Medicine and Health Sciences Commons^™

Transforaminal Endoscopic Lumbar Discectomy, Elsayed Abdelrahman Elmor, Abdelbaset Ali Saleh, Abdelelah Nazeer Yasin, Abdelreheem Mahmoud Mohamed, Ezz Eldeen Elsayed Mohammed Ibrahim

Al-Azhar International Medical Journal

Background: Clinical problems might result from the structural and morphological changes brought on by lumbar degenerative disc degeneration. The medical costs and lost productivity that result from treating lumbar disc herniation (LDH) are a major burden on families, communities, and nations.Lumbar Discectomy for Prolapsed Intervertebral Disc associated with radicular symptoms in lower limb is probably the most widely performed spinal intervention. Aim: Percutaneous transforaminal endoscopic lumbar discectomy is a less invasive approach for treating LDH, and the purpose of this study is to assess its efficacy. Subject and method: This study was conducted at the neurosurgery department, Ibn Sina hospital …

Assessment Of The Renal Angina Index In Determining Acute Kidney Injury, Saleh Abd Elsalam Ibrahem Algazzar, Mohamed Ahmed El-Sayed, Ahmed Ali Ali Assem, Mostafa Abdel Fattah El-Ballat

Al-Azhar International Medical Journal

Background: Oliguria or A rise in serum creatinine concentration have been performed to detect acute kidney injury (AKI), however none of these methods is

sensitive. Some Pediatrics researches used Renal Angina Index (RAI) to predict AKI is beneficial.

Aim and objectives: evaluation the Renal Angina Index efficacy in identifying critically sick individuals whom were more prone to get severe AKI.

Subjects and methods: 50 diseased patients were hospitalized in ICUs and participated in this prospective observational research. Subjected to clinical examination and laboratory tests for blood urea, serum creatinine, CBC , Ast, Alt, Albumin, electrolytes, levels of serum calcium, phosphorus, …

Relation Between Adropin Levels And Hyperhomocysteinemia In Patients With Coronary Artery Disease, Bassem Mohamed Abdel Hady, Ola Hassan Abd Elaziz, Inass Hassan Ahmad, Hala Naguib Mohamed, Marwa Khairy Abd Elwahab

Al-Azhar International Medical Journal

Background and aim: Homocysteine and adropin effects on endothelial function are antagonistic. The current study aimed to evaluate the association between serum levels of adropin and homocysteine and the severity of coronary artery disease (CAD) . Patients and methods: This cross-sectional study included 86 patients submitted to coronary angiography with ≥ 50% stenosis in one or more coronary arteries. Serum Adropin and homocysteine levels were estimated. The anatomical synergy between percutaneous coronary intervention with taxus and cardiac surgery (SYNTAX) score was utilized to assess the severity of CAD. Results: According to serum homocysteine levels, they were classified into patients with …

Comparative Study Between Iliac Bone Grafting Verses Latarjet Procedure For Surgical Management Of Anterior Shoulder Instability With Glenoid Bone Defect, Ibrahim Ahmed Hussine, Emad Mohamed Zayid, Mahmoud Salah Tork

Al-Azhar International Medical Journal

Background and Aim: Anatomical glenoid restoration by iliac graft transplant versus latarjet surgery is competing as a management option for recurrent traumatic anterior dislocation of the shoulder associated with glenoid bone loss. All patients, who have recurrent traumatic anterior dislocation of the shoulder with loss of glenoid bone rime, will be assessed effectively for their responses to the Latarjet or the Iliac Graft Transfer. Patients and Methods: There were 40 patients presented with Anterior dislocation of the shoulder who had open Latarjet operation or ICBGT operation in this prospective random research. Rowe and ASES ratings, satisfaction level, evaluation of range …

Cerebro-Placental Ratio's Role In Perinatal Outcome Prediction In High-Risk Pregnancies With Intrauterine Growth Restriction, Abdelmonem Mohamed Zakaria, Abdelmonsef Abdel Ghaffar Mostafa, Khalid Abdel Hakim Shehata

Al-Azhar International Medical Journal

Background: The established method of antenatal monitoring known as doppler ultrasoongraphy velocimetry of utero-placental umbilical and foetal vessels. Studies on the cerebralplacental ratio have been done to anticipate neonatal achievements.

Aim and objectives: to assess the impact of intrauterine growth retardation on pregnancy outcomes in the high-risk partureints using the cerebro-placental ratio.

