Medicine and Health Sciences Commons^™

Ultrasound-Guided Ilioinguinal/Iliohypogastric Nerve Blocks Versus Transversus Abdominis Plane Block As Analgesia For Inguinal Hernia Repair, Amany A. Sultan, Sarah A. Aly Farrag, Safaa M. Helal, Ghada A. Hassan

Menoufia Medical Journal

Objectives: Evaluation of ultrasound guided (USG) ilioinguinal/iliohypogastric (II/IH) nerve block versus USG transversus abdominis plane (TAP) block as analgesia for adults undergoing inguinal hernia repair. The analgesic efficacy was assessed by visual analogue scale (VAS) as primary objective. Time to first rescue analgesia, postoperative consumption of additional analgesics, hemodynamics, and complications were assessed as secondary objectives. Background: USG II/IH nerve block and TAP block are getting more consideration as a potent analgesia for effective pain management. Methods: A prospective randomized controlled trial included 60 adult patients scheduled for elective inguinal hernia repair under general anesthesia. The participants were assigned into …

Role Of Hippo Pathway Components Yap1, Lats1 In Non-Melanoma Skin Cancer, Dina Mohamed Allam, Rehab Mounir Samaka, Asmaa Mohamed Shams Eldeen

Menoufia Medical Journal

Background: Non-melanoma skin cancer (NMSC) has a greater lethality with substantial morbidity. Hippo pathway is important for tissue homeostasis. Objectives: To assess the role of YAP1 and LATS1 in Non-melanoma skin cancer (NMSC). Methods: This retrospective case-control study included 70 NMSC specimens (50 BCC and 20 SCC cases) and 40 control cases from Egyptian patients. Immunohistochemical staining of YAP1 and LATS1 was done and assessed semi-quantitatively using staining extent and intensity. The results were correlated with the available clinicopathological parameters. We aimed to evaluate the role of YAP1 & LATS1 in NMSC. Results: Malignant cases showed significant positive epithelial expression …

Study Of Ace And Rage Genes Polymorphism In Children With Type 1 Diabetes Presented By Renal Complications, Maha Atef Tawfik, Marwa Said Tawfik El-Sharawy, Naglaa Fathy Barsem

Menoufia Medical Journal

Objectives: To study the relation between angiotensin I converting enzyme (ACE) and receptor for advanced glycation end products (RAGE) genes in children with type 1 diabetes presented by renal complications. Background: In patients with type 1 diabetes, an association has been found between an insertion/deletion (I/D) polymorphism in the gene for ACE and the presence of diabetic nephropathy. Methods: A cross section study was conducted on 50 Egyptian children with type 1 diabetes presented by renal complications from our endocrinology, genetic unit and outpatient clinic in pediatric department, Menoufia University, during a period time from April 2021 to October 2022. …

Comparison Between Ultra-Sound Guided Inter-Scalene And Shoulder Block In Shoulder Arthroscopy: A Randomized Blinded Study, Mohamed Yasser Albahar, Ashraf Mohamed Moustafa, Ashraf Magdy Eskandr, Fatma Adel Hassan Fouda, Asmaa Esmail Mohammed Salama

Menoufia Medical Journal

Objective: To compare the effect of ultrasound-guided (USG) low volume ISB and combined SSNB+ANB in shoulder arthroscopy. Background: The most-popular treatment for shoulder post-operative pain is an interscalene block (ISB) but not without complications. Combined suprascapular nerve block and axillary nerve block (SSNB+ANB) has recently been proposed as a safe alternative. Methods: A randomized blinded study was conducted at Menoufia University Hospital. After approval by the ethics committee, 50 patients were allocated into two groups; group A received USG pre-operative 10mL bupivacaine 0.5% in the area between C5-C6 roots and group B received pre-operative USG 10mL bupivacaine 0.5% under supraspinatus …

