Medicine and Health Sciences Commons^™

Non-Alcoholic Pancreatic Lipomatosis Among The Egyptian Type 2 Diabetic Patients, Abdel-Rahman Mahrous, Mohammed Noshy Al-Alfy, Mohammed Abdel-Hassib, Mohammed A. Amin

Al-Azhar International Medical Journal

Background: Obesity has become a serious public health problem globally. Non-alcoholic pancreatic lipomatosis is characterized by pancreatic fat infiltration or pancreatic islet steatosis resulting in abnormal adipokine secretion, insulin resistance, impaired βcell function, and decreased insulin secretion.

Aim: To assess the relationship between non-alcoholic fatty pancreatic disease and type 2 diabetes mellitus among Egyptian patients.

Methods: We enrolled 80 type 2 diabetic patients along with 80 healthy control individuals, all were assessed by abdominal ultrasound and CT scan to determine the degree of pancreatic steatosis based on echogenicity of pancreatic tissue, and four-scale grading system as the visual assessment criteria …

Evaluation Of Transconjunctival Approach Mixed With Lower Lateral Tarsal Incision For Zygomatico-Maxillary Complex Fracture, Mahmoud Ahmed Amin, Sherif Hamdeno Youssif, Ahmed Moustafa Omran, Ahmed Mohammed Mekawy

Al-Azhar International Medical Journal

Background: Orbital fractures are typical in modern society due to various accidents affecting the craniofacial region. Transconjunctival incisions have the main benefit of causing minimum scar formation compared to other orbital access procedures.

Aim: To assess the value of the Transconjunctival Approach with Lower Lateral Tarsal Incision for accessing ZMC fractures.

Subject and Method: In this prospective clinical study, we recruited 20 patients with unilateral Orbito-Zygomatic-Maxillary complex fracture operated at the Plastic and Reconstruction Department, Al-Azhar University Hospital, Damietta.

Results: All participants were male, with a mean age of 35.4±11.3 years. We found the mean time needed for the incision …

Ultrasound-Guided Caudal Block Versus Pudendal Nerve Block For Post-Operative Analgesia In Anal Surgery, Ismael Abd-Ellatif Shabayek, Alaa-Aldine Mahmoud Said Ahmed, Ahmed Mohamed Abd-Allah Marzook

Al-Azhar International Medical Journal

Background; Anal fissure is a frequent disorder that is regarded as a prevalent surgical condition that frequently arises in the anorectal area. The administration of a caudal block can offer an extended duration of pain relief following anorectal surgery.

Aim and objectives: To compare Ultrasound (US)-Guided caudal Block group and US -Guided Pudendal Nerve Block.

Subjects and methods: this prospective, randomized clinical trial included (116) cases divided into two groups. It was conducted in Al-Azhar University Hospitals for Boys in Cairo.

Results: There were insignificant differences among the studied groups concerning the baseline characteristics (Age, height, sex, weight, BMI, and …

Evaluation Of Laser Technique In Treatment Of Chronic Anal Fissure, Mohammed Arafat Abdul-Maksoud, Osama Fathy Ibrahim Al-Mezaien, Abdul-Rahman Hemiedah El-Sayed

Al-Azhar International Medical Journal

Background: A linear defect, or laceration, in the anoderm that is situated between the dentate line and the anal margin, is referred to as an anal fissure. An ulceration with exposed internal anal sphincter muscle fibers at its base and built-up scarred margins is known as a chronic anal fissure.

Objectives: To assess the effectiveness of the LASER approach in treating chronic anal fissures in terms of healing time, incontinence rate, postoperative discomfort, comorbidities, and patient satisfaction with reference to safety and repeatability.

Patients and Methods: This prospective comparative study between two methods of treatment of chronic anal fissures was …

Evaluation Of Food Tolerance After Laparoscopic Sleeve Gastrectomy In Relation To The Distance Of Resection From The Pyloric Ring, Mohamed Ahmed Abdel Khalek, Ahmed Abdelaziz Abdelghafar, Mohamed Fathy Labib

Al-Azhar International Medical Journal

Background: Obesity, a major health crisis, is significantly associated with increased mortality and various serious health conditions, leading to the rise of surgical interventions.