Patients and methods: A case control trial, whereas 100 of conceived females shared and similarly distributed to paired collections, each collection includes 50 of women first group: about high-risk conceived females suffering IUGR and the second is control group: about50 high-risk conceived females with no IUGR. At the …

Maternal Anemia And Fetal Doppler Indices In The Third Trimester Of Pregnancy, Mohamed Abu-Elfadle Mostafa, Abd El-Monem Mohamed Zakaria, Ahmed Mohamed Saeed

Al-Azhar International Medical Journal

Background: Complications for the mother and fetus are usually linked to maternal anemia. It may also cause a shift in fetal blood flow by decreasing the oxygen supply to the developing baby. Aim of the work: to assess the impact of maternal anemia on the umbilical artery and middle cerebral artery Doppler indices in the third trimester of pregnancy. Patients and methods: This was a prospective case-control study on 200 pregnant women separated into 2 groups at El-Hussein University hospital: 100 pregnant women with varying degrees of anemia (Mild, Moderate, and Severe) were involved in Group I (the study group), …

Comparison Between The Role Of Trans-Abdominal Ultrasound Versus Transvaginal Ultrasound In Evaluation Of Placental Invasion In Cases Of Placenta Previa Anterior Wall With Previous Uterine Scar, Mohammed Mohammed Gebreil, Ahmed Mohammed El-Sadek, Abdelrahman Ahmed Sayed Salama

Al-Azhar International Medical Journal

Background: Transabdominal ultrasound and transvaginal ultrasound are complementary for diagnosis; also, in situations of placenta previa, transvaginal ultrasonography is safe and enables thorough inspection of the lower uterine section. Aim and objectives: The study's objective was to compare how placental invasion was assessed using transabdominal ultrasound versus transvaginal ultrasound in patients with placenta previa anterior wall with a prior uterine scar. Subjects and methods: Between April 2021 and September 2021, 120 pregnant women with chronic placenta previa (beyond 28 weeks of pregnancy) were prospectively included into this research at the Department of Gynecology and Obstetrics, AL Azhar University Hospital. Results: …

Effects Of Repetitive Transcranial Magnetic Stimulation (Rtms) On Craving In Substance Use Disorder Patients, Abdulrahman Nasr Sayedahmed Ziada, Hesham Mahmoud Mohamed Abuhegazy, Ismail Sayed Sadek, Mohammed Mahmoud Abdalrahman Hamouda

Al-Azhar International Medical Journal

Background: Substance abuse has a variety of causes. It consists of environmental, biological, sociocultural, and biological aspects.

Aim: This study's main goal was to investigate how recurrent high-frequency transcranial magnetic stimulation (rTMS) affected people with substance use disorders' desire (DLPFC).

Methods: This interventional study was conducted in El Hussein hospital outpatient clinic through 6 months. This study was conducted on 30 including. All patients were divided into 2 groups: sham group included 15 patients and active group included 15 patients.

Results: The Follow-up Desire to Use Substances ranged from 4 to 7 in the Sham group with a mean and …

Central Corneal Thickness And Corneal Hysteresis Together With Corrected Intraocular Pressure In Normal Population, Ghada Mohammed Rasheed Abdelaziz, Sawsan Abdelsabour Shalaby, Hossam Abdelmonem Ziada

Al-Azhar International Medical Journal

Background: Cornea is the transparent window on the front of the eye with a dome shape. The cornea forms the anterior part of the eye outer coat. This coat's primary function is to protect the intra ocular components. The cornea serves as a structural barrier and guards the eye against infections. It offers the eye's anterior refractive surface with the tear film. Two-thirds of the eye's refractive power contributed by the cornea

Objective: The study aims to report and correlate central corneal thickness (CCT) by Pentacam, .corneal hysteresis (CH), corneal resistance factor. (CRF), corneal compensated intraocular pressure. (IOP cc), and …

St-T Changes As A Predictor Of Coronary Artery Diseases In Patients With Increased Left Ventricular Mass Index, Mohammed Helmy El-Dessouky, Ahmed Mohamed Allam, Yasser Abdelgalil, Mohamed Saad Elgamal

Al-Azhar International Medical Journal

Objectives: The purpose of this investigation is to assess the relationship between electrocardiographic ST-T changes and coronary artery disease (CAD) and coronary lesions in individuals with increased LVMI.

