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Correlation Between Subclinical Hypothyroidism And Repeated Miscarriage In Pregnant Women, Haitham A. Azeem, Ali A. Madian, Mohamed R. Izzaldin, Mona R. Mohamed 2024 Professor and Head of the depatment of Internal Medicine, Faculty of Medicine, Al -Azhar University-Assiut

Correlation Between Subclinical Hypothyroidism And Repeated Miscarriage In Pregnant Women, Haitham A. Azeem, Ali A. Madian, Mohamed R. Izzaldin, Mona R. Mohamed

Al-Azhar International Medical Journal

Background: Abortion is a minor complication of pregnancy, defined as the spontaneous loss of the fetus, which occurs in 15-20% of pregnant women. Recurrent miscarriages, which occur in approximately 1% of women of childbearing age and are defined as miscarriages of two or more pregnancies in consecutive pregnancies. Aim: To determine the association between subclinical hypothyroidism in pregnant women and recurrent miscarriage. Patients and Methods: This observational study was conducted in December 2021 and May 2022 on nine pregnant women at Assiut University's Al-Azhar Hospital. Patient groups who complained of recurrent miscarriage (at least two unexplained recurrent miscarriages) and control …


Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd EL-Galil 2024 Internal Medicine, Faculty of Medicine, Al -Azhar University-Assiut branch, Egypt.

Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil

Al-Azhar International Medical Journal

Background: Diabetes has become an important risk factor for major morbidity and death, hospitalizations, disease severity, acute renal failure, acute respiratory distress syndrome, ICU admissions and patient death. with coronavirus disease 2019. Aim: To study glycemic changes and outcomes in diabetic and non-diabetic patients hospitalized with COVID-19. Patients and Methods: In this retrospective study, 500 hospitalized adult patients over 18 years of age with COVID-19 were referred to Al-Azhar – Assiut and Chest – Assiut University Hospitals with nasopharyngeal vaccination against SARS-CoV-2. Our study spanned approximately seven months of confirmed COVID-19 from January 2021 to July 2021. Results: Patients with …


Assessment Of The Prevalence Of Pulmonary Hypertension And Volume Status In Regular Hemodialysis Patients, Ahmed Alaa Eldin Ahmed Saad, Abd elhamid Ismaeil Abd elhamid, Mohamed Hassan Attia, Ali Ashraf Abd Elaty Ali 2024 Professor of Internal Medicine &Nephrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Assessment Of The Prevalence Of Pulmonary Hypertension And Volume Status In Regular Hemodialysis Patients, Ahmed Alaa Eldin Ahmed Saad, Abd Elhamid Ismaeil Abd Elhamid, Mohamed Hassan Attia, Ali Ashraf Abd Elaty Ali

Al-Azhar International Medical Journal

Background: Cardiovascular disease is well acknowledged as a significant cause of death among individuals diagnosed with chronic renal disease. It constitutes approximately 50 percent of mortality cases among those undergoing dialysis treatment. In recent studies, it has been discovered that the presence of pulmonary hypertension serves as a robust and autonomous prognostic indicator for mortality among those undergoing hemodialysis. Aim of work: to assess the prevalence of pulmonary hypertension and its relation to volume status in hemodialysis patients. Patients and Methods: a prospective comparative study that was conducted on (50) patients on regular hemodialysis in the Nephrology Unit of Kobry …


Assessment Of Changes In The Anterior Segment By Anterior Segment Optical Coherence Tomography And Intraocular Pressure After Phacoemulsification In Glaucomatous And Non-Glaucomatous Patients, Mahmoud Abd El-Haleem Soliman Rabee, Hassan Metwally Bayoumy, Osama Ramadan Mahmoud 2024 Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Assessment Of Changes In The Anterior Segment By Anterior Segment Optical Coherence Tomography And Intraocular Pressure After Phacoemulsification In Glaucomatous And Non-Glaucomatous Patients, Mahmoud Abd El-Haleem Soliman Rabee, Hassan Metwally Bayoumy, Osama Ramadan Mahmoud

