Obstetrics and Gynecology Commons^™

Accuracy Of Multi-Detector Computed Tomography Compared To Laparoscopy In Ovarian Cancer Staging, Awad Mahmoud Awad, Ahmed El-Sayed Mohammed Abd Elrahman, Mohamed Hasan Mohamed El-Kasser, Mohammad Abol Wafa Ahmad

Al-Azhar International Medical Journal

Background: When it comes to staging and monitoring ovarian cancer (OC), multidetector computed tomography (MDCT) of the abdomen is now the gold standard imaging scan. Most cases of OC that have metastasis to different locations in the body have done so via peritoneal metastases (PMs). In order to investigate whether or not the intraperitoneal cavity and retroperitoneal lymph nodes can be appropriately evaluated during laparoscopic staging of patients with OC, a prospective study was conducted. Aim and objectives: The main aim of this research is to contrast the accuracy of MDCT compared to diagnostic laparoscopy in staging of OC. Subjects …

Comparative Study Between Fibrin Glue And Intra Corporeal Mesh Fixation In Trans Abdominal Preperitoneal Laparoscopic Inguinal Hernial Repair, Mahmoud Tarek Mohammed Ahmed Moamn, Ashraf Abdel-Hammid Abdel-Monem, Abdel-Hafez Abdel- Aziz Selim

Al-Azhar International Medical Journal

Introduction: Inguinal hernia, which often necessitate surgery, have a prevalence of 15–45 percent around the world, depending on age. The most common surgical treatment for inguinal hernia is mesh implantation. Current surgical options for mesh fixation involve, but are not limited to, sutures, tacks or staples, self-fixing meshes, fibrin, and other glues. Aim: To evaluate the performance of fibrin glues and sutures for fixing mesh during laparoscopic inguinal hernia repair. Patients and Methods: Forty adult male patients with inguinal hernias were randomly assigned to have either laparoscopic transabdominal pre-peritoneal repair or open repair at Al-Azhar university facilities. Individuals were separated …

The Value Of Intraoperative Indocyanine Green Angiography To Assess Anastomotic Perfusion And Leakage In Patients Undergoing Laparoscopic Colorectal Resection: A Randomized Controlled Clinical Trial, Mohamed Mahmoud Eltaweel, Abdulhamed Hifny Mohamadain

Al-Azhar International Medical Journal

Background and Aim: Anastomotic leaking (AL) is a significant obstacle in colorectal surgery, with potential life-threatening consequences. Insufficient perfusion during surgery is one factor that can contribute to AL. Intraoperative angiography with indocyanine green (ICG) is a noninvasive imaging procedure that can monitor perfusion. This randomized controlled trial will investigate whether ICG angiography can decrease the frequency of AL and improve patient outcomes following laparoscopic colorectal resection. Methods: The clinical trial involved adult cases with a tumor located between 2 and 15 cm from the anal verge, who had colorectal anastomosis performed during colectomy or laparoscopic anterior rectal resection. The …

Outcome Of Management Of Invasive Lobular Carcinoma In Comparison To Invasive Duct Carcinoma, Walid Rafat Abdelaty

Al-Azhar International Medical Journal

Background: Among females, breast cancer has the highest incidence and is the leading cause of cancer-related death globally. Aim of the study: In contrast to invasive lobular carcinoma, the objective of this research is to examine how invasive duct carcinoma is managed. Patient and methods: This examined 200 women who were registered in the Al-Azhar University Hospitals database between January 2020 and December 2022 and were diagnosed with non-metastatic invasive breast cancer. The current investigation included cases with IDC or ILC histology based on the WHO classification's criteria. Results: The patient met the criteria for M0 illness by undergoing primary …

Comparison Between Modified Wittmoser Method And Conventional Thoracoscopic Sympathectomy In Treating Patients With Primary Hyperhidrosis, Mohamed Ibrahim Monier

Al-Azhar International Medical Journal

Background: Although thoracoscopic sympathectomy is a documented safe and effective procedure in the management of hyperhidrosis patients, some patients may develop compensatory sweating or recurrence after the procedure. That is why surgeons always seek modification of the conventional thoracoscopic procedure to obtain better outcomes. Herein, we evaluated the advantages of the modified Wittmoser technique (division of the rami communicants and interganglionic fibers) compared to the conventional one in patients with primary hyperhidrosis. Methodology: Fifty patients met our criteria and were divided into two groups: Group A had the conventional technique, and Group B had the modified Wittmoser technique. Follow-up was …

