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2022

Al-Azhar International Medical Journal

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Articles 301 - 324 of 324

Full-Text Articles in Medicine and Health Sciences

Role Of Eus In Evaluating Causes Of Biliary Obstruction Not Detected By Other Imaging Modalities, Usama Hantour, Hussein Okasha, Yasser Kelany, Mohamed Hegazy, Mohamed Abu Amer, Moaz El Shair Feb 2022

Role Of Eus In Evaluating Causes Of Biliary Obstruction Not Detected By Other Imaging Modalities, Usama Hantour, Hussein Okasha, Yasser Kelany, Mohamed Hegazy, Mohamed Abu Amer, Moaz El Shair

Al-Azhar International Medical Journal

Background: Transabdominal Ultrasound (TUS) and other imaging modalities like Computed tomography (CT) or magnetic resonance cholangiopancreatography (MRCP) can't demonstrate all the causes of biliary obstruction. Aim of the Work: This work aimed to evaluate the role of Endoscopic Ultrasound (EUS) in cases with obstructive jaundice with no definite cause detected by other imaging modalities. Patients and Methods: This is a prospective cohort study on 80 patients presented with manifestations suggestive of obstructive jaundice. Patients underwent history taking, clinical examination, and routine laboratory investigations as well as tumor markers. All Patients were examined by TUS, CT, MRCP, and EUS. The final …


Correlation Of Ultrasound Guided Measurement Of Inferior Vena Cava Diameter To Central Venous Pressure To Assess The Volume Status In Septic Shock Of Mechanically Ventilated Patients, Muhammad Mahrous, Anwar Al Hassanin, Mostafa Sabra Feb 2022

Correlation Of Ultrasound Guided Measurement Of Inferior Vena Cava Diameter To Central Venous Pressure To Assess The Volume Status In Septic Shock Of Mechanically Ventilated Patients, Muhammad Mahrous, Anwar Al Hassanin, Mostafa Sabra

Al-Azhar International Medical Journal

Background: In the intensive care unit, making decisions about fluid treatment is one of the most difficult tasks that physicians encounter on an everyday basis. Nearly all physicians concur that hypovolemia and volume overload both raise morbidity and mortality. Increasing preload, or stressed venous volume is the therapeutic goal of fluid administration, which leads to a higher stroke volume and cardiac output. Objective: The purpose of this research was to see if there was a relationship between measurements of central venous pressure (CVP) and ultrasound measurements of the inferior vena cava collapsibility index(IVC CI), in the assessment of intravascular volume …


Comparative Study Between Open Surgical Technique Versus Laparoscopic Appendectomy In Complicated Appendicitis, Adel Mohamed, Ashraf Abd El-Moneim, Mohammed Emam Feb 2022

Comparative Study Between Open Surgical Technique Versus Laparoscopic Appendectomy In Complicated Appendicitis, Adel Mohamed, Ashraf Abd El-Moneim, Mohammed Emam

Al-Azhar International Medical Journal

Background; The benefits of diagnostic and therapy in a single procedure with minimal morbidity are combined in the laparoscopic appendectomy (LA). Furthermore, the entire abdomen may be visualized to exclude any additional pathology that may be present. Patients are likely to experience less postsurgical pain, get discharged from the hospital, and come back to normal activities and employment sooner than those who have undergone open appendectomy (OA). Objective: To compare between Laparoscopic and open appendectomy in complicated appendicitis. Subjects and methods: This study was a prospective study involving 40 patients who were suspected of having complicated acute appendicitis in the …


Modified Sinotomy Versus Modified Limberg Flap In Treatment Of Pilonidal Sinus, Mahmoud Ali, Ashraf Abd El Monaem, Mohammed Nassar Feb 2022

Modified Sinotomy Versus Modified Limberg Flap In Treatment Of Pilonidal Sinus, Mahmoud Ali, Ashraf Abd El Monaem, Mohammed Nassar