Aim of the work: To evaluate the effects of the distance of resection from the pyloric ring on changes in body mass index (BMI), estimated weight loss (%EWL), and food tolerance following laparoscopic sleeve gastrectomy (LSG).

Methods: This prospective, randomized trial involved 50 morbidly obese patients. Two approaches were compared: a total antral sacrifice starting 2 cm from the pylorus (Group A) and an antral preserving technique starting 5 cm from the pylorus (Group B).

Results: …

The Role Of Diffusion Weighted Mri In Evaluation Of Neoplastic Hepatic Focal Lesions In Cases Of Portal Vein Thrombosis, Mostafa Fadel Sonbel, Mohamad Abdel-Rahman Alkenawy, Ali Elsaid Abdelrahman, Abdel-Fattah Gomaa Abdel-Fattah

Al-Azhar International Medical Journal

Background: It is thought that many primary malignant, benign, and metastatic localized lesions share the liver as a location. In order to avoid inoperable tumors being falsely graded and cases with such tumors being scheduled for surgical treatments, accurate diagnosis and characterization of these tumors are essential pre-treatment steps. For individuals at high risk for complications following a biopsy, diffusion-weighted imaging (DWI) may be an ideal non-invasive way to assess particular tissue characteristics.

Objective: To determine how useful diffusion-weighted magnetic resonance imaging (DWI) was for identifying and characterizing hepatic focal lesions (HFL) that were associated with portal vein thrombosis.

Patients …

Prevalence Of Insomnia In Rheumatoid Arthritis Patients: Systematic Review And Meta-Analysis, Mohamed Ahmed Tolba, Mohamed Al-Adl Ali, Aly Abdelfattah Alnabawy, Mamdouh Ahmed Khairy

Al-Azhar International Medical Journal

Introduction: Insomnia poses a significant challenge for individuals with rheumatoid arthritis (RA), impacting their daily lives. We address insomnia in RA patients, considering the multifaceted factors contributing to disrupted sleep patterns, such as pain, inflammation, and psychological aspects.

Aim of the work: To identify the frequency of insomnia in patients with rheumatoid arthritis. This study is a crucial step toward understanding and addressing the sleep challenges faced by RA patients.

Methods: In accordance with PRISMA guidelines, we systematically searched databases like PubMed, Web of Science, and Scopus. Eligible studies, identified through screening and quality assessments, were subjected to data extraction. …

Effect Of Hysteroscopic Polypectomy On Conception In Women With Infertility, Adel Aly Elboghdady, Mohamed Mohamed Ibrahim, Abdel Hamid El Sayed Mowafy

Al-Azhar International Medical Journal

Background: Infertility is estimated to impact one in every seven heterosexual couples. The malefactors causing infertility (30 percent), tubal damage (20 percent), unexplained infertility (25 percent), ovulatory disorders (25 percent), tubal damage (20 percent), and uterine or peritoneal disorders (10 percent) are the leading causes of infertility. In the past twenty years, hysteroscopy has gained recognition as the gold-standard technique for evaluating the uterine cavity.

Aim and objectives: To assess the impact of hysteroscopic polypectomy on conception in unexplained infertile women.

Subjects and methods: A prospective cohort interventional research was performed at El-HUSSIEN University Hospital from January 2022 to August …

Role Of Anticoagulant Therapy In Pregnant Women With Antiphospholipid Antibody Syndrome, Adel Aly Elboghdady, Mohamed Ibrahim Mohamed, Yahia Yahia Mohamed Ahmad

Al-Azhar International Medical Journal

Background: When there is at least one kind of circulating antiphospholipid antibody (aPL), the patient may experience pregnancy morbidity, arterial or venous thrombotic events, and an autoimmune condition known as antiphospholipid syndrome (APS).

Aim and objectives: To detect the role of the administration of anticoagulant drugs in women with APS in improving pregnancy outcomes and its effect on the rate of live births.