Association Between Tissue Inhibitor Of Matrix Metalloproteinase-2 Gene Polymorphism And Breast Cancer In Egyptian Females, Manal Abd El Monem Ellaithy, Mohamed Soliman M. Rizk, Hatem Mahmoud El Sebaie, Amira Hegazy, Fatma Mahmoud Kotb Omran, Eman Salah-Eldeen El Sayed Arafat

Menoufia Medical Journal

Objectives: to investigate the relationship between breast cancer in Egyptian females and the Tissue Inhibitor of Matrix Metalloproteinase-2 (TIMP2) gene polymorphism. Background: breast cancer is one of the most prelevant cancers, that has significant potential for invasion and metastasis. Under expression of TIMP-2 activity that is caused by genetic polymorphism in TIMP-2 gene, might impact to development and pathway of breast cancer. Methods: This work was performed on two hundreds individuals (one hundred female patients with breast cancer matched in age with one hundred healthy female controls). TIMP-2 gene (rs2277698) SNP was genotyped by TaqMan allelic discrimination using Real-Time PCR …

Outcomes Of Intravitreal Injection Of Ranibizumab As Primary Monotherapy For Treatment-Requiring Retinopathy Of Prematurity, Hm. El-Sobky, Hm. Marey, Am. Habib, Ag. Zaky, Rm. Ashour, Ai. Basiony

Menoufia Medical Journal

Objective: This study aims to assess structural, refractive, and biometric outcomes and safety of intravitreal ranibizumab (IVR) for treatment requiring retinopathy of prematurity (ROP) 1-year post-IVR. Background: IVR has been proposed as alternative to conventional laser photocoagulation for treatment requiring ROP in different zones to achieve better structural and functional outcomes. Methods: A prospective case series conducted in in Menoufia university hospitals, Menoufia governorate, Egypt during the period from January 2021 to December 2022. Premature infants who met the eligibility criteria with type 1 pre-threshold ROP, threshold ROP and Aggressive-ROP (A-ROP) received IVR of 0.25mg (0.025 ml). Postoperatively, patients were …

Role Of Norepinephrine Infusion In Preventing Hypotension During Spinal Anaesthesia For Caesarean Delivery, Mostafa Saieed Mansour, Khalid Mahmoud Abo Elenin, Mai Adel, Zeinab Kasemy, Abd-Elazeem Elbakry

Menoufia Medical Journal

Objectives: The current study was designed to evaluate the role of norepinephrine infusion in maintaining hemodynamics stable in patients undergoing caesarean section Background: Hypotension commonly occurred after spinal anaesthesia and this is caused by sympathetic system inhibition. Methods: Forty female patients undergoing caesarean section were divided into two groups. Group 1 received norepinephrine infusion and group 2 received bolus norepinephrine. Blood pressure, heart rate, cardiac index, stroke volume and systemic vascular resistance were recorded as a baseline and every 10 minutes after intrathecal injection. Results: The mean arterial blood pressure showed a significant reduction in group 2 compared to group …

Short Term Results Of Coiling Embolization Of Peripheral Arteriovenous Malformations, Abd El-Moniem Farid, Yehia Elkhatib, Fawzi Abobakr, Mahmoud Said

Menoufia Medical Journal

Objectives: To assess the short-term outcomes and procedure-related complications in AVM patients treated with endovascular coiling. Background: Peripheral arteriovenous malformations (AVMs) one of the most challenging among the various congenital vascular malformations to be treated. The Schobinger staging system is currently used to classify AVMs based on their clinical presentation. The best way to treat each AVM on a case-by-case basis, depending on AVM location and classification, on top of that, there is no consolidated agreement on the methods of treatment of AVMs. Methods: Fifty patients were involved in this clinical prospective study, diagnosed as peripheral AVM by several diagnostic …

Schematic Approach Of Post Covid-19 Acute Invasive Fungal Sinusitis, Essam A. Behairy, Ibrahim A. Shafy, Mahmoud A. Torky, Ashraf A. Eldemerdash

Menoufia Medical Journal

Objective: To analyze the surge of invasive fungal rhinosinusitis reported during the Covid-19 pandemic to highlight aspects of disease and outcome of our approach with these cases.