Al-Azhar International Medical Journal

Background: There is still no consensus about treatment of pilonidal sinus disease, as it is actually a rather controversial disease, with high probability of its recurrence, and its care takes a long time. Ideally, therapy should be associated with short hospital stay, less painful postoperative time, rapid healing and return to work, short term wound care and a low recurrence rate. No technique fulfills all of these criteria. Objective: To compare the efficiency and results between modified sinotomy and modified limberg flap in management of pilonidal sinus Patients and Methods: In this prospective randomized, study 30 patients with chronic pilonidal …


Autologous Intrauterine Platelet Rich Plasma Instillation In Repeated Implantation Failure In Assisted Reproductive Techniques, Amr El-Samman, Yehia Wafa, Fahd Al-Omda, Maki Ali Feb 2022

Autologous Intrauterine Platelet Rich Plasma Instillation In Repeated Implantation Failure In Assisted Reproductive Techniques, Amr El-Samman, Yehia Wafa, Fahd Al-Omda, Maki Ali

Al-Azhar International Medical Journal

Background: RIF-(repeated-implantation-failure) represents a serious difficulty in reproductive-medicine, and although numerous therapeutic approaches can be reported, there is no agreement on which is the most beneficial. Endometrium thickness was identified as a key determinant in the implantation of embryos. The purpose of this randomized controlled trial was to explore the advantages of platelet-rich-plasma (PRP) for thinning endometrial cases owing to its ability to promote endometrial growth and pregnancy outcome. Aim of the study: PRP's involvement in RIF patients undergoing fresh & frozen embryo transfer cycles will be investigated, as well as the rates of implantation, chemical-pregnancy, clinical-pregnancy, and miscarriage. Patients-and-Methods: …


Clostridium Difficile Infection (Cdi) Among Egyptian Patients With Inflammatory Bowel Disease, Taher Ezzat Jan 2022

Clostridium Difficile Infection (Cdi) Among Egyptian Patients With Inflammatory Bowel Disease, Taher Ezzat

Al-Azhar International Medical Journal

Background: Clostridium Difficile Infection (CDI) had a negative impact on inflammatory bowel disease (IBD) cases. Aim of the work: This study was conducted to assess the prevalence of this infection in patients with IBD and to elucidate the risk factors and the impact of such infection in these cases. Patients and methods: We included a total of 120 subjects who were divided into two groups: the first one included 80 cases diagnosed with IBD, while the second one included 40 healthy controls. All cases were clinically assessed. Routine laboratory investigations and colonoscopy were performed for all cases. Furthermore, stool PCR …


Evaluation Of Undergraduate Ophthalmology Medical Students' Methods Of Assessment During Covid-19 Pandemic, Mostafa Alneklawi Jan 2022

Evaluation Of Undergraduate Ophthalmology Medical Students' Methods Of Assessment During Covid-19 Pandemic, Mostafa Alneklawi

Al-Azhar International Medical Journal

ABSTRACT Background: Covid-19 pandemic negatively impacted traditional education systems. Aim of the work: Evaluation of undergraduate ophthalmology medical students' assessment methods in absence of face to face oral exams (OE) and live on-patient practical exams (PE) in Al-Azhar Faculty of Medicine of Boys during COVID-19 pandemic (Cairo,2021). Participants and Methods: 230 students responded to online survey. Objective evaluation was also done by analyzing the total marks achieved by each student. Results: Formative exams (FE) helped students for better achievement in summative written exams and Objective structured clinical exam (OSCE). As regards OSCE; data-show questions covered the assessment of most studied …


Effects Of Covid-19 Pandemic On General Surgical Emergencies Priorities..., Adel Khalaf, Gamal El-Shimy, Esam Osman Jan 2022

Effects Of Covid-19 Pandemic On General Surgical Emergencies Priorities..., Adel Khalaf, Gamal El-Shimy, Esam Osman

Al-Azhar International Medical Journal

Background: Since the occurrence of COVID-19 pandemic, global significant stress on healthcare programs to identify severity and mortality rate. The present article concentrates on emergency acute general surgical duties possessed to implement the spread of COVID-19. Materials and Methods: In COVID-19 epidemic period from March 2018 to July 2021 files of all patients who underwent emergency surgery in the departments of General Surgery, Al-Azhar University Hospital-Assiut were followed and reviewed. All cases requiring surgical interference in “emergency surgery”. Cases subjected urgent procedures during (2020 and 2021) as “Pandemic Group” and during (2018 and 2019) as “Control Group”. Results: Within the …