Patient and methods: Our study was a prospective randomized control trial. carried out on 80 pregnant ladies and attended El Hussin Hospital Department of Gynecology & obstetrics of Al Azhar University Hospitals with lupus anticoagulant and anticardiolipin …

Screw Fixation Versus Casting In The Treatment Of Acute Jones Fracture, Bahaa Ali Koranh, Ahmed Ismail Hammouda, Ali Ragab Ahmed

Al-Azhar International Medical Journal

Background: Approximately 3- 10% of all metatarsal fractures are Jones fractures, defined as fractures at the base of the fifth metatarsal at the meta-diaphyseal junction.

Aim and objectives: To evaluate and assess the outcomes and results of percutaneous Screw Fixation against Casting in the Treatment of acute Jones Fracture.

Patients and methods: This was comparative research among conservative & percutaneous screw fixation in the management of acute Jones fracture type II conducted on 20 patients presenting to Elhussein Hospital and Elmounira General Hospital from September 2020 to March 2021. Patients were categorized into two groups.

Results: No significant variance was …

Clinico-Endoscopic Profile Of Egyptian Patients Presenting With Upper Gastrointestinal Symptoms, Fathy Ghamry Abdelrazek, Magdy Abdel Kareem Eldahshan, Amr Mohammed El-Mistekawy, Ahmed Fouad Sayed Fadl Ghanem

Al-Azhar International Medical Journal

Background: Symptoms of the upper gastrointestinal tract are frequently reported in clinical settings, and gastrointestinal disorders account for substantial medical utilization and loss of productivity.

Aim and objectives: To investigate and compare the endoscopic results and diagnosis with the clinical profile of adult patients experiencing upper gastrointestinal problems. Also, we need to detect the alarming features and their final impact on our target patients. Also, the prevalence of the problem among different Egyptian populations should be assessed.

Subjects and methods: 400 patients were involved in the current investigation who presented to the Internal Medicine department in Al-Hussein University Hospital with …

Neutrophil/Lymphocyte Ratio (Nlr) As A Possible Marker For Ms Activity In A Sample Of Egyptian Patient, Hussin Mohamed Hussin, Fathy Mahmoud Mansour, Haitham Mohamed Abdullatif

Al-Azhar International Medical Journal

Background: Multiple sclerosis (MS) is a persistent autoimmune disorder affecting the central nervous system (CNS), characterized by inflammation, loss of myelin, as well as damage to nerve fibres, resulting in a range of neurological symptoms and different degrees of clinical impairment.

Aim and objectives: To detect if there is a relationship between Multiple sclerosis activity and Neutrophil/Lymphocyte Ratio.

Patients and methods: This prospective trial was done on 100 persons with MS patients (either known as Multiple sclerosis or newly diagnosed) presented to the neurology department and Multiple sclerosis unit of Al-Azhar university hospitals during relapse. The duration of the recruiting …

Evaluation Of Outcomes Of Posterior Lumbar Interbody Fusion For Management Of Segmental Degenerative Lumbar Canal Stenosis, Mostafa Elsayed, Mohammad Abdul-Aziz Albialy, Hazem Ramadan Awad Mansour

Al-Azhar International Medical Journal

Background: Lumbar degenerative disorders, such as lumbar spinal stenosis, lumbar disc herniation & lumbar degenerative instability, are prevalent crippling illnesses that occur in the elderly population.

Objectives: To analyze the safety and efficacy of posterior lumbar interbody fusion (PLIF) in managing segmental degenerative lumbar canal stenosis.

Patients and methods: Retrospective and prospective study on 25 cases with segmental degenerative lumbar canal stenosis. Individuals with segmental degenerative lumbar canal stenosis. This study was conducted at Al-Azhar University Hospitals and Damanhur Medical Institute Hospital.