Methods: This retrospective cohort study was conducted on one hundred and sixty patients with elevated LVMI (LVMI >115 g/m2 in males and 95 g/m2 in females), patients with hypertrophic cardiomyopathy (HOCM), patients with cardiac amyloidosis, individuals with aortic stenosis (AS) and individuals with athletic myocardial hypertrophy undergoing coronary angiography. Participants were splitted into two groups. Group I: 80 individuals with increased LVMI and positive strain pattern. Group II: 80 individuals with increased …

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 …

Nitric Oxide Level And Total Antioxidant Capacity In The Seminal Plasma Of Infertile Smoking Men, Abdelshakour A. Abdelwahed, Hassan M. Abdelazez, Nagah Mohamed Aboumohamed, Mohamed M. Abd Elazeem

Al-Azhar International Medical Journal

Introduction&Aim of the work: to assess the effects of smoking on TAC and NO levels in seminal plasma of patients who suffer from oligoasthenozoospermia.

Patient and Methods: this study was conducted on ninety males with age range 20-40 years. They were classified into two groups. Group (A) 45 Smoker with oligoasthenozoospermia and Group (B) 45 non- Smoker with oligoasthenozoospermia. this research was between January 2017 and May 2018. Semen sample will be collected and examined for, Parameters of semen will be considered according to (WHO, 2010). Hormonal profile (FSH, LH, Testosterone, Prolactin). Seminal plasma level of nitrite as a surrogate …

Treatment Outcome Of Locally Advanced Rectal Cancer, Amr Mohamed El Hadidy, Mohsen Salah El-Din Zikry, Eslam Mohamed . Ebrahim

Al-Azhar International Medical Journal

Background: Colorectal cancer is the third commonest cancer worldwide. Most cases presented with locally advanced stage.

Objective : To analyze treatment outcome, disease free survival (DFS) and overall survival (OS) of patients with locally advanced rectal adenocarcinoma.

Patients and methods: retrospective study included patients with stage II and III rectal adenocarcinoma referred to El Hussein University Hospital during the period between June 2016 and Jan. 2020 , with analysis of their personal and disease related data .

Results: 66 patients were included, 57 of them received pre operative short course radiotherapy (SCRT) or concurrent chemoradiotherapy (CCRT) , 42 of them …

Manipal Cervical Scoring System By Transvaginal Ultrasound Versus Bishop Score In Predicting Successful Labour Induction, Mohammed Mohammed Gebreil, Ahmed Mohammed El-Sadek, Younis Gaber Younes Ahmed

Al-Azhar International Medical Journal

Background; The best time to induce labor is when the cervix is "ripe" at that particular moment. It is the mechanism through which the cervix changes in consistency before the beginning of labor, Aim and objectives; to analyze cervical length and compare the Manipal Cervical Scoring System's accuracy to the Bishop score in order to choose the most effective way to induce labor, Subjects and methods; 100 women were included in this prospective trial who were being evaluated for labor induction. The investigation was carried out at AL-HUSSIEN University Hospital's obstetrics and gynecology department, Result; While Bishop score and Manipal …

The Relation Between Follicular Fluid Anti-Müllerian Hormone (Amh), Oocyte Maturation And Embryo Development In Intracytoplasmic Sperm Injection (Icsi) Cycles, Abdelmonem Mohamed Zakaria, Ahmed Mohamed Saeed, Ahmed Abdelbaky Roshdy

Al-Azhar International Medical Journal

Background: A comparatively recent and quickly developing method of resolving human reproductive issues involves externalizing the human ovum with spermatozoa and transporting the generated embryo to the woman's uterus. The 1970s saw the publication of the first findings of implantations and pregnancy after the application of this technology in humans. Since then, the procedures recognized as in vitro fertilisation (IVF) and embryo transfer (ET) have led to multiple pregnancies, new knowledge about gametes interactions, and earlier embryogenesis progress. Unfortunately, compared to the therapy of tubal factor infertility, IVF is typically less effective for treating male factor infertility.