Al-Azhar International Medical Journal

Background: Phacoemulsification is widely recognized as the prevailing ocular surgical procedure conducted on a global scale. Multiple studies have provided evidence of a decrease in intraocular pressure (IOP) following phacoemulsification. The assessment of anatomical features in the anterior chamber has emerged as a key area of interest in determining the extent of IOP reduction following cataract surgery. Anterior Segment Optical Coherence Tomography(AS-OCT) has recently emerged as an objective and noninvasive method to assess the anterior chamber anatomy. Aim of the work: The aim of the work is to study the effect of phacoemulsification on the anterior chamber and IOP in …


Phacoemulsification In Cases Of Zonular Weakness Using In Situ Nuclear Disassembly Without Nuclear Rotation, Mohammed Abdel Moneim Mahdy, Hossam Zeyada, Youssef Hassan Mohammed Ibrahim Mansour 2024 Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Phacoemulsification In Cases Of Zonular Weakness Using In Situ Nuclear Disassembly Without Nuclear Rotation, Mohammed Abdel Moneim Mahdy, Hossam Zeyada, Youssef Hassan Mohammed Ibrahim Mansour

Al-Azhar International Medical Journal

Background: Due to zonular dehiscence or weakness, cataract surgery may result in late intraocular lens subluxation or dislocation, vitreous loss, dropped nuclei fragments, or all of these complications. Aim of the work: The objective of this study is to evaluate the occurrence and intensity of intraoperative problems in pseudoexfoliation (PEX) cases when employing in situ nuclear disassembly without nuclear rotation. Patients and methods: On 100 eyes of 100 cases with zonular weakness, this prospective, interventional, comparative study was carried out. Fifty patients undergoing phacoemulsification with in situ nuclear disassembly and the other 50 patients undergoing conventional chopping technique whom were …


Using Of Fragment Specific Plate 2.5 Millimetre In Cases Of Distal Radius Fracture, Ibrahim Ahmed Hussien, Amro Ahmed Fouaad, Ahmed Samy Al-noamany 2024 Department of Orthopedic Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt

Using Of Fragment Specific Plate 2.5 Millimetre In Cases Of Distal Radius Fracture, Ibrahim Ahmed Hussien, Amro Ahmed Fouaad, Ahmed Samy Al-Noamany

Al-Azhar International Medical Journal

Background: Fractures of the distal radius inside the joint are a common injury. Whether caused by high-energy trauma or, more commonly among the elderly and those with osteoporosis, low-energy trauma, these fractures tend to be unstable and require immediate medical attention. The use of external fixators for intra-articular distal radius fractures has been supplanted by the use of internal fixators. Aim and objectives: to examine the radiological and clinical results of treating distal radius fractures that occurred on the dorsum of the individual's right and left arms (dorsal or dorso-radial) using a fragment-specific plate (2.5 mm). Subjects and methods: Hospitals …


Liver Biochemical Abnormalities Among Covid-19 Patients, Sahar Hassan Abd-Allah, Ashraf Mohammad Elkabeer, Ahmed Mohamed Mostafa, Ayman Abd Elaziz Abd Elrhman, Ebtisam Showky Ahmed Hassanin 2024 Resident Physician in Internal Medicine Diseases, Al-Azhar University Hospital - Assiut

Liver Biochemical Abnormalities Among Covid-19 Patients, Sahar Hassan Abd-Allah, Ashraf Mohammad Elkabeer, Ahmed Mohamed Mostafa, Ayman Abd Elaziz Abd Elrhman, Ebtisam Showky Ahmed Hassanin

Al-Azhar International Medical Journal

Background: The sever acute respiratory syndrome corona virus-2 (SARS_CoV-2) is a novel Corona virus that causes Corona virus disease 2019 (COVID- 19). Except for respiratory symptoms, COVID-19 patient often develop different degrees of liver injury. Notably, COVID-19 patients with pre-existing liver diseases, especially liver cirrhosis, have higher incidence of liver biochemical abnormality, liver injury, and even hepatic decompensation event. Aim: To determine the liver biochemistry changes in COVID-19 patients. Patients and methods: In this retrospective study was conducted in quarantine department, Assuit Chest Hospital was conducted on 761 COVID-19 patients. Patients were divided into 2 groups: hepatic and non-hepatic groups. …