Results: Our findings showed that regarding the relation between different improvements and each other's, there were no significant …

Effect Of Routine Stapler Line Omentopexy On The Outcome Of Early Postoperative Complication Of Laparoscopic Sleeve Gastrectomy, Ahmed El Said Abd Elrhman, Ahmed Mohammed Hassan, Saad Mohamed Ali Ahmed, Ahmed Fouad Mehanny

Al-Azhar International Medical Journal

Background: Sleeve gastrectomy is a highly effective and generally low-risk surgical treatment for treating severe obesity. Surgeons must possess knowledge of the complications linked to laparoscopic sleeve gastrectomy (LSG) and a strategy for managing them. Immediate postoperative problems that require prompt identification after undergoing LSG include hemorrhage and staple line leakage.

Objective: To assess the efficacy of omental repair with full-thickness sutures throughout laparoscopic sleeve gastrectomy in reducing the occurrence of postoperative bleeding and leaking.

Methods: A prospective study conducted by the general surgery department of Azhar Assuit University Hospital from October 2020 to October 2022 involved 100 cases total, …

Maternal And Neonatal Outcomes Of Caesarean Delivery On Maternal Request Versus Vaginal Delivery, Mofeed Fawzy Mohammed, Samir Khamis Galal, Mohamed Abou Shabana Mahmoud

Al-Azhar International Medical Journal

Background: The prevailing opinion regarding CS indications has been altered in numerous countries due to advancements in scientific knowledge and societal, cultural, and legal transformations.

Aim and objectives: To compare neonatal & maternal outcomes among females who underwent cesarean delivery on their requests versus women who delivered vaginally.

Patients and methods: This case-control study involved two hundred pregnant women with a single pregnancy and delivered at term (among ≥ thirty-seven weeks’ and ≤ forty-two weeks’ gestation) at Al-Hussein University Hospital from November 2022 to April 2023.

Results: There was statistically significant higher post-partum hemorrhage in vaginal delivery than cesarean delivery …

Comparative Study Between Endoscopic Suction Coagulation And Conventional Adenoidectomy With Pre And Post-Operative Tympanometric Changes, Mohammed Abd Al Ftttah Al Tawy, Mohammed Kamel Al Awady, Mohammed Nasser Nasrallah Eid

Al-Azhar International Medical Journal

Background: Adenoidectomy ranks high among the many surgical procedures done on pediatric patients. For kids having an adenoidectomy, the leading cause of complications, particularly in the immediate aftermath of the procedure, is after surgery bleeding, regardless of the distance surgical procedures have come.

Objectives: This study set out to compare and contrast standard adenoidectomy with endoscopic suction coagulation, two methods of adenoidectomy that have been around for a while regarding tympanometric alterations, after-surgery recurrent grading, and overall effectiveness.

Patients and Methods: Researchers conducted a prospective study on seventy patients with adenoid hypertrophy symptoms, including stuffy nose, mouth breathing, and bilateral …

Trans-Ciliar Supraorbital Eyebrow Approach For Skull Base Lesions; A Cadaver Study, Amr Hasan Yousef, Magdy Asaad El-Hawary, Mohamed Abdel Hay Autifi, Ahmed Adel Ayad, Alazzazi Rabei

Al-Azhar International Medical Journal

Background: Supraorbital ridge resection was appropriate for resectioning olfactor groove meningiomas, sellar and parasellar tumors, craniopharyngiomas, and anterior communicating aneurysms.

Aim and objectives: To understand the anatomy and angles for the skull base through the trans-clear approach on the cadavers and how we can use this information on the patients at the operative theatre to improve the outcome and avoid complications.

Patients and Methods: This prospective analytical research enrolled four cadavers at the Mortuary in Anatomy Department and Microscopic Neurosurgical Unit of the Faculty of Medicine, Al-Azhar University. Five adult cases with skull base de novo tumors are scheduled for …

Comparative Study Between Ultrasound-Guided Erector Spinae Plane Block Versus Transmuscular Quadratus Lumborum Block For Postoperative Analgesia In Laparoscopic Cholecystectomy, Ahmed Adly Adly Mohamed, Ahmed Mossad Ahmed Elnaggar, Mohamed Ibrahim Mohamed Hashish

Al-Azhar International Medical Journal

Background: Somatic and visceral features both contribute to the subsequent pain that ensues after laparoscopic cholecystectomy.

