, Saber H. Elsied, Sarhan A. El Sebaey

Menoufia Medical Journal

Objectives The aim of the study was to evaluate the role of optical coherence tomography (OCT) in optic disc analysis in glaucoma patients. Background Forty patients underwent full ophthalmic examination, including a review of medical history, best-corrected visual acuity, slit-lamp biomicroscopy, intraocular pressure measurement, gonioscopy, dilated fundoscopic examination, automated perimetry, and OCT at 1 month and after 6 months. Patients and methods Stratus OCT was used for ocular imaging in patients with dilated pupils. All patients had optic nerve head and retinal nerve fiber layer thickness (RNFL) measured during the two visits. Quality assessment of stratus OCT scans was evaluated …


Name The Denture: Forensic Prosthodontics, Kusum Yadav, Manu Rathee, Mohaneesh Bhoria Dec 2015

Name The Denture: Forensic Prosthodontics, Kusum Yadav, Manu Rathee, Mohaneesh Bhoria

Menoufia Medical Journal

No abstract provided.


Short-Term Outcome After Laparoscopic Versus Open Liver Resection In Liver Tumors, Ahmed S. Hafez, Alaa A. El-Sisy, Hatem M. Sultan, Mohammed N. Nassar, Soliman A. El-Shakhs, Tamer A. Sultan Dec 2015

Short-Term Outcome After Laparoscopic Versus Open Liver Resection In Liver Tumors, Ahmed S. Hafez, Alaa A. El-Sisy, Hatem M. Sultan, Mohammed N. Nassar, Soliman A. El-Shakhs, Tamer A. Sultan

Menoufia Medical Journal

Objective To compare between laparoscopic and open liver resection for liver tumors. Background Laparoscopic surgery has become a standard in many elective procedures, but it is still gaining popularity in liver surgery. The safety of laparoscopic liver resection is still under study. Materials and methods This study was prospectively conducted from October 2012 to December 2014 on 30 patients presenting with hepatic tumors (benign and malignant) to the outpatient clinic of both Menoufia University Hospitals and El-Salam Oncology Center. Patients were divided randomly into two groups: group A, which includes 15 patients operated upon by laparoscopic technique; and group B, …


The Role Of Pelvic And Para-Aortic Lymphadenectomy In Gynecological Malignancies, Ahmed F. El Kased, Ahmed S. El Gammal, Alaa A. El Sisy, Mohammed H. El Meligy Dec 2015

The Role Of Pelvic And Para-Aortic Lymphadenectomy In Gynecological Malignancies, Ahmed F. El Kased, Ahmed S. El Gammal, Alaa A. El Sisy, Mohammed H. El Meligy

Menoufia Medical Journal

Objectives To study the role of pelvic and para-aortic lymphadenectomy in ovarian carcinoma, especially in the early stages in which conventional imaging such as computed tomography and MRI reveal that pelvic and para-aortic lymph nodes were negative. Background Pelvic and aortic nodes are common sites of metastasis from gynecologic malignancies, and there is no question that the evaluation of the lymph node status provides important prognostic information. Materials and methods Between October 2012 and October 2014, 18 patients who were previously untreated and had biopsy-proven ovarian carcinoma were operated upon in the Department of General Surgery, Menoufia University Hospital. The …


Intrauterine Balloon Catheter In The Management Of Postpartum Hemorrhage, Ibrahim A. Saif-Elnasr, Mohamed S. Kandeel, Mohamed A. Emara, Mohamed A. Rezk, Zakaria F. Sanad Dec 2015

Intrauterine Balloon Catheter In The Management Of Postpartum Hemorrhage, Ibrahim A. Saif-Elnasr, Mohamed S. Kandeel, Mohamed A. Emara, Mohamed A. Rezk, Zakaria F. Sanad

Menoufia Medical Journal

Objective The aim of this study was to evaluate the outcome of uterine balloon tamponade using a condom-catheter in the management of primary postpartum hemorrhage (PPH). Background Guidelines for the management of postpartum hemorrhage involve a stepwise approach including the exclusion of retained products and genital tract trauma. Uterine atony, which is the most common cause, is dealt with uterine rubbing and various uterotonic agents. Among the new modalities introduced to arrest the bleeding is the uterine tamponade using various balloons and catheters. The condom catheter uses a sterile rubber catheter fitted with a condom that can be used for …


