Medicine and Health Sciences Commons^™

A Hanging Case Or A Hit And Run Accident, Mohamed M. Hussein, Ashraf I. Hassan

Al-Azhar International Medical Journal

When the victim's body was observed to be partially or totally hanged, a death by hanging occurred. The existence of both general and local indicators of hanging together with circumstantial evidence is typically used to diagnose the cause. After ruling out the presence of other important suspicious signs, such as those suggesting struggle, and when the victim is toxicologically free, the manner of death is tends to be suicidal. Circumstances also, should exclude homicide and accidental death. We present a man in the third decade of life, found on a road with head trauma but with signs of hanging including …

Characteristics Of Patients Newly Diagnosed With Diabetes Mellitus After Coronavirus Disease-19 (Covid-19), Alboraie Mohamed Aly, Megahed Mohamed Rabie, Abohasan Ahmed Mohamed, Abdelraouf Mahmoud Ezzat, Badr Gamal Aly

Al-Azhar International Medical Journal

Background: At this moment, there is a greater than ever level of concern over the 2019 (COVID-19) coronavirus illness pandemic and its related morbidities. Aim and objectives: Case series with systematic review of the frequency of newly diagnosed diabetes mellitus (DM) among COVID-19 patients, its varied symptoms, and glycemic control in diabetic patients. Patients and methodology: 100 patients altogether were split into two groups for this cross-sectional study. Every examination done at the time of diagnosis and two months afterwards. They were evacuated from Al-Hussein University Hospital between January and July 2022. Results: Our findings showed that the HbA1C levels …

Updated Role Of Ultrasonography In Comparison With Magnetic Resonance Imaging In Evaluation Of Various Causes Of Chronic Ankle Pain, Alaa Eldein Mohamed Badr, Mohamed Abdelfattah Yousef, Abdelhakeam Atef Abdelhakeam

Al-Azhar International Medical Journal

Background: Ankle pain refers to any kind of discomfort in either or both ankles. A common cause of ankle pain is an ankle sprain. Apart from sprains and other traumas, gout and arthritis can also result in ankle pain. Ankle discomfort can arise from various types of arthritis, such as osteoarthritis, rheumatoid arthritis, chronic gouty arthritis, psoriatic arthritis, and septic arthritis. Aim of the work: To analyze the updated roles of magnetic resonance imaging and ultrasonography in evaluating different causes of persistent ankle discomfort. Patients and methods: The fifty randomly selected patients with no age or sex specification were subjected …

Prediction Of Fetal Macrosomia Using Ultrasonographic Measurements Of Placental Volume And Thickness, Umbilical Cord Thickness, Fetal Interventricular Septum Thickness In Pregnant Women With Gestational Diabetes, Mofeed Fawzy Mohamed, Muhamed Ahmed Abdelmoaty, Mahmoud Abdelhameed Elswerky

Al-Azhar International Medical Journal

Background: Fetal macrosomia is recognized to be at risk due to diabetes throughout pregnancy.

Objective: Evaluation of the impact of ultrasound measurements of placental volume and thickness, umbilical cord thickness, and fetal interventricular septum thickness in fetal macrosomia prediction in pregnant women with gestational diabetes.

Patients and Methods: After receiving their consent, 70 gestational diabetes-positive pregnant women were enrolled in the study. They were then split into two equal groups: the study group, which included 35 patients with gestational diabetes was diagnosed, and the control group, which included 35 pregnant women in good health who were gathered from the obstetric …

Ultrasonography And Nailfold Capillaroscopy Assessment In Patients With Systemic Sclerosis And Their Relation To Severity Of Vasculopathy, Mohamed Ahmed Mohamed, Mohamed Ismail Abdelkareem, Khaled Mohamed Tawfik, Amin Abdelhamed Abdelhady

Al-Azhar International Medical Journal

Background: Systemic sclerosis (SSc) is a disease of unknown etiology characterized by tissue fibrosis and microvascular abnormalities. Microvascular damages of the hand can easily be evaluated using nailfold capillaroscopy (NFC). Aim: To evaluate the relationship between microvascular damages assessed by Nailfold capillaroscopy and macrovascular features evaluated by Doppler Ultrasound to assess the severity of hand involvement and vasculopathy in Systemic Sclerosis. Methods: This study was carried out on 50 adult patients with progressive SSc. Results: According to Nailfold Capillaroscopy findings, 9 (18%) patient diagnosed as early phase of SSc while 24 (48%) patients were at late phase and 17 (34%) …

Impact Of Intestinal Ultrasound For Assessment Of Inflammatory Bowel Disease Activity, Mohammad Ahmad Abdel Hameed Elsaid Shaalan, Magdy Abd-El Kareem El-Dahshan, Zakarya Mohamed Zakarya, Mohamed Salah Elfeshawy, Hossam El Adl El Adl, Marwa Ahmed Byomy, Taiseer Ahmed Shawky