Evaluation Of Feeding Jejunostomy Vs Total Parenteral Nutrition In High Risk Surgical Patients, Mohammed Fathy Sharaf, Mahmmoud Abd Alhady Abd Al-Aziz, Ahmed Shawky Saber Abdel-Hady

Al-Azhar International Medical Journal

Background: Nutritional support continues to be a vital component in the care of the surgical patients. While its routine use in the healthy elective surgical patient is rarely necessary, it is indicated in severely catabolic patients or in the individual who cannot eat for a long period. Other factors influencing the need for nutritional support includes the age of the patient, the existence of malnutrition as well as its severity and presence of cancer cachexia. Aim & objectives: to evaluate feeding jejunostomy as a route of enteral nutrition in comparison with total parenteral nutrition (TPN) in high-risk surgical persons. Subjects …

Retrograde Popliteal Artery Access In Peripheral Arterial Angioplasty In Management Of Superficial Femoral Artery And Proximal Popliteal Artery Occlusive Lesions, Abd El Fattah Ali Ismail, Mohamed Yahia Zakaria, Mohammed Mustafa Taha Mustafa

Al-Azhar International Medical Journal

Background: Most peripheral artery disorders of the lower extremities are caused by femoropopliteal atherosclerotic disease. Femoropopliteal bypass surgery is the first-line revascularization method suggested for TASC-D SFA occlusions. Nonetheless, substantial success rates with endovascular therapy (EVT) in TASC D lesions are made possible by recent advancements in endovascular technology. Aim of the study: To assess the safety and efficacy of the retrograde popliteal artery approach as a first line of treatment for recanalization of proximal popliteal artery lesions and superficial femoral artery occlusive lesions in patients with critical lower limb ischemia. Patients and methods: This study is prospective and was …

Comparative Study Between Laparoscopic Varicocelectomy And Foam Injection Sclerotherapy By Using Interventional Catheterization In The Treatment Of Primary Varicocele, Mohamed Abd El-Hamid Abd El-Rahman, Mohamed Hamza Hamed, Mohamed Akram Abdo Mohamed

Al-Azhar International Medical Journal

Background: The incidence of varicocele in the general population ranges from 15 to 20%, and 30 to 40% in infertile men. Varicocele is dilated tortuous veins of the pampiniform plexus the venous sinuses that drain the testicles. These sinuses primarily drain into the internal spermatic vein (gonadal vein). Aim and objectives: to compare between laparoscopic varicocelelctomy versus foam injection sclerotherapy of a polidocanol in a concentration of 3% solution, by using interventional catheterization in the treatment of primary varicocele. Subjects and methods: This prospective randomized study was be conducted on 50 patients with primary varicocele. It was be conducted in …

The Adjuvant Therapeutic Effect Of Probiotics On The Anthropometric Measurements And Metabolic Parameters In Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Clinical Trial, Abdulhamed Hifny Mohamadain, Mohamed Mahmoud Eltaweel

Al-Azhar International Medical Journal

Background and Aim: Metabolic diseases, such as chronic low-grade inflammation, insulin resistance and adipocyte hypertrophy have been linked to obesity. The influence of perioperative probiotic administration on bariatric surgery yielded conflicting results. We directed this randomized controlled study to outline the effects of probiotic administration on the effects of laparoscopic sleeve gastrectomy. Patients and Methods: This randomized, double-blinded, placebo-controlled study included 83 cases, undergoing laparoscopic sleeve gastrectomy, to take either probiotics or placebo. The primary result was the anthropometric measurement at 3 months after the surgery. The secondary outcomes included lipid profile, glycemic control and serum vitamins D and B12. …

Evaluation Of Laser Ablation In Treatment Of Pilonidal Sinus Short Title: Laser In Pilonidal Sinus, Muhammad Fathy Sharaf, Ibrahim Aboulfotoh Muhammad, Bilal Muhammad Mansour

Al-Azhar International Medical Journal

Background: Pilonidal sinus (PNS) is defined as a tract or cavity in subcutaneous tissue of natal cleft of the sacrococcygeal area. PNS usually complicated by repeated infection and chronic inflammation. It is a widespread condition with a reported incidence of 26 per 100,000. Despite being a benign illness, it limits patients' everyday activities due to discomfort, discharge, and occasionally unpleasant odder.

Aim of the study: The purpose of this research is to assess the efficacy of laser ablation as a less invasive method for treating PNS.

