Medicine and Health Sciences Commons^™

Evaluation Of Light Weight Mesh In Laparoscopic Inguinal Hernia Repair, Mahmoud Mohamed Ibrahim Eisa, Marwan Mansour Mohamed, Mohamed Abdelrahman Mohamed Ebrahim

Al-Azhar International Medical Journal

Background: When compared to heavier weight meshes, lighter meshes are thought to integrate into the abdominal wall with less inflammation because they have wider pores and stimulate the formation of collagen, Aim: The aim of this study was to compare and offer a concise and current review of the results of laparoscopic inguinal repairs utilising either brand-new lightweight mesh or conventional heavyweight mesh in controlled investigations. Patients and Methods: This research was conducted at Al-Matarya teaching hospital and El-Hussein Hospital of Al-Azhar University as a two-arm single-blinded randomised prospective controlled trial. All trial participants underwent laparoscopic TAPP inguinal hernia repair …

Bilateral Inguinal Hernia Repair Comparative Study Between The Laparoscopic Total Extraperitoneal (Tapp) And Stoppa Approaches, Mohammed K. Ibrahim, Eslam T. Ghalwash, Ahmed R. Abd El-Azeem

Al-Azhar International Medical Journal

Background - A special entity among inguinal hernias is represented by bilateral hernia. The optimal surgical approach must be selected individually for the patient, taking into account patient age, hernia size, primary or recurrent status, type of anesthesia, occupation, and patient activities.

Aim - To evaluate and compare bilateral-inguinal-hernia in management STOPPA & laparoscopic (TAPP) approaches.

Patients and Methods - Thirty (30) patients presented in the outpatient clinics complaining of bilateral inguinal hernia were randomly divide; Group I 15 patients for TAPP repair and Group II 15 patients for Stoppa repair. which was done at Al-Azhar University hospitals and Shebin …

Total Thyroidectomy In The Management Of Graves' Disease, Mahamoud Mohamed Abo El Yazed, Adel Mohammad Abdul-Haleim Lasheen, Abdella Nazeer Yasieno, Abd Elnaby Saeid Ismaiel, Mohammed Ibrahim Hassan Rashed

Al-Azhar International Medical Journal

Background; Graves’ disease (GD) is an autoimmune disorder of the thyroid gland in which thyrotropin receptor antibodies (TRAb) stimulate thyroid stimulating hormone receptors (TSH-R), thereby increasing thyroid hormone production and release , Aim and objectives: The aim of this work was to evaluate the outcome of total thyroidectomy in the treatment of Graves' disease. Patient and methods; Fifty patients have goitre was prospectively studied. All patients were undergoing capsular dissection total thyroidectomy after preoperative preparation at Al-Hussein University Hospital. Result; As regard Postoperative parameters distribution between the two studied groups, we found that there is a significant difference between the …

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 …

Keystone Versus Rhomboid Flaps In The Management Of The Sacrococcygeal Pilonidal Disease; A Prospective Randomized Trial In A Tertiary Surgical Center, Osama Fathy Almezaien

Al-Azhar International Medical Journal

Background: Surgery for pilonidal disease (PND) entails a variety of procedures with no global consensus regarding the optimal procedure for that entity. Surgeons should seek alternative options to improve patient outcomes. The keystone flap has been applied to cover defects involving the trunk and peripheral limbs, with some evidence of success in PND patients.

Aim and objectives: Herein, we compared the keystone and rhomboid flaps in the management of patients with primary PND.

Methodology: This prospective trial included 108 PND patients who were randomly assigned into two groups; the keystone group and the rhomboid group. The patients were followed for …

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, …

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 …

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 …

The Predictive Ability Of Interleukin-6 For Infection After Major Surgery, Naser T. Elshamy, Salama M. Elshennawy, Mahmoud A. Donia

Journal of Medicine in Scientific Research

Objective The aim was to evaluate the role of interleukin (IL)-6 in prediction of infection after major surgeries. Background An early sensitive and specific marker for postoperative infection would be of interest. The cytokines such as IL-6 and IL-10 have been shown to relate to the severity of postoperative sepsis and patient outcome. Patients and methods The study was conducted prospectively at Shebin Elkom Teaching hospital in the period from January 2015 to October 2016 on 50 consecutive patients undergoing elective major surgical procedures. Septic complications were recorded for 4 days postoperatively. For evaluation, patients were allocated into two groups …

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 …

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 …

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 …

A Comparative Study Between Portacath Insertion In Jugular Vein Or Basilic Vein For Chemotherapy Infusion In Cancer Patients, Hany Abdulmomen Abdulfattah, Reda Othman Abbas, Anas Hisham Elsayed

Al-Azhar International Medical Journal

Background: The fully implantable indwelling catheter known as port-cath, port-a-cath, or simply port, which offers high insertion success rates, is now the technology of choice for this use. Fully implanted catheters can be introduced through the superior vena cava system by catheterizing deep or superficial veins. Aim: Comparing the outcomes of jugal portacath or basilic portacath insertion in terms of its benefits, drawbacks, efficacy, and patency in an effort to select the approach with the fewest complications. Subject and Methods: Thirty patients in the department of vascular surgery at Al- Azhar University Hospitals in Cairo participated in this prospective, randomised …

Management Of Pelvic Arterial Bleeding By Aortic Balloon Occlusion, Mahsoub Mourad Amin, Mohammed Alsagher Alhewy, Reda Osman Abbas, Tarek Ahmed Mostafa Boghdady