Al-Azhar International Medical Journal

Background: Inflammatory bowel disease (IBD) is considered a chronic inflammatory disease which has two main forms: Ulcerative colitis and Crohn’s disease. IBDU (unspecified) is used when a sure diagnosis of CD or UC cannot be made. Over time, most patients with IBDU (unspecified) will be assigned a definitive diagnosis of UC or CD. 1 This study aimed to study the role of intestinal ultrasound in comparison to CT enterography and colonoscopy in detecting bowel wall thickness as assessment tool for activity in IBD. Patients and methods: We conducted a comparative study in Al-Azhar university hospitals of previously diagnosed 70 IBD …

Accuracy Of Multi-Detector Computed Tomography Compared To Laparoscopy In Ovarian Cancer Staging, Awad Mahmoud Awad, Ahmed El-Sayed Mohammed Abd Elrahman, Mohamed Hasan Mohamed El-Kasser, Mohammad Abol Wafa Ahmad

Al-Azhar International Medical Journal

Background: When it comes to staging and monitoring ovarian cancer (OC), multidetector computed tomography (MDCT) of the abdomen is now the gold standard imaging scan. Most cases of OC that have metastasis to different locations in the body have done so via peritoneal metastases (PMs). In order to investigate whether or not the intraperitoneal cavity and retroperitoneal lymph nodes can be appropriately evaluated during laparoscopic staging of patients with OC, a prospective study was conducted. Aim and objectives: The main aim of this research is to contrast the accuracy of MDCT compared to diagnostic laparoscopy in staging of OC. Subjects …

Proximal Femoral Plate Versus Proximal Femoral Nailing Fixation For Treatment Of Unstable Intertrochanteric Femoral Fractures, Ibrahim Ahmed Mostafa, Sameh Anwer Elsayed Abdel-Aal, Mahmoud Elsayed Omar Yassin

Al-Azhar International Medical Journal

Background: The rising prevalence of osteoporosis among the elderly has been associated with an increase in trochanteric fractures. Intramedullary devices like proximal femoral nail and proximal anatomic femur plates are used for the management of Intertrochanteric femur fractures. However, there is still a lot of research to be done to determine which implant is best for treating these fractures with the fewest possible side effects. Aim and objectives: with the purpose of evaluating the efficacy of different therapies for fractures of the trochanteric region of the femur by proximal femoral nail versus proximal Trochantric femur plate. Subjects and methods: This …

Comparative Study Between Laparoscopic Tubal Disconnection And Hysteroscopic Tubal Occlusion In Management Of Hydrosalpinx Prior To Intracytoplasmic Sperm Injection, Mohamed Mohamed Gebreel, Adel Aly Elboghdady, Mohamed Kamal Ahmed Emara

Al-Azhar International Medical Journal

Background: More than 35% of all cases of female infertility can be attributed to tubal factor infertility caused by various forms of tuboperitoneal injury. Hydrosalpinx is one of the most serious complications of tubal pathology. The Greek word for a clogged Fallopian tube is hydrosalpinx. Aim and objectives: to evaluate the relative merits of two methods for treating hydrosalpinx—hysteroscopic tubal electrocoagulation and laparoscopic proximal tubal occlusion—in the lead-up to intracytoplasmic sperm injection. The main objective is to evaluate their effect on the success of an ICSI cycle. Subjects and methods: The Obstetrics and Gynecology Departments at El Huseen and Sayed …

Thyroid Dysfunction In Cirrhotic Patients And Its Correlation With Severity Of Liver Disease, Shaaban Salah Al Azhary, Ahmed Mohamed Ghazy, Ahmed Mohamed El Deeb, Ahmed Lotfy Elsayed

Al-Azhar International Medical Journal

Background: Liver disease modifies thyroid hormone metabolism, as well as a number of systemic disorders can have an effect on both the thyroid as well as the liver. Aim & objectives: To assess the thyroid derangements in cirrhotic individuals & its relationship to the severity of the liver disease. Patients and methods: This case control study included 150 cases of liver cirrhosis and 50 apparently healthy controls recruited from ward and outpatient clinic at Al-Hussin and Bab al sharia Hospitals, Department of hepatology, gastroenterology and infectious diseases between January 2023 till June 2023. Results: We found that Cirrhotic patients have …

Effect Of Hydrogen Peroxide On Hemostasis During Tonsillectomy Operations, Mohammad Abd- Al Fattah Al-Tawy, Mohammad Amin Al-Morsy, Ahmed Salah El-Sayed Amer

Al-Azhar International Medical Journal

Background: The palatine tonsils play a role in immunological function. Their infections are one of the most common causes of visits to ENT specialists. The surgeon is always mindful of the significant risk of complications in tonsillectomy, despite the fact that it is the most common and simplest procedure. Hydrogen peroxide was not mentioned as a hemostatic agent for tonsillectomy in the literature search. For many years, orthopedic surgeons have relied on hydrogen peroxide as a hemostatic agent. Aim and Objectives: to determine how well H2O2 works in stopping bleeding during tonsillectomy procedures. Patients and methods: In this prospective cross-sectional …

Effect Of Low-Flux Versus High-Flux Dialyzers On Interleukin 6 (Il-6) Level In Patients Undergoing Maintenance Haemodialysis, Hussein Salem Farahat Salem, Mohamed Nabil Raafat, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomi

Al-Azhar International Medical Journal

Background: One of the leading causes of death and suffering in the 21st century is chronic kidney disease (CKD). Due to the rise in risk factors like obesity and diabetes, as well as the rising number of people affected with CKD, our study aimed to study the effect of using low-flux in comparison to high-flux dialyzers on serum IL-6 levels in patients undergoing regular hemodialysis (HD).