Comparative Study Between Intrathecal Hyperbaric Prilocaine Versus Hyperbaric Bupivacaine In Anorectal Surgery, Saeed Mohammed Ali Fayed, Ahmed Mahmoud Mohammed El-Garhy, Mohammed Zakaria Gad El-karem Abd El-Aziz 2024 Professor of Anesthesiology and Intensive Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Comparative Study Between Intrathecal Hyperbaric Prilocaine Versus Hyperbaric Bupivacaine In Anorectal Surgery, Saeed Mohammed Ali Fayed, Ahmed Mahmoud Mohammed El-Garhy, Mohammed Zakaria Gad El-Karem Abd El-Aziz

Al-Azhar International Medical Journal

Background: The prevalence of ambulatory anorectal surgeries has been increasing, these procedures are deemed appropriate for day case surgery with the use of spinal anaesthesia. This study aims to compare the anaesthetic characteristics of intrathecal hyperbaric bupivacaine 0.5% and intrathecal hyperbaric prilocaine 2% in the context of elective anorectal surgery. Patients and Methodology: The research methodology used in this study is a prospective, double-blinded randomized approach. A total of eighty-eight patients were divided into two similar-sized groups, and randomly allocated to the trial. Group A, got intrathecal administration of 15 mg hyperbaric bupivacaine 0.5%, whereas group B, received intrathecal administration …


Sonographic Prevalence Of Peripheral Enthesitis Among Patients With Inflammatory Bowel Disease (Ibd), Abdul Rahman S. Hamid, Mohamed I. AbdelKareem, Amro Metwaly Hassan, Mohamed Z. Shoaeir 2024 Rhematology & Rehabilitation Faculty of Medicine Al-Azhar University (Assiut), Egypt.

Sonographic Prevalence Of Peripheral Enthesitis Among Patients With Inflammatory Bowel Disease (Ibd), Abdul Rahman S. Hamid, Mohamed I. Abdelkareem, Amro Metwaly Hassan, Mohamed Z. Shoaeir

Al-Azhar International Medical Journal

Background: Musculoskeletal manifestations are the most frequent extra-intestinal complications of IBDs, and they are an important cause of morbidity and impairment of quality of life. Aim: to assess the prevalence (frequency and pattern) of peripheral enthesitis in patients with IBD by using B-mode ultrasonography and power Doppler ultrasonography (PDUS) with Glasgow Ultrasound Enthesitis Scoring System (GUESS) and correlate these findings with clinical and laboratory parameters of IBD. Patients and Methods: In this observational study 50 people with inflammatory bowel diseases (IBD)—ulcerative colitis (UC), Crohn's disease (CD), and rheumatoid arthritis (RA)—were included, there were 33 The patients chosen from those who …


Ultrasound-Guided Transversus Abdominis Plane (Tap) Block For Pain Control In Patients Intraoperative Cesarean Section, Yehia Abdel Salam Wafa, Mofeed Fawzy, Mohamed Othman Mahmoud Nagy 2024 Professor of Obstetrics and Gynecology, Faculty of Medicine, Al- Azhar University, Cairo, Egypt;

Ultrasound-Guided Transversus Abdominis Plane (Tap) Block For Pain Control In Patients Intraoperative Cesarean Section, Yehia Abdel Salam Wafa, Mofeed Fawzy, Mohamed Othman Mahmoud Nagy