Background: Invasive fungal rhinosinusitis is the most severe form of sinusitis affecting immunocompromised patients. Therefore, prompt management is mandatory to improve survival.

Methods: In a prospective cohort study, we included 40 cases of acute invasive fungal rhinosinusitis who attended to Otorhinolaryngology department between May 2021 and October 2021. We assessed the patient clinically and radiologically. We collected data about sociodemographic features including sex, age, comorbidities, post COVID infection, received treatment, and history of …

Evaluation Of Mitrofanoff Stoma Using The Appendix In Pediatric Age Group, Ahmed A. Gamal-Eldin, Mohamed E. Youssif, Mohamed M. Abdullah, Mohammed A. Khalil, Baher M. Abdel-Elraouf

Menoufia Medical Journal

Objectives: To evaluate the success and complications associated with using the appendix as stoma in mitrofanoff procedure in a pediatric age group. Background: The management of bladder dysfunction may face many challenges and complications for preservation of continence. Methods: This was a prospective study that was conducted between January 2020 to January 2022 at Menoufia university hospital and Alexandria university hospital. The study included 30 patients (18 male and 12 female). The average surgical age at surgery was (5-15years). The mean follow up was for 6 months. Nineteen of the 30 patients underwent augmentation cystoplasty using ileum in conjunction with …

Hepatic Affection In Acute Poisoned Cases Admitted At Menoufia Poison Control Center Over One Year, Hammad Sa, Hegazy Mm, Aboshreif Ra, Al Agamy Se

Menoufia Medical Journal

Objective: To study hepatic affection in acute poisoned cases as regarding socio-demographic patterns, clinical manifestations, investigations, outcome and poisoning severity score (PSS). Background: Hepatic affection is a frequent cause of morbidity and mortality in acute poisoning which may need treatment in the intensive care unit. Methods: It is a prospective study that was done at the Menoufia poison control center (MPCC) over one year from the 1st of June 2019 to the 31th May 2020. All acute poisoned cases with hepatic affection admitted to MPCC were studied. The socio-demographic , clinical data and investigations were collected to each patient in …

Intraoperative Decision Making For Neurolysis Versus Neurectomy In Surgical Treatment Of Meralgia Paresthetica, Yasser Bahgat Elsisi, Ahmed Gabry El Nagar, Osama Saber Shereef

Menoufia Medical Journal

Aim: To evaluate the intraoperative decision for neurolysis or neurectomy in management of meralgia paresthetica.
Methods: Diagnosis of Meralgia paresthetica is usually based on clinical examination and is supported by sensory nerve conduction (SNC) studies. The initial treatment is always conservative. In limited number of patients who are refractory to conservative managements, surgical treatment via decompression/neurolysis or neurectomy is concerned.
Methods: A retrospective study conducted on 40 patients from a cluster sample from patients with meralgia paresthetica who operated through neurolysis or neurectomy between January 2017 to March 2022 at the neurosurgical departments, Menoufia University, Egypt.
Results: completely pain and …

Role Of Transthoracic Ultrasound In Diagnosis And Follow-Up Of Pneumonia, Hanaa A. Eid, Mai M. El-Kalashy, Ahmed A. Elesdoudy, Zeinab A. Kasemy, Amal A. El-Koa

Menoufia Medical Journal

Objectives: To assess the role of transthoracic ultrasound (TUS) in the diagnosis and follow-up of pneumonia compared to CXR and HRCT. Background: Pneumonia is a serious health problem. TUS is quickly becoming one of the most useful non-ionizing radiation diagnostic techniques for identifying various lung illnesses. Methods: This prospective observational study was carried out in the Menoufia University Hospitals' Chest Diseases Department. From December 2022 to June 2023, it covered 50 patients who were clinically suspected of having pneumonia. The diagnosis was based on symptoms, signs, and chest HRCT. TUS and chest X-ray (CXR) were done and follow-up TUS after …