Iucd Insertion And Fixation Versus Insertion Only During Cesarean Section, Mahmoud Mahmoud, Hossam Elkatatny, Abd Elhalim Abd Elhalim Jan 2022

Iucd Insertion And Fixation Versus Insertion Only During Cesarean Section, Mahmoud Mahmoud, Hossam Elkatatny, Abd Elhalim Abd Elhalim

Al-Azhar International Medical Journal

Background; Women who have a caesarean section (CS) are in a unique position to receive the IUD (IUD). Aim and objectives; to assess the efficacy, safety, convenience and complications of copper IUCD inserted immediately after expulsion of the placenta during lower segment caesarian section and comparison of the results according if the IUCD is fixed or not. This is carried out by clinical assessment and follow- up by ultrasound. Subjects and methods; This is Randomized Controlled Clinical Trial, was carried out at the Department of Obstetrics and Gynecology, Sohag General Hospital (Sohag, Egypt), on 200 pregnant women, during twelve months …


Two Dimensional And Color Doppler Ultrasound Scoring In Evaluation Of Anterior Low Lying Placenta And Its Adherence To Previous One Cesarean Section Scar Inthe Third Trimester, Mohammed Wasel, Mohammed Anwar, Bassem Abdel-Aziz Jan 2022

Two Dimensional And Color Doppler Ultrasound Scoring In Evaluation Of Anterior Low Lying Placenta And Its Adherence To Previous One Cesarean Section Scar Inthe Third Trimester, Mohammed Wasel, Mohammed Anwar, Bassem Abdel-Aziz

Al-Azhar International Medical Journal

Background: Placenta accreta is a potentially fatal obstetric disease which necessitates a multidisciplinary strategy to treatment.The occurrence of placenta accreta has grown, which appears to be correlated with the rising rate of cesarean deliveries. Women with myometrial damage from a prior cesarean birth, especially those with placenta previa anterior atop the uterine scar, are at the highest risk of placenta accreta. Objective: To assess the accuracy of each 2D & CDF in diagnosing placenta accreta and to identify the prevalence, risk variables, and outcome of treatment of women with placenta accreta. Patients and Methods: The study is a prospective cohort …


Pattern Of Blood Cell Parameters In Thyroid Dysfunction, Mohammed Abdelnaser, Amr Rezk, Hossam Al Adl, Karima Mahfouz Jan 2022

Pattern Of Blood Cell Parameters In Thyroid Dysfunction, Mohammed Abdelnaser, Amr Rezk, Hossam Al Adl, Karima Mahfouz

Al-Azhar International Medical Journal

Background: Thyroid hormones are important in hematopoiesis, especially erythropoiesis. Thyroid dysfunction, including hypo and hyperthyroidism, are associated with variable hematological abnormalities, particularly anemia. Thyroid disorders are associated with not only quantitative hematological defects but also with functional abnormalities of blood cells. Objectives: To evaluate the daily routine blood cell parameters with thyroid dysfunction (hyperthyroidism and hypothyroidism). Patients and Methods: This Prospective study was conducted from October 2020 and May 2021 at the clinical pathology department, Al-Azhar University Hospitals, Cairo, Egypt. One hundred Egyptian patients suffering from thyroid dysfunction (hypothyroid and hyperthyroid) and fifty healthy volunteers (subjects without thyroid dysfunction) as …


Increase Young Age Incidence Of Colorectal Carcinoma Among Cohort Of Egyptian Population., Ahmed Elhadidy, Tamer Haydara Jan 2022

Increase Young Age Incidence Of Colorectal Carcinoma Among Cohort Of Egyptian Population., Ahmed Elhadidy, Tamer Haydara