Al-Azhar International Medical Journal

Background: Transversus abdominis plane (TAP) block is a peripheral nerve block that anesthetizes the abdominal wall. The thoracolumbar nerves (T10-L1) are located in the fascial plane (TAP) among the internal oblique & transverses abdominis muscles. Aim of the study: The objective of the research is to analyze the evidence and assess the analgesic efficacy of ropivacaine TAP block for 24 hours following Pfannenstiel incision caesarean surgery. Patients and methods: A prospective randomized controlled clinical trial was conducted on 60 females undergoing cesarean section in the Department of Obstetrics and Gynecology of Al-Azhar University Hospital and El-Fayoum General Hospital. The participants …


The Impact Of Ventricular Dominance On The Early Outcome Of Bidirectional Glenn Shunt In Children, Ahmed Mohamed Al Etreby, Zakaria Moustafa El- Mashtoly, Bahaa Abd Elgawad Hassan El khonezy 2024 Misr children hospital cairo, EGYPT

The Impact Of Ventricular Dominance On The Early Outcome Of Bidirectional Glenn Shunt In Children, Ahmed Mohamed Al Etreby, Zakaria Moustafa El- Mashtoly, Bahaa Abd Elgawad Hassan El Khonezy

Al-Azhar International Medical Journal

Background: Patients with UVH currently are accounting for about 20% of patients with complex heart defects, and have the highest mortality. Mortality is high during initial treatment and during long-term follow-up. Aim of the Work: to compare the outcome after BDG procedure in patient with dominant RV and patient with dominant LV as a palliative procedure. Patients and Methods: A prospective comparative non-randomized controlled trial included 60 patient's undergone BDG (30 patients having pathology of dominant RV, and 30 patients having pathology of dominant LV). Patients were collected from Al-Azhar university hospitals and of Misr children hospital during the period …


Comparison Between Transcerebellar Diameter And Biparietal Diameter And Femur Length For Gestational Age Measurement Accuracy In Third Trimester, Abd Almenem zakaria, Ahmed Mohamed Saeed, Mohammed Hassan Mohammed 2024 Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Comparison Between Transcerebellar Diameter And Biparietal Diameter And Femur Length For Gestational Age Measurement Accuracy In Third Trimester, Abd Almenem Zakaria, Ahmed Mohamed Saeed, Mohammed Hassan Mohammed

Al-Azhar International Medical Journal

Less of the physiologic diversity of late gestation was evident in transcerebellar diameter (TCD) compared to several other biometric measures. Menstrual history, clinical examination, and ultrasound are all used to estimate the gestational age of a fetus. In the absence of known risk factors, diagnostic ultrasonography is routinely used to monitor fetal development & confirm the presence of clinical complications. Our study aimed at comparison of the current last menstrual period, femur length, as well as biparietal diameter with transcerebellar diameter measurement for estimating gestational age in the third trimester. Our study was an observational trial was carried out on …


Covid-19 Affects Cardiovascular System 6 Months After Symptoms In Pediatric, Al Hussein Mustafa Zahran Ahmed, Alsayed Ali Abdou Almarghany, Ahmed Ali Faheem Abdo, Moustafa Mohamed Mohamed Eldeib, Ali Elsayed Ali Elagamy, Abdou Mohamed Abdou Mahmoud, Mostafa Abd Elazeem Hassan Ahamed, Ahmed Ali Ali Assem, Hossam M. Farid El-Zamek, Abdelmaaboud M. M. Omar 2024 Department of Cardiology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt

Covid-19 Affects Cardiovascular System 6 Months After Symptoms In Pediatric, Al Hussein Mustafa Zahran Ahmed, Alsayed Ali Abdou Almarghany, Ahmed Ali Faheem Abdo, Moustafa Mohamed Mohamed Eldeib, Ali Elsayed Ali Elagamy, Abdou Mohamed Abdou Mahmoud, Mostafa Abd Elazeem Hassan Ahamed, Ahmed Ali Ali Assem, Hossam M. Farid El-Zamek, Abdelmaaboud M. M. Omar