Aim: To explore the effectiveness of the Erector Spinae Plane Block (ESPB) and quadratus lumborum block (QLB3) to mitigate postoperative pain and narcotic necessities for subjects scheduled for laparoscopic cholecystectomy.

Methods: This study comprised 110 participants who underwent laparoscopic cholecystectomy. The participants were randomly categorized into two equally matched groups (ESPB and QLB3). Each participant received a single injection of 20 mL, 0.25% bupivacaine on both sides. The main outcome was to ascertain the necessity for subsequent narcotic analgesia within the initial 24-hour period. …

Urinary Retention After Gynecologic Surgeries For Benign Diseases In Egyptian Women, Mohamed Mohamed Ibrahim Gabriel, Muhamed Ahmed Abdelmoaty, Mohamed Abd-Elrahim Elsalhy, Mahmoud Atef Elsaid Mohamed Zayed

Al-Azhar International Medical Journal

Background: A condition known as postoperative urinary retention (POUR) occurs when a patient is unable to produce urine immediately after surgery. This is a typical issue that arises after gynecologic surgery procedures, particularly those that deal with procedures to treat urine incontinence and prolapse of the pelvis.

Objective: To determine the incidence of urine retention and the variables impacting it in Egyptian women who have undergone benign gynecologic surgery.

Patients and methods: One hundred patients from Al-Hussein University Hospital had gynecologic procedures performed on them between November 2021 and November 2022 for noncancerous reasons; all were part of the study …

Subcutaneous Fusidic Acid Instillation For Prophylaxis Against Surgical Site Infection In Cesarean Section, Ayman Mohamed Abd-El Aziz, Ehab Hasanin Mohamad Hasanin, Mostafa Rabia El-Sharkawy

Al-Azhar International Medical Journal

Background: Cesarean section (CS) delivery is the most significant risk factor for postpartum maternal infection, with thirty percent incidence rates of surgical site infection (SSI) reported after CS. Wound healing failure caused by SSI results in increased treatment costs, prolonged hospital stays, and higher postoperative mortality rates.

Aim and Objectives: To investigate the role of subcutaneous Fusidic acid instillation for prophylaxis against SSI in cesarean section.

Subjects and Methods: This prospective randomized controlled clinical research was performed on 150 Pregnant women of reproductive age between 18-40 years with term pregnancy and normal weight for CS in Al-Azhar University Maternity Hospital …

Evaluation Of Right Ventricular Systolic Function Using Speckle Tracking Echocardiography Versus Cardiac Magnetic Resonance In Patients With Repaired Tetralogy Of Fallot And Its Relation To Functional Capacity, Abdelrahman Mohamad Sabry Elhadary, Mohey Eldin Mansour Alabbady, Kamal Ahmed Marghany, Mohamed Abdelfattah Youssef, Mohammad Ismail Al-Deftar, Reem Ramadan Mohamad

Al-Azhar International Medical Journal

Background: After Tetralogy of Fallot correction, Cardiac Magnetic Resonance is the gold-standard technique for evaluating the right ventricle in patients. Despite its rising status as a tool for assessing ventricular function in relation to corrected TOF, research is still being done on speckle-tracking echocardiography (STE).

Objective: After TOF repair, RV function is assessed using echocardiography in patients. The results are compared with those of the gold-standard CMR, and their functional capacity is inferred.

Patients and Methods: Twenty-five patients (17 males) with repaired TOF were included. RV function was assessed using Echocardiography and CMR. Functional capacity was assessed by stress Electrocardiogram. …

Role Of Doppler Ultrasound And Creatine Kinase As Markers In Diagnosis Of Placenta Accreta, Abd Elmonem Mohamed Zakaria, Mahmoud Abd El Latif Hashish, Yasser Mohamed Said Diab, Mahmoud Hamada Gharieb El Maadawy

Al-Azhar International Medical Journal

Background: The aberrant adhesion of placental villi to the underlying myometrium in the absence of decidua basalis is known as placenta accreta. Ignoring placenta accreta and not planning for the management of it can result in severe bleeding, potentially fatal, acute respiratory distress, widespread coagulopathy, renal failure, and emergent hysterectomy.