Al-Azhar International Medical Journal

Background; Colorectal carcinoma (CRC) is not uncommon malignancy that represent a common cause of mortality worldwide as well as in Egypt however its overall incidence and mortality has been declining, still rising of CRC incidence were observed in young patients among Egyptian population, we felt that scanty of data available about incidence of colorectal carcinoma among Egyptians. Objectives: to investigate the disparity of age-related changes in CRC among cohort of Egyptian population. Patients and Methods: retrospectively we analysed eight years data including the data of 965 patients those had done colonoscopy for different clinical presentations and had been diagnosed as …


Pregnancy Outcomes Following Hysteroscopic Septoplasty Of Incomplete Uterine Septum, Ehab Elhelw Jan 2022

Pregnancy Outcomes Following Hysteroscopic Septoplasty Of Incomplete Uterine Septum, Ehab Elhelw

Al-Azhar International Medical Journal

Purpose: The aim of this study was to evaluate pregnancy outcomes pre- and post-hysteroscopic septoplasty (HS) of the uterine septum, based on the size of the septum. Methods: A single-center, retrospective study was conducted at Al-Azhar University Hospital, New Damietta, Egypt, over two years, from April 2018 till April 2020. The study included adult (22-37 years) female patients with the incomplete uterine septum (Class Vb: partial). In all of the patients, HS and laparoscopy were done at the same time. Patients were classified into two groups; Spontaneous abortion (SA: n=50) and primary infertility (PI: n= 40). Results: The age of …


A Comparison Between The Outcome Of Ligasure Hemorrhoidectomy Versus Conventional Milligan Morgan’S Technique, Mahmoud Nagaty Jan 2022

A Comparison Between The Outcome Of Ligasure Hemorrhoidectomy Versus Conventional Milligan Morgan’S Technique, Mahmoud Nagaty

Al-Azhar International Medical Journal

Background: Hemorrhoidectomy using the traditional method for 3rd and 4th grade piles is a time-consuming procedure that is vulnerable to many postoperative complications. The study's goal was to evaluate the consequences of Ligasure hemorrhoidectomy in comparison with a traditional hemorrhoidectomy. Patients and Methods: The current study was achieved between January 2018 to January 2020. A total of fifty patients with 3rd or 4th degree piles were separated into 2 groups. Group A contained 25 cases who were subjected to Ligasure Hemorrhoidectomy and Group B contained 25 cases who were subjected to hemorrhoidectomy by Milligan Morgan’s technique. Procedure time, the volume …


Safety And Efficacy Of Auto-Lipofilling In Facial Rejuvenation: A Meta-Analysis Study, Abdalla Elsadany, Yasser Helmy, Osama Alshahat Jan 2022

Safety And Efficacy Of Auto-Lipofilling In Facial Rejuvenation: A Meta-Analysis Study, Abdalla Elsadany, Yasser Helmy, Osama Alshahat

Al-Azhar International Medical Journal

Abstract Background: Autologous fat transfer has been practiced and described as a promising method in facial rejuvenation. Many randomized and observational studies have been published with scanty of evidence came from review and meta-analysis. This study aims to evaluate the evidence-based practice regarding the efficacy and safety of autologous fat transfer in an updated meta-analysis study. Method: Systemic review and meta-analysis using (PRI SMA) statement was achieved. Literature search was performed in PubMed, PLOS and Cochrane library. Many of the search engines have been used including EKB platform to download the articles from SCOPUS and Clarivate databases, starting from 2017 …


Risk Factors Predicting Urological Complications Of Living-Donor Renal Transplantation-A Single Center Experience, Mohamed Ismaiel, Ibrahim Tagreda, Sherif Swar, Mourad Mourad Jan 2022

Risk Factors Predicting Urological Complications Of Living-Donor Renal Transplantation-A Single Center Experience, Mohamed Ismaiel, Ibrahim Tagreda, Sherif Swar, Mourad Mourad

Al-Azhar International Medical Journal

Background: Urological complications following kidney transplantation are not unusual and can be associated with risk of graft failure. Objective: to estimate occurrence of urological complications following living donor kidney transplantation and correlation with relevant risk factors related to complications development. Patients and methods: The current trial was achieved at urology department in the national institute of urology and nephrology and included 240 patients who underwent renal transplantation, data was collected from patient files and recorded, complications were correlated with pertinent risk factors and the influence of complications on graft survival was assessed. Results: Urological complications occurred in 26.3% of patients. …