Al-Azhar International Medical Journal

Background: Coronavirus disease 2019 (COVID-19), which resulted in a global pandemic, is caused by severe acute respiratory syndrome coronavirus 2. We aimed to highlight the cardiovascular involvement in children after 6 months of COVID-19 recovery, Aim and Objectives: To highlight the cardiovascular involvement in children after 6 months of COVID-19 since this has the potential for morbidity and mortality in this age group, Patients and Methods: This observational cross-sectional descriptive study was conducted on 42 pediatrics aged-19 after 6 months at hospitals from January 2022 to February 2023. All patients were subjected to full history taking, clinical examination, laboratory investigations …


Comparative Study Of Dynamic Cervical Implant Versus Cervical Interbody Cage Fusion In Management Of Degenerative Cervical Disc Disease, Salah Mohammed Mereka, Mohammed Al Sayed Saleh, Ibraheem Gameel Ewis 2024 Assistant Lecturer of Neurosurgery, Azhar Assiut

Comparative Study Of Dynamic Cervical Implant Versus Cervical Interbody Cage Fusion In Management Of Degenerative Cervical Disc Disease, Salah Mohammed Mereka, Mohammed Al Sayed Saleh, Ibraheem Gameel Ewis

Al-Azhar International Medical Journal

Background: Cervical radiculopathy occurs when a herniated disc cause pressure on a nerve root, resulting in dysfunction of the sensory, motor, or reflex pathways served by that nerve root. This trial aimed to evaluate the effectiveness of a dynamic cervical implant against a cervical interbody cage fusion for the treatment of a single degenerative disc in the cervical spine. Methods: This prospective randomized trial was carried out on 30 patients aged from 30 to 50 years old, both sexes, suffering from single degenerative cervical discs who were surgically treated by anterior cervical discectomy, intervertebral disc herniation from C3 to C7. …


Incidence Of Postprocedural Microembolic Events Following Carotid Artery Stenting Without Protection Devices, Hussein Awad El-Gharieb, Mahmoud Ibrahim El-Shamy, Mahmoud Galal Ahmed, Ahmed Elsaid Elsayed Mohammed, Ahmed Gamal Mohammed 2024 Assistant Professor of Neurology, Faculty of Medicine, Al-Azhar University, Cairo , Egypt

Incidence Of Postprocedural Microembolic Events Following Carotid Artery Stenting Without Protection Devices, Hussein Awad El-Gharieb, Mahmoud Ibrahim El-Shamy, Mahmoud Galal Ahmed, Ahmed Elsaid Elsayed Mohammed, Ahmed Gamal Mohammed

Al-Azhar International Medical Journal

Background: There is debate about the efficacy and complications of The utilisation of carotid artery stenting in the management of carotid artery stenosis, in the absence of embolic protective devices. Objective: To estimate the incidence of microembolic events in CAS procedures without protection device. Patients and Methods: Fifty-three patients with carotid artery stenosis who attended The Neurology Clinic of Kobri El-Koba Military and Al-Hussien University Hospitals, Egypt from July 2022 to March 2023. Undergoing carotid artery stenting without protection devices. Outcome was assessed clinically with the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) and radiologically …


Role Of Retro-Chorionic Blood Flow Doppler In Early Prediction Of First Trimsetric Miscarriage, Ismail Mohamed Abd ElAzim Mira, Mostafa Mohamed El-Laban, Ehab Taha Anwar Bakhaty 2024 Department of Obstetrics and Gynecology, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Role Of Retro-Chorionic Blood Flow Doppler In Early Prediction Of First Trimsetric Miscarriage, Ismail Mohamed Abd Elazim Mira, Mostafa Mohamed El-Laban, Ehab Taha Anwar Bakhaty

Al-Azhar International Medical Journal

Miscarriage is the most typical early pregnancy complication and a significant clinical problem even today. The etiology of this illness is poorly understood, and as a result, therapy regimens are based on scant evidence. The study objective was to assess the role of retro-chorionic blood flow doppler in early prediction of first trimester miscarriage. This prospective cohort study was carried out at a major medical center at the department of obstetrics & gynecology at Al Sayed Galal University Hospital from June 2022 till March 2023 and performed on total 100 patients who presented with singleton pregnancy and gestational age from …