Aim: To assess creatine kinase and Doppler ultrasound's potential as indicators for accurate diagnosis of placenta.

Methods: Samples for this prospective observational study were gathered using a systematic random technique, and 100 patients were chosen from the obstetrics and gynecology outpatient clinic at Al-Azhar University Hospitals.

Results: Compared to women …

Endoscopic Band Ligation, And Argon Plasma Coagulation Yields In Management Of Post-Hepatitis Portal Hypertensive Gastropathy, Ali Ibrahim Ali Soliman, Mohammed Abd Elhamid Basiouny Khedr, Islam Ammar, Mohamed Salah Elfeshawy, Ayman Ahmed Shawky Said

Al-Azhar International Medical Journal

Background: Portal hypertensive gastropathy (PHG) refers to the visible alterations in the stomach that occur due to the dilatation of blood vessels in the mucosal submucosal layers, as observed during an upper endoscopy.

Aim: To compare Endoscopic band ligation (EBL), Argon plasma coagulation (APC), and combined (EBL) & (APC) in the management of severe PHG associated with post-hepatitis liver cirrhosis.

Patients and methods: This research performed on 108 cirrhotic individuals had overt or occult bleeding from severe PHG attending the Hepatology, Gastroenterology & infectious diseases Department, Al Azhar university hospitals, from June 2021till June 2022. individuals were separated into three …

Detection Of Subclinical Left Ventricular Dysfunction In Active Rheumatoid Arthritis During Biological Treatment By Two-Dimensional Speckle Tracking Echocardiography, Ahmed Zakaria Ibrahiem, Yasser Radwan Mohammed, Abd El-Hamid Ismael Abd El-Hamid, Mohamed Magdy Ghit

Al-Azhar International Medical Journal

Background: One crucial element in the progression of rheumatoid arthritis (RA) is the cytokine tumor necrosis factor-α (TNF-α).

Objectives: To compare the pre- and post-biological treatment left ventricular (LV) systolic performance in a group of patients with active RA by global longitudinal strain (GLS), a marker of myocardial deformation.

Methods: This prospective trial involved 50 patients with active RA. Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), Electrocardiogram (ECG), two-dimensional (2D)echocardiography, and 2D speckle tracking echocardiography were assessed.

Results: There was a positive correlation between GLS average length and ejection fraction (EF), fractional shortening (FS), apical 2-chamber view (A2), apical 3-chamber …

Comparative Study Between Ultrasound Guided Quadratus Lumborum Block Versus Caudal Block For Postoperative Analgesia In Lower Abdominal Surgery In Pediatrics, Samy Ahmed Ahmed Ali Kasim, Tamer Mohamed Ahmed Ewieda, Hamed Ahmed Sanad

Al-Azhar International Medical Journal

Background: There is growing evidence of the utilization of regional anesthesia in pediatric patients scheduled for lower abdominal surgery.

Aim: To assess the effectiveness of ultrasound-guided quadratus lumborum block (QLB) with ultrasound-guided caudal block in pediatric lower abdominal surgeries.

Patients and Methods: This randomized controlled study included 90 patients. Patients were randomly allocated to receive either QLB, caudal block, or general anesthesia. The primary endpoint is the cumulative opioid consumption within 24 hours following surgery. The secondary outcomes encompass pain score, time of initial analgesic request, vital signs, postoperative negative consequences, and parent satisfaction.

Results: Both QLB and caudal block …

Lymphatic Mapping For Faciocutaneous Free Flap Selection Using Magnetic Resonance Lymphography With Contrast, Tarek Mahmoud El Banouby, Mahmoud Ebrahim El Shamy, Mohamed Osama Ouf, Abdullah Mohamed Kasem

Al-Azhar International Medical Journal

Background: The evacuation of fluid and proteins from interstitial tissues and their subsequent return to the systemic circulation is one of the main tasks of the lymphatic system. In order to avoid edema, or swelling, this mechanism is essential for keeping the body's fluid levels stable and from tissues accumulating too much fluid.