Assessment Of Left Ventricular Systolic Function After Surgical And Transcatheter Device Closure Of Ventricular Septal Defect Using Speckle Tracking Imaging, Suzy S. Lasheen, Mahmoud K. Ahmed, Mohamed M. Elgayar

Menoufia Medical Journal

Objectives: To evaluate left ventricular (LV) systolic function in pediatric patients after ventricular septal defect (VSD) closure using conventional echocardiography and 2D speckle tracking derived strain. Background: VSD is a common congenital heart disease. Transcatheter device closure is an effective alternative to surgical closure with fewer complications. Methods: This prospective study included 54 children, divided into three groups: surgical closure (n=18), transcatheter closure (n=18), and control group (n=18). LV function was assessed before and one week and six weeks after closure using conventional echocardiogram and 2D speckle tracking derived strain including longitudinal, circumferential, and radial strain. Results: The study included …

The Efficacy Of Free Latissimus Dorsi Flap In Patients With Lower Limb Distal Extensive Injuries., Mohamed Abdullah Mohamed El-Nahas, Tarek Fouad Keshk, Sherif Mohamed El Kashty, Ahmed Abdelaziz Talaab

Menoufia Medical Journal

Objectives: to elucidate our experience in the use of latissmus dorsi free flap for the surgical reconstruction of distal lower limb complex injuries, regarding the surgical techniques and the patients' outcome. Background: from the variable types of free flaps, the free transfer Latissimus dorsi (LD) musculocutaneous flap is considered a workhorse in lower limb reconstruction. Methods: A total of 16 patients with complex lower limb defects and deformities required surgical reconstruction were enrolled in this study. They underwent free LD flap reconstruction and followed up for 6 months. Results: The total number of patient was 16 patients; they had a …

Evaluation Of Implant Based Immediate Breast Reconstruction, Mohamed Hamed Elmeligy, Mohamed Sabry Ammar, Ahmed Fawzy Ahmed Dewidar, Mohamed Abdullah Elnahas

Menoufia Medical Journal

Objectives: To evaluate immediate breast reconstruction using silicone implant regarding: advantage, disadvantage, complications and aesthetic outcomes, Background: Reconstruction after mastectomy allows women to mitigate some of the emotional and aesthetic effects of this devastating disease. Although there are a variety of alloplastic and autologous techniques, they all aim to achieve the same objective: the successful reconstruction of a breast mound that appears as natural as possible, Methods: This study will be conducted on 19 patients at General Surgery Department, Menoufia University and Patients will be randomly selected, Results: Among our studied patients 31.6% developed post-operative complications after reconstruction. Among our …

Prevention Of Endometritis By Precesarean Section Vaginal Preparation Using Povidone–Iodine Versus Chlorhexidine, Abdlehamid E. Shahin, Elsayed Elshamy, Ragab M. Dawood, Samar R.M. El Hosary, Amira A. Fathey

Menoufia Medical Journal

Objectives

To compare the efficacy of povidone–iodine versus chlorhexidine in the prevention of postpartum endometritis and related febrile morbidity in women undergoing elective cesarean section (CS).

Background

Use of vaginal antiseptic preparation before CS reduced the risk of postoperative endometritis, and should preoperative vaginal with antiseptics be implement before CS.

Patients and methods

A randomized comparative observational study that was conducted on 110 patients at the Gynecology and Obstetrics Department of Menoufia University Hospital. Also, they were divided into group I which included 55 women, who were subjected to preoperative vaginal preparation with povidone–iodine and group II which included 55 …

Evaluation Of The Effect Of Using Vitamin C, Thiamine, And Hydrocortisone In Treatment Of Sepsis, Yasser I. Fathy, Nevine M. Soliman, Mahmoud T. El-Halwany

Menoufia Medical Journal

Objectives

To explore the effect of adding vitamin C, thiamine, and hydrocortisone to traditional treatment in treatment of sepsis.