Evaluation Of The Role Of Antivascular Endothelial Growth Factor In The Management Of Pterygium, Ahmad A. Alhagaa, Mohamed H. Tarawa, Nermine M. Badawi, Saber H. Elsayed Dec 2015

Evaluation Of The Role Of Antivascular Endothelial Growth Factor In The Management Of Pterygium, Ahmad A. Alhagaa, Mohamed H. Tarawa, Nermine M. Badawi, Saber H. Elsayed

Menoufia Medical Journal

Background Pterygium is a common condition. Many theories have been proposed for its pathogenesis, but excessive sun exposure is the most accepted. Studies show that immunostaining of vascular endothelial growth factor is more intensive in pterygial than in normal conjunctival sections. Objectives The aim of the study was to conduct a trial evaluating the role of antivascular endothelial growth factor in the management of pterygium. Materials and methods Fifty eyes with primary pterygium were included in a nonrandomized trial to evaluate the effect of subconjunctival bevacizumab before excision using the bare sclera technique. None of the eyes had any history …


Intraoperative Periprosthetic Hip Fractures, Ahmed E. E. Ahmed, Bahaa Z. M. Hassan, Bahaa Eldin M. Elserwi Dec 2015

Intraoperative Periprosthetic Hip Fractures, Ahmed E. E. Ahmed, Bahaa Z. M. Hassan, Bahaa Eldin M. Elserwi

Menoufia Medical Journal

Purpose The aim of this work was to study the risk factors, clinical results, particularly the functional outcome, and radiological results for intraoperative periprosthetic fractures (PPFs) around hip arthroplasties through a retrospective analysis. Materials and methods We conducted a retrospective study based on hospital records. Patients with intraoperative PPFs around hip arthroplasties who underwent follow-up for at least 9 months were enrolled in the study. For each patient, preoperative and intraoperative risk factors were analyzed; the functional outcome in terms of the Harris hip score was compared before fracture and at the last follow-up. Results Fifteen cases were enrolled in …


Steroid-Induced Renal Dysfunctions In Children With Immune Thrombocytopenia, Abd Elfatah A. Khalaf, Mohammed A. Helwa, Seham M. Ragab Dec 2015

Steroid-Induced Renal Dysfunctions In Children With Immune Thrombocytopenia, Abd Elfatah A. Khalaf, Mohammed A. Helwa, Seham M. Ragab

Menoufia Medical Journal

Objectives The study was designed to evaluate the effect of steroid therapy on renal functions in children with immune thrombocytopenia (ITP). Background ITP is usually a benign self-limiting condition. The most appropriate initial therapy for children with ITP remains controversial. When therapy is indicated, the primary method of treatment is steroid therapy. Materials and methods The study was conducted on 33 children newly diagnosed with ITP (19 male; 14 female). The patients were classified into two main groups: group I included patients who needed corticosteroid therapy (18 patients) and group II included patients who did not need corticosteroid therapy (15 …


Plasma Brain Natriuretic Peptide Concentration In Β-Thalassemia Patients, Rasha T. Helal, Seham M. Ragab, Walaa F. Abd El-Aziz, Waleed M. Fathy Dec 2015

Plasma Brain Natriuretic Peptide Concentration In Β-Thalassemia Patients, Rasha T. Helal, Seham M. Ragab, Walaa F. Abd El-Aziz, Waleed M. Fathy

Menoufia Medical Journal

Objectives The aim of this study was to investigate the diagnostic and predictive value of plasma brain natriuretic peptide (BNP) levels in detecting diastolic dysfunction in β-thalassemic patients in comparison with conventional and new Doppler echocardiography indices. Background β-Thalassemia major is a unique disease characterized by early diastolic dysfunction related exclusively to iron myocardial deposition. BNP is a sensitive biomarker for the detection of asymptomatic left ventricular (LV) dysfunction and has important diagnostic and prognostic implications. Materials and methods This study enrolled 25 b-thalassemic major patients with normal systolic function and 10 age-matched and sex-matched individuals. All participants were studied …