Evaluation Of The Role Of Indocyanine Green Fluoroscopy For Intraoperative Bile Duct Visualization And Prevention Of Cbd Injury During Laparoscopic Cholecystectomy, Ahmed Abdelaziz, Hisham Anwar, Tarek Muhammed Jan 2022

Evaluation Of The Role Of Indocyanine Green Fluoroscopy For Intraoperative Bile Duct Visualization And Prevention Of Cbd Injury During Laparoscopic Cholecystectomy, Ahmed Abdelaziz, Hisham Anwar, Tarek Muhammed

Al-Azhar International Medical Journal

ABSTRACT Background: The most feared consequence of (LC) is bile duct injury. Real-time intraoperative image with indocyanine green may lower the danger of bile duct injuries during laparoscopic cholecystectomy by enhancing visualization of the biliary tree. Objective: The purpose of this prospective research is to assess the role of ICG in bile duct visualization and prevention of CBD injury throughout laparoscopic cholecystectomy, with preoperative injection of ICG as regard prevention of intraoperative bile duct injury, and postsurgical complications after converting from laparoscopic to open cholecystectomy. Patients and Methods: This prospective randomized study was carried out from March 2021 to September …


Serum Level Of Endothelial Markers In Patients With Psoriasis Vulgaris With Or Without Arteriogenic Erectile Dysfunction, Elsayed Zayed, Essam Abd El-Aal, Ahmed Elshahed, Nabil Ismail Jan 2022

Serum Level Of Endothelial Markers In Patients With Psoriasis Vulgaris With Or Without Arteriogenic Erectile Dysfunction, Elsayed Zayed, Essam Abd El-Aal, Ahmed Elshahed, Nabil Ismail

Al-Azhar International Medical Journal

Background: Psoriasis is a widespread systemic chronic cell immune-mediated inflammatory condition of the nails, skin, and joints that affects adults and children of different age groups. The inability to initiate and/or sustain an adequate erection for satisfactory sexual performance is known as erectile dysfunction (ED). Aim: The objective of this research is to measure serum ICAM-1 and VCAM-1 in the periphery and penile blood to evaluate endothelial function in psoriasis patients with or without arteriogenic erectile dysfunction thus can serve as an early marker of endothelial cell injury and their possible future role in management of these disorders. Patients and …


Effect Of Flap Fixation On Seroma Formation After Modified Radical Mastectomy, Alaa Mohammed, Mohamed Abdel-Maksoud, Sobhy Rezk Jan 2022

Effect Of Flap Fixation On Seroma Formation After Modified Radical Mastectomy, Alaa Mohammed, Mohamed Abdel-Maksoud, Sobhy Rezk

Al-Azhar International Medical Journal

Background: After breast cancer surgery, seroma development is it's the most frequent problem occurs post-operatively. It happens to the majority of women who have undergone a mastectomy. The development of seroma inhibits wound healing, necrosis of skin flap, increases susceptibility to infection and causes chronic pain. Therefore, several ways to promote primary healing and reduce the formation of seroma have been examined. Objective: in order to investigate the impact of surgically closing dead space on seroma formation and postoperative drainage after mastectomy by suturing the mastectomy flaps to underlying chest wall. Patients and Methods: Thirty women with early-stage breast cancer …


Surgical Management For Drug-Resistant Epilepsy In Medial Temporal Lobe Lesions (Al-Azhar Experience), Alaa Ibrahim, Mohamed Rashad Jan 2022

Surgical Management For Drug-Resistant Epilepsy In Medial Temporal Lobe Lesions (Al-Azhar Experience), Alaa Ibrahim, Mohamed Rashad

Al-Azhar International Medical Journal

Background: The most common cause of drug resistant epilepsy is the temporal lobe seizures especially that caused by medial temporal lobe epileptogenic lesions. OBJECTIVE: To assess the clinical outcome of medial temporal lobe lesionectomy (without amygdalo-hippocampectomy) in control of seizures in a group of drug resistant epileptic patients. Material and methods: This study was conducted on 12 patients (8 males) presented to al-azhar university hospitals between October, 2018 and December, 2020 with drug resistant -temporal lobe- epilepsy due to medial temporal lobe lesions of different pathological natures not affecting the hippocampus, the lesions were surgically excised and had been followed …