Patients and methods: This case series study was performed on 30 patients collectively who …

Evaluation Of Prostaglandin E1 Analogues To Promote Wound Healing After Infrapopliteal Angioplasty In Patients With Critical Limb Ischemia, Mohamed Moukhtar Abd Al-Fattah Elbnawany, Alaa Eddin Mostafa Kamal Sharaby, Ahmed Saied Ahmed Daha

Al-Azhar International Medical Journal

Introduction: Revascularization is the cornerstone of critical limb ischemia (CLI) treatment for lower limb preservation.2 Prostaglandins E1 analogues has a vasodilator effect. Its pharmacological effect have been documented in preclinical and clinical studies.3 this study aim to study the evaluation of prostaglandins E1 analogue to promote wound healing in patients affected by ischemic foot ulcers after infra-popliteal angioplasty.

Patients and methods: This is prospective cohort study conducted on 40 patients with critical limb ischemia after failed infrapopliteal angioplasty. Wound assessment was done according to WIFI classification. After debridement of ischemic wound, prostaglandins E1 analogues infusion administered twice daily. additionally, we …

Effect Of Sleeve Gastroectomy On Infertility In Females With Polcystic Ovaries Syndrome, Walid Rafat Abdelaty, Wael Soliman Taha Soliman

Al-Azhar International Medical Journal

Background:

A 9 percent fraction of the people who contributed were asymptomatic. It had also been inquired of the participants as to whether or not they suffered from any other medical ailments. 52.5 percent of the women were fat, although only 29 percent of them had any other medical issues. The patient's self-assessment was utilized as the only basis for determining whether or not a patient was obese. 14 percent of the various contributions were diagnosed with thyroid illness.

Aim of the work: This find out about aimed to look at and to discover the impact of a gastric sleeve …

Prophylactic Cholecystectomy During Laparoscopic Sleeve Gastrectomy Operation, Mohamed Sobhy Teama, Abdelhafez Abdelaziz Selim, Ahmed Hamdy Ahmed Elwakedy

Al-Azhar International Medical Journal

Background; One of the biggest issues facing public health is obesity. The World Health Organization considers obesity to be an epidemic in developed nations and is concerned about the toll it has on people's health, healthcare systems, and economies in general, Aim and objectives: This prospective case control study's objective was to assess the frequency of cholelithiasis after laparoscopic sleeve gastrectomy in patients who were morbidly obese and had no prior history of calcular cholecystitis. Patient and methods: This study a prospective case control study was carried on 100 patients with morbid obesity admitted to alazhar university hospitals and damanhour …

Incidence And Management Of Vomiting After Laparoscopic Sleeve Gastrectomy, Mohamed Arafat Abdul-Maksoud, Osama Al-Mezaien, Mohamed Atta Hassanain Swelam

Al-Azhar International Medical Journal

Introduction: morbid obesity is a serious health concern on a global scale. Laparoscopic sleeve gastrectomy remains one of the safest and most effective modern surgical options for the treatment of morbid obesity. Although the laparoscopic sleeve gastrectomy is safe and efficacious, post-operative vomiting is abundantly common and problematic. Aim: This study's objective was to assess the frequency of vomiting six months after a laparoscopic sleeve gastrectomy, it's causes with investigations and ways of management. Patients and methods: This study comprised eighty (80) people who were morbidly obese. Preoperative evaluations and a 6-month postoperative follow-up were performed on all patients undergoing …

Comparative Study Between Effect Of Laparoscopic Sleeve Gasterecomy And Laparoscopic Mini Gastric Bypass On Cholesterol And Triglycerides In Obese Patients, Mostafa Mahmoud Ismail Elmohr, Mohamed Ibrahim Al Anany, Ahmed Abd El Aal Sultan

Al-Azhar International Medical Journal

Background: Only bariatric surgery has been demonstrated to produce sustained weight loss and alleviation of obesity-related health complications. Named laparoscopic sleeve gastrectomy and Mini Gastric Bypass. Objectives: to assess the effects of the two surgical procedure of bariatric surgery, MGB & sleeve gastrectomy, on total cholesterol (HDL-LDL) and TG, and to compare the findings among the two groups. Patients and Methods: This research was performed on twenty four morbidly obese individuals with dyslipidemia. This includes twelve cases that underwent MGB Group one and twelve cases Group two underwent sleeve gastrectomy ,The anthropometric data and lipid profile of patients were evaluated …