Primary Versus Multistage Repair Of Congenital Rectovestibular Fistula, Magdy Ahmed Loulah, Tamer Ali Sultan, Wael Omar Zeina Dec 2015

Primary Versus Multistage Repair Of Congenital Rectovestibular Fistula, Magdy Ahmed Loulah, Tamer Ali Sultan, Wael Omar Zeina

Menoufia Medical Journal

Objective The aim of this study was to evaluate the feasibility, safety, and outcome of one-stage posterior sagittal anorectoplasty in cases of rectovestibular fistula. Background Rectovestibular fistula is the most common type of anorectal malformation in the female population. The standard treatment for rectovestibular fistula is the staged approach. In recent times, posterior sagittal anorectoplasty has revolutionized the management of anorectal malformation (ARMs). Materials and methods This study was conducted on 24 female patients with rectovestibular fistula who were divided into two groups: Group 1: This group comprised patients who underwent primary repair without colostomy (14 cases) prospectively. Group 2: …


Effects Of Diabetes Mellitus On The Eye, Abdel Khalik E. Elsaadani, Hatem M. Marey, Nermeen M. Badawy, Safinaz F. Omran Dec 2015

Effects Of Diabetes Mellitus On The Eye, Abdel Khalik E. Elsaadani, Hatem M. Marey, Nermeen M. Badawy, Safinaz F. Omran

Menoufia Medical Journal

Objectives The aim of this study was to assess the ocular manifestations of diabetes and follow-up the results of treatment. Background Diabetes mellitus is a major cause of blindness in the USA and the leading cause of new blindness in working-aged Americans. Diabetic retinopathy alone accounts for at least 12% of new cases of blindness each year in the USA. Individuals with diabetes are at 25 times greater risk for blindness compared with the general population. The estimated annual incidence of new cases of proliferative diabetic retinopathy and diabetic macular edema are 65 000 and 75 000, respectively. Over a …


Injection Of Bevacizumab In The Subpterygial Tissue At The Time Of Surgical Removal Against 2 Weeks Before Surgery, Ahmad M. Shannah, Hoda M. El Sobky, Sameh S. Mandour Dec 2015

Injection Of Bevacizumab In The Subpterygial Tissue At The Time Of Surgical Removal Against 2 Weeks Before Surgery, Ahmad M. Shannah, Hoda M. El Sobky, Sameh S. Mandour

Menoufia Medical Journal

Objective The aim of this study was to evaluate the postoperative outcome and the recurrence rate after primary pterygium excision using preoperative subpterygial bevacizumab injection at the time of surgical removal as against 2 weeks before surgery. Background Recurrence after pterygium excision represents a challenge for ophthalmologists and is considered to be the most common postoperative complication. Several techniques have evolved in a trial to overcome the high rate of postoperative recurrence. However, none proved to be totally effective. Patients and methods Forty eyes with primary pterygium were divided into two groups. Group A eyes (included 20 eyes) were operated …


Correlation Of Optical Coherence Tomography And Fluorescein Angiography Imaging In Neovascular Age-Related Macular Degeneration, Abd El-Khalek I. El-Sadany, Asmaa Z. Fadel, Hatem M. Marey, Moataz F. El-Sawy Dec 2015

Correlation Of Optical Coherence Tomography And Fluorescein Angiography Imaging In Neovascular Age-Related Macular Degeneration, Abd El-Khalek I. El-Sadany, Asmaa Z. Fadel, Hatem M. Marey, Moataz F. El-Sawy

Menoufia Medical Journal

Objectives The aim of this work was to study the role of fundus fluorescein angiography and spectral domain optical coherence tomography (SDOCT) in the diagnosis of wet age-related macular degeneration (AMD). Background AMD is the leading cause of severe visual impairment in elderly people. Various imaging methods are available for the diagnosis and the classification of AMD. Fluorescein angiography (FA) is the gold standard for the differential diagnosis of neovascular AMD and determination of lesion characteristics. SDOCT is used for the diagnosis and the follow-up of patients with neovascular AMD undergoing antivascular endothelial growth factor therapy, by providing high-resolution cross-sectional …


Results Of Management Of Recent Fractures Of Phalanges Of The Hand By A Mini External Fixator, Ahmad F. El-Shaer, Ahmad F. Shams El-Deen, Ashraf S. El-Deen Abu Hussein, Hassan A. Neenaa Dec 2015