Aim of the …

Role Of Fiberoptic Bronchoscopy In Diagnosis Of Smear Negative Pulmonary Tb, Ahmed Mohammed Omer, Hamdy Melegy Abd Allah, Wageeh Hassan Sayed

Al-Azhar International Medical Journal

Background; Several studies have demonstrated the value of bronchoscopy in individuals with a positive history of pulmonary TB but a negative sputum smear. Unfortunately, there is a lack of information on when bronchoscopy is most beneficial, Aim and objectives; To assess the use of bronchoscopy for the diagnosis of tuberculosis in patients with negative sputum smears, Subjects and methods; This study is a retrospective study, was conducted at Azhar Assiut university hospital during the period from 2020 till 2022, Result; BAL culture for M. tuberculosis was positive in 22 patients (44%), Bronchial brushing culture was positive in 14 cases (46,7%), …

Assessment Of Contrast Sensitivity And Wavefront Analysis After Aspheric And Spherical Intraocular Lens Implantation., Mohamed Hassan Ali Mohamed, Mohamed Amin El Masry, Hassan Metwally Baiuomy

Al-Azhar International Medical Journal

Purpose: to evaluate the changes in contrast sensitivity and wavefront high-order aberrations of eyes implanted with aspheric intraocular lenses in comparison with those with standard spherical intraocular lenses.

Methods: The 40 patients' eyes were included in this comparative prospective investigation. There were two sets of participants in this study, A and B, each with an equal number of eyes. (20). Group (A): underwent standard phacoemulsification with the implantation of an AcrySof IOL (SA60AT), a single-piece, spherical monofocal IOL Alcon Laboratories, Inc. The AcrySof IQ IOL (SN60WF), an aspheric monofocal IOL, was implanted in Group B using standard phacoemulsification techniques; Alcon …

Early Outcome Of Minimally-Invasive Aortic Valve Replacement Through Mini Sternotomy Versus Conventional Approach, Galal Farrag Abd El Haleem Laag, El-Husseiny El-Husseiny Gamil, Haythm Mohamed Abd Elmoaty

Al-Azhar International Medical Journal

Background: Currently, minimally invasive approaches are widely used in the feild of cardio-thoracic surgeries. The main objective of these approaches is to maximize patient satisfaction regarding cosmetic shape of the wound, patient comfort, and rapid attainment of normal life. In addition, these approaches are thought to improve patient-related surgical morbidity, length of hospitalization, and total financial burden.

Objective: To compare early surgical outcomes during hospital stay after aortic valve surgeries using ministernotomy and conventional full sternotomy approach.

Methods: Our research was a prospective,comparative,non-randomized study. It included 60 patients with AVD who required aortic valve surgery divided into two groups(group Ι …

An Observational Study Of The Association Of Preoperative Mri Findings And Intraoperative Findings In Patients With Fistula In Ano, Tushar Sharmaa, Nabal K. Mishra, Shyam Lal, Tanweer Karim, Rahul Rohitaj, Gaurav Patel

Journal of Medicine in Scientific Research

Objective To assess the precision of preoperative MRI pelvis for identification of anal fistulas with regard to intraoperative findings. Patients and methods A prospective observational cohort study was done in the Department of General Surgery, over a period of 18 months (October 2019–April 2021) during which all diagnosed cases of fistula in ano admitted for elective surgery were included and operated by an experienced surgeon. MRI and clinical evaluation were done preoperatively and correlated with intraoperative findings. Patients were followed up for 12 weeks during which recurrence and complications were noted. Results The mean age of the patients was 36.98 …

Hemoglobin Changes As A Marker Of Blood Volume Changes In Hemodialysis Patients, Safwat Farrag Ahmed, Hani Ismail Hamed, Mohamed Elsayed Abu Ghabsha, Mostafa Abd El Hady Ibrahim Gabr

Al-Azhar International Medical Journal

Background: Hemodialysis patients routinely employ relative blood volume (RBV) monitoring to direct fluid management and enhance cardiovascular stability, Aim: In order to determine how estimates of relative blood volume changes may vary based on the monitoring method, the current study sought to examine changes in hematocrit, haemoglobin, or total blood protein concentration in patients receiving normal maintenance hemodialysis. Subject and Methods: This was a prospective cross-sectional study curried out at Nephrology Departments of Al Hussien University Hospitals and Ahmed Maher Teaching Hospital. The study was conducted over a one-year period, from September 2021 till September 2022. Results: globulin level showed …

Tear Film Changes After Dacryocystorhinostomy Using Ocular Surface Analyzer, Omar O. Abdrabbou, Mohamed A. E. Mahdy, Mostafa O. Hussien

Al-Azhar International Medical Journal

Background: Tear film experience some changes after dacryocystorhinostomy. Detecting these changes is mandatory to reach the proper treatment and good postoperative outcomes.

Objective: This study aims to detect changes in the tear film in patients after dacryocystorhinostomy (DCR) using ocular surface analyzer (OSA).