Background

Sepsis is a life-threatening syndrome of a dysregulated host response to infection. Sepsis remains a significant cause of morbidity and mortality, despite advances in diagnosis and treatment. Using vitamin C, thiamine, and hydrocortisone to traditional treatment (Marik protocol) may play a key role in treatment of sepsis.

Patients and methods

This case–controlled study was conducted on 44 Egyptian patients diagnosed with sepsis according to sequential organ-failure assessment score then divided into two equal groups, half of them treated with traditional …

Evaluation Of Glycerol Antiseptic Effect On Gram Positive And Gram Negative Bacteria, Asmaa S. Sleem, Samar S. Salman, Wafaa A. Shehata, Amal M. Dawoud

Menoufia Medical Journal

Objectives: To assess glycerol antibacterial activity against both Gram positive and negative microorganisms, detect impact of increasing glycerol concentration in bacterial cultures on extra/ intracellular Glycerol-3-phosphate (G3P) concentration, evaluate antiseptic efficacy of different glycerol/alcohol formulations and monitor HCWs tolerability to these formulations to recommend the best antiseptic preparation in vitro. Background: The progressively rising nosocomial infections have enforced the need for novel infection prevention modalities. Glycerol emerges as a significant and cheap antibacterial agent against both Gram positive and negative organisms without any toxic effects. Methodology: Different glycerol/ethanol formulations were evaluated for both bacterial inhibitory and bactericidal activity against selected …

Ultrasound Guided Quadratus Lumborum Block In Cirrhotic Patients Undergoing Major Abdominal Surgery (Randomized Control Trial), Eman Sayed Ibrahim, Zeinab Fathy Elsayed Abdelaty, Mamdouh Elsayed Lotfy, Hanaa Saeed Abdelhafez, Wesam Eldin Abdelrahman Sultan

Menoufia Medical Journal

Objectives: to assess the effect of ultrasound-guided bilateral continuous anterior QLB on alleviating pain and fentanyl consumption in cirrhotic patients who undergoing major abdominal surgery. Methods: 60 cirrhotic patients undergoing major abdominal surgery were involved in this double blinded randomized control study. In group B bilateral anterior QLB with (0.4ml/kg) bupivacaine 0.25% in each space between QL and psoas major muscle then continuous infusion of bupivacaine 0.25% at dose 10ml/hr. In group S bilateral anterior QLB with equal volume of 0.9 saline in the same plane. Hemodynamics, intra and postoperative analgesic consumption, VAS score, incidence of nausea and vomiting, respiratory …

Diagnostic Approach And Risk Stratification Of Thrombocytosis: Integrating Morphological, Cytogenetic Features And Mpl Gene Mutation, Olfat M. Hendy, Dina A. Fouad, Shaimaa A. Pessar, Sara M. Aboagiza, Hanan M. Bedair

Menoufia Medical Journal

Objectives: To evaluate the integration of clinical, morphological, cytogenetic features and MPL gene mutation analysis in Egyptian patients with clonal thrombocytosis and correlate these finding to patient’s outcome. Background: Thrombocytosis can be caused by either reactive or autonomous processes as a result of genetic alterations that affect signaling pathway through gain-of-function activity of MPL (myeloproliferative leukemia virus), Janus kinase 2 (JAK 2), calreticulin (CALR). Methods: This study was conducted on 60 Egyptian patients having clonal thrombocytosis attending to clinical pathology department, Ain Shams University Hospitals during the period from August 2020 to December 2021. Complete blood count, LDH level and …

Role Of Mac-2-Binding Protein Glycosylation Isomer In Assessment Of Liver Fibrosis In Patients With Chronic Hepatitis C Virus Receiving Direct-Acting Antiviral Agents, Mohsen Elkhayat, Ayman El Lehleh, Noran T. Aboelkhair, Mai Abozeid, Hadeer A. Shahin, Naglaa S. Elabd

Menoufia Medical Journal

Objectives

We aimed to investigate the clinical usefulness of Mac-2-binding protein glycosylation isomer (M2BPGi) in liver fibrosis assessment within patients with chronic hepatitis C virus (HCV) at baseline and after direct-acting antiviral agent therapy.