Al-Azhar International Medical Journal

Background: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has become a viable method for hemorrhagic shock patients to reduce bleeding. It was suggested that the balloon may be used as an option to stop pelvic bleeding when it is deployed in Zone 3. Numerous organizations and societies have advocated REBOA as a guideline for the immediate care of pelvic bleeding after severe trauma. Aim and Objectives: to evaluate balloon occlusion's viability, suitability, safety, and consequences in the treatment of patients with pelvic arterial bleeding. Patients and methods: A prospective, randomized research including 50 individuals who had pelvic arterial hemorrhage …

Comparative Study Of Outcome Of Duplex Ultrasound Guided Catheter Directed Foam Sclerotherapy And Radiofrequency Ablation In The Management Of Great Saphenous Varicose Veins, Ahmed Mousa Hafez Abdelhamid, Mohamed Ibrahim Abd El-Rahman Hammoda, Ahmed Mohammady Mohammed Mohammed

Al-Azhar International Medical Journal

Background; Lower leg varicose veins were described as dilated subcutaneous veins more than 3mm in diameter when assessed while standing, Aim and objectives: to assess the effectiveness of radiofrequency (RF) ablation therapy with ultrasound-guided foam sclerotherapy (UGFS) for the treatment of primary, uncomplicated great saphenous vein varicosities, Subjects and methods: This prospective Randomized study was performed between June and December 2022, in the of vascular surgery department of the Al-Azhar University Hospitals (Al-Hussein and Sayed Galal).

The 40 patients were divided into two groups:

Group (A): 20 patients with non-complicated primary varicose veins and treated by radiofrequency ablation of GSV. …

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 …

Assessment Of Suture Line Reinforcement Via Omentopexy In Laparoscopic Sleeve Gastrectomy, Ahmed Mohamed Abd El-Ghany Shibl, Abd El-Wahab Madbouly Abd El-Wahab, Eslam Taha Ghalwash

Al-Azhar International Medical Journal

Background: Initially, the Laparoscopic Sleeve Gastrectomy (LSG) was considered a viable independent bariatric surgery, rather than solely serving as the initial phase of a two-stage laparoscopic Roux-en-Y gastric bypass. In 1988, Hess was the first surgeon to execute a sleeve gastrectomy (SG), which was at the time a component of another malabsorptive treatment known as the biliopancreatic diversion with duodenal switch. The encouraging results of SG in terms of weight reduction and resolution of comorbidities as a first stage, paired with a low rate of complications, has encouraged the global emergence and monumentally rapid dissemination of SG as a standalone …

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 …

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 …

Round-Block Technique In Management Of Conservative Breast Surgery., Abbas Ahmed El-Sayed El-Sayed, Mohama Mohamad Abd-El Rhman Al-Kordy, Mohamad Ibrahem Shlamesh

Al-Azhar International Medical Journal

Background: A periareolar doughnut incision is used in the circular block procedure, which is a novel method of breast resection. However, it requires more technical skill & takes longer to complete. Method: The purpose of this trial was focus upon the use of round-block technique in conservative oncoplastic breast cancer surgery as a form of treatment option regarding oncological safety, efficacy, final cosmetic results on the quality of life & the contentment of the individual receiving treatment, advantages and disadvantages. This was an observational cross sectional study that was conducted on (40) patients with early breast cancer treated by conservative …

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 …

Combining Abdominal Ultrasound With The Alvarado Score In Acute Appendicitis, Mohamed Salah Elden Abdelsalam Helal, Abdelwahab Badr Mohamed Badr, Mohamed Ibrahim Mohamed Shalames

Al-Azhar International Medical Journal

Background: One of the most frequent reasons for urgent surgery is acute appendicitis. Although prompt diagnosis is essential, most series also report a high rate of negative appendectomy operations. Clinical scoring systems and imaging methods for diagnosing appendicitis are being studied as potential diagnostic parameters for lowering the negative appendectomy rate.

Aim: to assess the efficiency of combining abdominal ultrasound with the Alvarado score in correctly identifying cases of acute appendicitis.

Patients and methods: The study included 118 patients with clinical suspicion of acute appendicitis. Standardized laboratory tests, a complete medical history, and a physical examination were performed on every …

Sentinel Lymph Node Biopsy After Neoadjuvant Chemotherapy In Previously Clinically Node Positive Axilla Of Breast Cancer, Ahmed Mohamed Abdel-Khalik Hussein, Ismail Abdul-Majeed Al-Khawaga, Osama Fathy Ibrahim Al-Mezaie

Al-Azhar International Medical Journal

Background: The invasiveness and possible morbidity of axillary lymph node dissection (ALND), the conventional strategy for assessing lymph node health for the past century, have brought into doubt the procedure in the last 15 years.

Aim of the work: The current study aims to assess the possibility of avoiding the morbidity of an ALND by staging an axilla using sentinel lymph node biopsy (SLNB) following neoadjuvant therapy (NAT) in previously diagnosed node-positive axillas in cancer of the breast.

Patients and methods: This prospective cohort research intends to involve a total of fifty participants. All of these women have breast cancer …

Drug-Coated Balloon Versus Plain Balloon Angioplasty For Infrapopliteal Lesions In Patients With Critical Limb Ischaemia, Shady Hesham Ahmed Abd Elmohty, Omar Mokhtar Ibrahim, Mohamed Hamza Hamed

Al-Azhar International Medical Journal

Background: Peripheral ischemia of the lower extremity is a condition that is prevalent worldwide and that is likely to increase with age. The increased prevalence of diabetes mellitus and hypertension in the population lead to increased proportion of peripheral arterial disease (PAD). Objective of this study is to compare effects of paclitaxel-eluting Balloon (PEB) and plain balloon (PB) angioplasty patency rate and efficacy in patients with critical infra popliteal ischemic lesions.

Material and Methods: This randomized controlled trial followed, for 12 months, fifty patients with atherosclerotic disease of the infrapopliteal limb lesions, ischemic ulcer, tissue loss and rest pain. Patients …

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. …