A Comparative Study Between Cephalexin And Fosfomycin In The Treatment Of Urinary Tract Infection During Pregnancy, Mostafa Ramadan Soliman Mohamed, Ashraf Hamdy Mohamed, Mohamed Ibrahim Mohamed Ibrahim 2024 Department of Obstetrics & Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

A Comparative Study Between Cephalexin And Fosfomycin In The Treatment Of Urinary Tract Infection During Pregnancy, Mostafa Ramadan Soliman Mohamed, Ashraf Hamdy Mohamed, Mohamed Ibrahim Mohamed Ibrahim

Al-Azhar International Medical Journal

Urinary tract infection is the most common bacterial infection in pregnancy which has a serious complications for mother and fetus, so management of it by serial antibiotics is important. Aim of this Work was to compare between Cephalexin and Fosfomycin in the treatment of urinary tract infection during pregnancy. This randomized controlled study was conducted on 200 women attended at the Obstetrics and Gynecology department in Shebin El-Kom teaching hospital from October 2021 through April 2022. Patients were randomized to: (F) group: includes 100 cases treated with fosfomycin, and (C) group: includes 100 cases treated with cephalexin. Redarding our results …


Evaluation Of The Prognostic Value Of Rectus Abdominis Muscle Thickness And Rectus Femoris Muscle Thickness Guided By Ultrasound In Intensive Care Patients. Observational Study, Essam Ibrahim Saber Ibrahim, Ali Abdallah Alkumity, Ahmed Mohamed El-Deeb, Ali Abd Elhamed Gharabawy 2024 Professor of Anesthesia, Intensive Care and pain management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Evaluation Of The Prognostic Value Of Rectus Abdominis Muscle Thickness And Rectus Femoris Muscle Thickness Guided By Ultrasound In Intensive Care Patients. Observational Study, Essam Ibrahim Saber Ibrahim, Ali Abdallah Alkumity, Ahmed Mohamed El-Deeb, Ali Abd Elhamed Gharabawy

Al-Azhar International Medical Journal

Background: Early prediction of prognosis of patients is important in critical care. ICUAW, It has been documented that there is an association between the aforementioned condition and the need for prolonged mechanical breathing as well as a lengthy stay in the intensive care unit (ICU). A potential technique to measure muscle thickness is ultrasound, which is noninvasive, frequently used in intensive care units. Objective: Evaluation of the prognostic value of rectus abdominis and rectus femoris muscles thickness guided by US in ICU patients and which of them undergoes more rapid changes and gives earlier prognosis. Patients and Methods: Seventy (70) …


Assessment Of Choroidal Neovascular Membrane By Optical Coherence Tomography Angiography, Mohamed Ahmed Ahmed Elmalah, Mohamed Abd Elmoamen Mohamed Saad Eldeen, Shady Kassem Hussien Kassem 2024 Department of Ophthalmology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Assessment Of Choroidal Neovascular Membrane By Optical Coherence Tomography Angiography, Mohamed Ahmed Ahmed Elmalah, Mohamed Abd Elmoamen Mohamed Saad Eldeen, Shady Kassem Hussien Kassem

Al-Azhar International Medical Journal

Background: As an alternative to invasive Fundus fluorescein angiography) FFA), Optical coherence tomography angiography (OCT-A) can be used to scan chorio-retinal vasculature. Aim: Research OCT-A for sings of choroidal neovascularization (CNV) and its unique structure. In order to detect any current CNV activity, OCT-A can be used. Determine the sensitivity of OCT-A for detecting CNV activity and compare it with FFA and spectral-domain optical coherence tomography (SD- OCT). Patients and Methods: Thirty eyes with various sources of CNV diagnosis were enrolled in this prospective study to compare OCT-A, SD- OCT and FFA. Study was conducted at Al-Azhar University Hospitals and …


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 2024 General Surgery Department, Faculty of Medicine, Al Azhar University, Cairo, Egypt

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 …


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