Evaluation Of The Role Of Upper Gastrointestinal Endoscopy Prior To Laparoscopic Sleeve Gastrectomy, Helaly Boray Ahmed Ibrahiem, Ahmed Ibrahim Shehata Kawashty, Osama Othman Aly Khalil

Al-Azhar International Medical Journal

Background; Undergoing routine upper gastro intestinal endoscopy before LSG is still a matter of debate till now. Aim and objectives: The purpose of this study was to evaluate the role of upper gastrointestinal endoscopy in obese patients prior to laparoscopic sleeve gastrectomy as regard the presence or absence of any causes of GERD, hiatus hernia, gastric ulcer, or other upper G I T abnormality. Patients and methods: This prospective study was conducted at Al-Azhar University Hospitals from March 2020 March 2022. Result; One week before the operation all patients underwent upper gastrointestinal endoscopy. Only 6 patients (10%) had normal upper …

Prevalence Of Breast Cancer Among Patients With Non-Bloody Breast Discharge, Mohamed Ahmed Saeed, Emad Ads Elewesy, Al-Sayed Mohamed Tealeb, Mohamed Hussein Ali Mohamed

Al-Azhar International Medical Journal

Background: Up to 80% of women will have an incidence of nipple discharge, making it the third most prevalent breast-related symptom. Nipple discharge is usually considered as physiologic if it is bilateral, non-bloody from multiple ducts and not associated with mass, pain or hormonal disturbance. Mammography has a poor sensitivity for abnormality identification in individuals with pathologic nipple discharge. As a result, other tests including galactography, ultrasound, MRI, and cytology must be added to mammography. Diagnostic mammography and sub areolar ultrasound are the preferred imaging modalities for pathologic nipple discharge. Aim: Objective of the study is to evaluate the incidence …

The Effect Of Bariatric Surgery On Infertility In Obese Females, Ashraf Abd El-Hamid Abd El-Moneim, Mohammed Sobhy Taema, Yousof El-Sayed Abou Shady, Mostafa Mohammed Ibrahim Darwesh

Al-Azhar International Medical Journal

Background; Obesity is becoming more common among women of reproductive age all around the world. Currently, it is believed that bariatric surgery is the most efficient, long-term solution to this issue. Aim and objectives; to evaluate the effectiveness & results of bariatric surgery on females with 1ry or 2ry infertility following the procedure, Subjects and methods: 40 participants participated in this prospective, randomised, and double-blind trial presented by morbid obesity with subsequent obstacles on fertility & pregnancy. All patients were submitted to surgical treatment for obesity from November 2018 to November 2020 in the general surgery ward of Al-Azhar university …

Surgical Management Of Female Breast Cancer Patients After Neo-Adjuvant Chemotherapy For Infiltrating Duct Carcinoma, Saif El-Din Mahmoud El-Soudani, Mohamed Abdel Fattah Imam, Osama El-Said Abdallah Mohammed

Al-Azhar International Medical Journal

Background; Neoadjuvant chemotherapy (NAC) is defined as standard of care for management of advanced breast cancer & is being used for females with earlier stage disease, however this therapy has been confined for those with inoperable breast cancer, Aim and objectives; to assess surgical management of woman breast cancer studied cases after neoadjuvant chemotherapy for infiltrating ductal carcinoma, Subjects & techniques; This research will be carried on 60 female studied cases ranging from 20-60 years old, who will be recruited from the surgical oncology department in AL-Hussein and Sayed Galal hospitals and Damanhour Oncology Center, Al-Azhar university hospitals and all …

Management Of Leak After Gastrointestinal Surgeries, Alaa Amer Mohamed El-Sayed, Mohamed Sobhy Teama, Abdulhafz Abdulaziz Abddulhafz

Al-Azhar International Medical Journal

Background:

A rate of 4-8% of gastrointestinal surgical complications include fistula and anastomotic leakage of the upper gastrointestinal tract. When done for cancer, postoperative leaks following esophagectomy and gastroplasty occur in around 7%-8% of patients.

Aim of the work: The main aim of this study is to reach the ideal management for each leak according to site of the anastomosis. The goal of this update is to present the general principles of diagnosis, and treatment of AL in gastrointestinal surgery, with a specific focus on esophagogastric, bariatric, small bowel and colorectal surgery.