Patients and Methods: Thirty eyes of twenty studied cases with primary developed nasolacrimal duct obstruction (PANDO) had been contained. They underwent DCR and tear film was assessed clinically, using OSA and shirmer test.

Results: The research found that lipid layer thickness (LLT) was rised from 63.5 nm preoperative to (76.4 nm and 68.07 nm) at one and …

Comparative Study Between Glycated Hemoglobin And Glycated Albumin In Diabetes In Hemodialysis Patients, Alsayed Mohamed Rashed, Reda Fakhry Mohamed, Mohamed Alsayed Abo Ghabsha, Mohamed Shehata Shaaban Ghoneim

Al-Azhar International Medical Journal

Background: The importance of accurately measuring glycemic control in the diabetic people cannot be overstated, since better glycemic control decreases micro- and macrovascular problems in individuals with diabetes mellitus getting renal replacement treatment. Aim: This study's objective was to contrast between glycated hemoglobin and glycated albumin in diabetes in hemodialysis patients. Subject and Methods: This was Prospective Comparative research caried out on 100 diabetic patients. Two groups were created out of them: Group (I): that had 50 patients’ diabetic on hemodialysis. Group (II): that included 50 patients diabetic not on hemodialysis. From March 2022 to September 2022, this research was …

Open Release Of Superficial Medial Collateral Ligament For Arthroscopic Medial Meniscus Surgery In Patient With Tight Medial Compartment, Younis Mahmoud Akl, Mohamed I. Abulsoud, Hussam El-Deen Eid Haffour

Al-Azhar International Medical Journal

Background: Attachment of the posterior root is necessary for the medial meniscus to function and its tears are common. Arthroscopy must be able to see the medial meniscus' posterior horn to repair it. Even an arthroscopy specialist can damage the articular cartilage in tight knee joints with a tiny medial joint space, increasing the risk of knee osteoarthritis. Pie crusting technique needs multiple punctures to open joints. It raises medial joint structure iatrogenic injury risk. Aim of the Work:The purpose of the research was to look for residual laxity of knee following minimally invasive (Mini-Open) Superficial Medial Collateral Ligament (sMCL) …

Combined Fetal Pulmonary Artery Doppler And Proximal Humeral Ossification Center For Prediction Of Neonatal Respiratory Distress Syndrome At Term: A Cohort Prospective Study, Farid A. Kassab, Khaled Zakaria Elsheikha, Rania Refaat Ramadan, Mohamed Adel Mohamed Kamal El Din

Al-Azhar International Medical Journal

Background: Fetal lung maturity is one of the huge dilemmas since a long time ago. Timing of the delivery is crucial for safe fetal delivery since verification of pulmonary maturity diminishes the respiratory morbidity possibility. Recently Pulmonary artery indices have been used to predict the possibility of RDS especially in early term. Together with humeral ossification center which has a remarkable value in estimation of term gestation, both of them can help prediction of fetal lung maturity. Aim of the Work: utilizing PHE with pulmonary artery Doppler indices for accurate prediction of fetal respiratory distress syndrome. The use of PHE …

Role Of Transient Elastography (Fibroscan) In Early Prediction Of Hepatitis C Virus Related Hepatocellular Carcinoma, Mohammed N. Abou Hia Allah, Ashraf O. Abdelaziz, Mohammed H. Al-Nadry, Walid M. Gomaa, Mohamed M. Abdel-Halim, Mohamed M. Nabeel, Tamer M. Elbaz, Rania Lithy, Ahmed Hosni Abdelmaksoud, Hend I. Shousha

Al-Azhar International Medical Journal

Background: Hepatocellular carcinoma (HCC) is the fifth-leading cause of cancer-related deaths globally. Liver biopsy is the gold standard for diagnosing liver fibrosis and cirrhosis. Instead of a liver biopsy, a number of noninvasive diagnostic tools for assessing hepatic fibrosis as a risk factor for HCC, such as fibroscan. Aim of work: Assess the role of Transient Elastography (Fibroscan) in prediction of (HCC) in chronic hepatitis C virus patients. Subjects and methods: A case-control study included 133 patients with cirrhosis and HCC and 133 patients with HCV-Liver cirrhosis without HCC was carried out. Each patient had their medical history taken, and …

Factors Predicting The Outcome Of Retrograde Flexible Ureterorenoscopy For The Treatment Of Renal Stones, Mahmoud J Ibrahim. Azhar, Mohamed F Salman Azhar, Ibrahim A Abdel-Maksoud Azhar, Ali G Eid Azhar

Al-Azhar International Medical Journal

Background: Flexible ureterorenoscopy (FURS) is widely used in surgical treatment of renal stones, due to the tendency toward minimally invasive options. This study conducted to evaluate factors affecting outcomes of FURS.