Background

Considering fibrogenesis underlies various clinical outcomes in chronic hepatitis C-infected patients as decompensated liver disease and hepatocellular carcinoma, besides affecting the prognosis, it is critical to estimate the liver fibrosis extent within them.

Patients and methods

A total of 200 participants were included: 100 HCV-infected patients receiving direct-acting antiviral agent in addition to 100 healthy participants as controls. Clinical, laboratory (complete blood count, liver and …

Early And Midterm Outcomes Of Left Anterior Descending Coronary Artery Reconstruction In Extensive Coronary Artery Atherosclerosis, Hesham H. Ahmed, Khaled A. Sha’Aban, Ahmed L. Dokhan, Rafik F. Soliman, Mohammed G. Abdellatif

Menoufia Medical Journal

Objectives To assess the early and midterm postoperative outcomes of left anterior descending (LAD) artery reconstruction using the left internal mammary artery (LIMA) or venous patch in coronary artery bypass graft (CABG) operation. Background Treatment of patients with diffuse LAD atherosclerosis is a challenge due to its complexity. So those patients are potentially inoperable by conventional CABG. Reconstruction of the severely diseased LAD by the LIMA patch or venous patch is considered as a surgical option. Patients and methods The study was a prospective observational study and was conducted on 40 patients diagnosed to have extensive diffuse LAD atherosclerosis between …

Correlation Between Serum Uric Acid Level And Angiographic Severity Of Coronary Artery Disease In Patients With Acute Coronary Syndrome, Mohamed Yahia, Mustafa Ahmad, Ahmed Elkersh

Menoufia Medical Journal

Objective

The aim of this study was to evaluate the correlation between serum uric acid level and angiographic severity of coronary artery disease in patients with acute coronary syndrome (ACS).

Background

Hyperuricemia is associated with endothelial dysfunction and synthesis of free radicals that contribute to thrombus formation.

Patients and methods

This observational study was conducted in the Cardiology Department of Menoufia University Hospital and included 60 patients who were admitted withACS. Serum uric acid was measured at the time of admission. Coronary angiography was performed, and the severity of coronary artery disease was calculated by Gensini score.

Results

The mean …

Phosphorus: The Forgotten Electrolyte In The Paediatric Intensive Care Unit, Fady Mohamed Elgendy, Wafaa Abdelaziz Eladrosy, Muhammad Said El-Mekkawy

Menoufia Medical Journal

Objective To evaluate prevalence of hypophosphatemia and hyperphosphatemia and their association with outcome among critically ill children. Background Phosphorus is essential element for various biological functions but data about serum phosphorus level abnormalities among critically ill children are limited. Patients and methods Prospective observational study including children admitted into Pediatric Intensive Care Unit (PICU). Serum phosphorus was measured on admission, day4, day8, and day12. Pediatric Sequential Organ Failure Assessment (pSOFA) score was calculated on admission. Hypophosphatemia and hyperphosphatemia risk factors were determined. Results Hypophosphatemia and hyperphosphatemia were generally non-severe. Hypophosphatemic patients had higher frequency of sepsis on admission compared with …

Evaluation Of Results Of Percutaneous Acetabular Columns Fixation, Emad E. El Agroudy