Comparative Study Between Primary Common Bile Duct Repair With Internal Stent Insertion Versus T-Tube Drainage After Common Bile Duct Exploration, Ahmed Abd El Wahab, Mohammed Tawila, Osama Khalil Jan 2022

Comparative Study Between Primary Common Bile Duct Repair With Internal Stent Insertion Versus T-Tube Drainage After Common Bile Duct Exploration, Ahmed Abd El Wahab, Mohammed Tawila, Osama Khalil

Al-Azhar International Medical Journal

ABSTRACT Background: CBD stones are present in about 10–18% of cholelithiasis patients who have their cholecystectomy. Cholecystectomy combined with CBD exploration could be used to treat CBD stones. The primary repair with stent insertion has been shown to be effective in preventing T-tube complications. Aim and objectives: The current research aimed to analyze the surgical CBD exploration with primary closure of CBD with Biliary Stent (BS) vs. T-tube drainage, with assessment outcomes of this procedure. Patients and Methods: It was a prospective study involving 20 patients who complained of jaundice caused by irreversible common bile duct stones (CBDSs) after ERCP …


Laparoscopic Repair Of Perforated Duodenal Ulcer: A Comparison With The Open Surgical Technique, Ahmed Abdul Latif, Magdy Mahmoud, Osama Al-Mezaien Jan 2022

Laparoscopic Repair Of Perforated Duodenal Ulcer: A Comparison With The Open Surgical Technique, Ahmed Abdul Latif, Magdy Mahmoud, Osama Al-Mezaien

Al-Azhar International Medical Journal

Background: One of the most prevalent disorders seen in patients who present to the emergency rooms with severe abdominal pains is duodenal ulcer perforation. Accurate diagnosis and immediate repair should be done as early as possible. Surgical repair using Graham omental patch can be achieved either by open technique or done laparoscopically. The comparison between open and laparoscopic repair were compared and evaluated in our study. Objective: Comparison between the efficacy, advantages, disadvantages, limitations, post-operative pain, and complications leading to morbidity and death, length of stay in hospital, recurrence and return to normalcy in open and laparoscopic procedures. Patients and …


The Relationship Between Pain Pattern And Disability In Patients With Knee Osteoarthritis, Yasser Gazar, Hatem Mohammed, Mohammed Ghait Jan 2022

The Relationship Between Pain Pattern And Disability In Patients With Knee Osteoarthritis, Yasser Gazar, Hatem Mohammed, Mohammed Ghait

Al-Azhar International Medical Journal

Background: Osteoarthritis (OA) knee pain is a global source of impairment. Detecting the site of pain represents an essential technique for diagnosing clinical issues and determining suitable treatments. This study aims to detect the pattern and site of knee pain in patients with knee OA confirmed by X-ray and their effect on the functional status. Patients and Methods: a cross-sectional study including 100 patients with primary knee OA. The Photographic Knee Pain Map (PKPM) has been used to detect pain sites. The physical status has been defined. Results: Most patients are females (88%). Most patients have experienced morning stiffness (79%) …


Leakage Post Laparoscopic Sleeve Gastrectomy, Kamal Abosonna, Hany El-Hady, Hoda Yousef, Zeinab Ibrahim Jan 2022

Leakage Post Laparoscopic Sleeve Gastrectomy, Kamal Abosonna, Hany El-Hady, Hoda Yousef, Zeinab Ibrahim

Al-Azhar International Medical Journal

Background: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric surgery. Gastric leak is a known complication after LSG with reported incidence. morbidity, including sepsis and multi-organ failure. Aim: The purpose is to present patient who suffered from leakage after LSG and to review definitive surgical management and its outcomes. Methods: This study was conducted in department of general surgery at Al Zahraa university hospital from 2017 to 2019. 100 patients with morbid obesity underwent LSG ,all patients diagnosed with gastric leak were included other patients referred to our hospital with gastric leak were included with analysis of the …