Patient and method: This research was carried out …

Fast Track Protocol In Bariatric Surgery, Magdy Mahmoud Moustafa, Mohamed Hassan El-Kasser, Hossam El-Din Abd El-Latif Habib

Al-Azhar International Medical Journal

Background: Overweight and obese are linked to a significant increase in the type2 DM, Hypertension, Cardiovascular disease, NASH, Gallbladder diseases, sleep apnea syndrome, arthritis, several tumors, and GERD. Weight loss surgery is referred to as bariatric surgery. The four most popular bariatric surgical methods are adjustable gastric banding (AGB), gastric bypass, sleeve gastrectomy (SG) (5), and sleeve gastrectomy with sleeve irradiation (SASI). A Fast Track Pathway is a multidisciplinary technique to improve postoperative recovery and decrease morbidity by decreasing surgical stress and its repercussions. Stress-Free surgery Aim: Evaluating applications of a Fast Track Protocol in bariatric surgery in order to …

Efficacy Of Prophylactic Sub Lay Non-Absorbable Mesh Positioning Following Midline Laparotomy In A Clean Abdominal Operations, Magdy Mahmoud Moustafa, Osama Fathy Al-Mezaien, Nasser Khaled Kareem Saed

Al-Azhar International Medical Journal

Background: An incisional hernia is a common issue that arises after a midline laparotomy. The prevalence rate may be as high as 70% in some high-risk groups.

Aim and objectives: The research was conducted to determine how effective preventive sub lay mesh repair is for reducing the occurrence of midline incisional hernia following laparotomy in clean abdominal procedures.

Subjects and methods: General surgery wards of Al-Azhar University Medical Centers were used for this prospective randomised control trial. Thirty patients receiving midline laparotomy in clean fields participated in this research. One group (the Mesh group) underwent sub-lay closure supported by non-absorbable …

Reduction Mammoplasty For Non Cosmetic Indications, Mohamed Ahmed Saeed, Adel Mohammad Lasheen, Walid Rafat Abdelaty, Ahmed Hamza Al-Sisi

Al-Azhar International Medical Journal

Background: Although the results of reduction mammoplasty are equivalent to those of other unquestionably effective surgical treatments like hip and knee total joint replacement, reduction mammoplasty is showing to be effective in symptom reduction and in improving the quality of life for individuals with symptomatic macromastia . Purpose: Examining the results and impact of reduction mammoplasty for therapeutic rather than aesthetic purposes. Patients & Methods: There are 50 participants with breast enlargement in this prospective trial. Breast enlargement causes body imbalance in all of them, which results in physical dysfunctions, psychological illnesses, and feelings of social inadequacy. So, they submitted …

Modalities Of Pancreatic Duct Drainage After Whipple Procedure, Magdy Salah El-Din Hussain, Mahmoud Abd-El-Hady Abd-El-Aziz, Ahmed Alsayed Mohamed Abd Elrahman, Al Sayed Fottohabd El Wanis El Garhy

Al-Azhar International Medical Journal

Background: Surgery is the primary mode for treatment of pancreatic cancer. Surgical options include Whipple surgery (pancreaticoduodenectomy) with or without pylorus preservation. The Whipple surgery, also known as a pancreaticoduodenectomy, is a significant operation used to remove malignancies from the periampullary region and the pancreatic head. Aim: To assess two techniques of pancreatic duct anastomosis after Whipple pancreaticoduodenectomy and compare these techniques as regard operative procedure and postoperative complications. Subject and Methods: Thirty patients at Al-Azhar University Hospitals with pancreatic or periampullary lesions requiring Whipple pancreaticoduodenectomy were analyzed in this research. Results: there was no statistically significant difference among our …

Comparative Study Between Lateral Internal Sphincterotomy Vs. Botulinum Toxin Injection In The Treatment Of Chronic Anal Fissure, Ibrahim Abo El-Fotouh Mohamed, Mohamed Ibrahim Shalamesh, Ahmed Shaker Mohamed Badawy

Al-Azhar International Medical Journal

Background: Anal fissure is one of the most public proctologic illnesses. Breaking the vicious cycle of spasm, ischemia, and pain in CAF is accomplished with surgical or medical procedures. Surgical procedures, such as anal dilatation, posterior midline sphincterotomy, and lateral internal sphincterotomy (LIS), have been the gold standard treatment for anal fissure. botulinum toxin injection seems to be an optimal non-operative therapy with similar healing rates but lowest rate of recurrence. Patients and methods: This is a prospective observational trial was carried out at Department of general Surgery, Faculty of Medicine, Al-Azhar University hospitals. This study was conducted on 50 …