Results Of Management Of Recent Fractures Of Phalanges Of The Hand By A Mini External Fixator, Ahmad F. El-Shaer, Ahmad F. Shams El-Deen, Ashraf S. El-Deen Abu Hussein, Hassan A. Neenaa

Menoufia Medical Journal

Objectives This study focused on the management of patients with phalangeal fractures by a mini external fixator from April 2010 to October 2014. All procedures were performed under regional anesthesia. There were 10 open and 10 closed fractures and 15 comminuted and five oblique fractures. Background These fractures can be treated conservatively or operatively depending on the nature of injuries, fracture pattern, and fracture stability. Materials and methods In this study, fractures were managed by a mini external fixator; 80% were managed on the same day of injury. The mean time of removal of the fixator was 18.4 days and …


Glyceryl Trinitrate For Prevention Of Pancreatitis After Endoscopic Retrograde Cholangiopancreatography: Meta-Analysis Of Randomized, Controlled Trials, Ashraf A. Zein El-Dein, Fawzy A. Mahmoud, Haith A. Mukhtar, Samir H. Kohla Dec 2015

Glyceryl Trinitrate For Prevention Of Pancreatitis After Endoscopic Retrograde Cholangiopancreatography: Meta-Analysis Of Randomized, Controlled Trials, Ashraf A. Zein El-Dein, Fawzy A. Mahmoud, Haith A. Mukhtar, Samir H. Kohla

Menoufia Medical Journal

Objective The aim of the study was to conduct a meta-analysis of published, full-length, randomized controlled trials (RCTs) evaluating the effect of prophylactic glyceryl trinitrate (GTN) on the prevention of pancreatitis after endoscopic retrograde cholangiopancreatography (PEP) and the prevention of hyperamylasemia. Data sources Literature searches were conducted using PubMed, EMBASE, The Cochrane Library, and Web of Knowledge databases (up to May 2014) using keywords «SQ»post-ERCP«SQ», «SQ»pancreatitis«SQ», «SQ»ERCP«SQ», «SQ»post endoscopic retrograde cholangiopancreatography pancreatitis«SQ», «SQ»GTN«SQ», «SQ»glyceryl trinitrate«SQ», and «SQ»nitroglycerin«SQ», and were limited to RCTs. No language restriction was imposed. Study selection The following selection criteria were applied: (i) study design - RCTs; …


Voice Rehabilitation After Total Laryngectomy, Ayman A. Abdel-Fattah, Essam A. W. Behairya, Mahmoud A. Al-Belkasy, Mohammed K. El-Sharnobya Dec 2015

Voice Rehabilitation After Total Laryngectomy, Ayman A. Abdel-Fattah, Essam A. W. Behairya, Mahmoud A. Al-Belkasy, Mohammed K. El-Sharnobya

Menoufia Medical Journal

Objective The aim of the study was to review the different options for voice rehabilitation to improve the quality of life of laryngectomized patients after total laryngectomy. Data source Data for the study were collected from previous investigations and reviews as well as from medical websites (PubMed, Medscape, MD Consult) and scientific journals. Study selection Studies were selected for evaluating new advancements in voice rehabilitation after total laryngectomy. Data extraction In this review data from published studies were manually extracted and summarized. Data summary Total laryngectomy is potentially a debilitative surgery resulting in compromise of some of the most basic …


Parathyroid Gland Injuries During Total And Subtotal Thyroidectomy, Mohram A. Elsamie, Shawky S. Gad, Yaser A. Saleh Dec 2015

Parathyroid Gland Injuries During Total And Subtotal Thyroidectomy, Mohram A. Elsamie, Shawky S. Gad, Yaser A. Saleh

Menoufia Medical Journal

Objective The aim of this study was to identify the incidence, risk factors and the clinical relevance of incidental parathyroid excision during total and subtotal thyroidectomy in thyroid diseases. Background Postoperative hypocalcaemia is observed in total thyroidectomy patients and it is the most common complication. It is usually transient, and the incidence of permanent hyperparathyroidism is 3% or less. Despite being self-limiting in most patients, symptomatic hypocalcaemia is of particular concern because of a delay in its manifestation and the consequent need for prolonged patient hospitalization or readmission. Patients and methods In this randomized prospective study, we surveyed 30 patients …