Menoufia Medical Journal

Objective: Is to evaluate results of percutaneous screw fixation of acetabular column fractures. Design: This study included 18 patients with acetabular column fractures. They were fixed under fluoroscopy guidance by percutaneous column screws. Background: Acetabular geometry makes percutaneous screw insertion a challenging procedure. An anatomical reduction of acetabular fractures is a good predictor of functional outcome and reduced risk of posttraumatic osteoarthritis. The percutaneous technique allows for earlier return to activity and better pain control when compared with nonsurgical management. Percutaneous technique has been described in the literature as an adjuvant to open reduction and internal fixation. Results: According to …

Assessment Of Serum Copeptin Levels In Pediatric Patients With Sickle Cell Anemia, Mahmoud Ahmed El-Hawy, Amira M.F. Shehata, Basem Abd El-Fattah El-Gazzar, Ahmed Mostafa Ahmed Esmaiel, Mai El-Sayad Abd El-Hamid El-Saeedy

Menoufia Medical Journal

Objectives: To assess the serum copeptin levels in children with Sickle cell anemia. Background: Sickle cell anemia (SCA) is one of the most common hereditary diseases in the world. Copeptin is the C-terminal part of the prohormone for provasopressin and seems clinically relevant in various clinical conditions. Methods: This is a case control study conducted on 62 subjects, 31 pediatric patients with Sickle cell anemia and 31 healthy children, all aged 1 year to 18 to assess the serum copeptin levels in children with Sickle cell anemia. Who attended pediatric hematology clinics of the Menoufia university hospitals, during a period …

Combined Knee Arthroscopy With Medial Open Wedge High Tibial Osteotomy In Management Of Medial Knee Joint Disorder Of Adults Varus Knee, Emad Eid Elagroudy

Menoufia Medical Journal

Objectives: To elucidate the outcome of medial opening wedge high tibial osteotomy accompanied with arthroscopic management of medial knee joint mechanical disorders in adult patients with varus knee. Background: Medial open wedge high tibial osteotomy improves alignment and weight distribution in patients with varus knee deformity with intraoperative ability to adjust correction through one bone cut, without disruption of proximal tibio-fibular joint or lateral compartment invasion. Methods: The study included adult patients with symptomizing varus knees. A medial opening wedge was stabilized with osteotomy plate combined with arthroscopic intra articular management of medial knee disorders. Results: The study was conducted …

Lateral Extra-Articular Tenodesis Combined With Intra-Articular Acl Reconstruction In Management Of Anterolateral Knee Instability, Emad E. El Agroudy

Menoufia Medical Journal

Objectives: Was to evaluate the clinical and functional outcomes of combining lateral extra-articular tenodesis with arthroscopic anterior cruciate ligament reconstruction in treatment of high grade anterolateral rotational knee instability. Background: Lateral extra-articular tenodesis with arthroscopic anterior cruciate ligament reconstruction in treatment of high grade anterolateral rotational knee instability grants equivalent isokinetic muscle recovery as does stand-alone anterior cruciate ligament in knees with no rotational instability. Methods: This study was conducted on twenty patients with anterolateral knee instability. Lateral extra articular tenodesis using iliotibial band distally attached and fixed to lateral femoral epicondyle with intra articular arthroscopic anterior cruciate ligament reconstruction …

Role Of Transthoracic Ultrasound In Patient With Acute Dyspnea In Emergency Department, Ghada Ahmed Arafa, Hatem Mahmoud Sultan, Ahmed Amer Khamis, Tarek Mohey Rageh, Hanaa Abdelmohsen Eid

Menoufia Medical Journal

Objectives : To evaluate the role of transthoracic ultrasound in management of patients presented with acute dyspnea to the Emergency department. Background: Acute dyspnea is one of the main reasons for admission to the emergency department (ED). Physicians often need to make a rapid diagnosis and a treatment plan. Although traditional methods, they remain insufficient for final diagnosis, Transthoracic ultrasonography (TUS) has been used successfully as a bedside diagnostic tool for diagnosing chest and cardiovascular diseases. Methods: This prospective study was carried out on 96 patients with acute dyspnea at Emergency Department, Faculty of Medicine, Menoufia University Hospitals from May …