Aim: To map and determine the lymphatic axiality using magnetic resonance lymphography with contrast in some fasciocutaneous free flaps: ALT free flap from the thigh, DIEP free flap from the anterior trunk, and para scapular free flap from the posterior trunk.

Patients and methods: This study conducted …

Assessment Of Corneal Endothelial Changes After Implantable Phakic Contact Lenses (Ipcl) In Myopic Patients, Taha Jadallah Abd Alhamied Mahmoud, Ahmad Mohammad Yousof, Nour Eldin Abd Elhamid Abd Elhalim

Al-Azhar International Medical Journal

Background: The Implantable Phakic Contact Lens (IPCL) has been established as a substitute for refractive correction as a distinct financial benefit over the Visian Implantable Collamer lens (ICL), with correction of high levels of ametropia up to −30.0 D.

Aim of the Work: To evaluate endothelial changes after implantable Phakic contact lens in moderate and high myopic patients by specular microscope.

Patients and Methods: Twenty eyes of 14 patients were involved in the present interventional prospective clinical study. All eyes were implanted with IPCL V2.0. Corneal endothelium changes using specular microscopy were measured at the preoperative baseline visit, one week, …

Difference Between Pfannenstiel Incision And High Transverse Supra Umbilical Incision, During Elective Cesarean Section In Morbidly Obese Patients, Wael Soliman Taha, Mohamed Ahmed Abd El Moaty, Ali El-Sayed Zaki El-Gredly

Al-Azhar International Medical Journal

Background: The cesarean section (CS) ranks as one of the most common surgeries carried out on women worldwide. Due to a variety of causes and circumstances, the incidence of CS births has rapidly increased over the past 20 years, from 12% in 1990 to 24% in 2008, without appreciably lowering the percentage of perinatal deaths and morbidities.

Aim: To distinguish between the higher transverse supraumbilical incision and the Pfannenstiel incision during an elective CS in individuals who are morbidly obese.

Patients and methods: A randomized clinical trial was conducted in the Obstetrics and Gynecology clinics of Al-Azhar University Hospitals from …

Role Of Hysteroscopy In Diagnosis Of Patients With Secondary Infertility, Hany Maged Hassan Abdel Aal, El-Metwally Farouk El- Shahat, Mahmoud Abdel Moneim Mahmoud Beltagy

Al-Azhar International Medical Journal

Background: In patients with a history of secondary infertility, hysteroscopy is used to identify potential intrauterine abnormalities that may be associated with a decreased rate of conception.

Objective: Is to assessment of the role of hysteroscopy in identifying uterine cavity anomalies in females with secondary infertility who have a normal uterine cavity according to trans vaginal ultrasound and normal HSG.

Patients and Methods: This study involved 163 individuals, aged 20 to 40, admitted to the Gynecological Department of Al-Hussein and Sayed Galal University Hospitals, Al-Azhar University, with secondary infertility and no identified uterine abnormality.

Results: In our study, 64 (39.3%) …

Serum Interleukin-35 As A Non-Invasive Biomarker In Lupus Nephritis Patients, Mohamed Nabil Raafat Farahat, Mohamed Hassan Attia Hassan, Ahmed Ali Assem, Moataz Mohamed Ahmed El Nasherty

Al-Azhar International Medical Journal

Background: As one of the most significant organ manifestations of systemic lupus erythematosus (SLE), lupus nephritis (LN) is classified as a subtype of glomerulonephritis.

Aim and objectives: To assess serum IL-35 levels as a non-invasive marker in SLE cases without nephritis.

Patients and methods: Using a random systematic method, this cross-sectional research was done on 80 cases selected from attendees of internal medicine clinics at Al Azhar University Hospitals. Cases were separated into three groups: Group (A): [Active group] 30 cases with current onset active LN, Group (B): [Inactive group] 30 SLE cases without renal disease and Group (C): [Control …