Evaluation Of The Effect Of Transdermal Nitroglycerin And Intravenous Neostigmine Added To Lignocaine For Intravenous Regional Anesthesia, Mohamed Abd El Hamid, Neveen Mostafa, Osama El Sharkawy, Safaa Mahamed Dec 2015

Evaluation Of The Effect Of Transdermal Nitroglycerin And Intravenous Neostigmine Added To Lignocaine For Intravenous Regional Anesthesia, Mohamed Abd El Hamid, Neveen Mostafa, Osama El Sharkawy, Safaa Mahamed

Menoufia Medical Journal

Objective This study aimed to determine the advantage of a combination of transdermal nitroglycerine and neostigmine in intravenous regional anesthesia (IVRA). Background The aim of this study was to evaluate the effect of transdermal nitroglycerine, neostigmine, or both when added to lidocaine compared with lidocaine alone in the IVRA technique. Patients and methods Eighty patients (ASA grade I and II, aged 18-60 years) of both sexes were enrolled. The patients were divided randomly into groups as follows: group 1: the neostigmine group: a dose of 2.5 mg/kg lidocaine 0.5% (0.5 ml/kg) with the addition of 0.5 mg neostigmine was administered …


Current Trends Of Abdominoplasty, Abdulmoneim F. Omran, Ahmed M. Al-Barah, Tarek F. Kishk, W B. El-Khouly, Y M. El-Sheikh Dec 2015

Current Trends Of Abdominoplasty, Abdulmoneim F. Omran, Ahmed M. Al-Barah, Tarek F. Kishk, W B. El-Khouly, Y M. El-Sheikh

Menoufia Medical Journal

Objectives The aim of this study was to compare between traditional abdominoplasty and current techniques of abdominoplasty, follow complications associated with the new techniques of abdominoplasty, etiology and management, and minimize the amount of invasive surgery while maximizing the esthetic surgical results and patient benefits. Patients and methods A total of 49 patients (26 women and 23 men) between 20 and 60 years of age were studied in the period from October 2010 to October 2014 at the Plastic Surgery Department, Menofia University Hospitals. The patients were divided into three groups to compare between traditional abdominoplasty, lipoabdominoplasty with limited dissection …


Different Surgical Modalities For Management Of Postburn Flexion Contracture Of The Elbow, Ahmed Mohamed Albarrah, Hisham Taha Ahmed, Shawky Shaker Gad, Sherif Mohamed Elkashty Dec 2015

Different Surgical Modalities For Management Of Postburn Flexion Contracture Of The Elbow, Ahmed Mohamed Albarrah, Hisham Taha Ahmed, Shawky Shaker Gad, Sherif Mohamed Elkashty

Menoufia Medical Journal

Objective A study evaluating the outcomes of different surgical modalities for management of the postburn elbow contracture. Background The incidence of the postburn contracture is unkown, but it is inversely propotional to the standards of the initial management. Methods This is a prospective study included 20 patients suffering from different degrees and forms of postburn elbow contracture. All patients had scar contracture release and then were managed according to the forms of the contractures and the availability of adjacent healthy unscarred tissues. Results Different techniques had been used in this study, seven cases had skin graft representing 35% of all …


Effect Of Obesity On The Length Of The First And Second Stages Of Labor, Mohamed Samy, Mohamed A. Emara, Shrouk A. Mohamed Abdou, Zakaria F. Sanad Dec 2015

Effect Of Obesity On The Length Of The First And Second Stages Of Labor, Mohamed Samy, Mohamed A. Emara, Shrouk A. Mohamed Abdou, Zakaria F. Sanad

Menoufia Medical Journal

Objective This study was designed to evaluate the length of the first and second stages of labor in nulliparous obese Egyptian women and compare them with those in women with normal BMI. Background Maternal obesity is now the most common risk factor for maternal mortality in developed countries and is also associated with a wide spectrum of adverse pregnancy outcomes. The duration of first stage of labor, the rate of cesarean delivery, and inadequate progress of cervical dilatation during labor were found to be higher in women with BMI more than 30 compared with women of average weight. Participants and …