Comparative Study Between Non Reinforced Staple Line And Reinforced Staple Line During Laparoscopic Sleeve Gastrectomty., Moustafa Abdou Mohammed Kedra, Abd El Wahab Madbouly Abd El Wahab, Mohamed Sobhy Shaaban

Al-Azhar International Medical Journal

Background: laparoscopic sleeve gastrectomy (LSG) is Increasing in Recognition rapidly & is becoming preferred method for many obese individuals as well as their doctors throughout the world. Reinforcing the staple line has been suggested as a way to lessen the likelihood of bleeding besides leakage at the gastric staple line. Reinforcement, oversewing & buttressing inside the stapler load are all possible choices for reinforcing the staple line.

Objectives: Throughout LSG, the staple line can either be left unreinforced or reinforced with sutures.

Patients and methods: fifty individuals from the surgical departments at AL-AZHAR university hospitals participated in this prospective randomized …

Comparative Study Between Using Of Synthetic Arteriovenous Fistula And Fistula Between The Brachial Artery And Vein For Hemodialysis In Patients With Exhausted Superficial Veins, Mohamed Abd El-Hamid Abd Abd-El-Rahman, Hany Abd El-Momen Abd El-Fattah, Ahmed Attia Shaban Soliman

Al-Azhar International Medical Journal

Background: The high morbidity, mortality, and economic burden associated with end-stage renal disease (ESRD) make Is a Serious Hazard to Public Health. Dialysis access, once established, must be carefully maintained. When it comes to providing care for patients with ESRD, vascular surgeons play a vital role in facilitating hemodialysis access. Aim and objectives: study comparing the outcomes of dialysis through a native brachial artery-brachial vein arterio-venous fistula vs a prosthetic brachio-axillary graft in cases with chronic renal failure and depleted upper extremity superficial venous accesses. Subjects and methods: Sixty individuals with ESRD took part in the study's prospective randomized trial. …

Role Of Intravascular Ultrasound Use In Patients Undergoing Endovascular Aorto-Iliac Aneurysm Repair, Mohhamed Yahia Zakaria, Abdelfatah Ali Ismail, Hossam Mohammed Abd El Wahab El Gendy

Al-Azhar International Medical Journal

Background: Early endovascular procedures were used to treat elderly patients with severe co-existing conditions who couldn't undergo open surgery. Aim of work: The study aimed to evaluate the IVUS's effectiveness in performing endovascular repair of abdominal aortic aneurysm and its involvement in chronic renal disease, as well as to compare the accuracy of aortic measurements performed with IVUS and intra-arterial contrast agent. Patients and Methods: Between December 2017 and December 2019, this prospective, randomized, single-blinded research was carried out at military hospitals and Al-Azhar University hospitals. It included twenty patients complaining of infrarenal abdominal aortic aneurysm. According to treatment policy, …

Mini Gastric Bypass For Weight Gain After Sleeve Gastrectomy, Ahmed Sameer Abdelshafy Sherif, Mohammed Arafat Abdel-Maksoud, Mohamed Ibrahim Henish

Al-Azhar International Medical Journal

Background: Surgery for morbid obesity causes a significant, sustained weight loss that lowers obesity-related morbidity and improves survival as compared to those getting optimal medical treatment.

Long-term SG outcomes with over 10 years of follow-up have recently become available, and they show that those who come with weight loss failure (WLF) due to insufficient weight loss (IWL) or weight regain (WR) and/or complications like gastroesophageal reflux disease (GERD).

So, revisional surgery following SG is becoming more prevalent for bariatric surgeons. Following a failed sleeve gastrectomy, LMGB was recently used as a complementary procedure; this study aimed to examine the viability, …

Patient Selection For Laparoscopic Fundoplication In Chronic Gastroesophageal Reflux Disease, Saif Eldin Mahmoud Elsodany, Emad Ads Elewesy, Ahmed Shaban Maraey Maraey

Al-Azhar International Medical Journal

Background: Today's society is most affected by gastroesophageal reflux disease (GERD). It accounts for most US gastrointestinal disease treatment expenses and low quality of life scores. Aim and Objectives: In order to provide more conclusive proof in the treatment of GERD with either partial or whole laparoscopic fundoplication. Patients and Methods: Thirty people diagnosed with GERD participated in the research study. The proper selection of patients to undergo anti-reflux surgery is essential to achieving positive results from the operation. On pH investigations, evidence of reflux should be present in every patient who is scheduled to have surgery to treat reflux …