Patients and methods: A retrospective analysis of patients with renal stones who underwent FURS at Al-Azhar University Hospitals (Al-Hussein and Sayed Galal), Cairo, Egypt. This analysis involved patients who underwent FURS in period between October 2020 to June 2022, only patients with complete data were involved in this study.

Results: Out of 187 patients underwent FURS for renal stone in the aforementioned period, 152 had complete data. The mean …

Postoperative Narcotic Sparing Effect Of Ultrasound Guided Quadratus Lumborum Block In Patients Undergoing Percutaneous Nephrolithotomy, Ahmed Refaat Ibrahim Mohammed, Mostafa Ibrahim Mostafa Shalaby, Tamer Mohammed Ahmed Eweda

Al-Azhar International Medical Journal

Background:. Quadratus lumborum block (QLB) technique is strongly recommended as an appropriate adjunctive to systemic intravenous analgesia for pain control. Some modifications of this technique were subsequently introduced.

Aim of the Work: The purpose of this study is to assess the effectiveness of quadrates lumborum plane block as a post-operative analgesic with Percutaneous Nephrolithotomy.

Patients and Methods: A prospective randomized controlled single-blinded clinical research study on 98 patients was conducted at Al-Azhar University hospitals in Cairo. After receiving institutional ethics committee approval, patients were scheduled for Percutaneous Nephrolithotomy. 98 patients were randomly divided into two equal groups: 49 patients given …

Assessment Of Efficacy Of Hysteroscpoic Tubal Occlusion In Infertile Patients With Hydrosalpinx, Ehab Hassanin Mohammad, El Metwally Farouk El Shahat, Ahmed Mahmoud Ibrahim Abdelaziz

Al-Azhar International Medical Journal

One of the most common reasons for undergoing in vitro fertilization and embryo transfer (IVF-ET) is tubal infertility. There is a high prevalence of adnexal injuries that lead to sterility. Some are pathogenic, occurring as a result of pelvic infectious disease that causes tubal blockage and/or hydrosalpinx, or endometriosis. After a tubal ectopic pregnancy, tubal damage is a common complication. Possible iatrogenic causes of tubal injury include sterilization and prior pelvic surgery. In our study we aimed to Assess the efficacy of hysteroscpoic tubal occlusion by using electrocoagulation in infertile patients with hydrosalpinx, our study was conducted at the obstetrics …

Role Of Color Doppler Ultrasonography In Evaluation Of Hemodialysis Av Fistula, Ahmed Abd-Elfattah Mahmoud Abou-Rashed, Mohamed Hasan Tawfik, Hazem Sayed Ahmed Ayoub, Abdelrahman Ahmed Mohamed Elazhari

Al-Azhar International Medical Journal

Background: A significant percentage of the Egyptian population is affected by end-stage kidney disease, which requires long-term hemodialysis. For patients receiving regular hemodialysis, the arteriovenous fistula is now the method most frequently employed to provide vascular access. Objective: The current study's objective was to assess the role and utility of CDUS in assessing vascular access and identifying shunt complications for hemodialysis. Patients and methods: This prospective, randomized controlled trial investigation has been carried out at the Health Insurance Hospital Nasr City's radio-diagnosis department. We included a sample size of thirty patients who needed an arteriovenous fistula in the upper limb …

Role Of Subcutaneous Suction Drain In Prevention Of Wound Complications After Elective Abdominal Surgery, Adel Mohammad Abdulhaliem Lasheen, Mohamed Ibrahim El Sayed Henish, Ahmed Abdullah Hussein Abo Asy

Al-Azhar International Medical Journal

Background; Any surgical procedure that disrupts the anterior abdominal wall in order to get access to the peritoneal cavity might result in an abdominal wound, Aim and objectives: This study's objective was to assess the effectiveness of subcutaneous vacuum suction drains in reducing abdominal wound complications after elective abdominal operations. Subjects and methods: This research was had 200 patients undergoing exploratory laparotomy for elective indications in Al-Azhar University Hospitals (Al – Hussein and Bab – Elshaaria University Hospitals). Result; In both groups, midline laparotomies were the most frequently applied incision. The other incisions made were on the grid iron and …