Vaginal Progesterone And Cervical Cerclage For Preterm Labor Prevention And Their Impact On Perinatal Outcome, Nasser K. Abd Elaal, Ragab M. Dawod, Shaimaa M. Mnasir, Zakaria F. Sanad Dec 2015

Vaginal Progesterone And Cervical Cerclage For Preterm Labor Prevention And Their Impact On Perinatal Outcome, Nasser K. Abd Elaal, Ragab M. Dawod, Shaimaa M. Mnasir, Zakaria F. Sanad

Menoufia Medical Journal

Objective The main aim of this study was to evaluate the efficacy of progesterone supplementation, cervical cerclage, or a combination of both in the prevention of preterm labor (PTL) and their impact on the perinatal outcome. Background PTL is defined as the presence of uterine contractions of sufficient frequency and intensity to effect progressive effacement and dilation of the cervix before term gestation (between 20 and 37 weeks). Preterm delivery occurs in 5-13% of pregnancies before 37 weeks«SQ» gestation. Patients and methods The present study was designed as a randomized clinical trial. Only 147 women who fulfilled our inclusion criteria …


Evaluation Of Lower Segment Cesarean Section Scar By Sonography, Alaa M. Abd El Gayed, Mehany M. Abd El Sttar, Mohamed S. Gad, Noha F. Mahmoud Dec 2015

Evaluation Of Lower Segment Cesarean Section Scar By Sonography, Alaa M. Abd El Gayed, Mehany M. Abd El Sttar, Mohamed S. Gad, Noha F. Mahmoud

Menoufia Medical Journal

Objective This study aimed to correlate lower uterine segment (LUS) thickness measured by both transvaginal (TVS) and transabdominal ultrasonography (TAS) after completion of 36 weeks of pregnancy with that measured manually using a caliper at the time of cesarean delivery and to determine minimum LUS thickness indicative of its integrity in women who have undergone a previous cesarean section. Background Ultrasound is used to evaluate the LUS, especially if there is a previous scar, and it is more beneficial to predict the possibility of the occurrence of any complications during labor either by repeated cesarean section or by vaginal delivery. …


Comparison Between The Tamponading Effect Of Silicone Oils With Different Viscosities In Retinal Surgery, Abdel Khalek E. Elsaadany, Amin F. Ellakwa, Sherif M. Raafat Dec 2015

Comparison Between The Tamponading Effect Of Silicone Oils With Different Viscosities In Retinal Surgery, Abdel Khalek E. Elsaadany, Amin F. Ellakwa, Sherif M. Raafat

Menoufia Medical Journal

Objective The aim of this study is to determine the differences between silicone oils 1000, 2000, and 5000 cs in retinal reattachment, visual acuity, and complications. Background Each of the silicone oils 1000, 2000, and 5000 cs has its own advantages and complications. Patients and methods This study included 42 eyes that were subjected to vitreoretinal surgeries with a silicone oil injection. Patients were divided into three groups: group A included 14 eyes injected with silicone oil 1000 cs, group B included 14 eyes injected with silicone oil 2000 cs, and group C included 14 eyes injected with silicone oil …


Prevalence Of Complications Associated With Tympanostomy Tube Insertion, Ahmed Ragab, Ahmed Abdel-Haleem Mohammed, Ahmed Mohammed Afifi, Ayman Ali Abdel-Fattah Dec 2015

Prevalence Of Complications Associated With Tympanostomy Tube Insertion, Ahmed Ragab, Ahmed Abdel-Haleem Mohammed, Ahmed Mohammed Afifi, Ayman Ali Abdel-Fattah

Menoufia Medical Journal

Objective This study aimed to evaluate the prevalence and difficulties during surgery of tympanostomy tube (TT) insertion, complications after surgery, and modalities for management. Background In view of the high incidence of otitis media with effusion in children and the fact that TT is one of its major treatments, we decided to conduct the present observational study. Patients and methods This study included 220 patients with persistent otitis media with effusion after failed medical treatment for 3 months. All patients underwent TT insertion either unilateral or bilateral in 378 operated ears. Results There were 198 problems detected in 378 operated …


A Study On Enhanced Recovery After Abdominal Surgery, Ahmed Gaber, Alaa El-Sisy, Ashraf Eskander, Eslam Elshafey, Soliman El-Shakhs Dec 2015

A Study On Enhanced Recovery After Abdominal Surgery, Ahmed Gaber, Alaa El-Sisy, Ashraf Eskander, Eslam Elshafey, Soliman El-Shakhs

Menoufia Medical Journal

Background Enhanced recovery after surgery or fast-track surgery is a set of protocols aimed to reduce the physiological burden of surgery, thus improving outcomes. Fast-track surgery aims to use evidence-based practice to reduce complications, improve postoperative quality of life, and decrease hospital length of stay. Aims The aim of the study was to investigate the effect of applying enhanced recovery after surgery (ERAS) protocols on patients undergoing different abdominal operations. Settings and design The study was a prospective observational study that was conducted on 25 patients of ASA grades I-III, aged between 15 and 65 years, with different abdominal pathologies …


Effect Of Addition Of Dexamethasone To Low Volumes Of Local Anaesthetics For Ultrasound-Guided Supraclavicular Brachial Plexus Block, Aiad A. Alaa Eldin, Elhennawy A. Tarek, Hassan A. Ghada, Lotfy E. Mamdouh, Zalat I. Sherief Dec 2015

Effect Of Addition Of Dexamethasone To Low Volumes Of Local Anaesthetics For Ultrasound-Guided Supraclavicular Brachial Plexus Block, Aiad A. Alaa Eldin, Elhennawy A. Tarek, Hassan A. Ghada, Lotfy E. Mamdouh, Zalat I. Sherief

Menoufia Medical Journal

Objectives We examined the efficacy of dexamethasone as an adjuvant to low volumes of local anaesthetics in an ultrasound-guided supraclavicular brachial plexus block (SBPB). Background SBPB is an effective nerve block for use during upper limb surgery as an alternative to general anaesthesia. In addition, this block has a beneficial postoperative analgesic effect for these surgeries. Materials and methods We compared three groups of patients; each group included 30 patients scheduled for forearm and hand orthopaedic surgeries and anaesthetized by SBPB. Group A was anaesthetized by an injection of 15 ml of bupivacaine 0.5% mixed with 8 mg (2 ml) …


Endoscopic-Aided Septal Surgery, Ibrahim A. Abdelshafy, Mohamed M. Badr, Omar A. Elbanhawy, Yasser A. Khalil Dec 2015

Endoscopic-Aided Septal Surgery, Ibrahim A. Abdelshafy, Mohamed M. Badr, Omar A. Elbanhawy, Yasser A. Khalil

Menoufia Medical Journal

Objective This study was carried out to assess the role of the endoscope in septal surgery by comparing conventional and endoscopic-aided septal surgeries regarding the operative blood loss, the operative duration, operative complications and assessment of the airway postoperatively through an endoscope using subjective and objective criteria. Background A deviated septum is one of the most common causes of nasal block. It also causes contact headache, epistaxis, infection of paranasal sinuses and middle-ear diseases due to eustachian tube blockage. Materials and methods This randomized prospective study was conducted among 60 patients with a symptomatic deviated nasal septum. All of the …


Effects Of Low-Voltage Electrocution On Hearts Of Male Albino Rats: A Histopathological And Immunohistochemical Study, Ahamed Kamal El Fiky, Bothina Labib Mahmoud, Samy Moustafa Badawy, Samy Abd El Hady Hamad, Situhom El Sayed El Agmy Dec 2015

Effects Of Low-Voltage Electrocution On Hearts Of Male Albino Rats: A Histopathological And Immunohistochemical Study, Ahamed Kamal El Fiky, Bothina Labib Mahmoud, Samy Moustafa Badawy, Samy Abd El Hady Hamad, Situhom El Sayed El Agmy

Menoufia Medical Journal

Objectives The aim of the present study was to detect histopathological and immunohistochemical changes in the heart of albino rats after low-voltage electrocution in an attempt to confirm the diagnosis of electrocution as a proximate cause of death. Background Electrical injuries are often dramatic accidents and are potentially fatal. Many victims of electric shock die before help arrives and survivors may suffer severe injuries. Forensic pathologists have made several attempts to find an effective means to establish the cause of death by electrocution. Familiarity with both the incidence of the problem and the mechanism of injuries may lead to a …