Patients and Methods: Our study was a randomized controlled trial. Sixty patients were enrolled: 20 CKD patients, 20 dialysis patients using low- flux, and 20 patients using high-flux polysulfone dialyzers. Dialysis sessions were four …

Classical Antagonist Protocol In Comparison With Agonist Stop Protocol In Pcos Women Undergoing Icsi Trial: A Randomized Controlled Trial, Mohamed Sameeh Kamal Mohamed, Hassan Ahmed Abdrbo, Mohamed Mohamed Farahat

Al-Azhar International Medical Journal

Background and aim: Polycystic ovary syndrome (PCOS) is distinguished by hyperandrogenism, oligomenorrhea, and a cystic ovarian morphology. Ovarian hyperstimulation syndrome (OHSS) is more likely to occur in women with PCOS who undergo IVF. The utilization of hCG to begin the ovum's ultimate maturation is a significant mechanism in OHSS . The ESHRE guidelines recommend that in women with PCOS undergoing ICSI/IVF treatment the gonadotrophine releasing hormone antagonist protocol is optimal or superior to gonadotrophin releasing agonist long protocol. In this study we aimed to Compare pregnancy rate between classical (standard) antagonist protocol to agonist stop/antagonist protocol in women with PCOS …

Topical 15% Lactic Acid Solution Versus Topical Betamethasone Valerate Lotion In Treatment Of Multiple Patchy Alopecia Aerate., Ramy Taher Mohamed Aboelghait, Amr Mohamed Zaki, Emad Mahmoud El Rewiny

Al-Azhar International Medical Journal

Background: Alopecia areata (AA) is a kind of alopecia that affects the retinal pigment epithelium, nails, and hair follicles sporadically. It is a kind of hair loss that doesn't leave scars and often manifests as rounded patches. Alopecia areata may be treated with a variety of methods, including topical, systemic, and injectable ones. Aim of the work: The major aim of this research is to evaluate the efficacy of topical lactic acid 15% solution versus topical betamethasone Valerate Lotion in management of multiple patchy alopecia aerata. Patients and methods: 50 patients in all were included, after consenting each of them …

Comparative Study Between Fibrin Glue And Intra Corporeal Mesh Fixation In Trans Abdominal Preperitoneal Laparoscopic Inguinal Hernial Repair, Mahmoud Tarek Mohammed Ahmed Moamn, Ashraf Abdel-Hammid Abdel-Monem, Abdel-Hafez Abdel- Aziz Selim

Al-Azhar International Medical Journal

Introduction: Inguinal hernia, which often necessitate surgery, have a prevalence of 15–45 percent around the world, depending on age. The most common surgical treatment for inguinal hernia is mesh implantation. Current surgical options for mesh fixation involve, but are not limited to, sutures, tacks or staples, self-fixing meshes, fibrin, and other glues. Aim: To evaluate the performance of fibrin glues and sutures for fixing mesh during laparoscopic inguinal hernia repair. Patients and Methods: Forty adult male patients with inguinal hernias were randomly assigned to have either laparoscopic transabdominal pre-peritoneal repair or open repair at Al-Azhar university facilities. Individuals were separated …

Specular Microscopic Evaluation Of Corneal Endothelium After Intravitreal Injection Of Ranibizumab For Treatment Of Diabetic Macular Edema, Ahmed Mahmoud Ahmed Elarabi, Mohamed Zakaria Eid, Hatem Mahmoud Samy Abdelkawy

Al-Azhar International Medical Journal

Background: The eye disorder known as diabetes-related macular edema (DME) is frequent and dangerous. DME is one of the easiest conditions to treat even though it can cause vision impairment. Photocoagulation, intravitreal medicines, in addition to surgical excision are some of the therapy options that are currently available. Aim of the work: to evaluate how intravitreal Ranibizumab injections affected corneal endothelial changes over the course of 3 months in patients diagnosed with DME. Patients and Methodology: A case-control study at Giza Memorial Institute of Ophthalmic Research from May 2022 till Nov 2022. compared patients with DM who have good glycemic …

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

Preoperative Predictors Of Arthroscopic Partial Meniscectomy Outcomes: The Apm Index Score, Natalie Lowenstein, Yuchiao Chang, Hanna Mass, Angela M. Mercurio, Chierika Ukogu, Jeffrey N. Katz, Elizabeth G. Matzkin

Alpha Omega Alpha Research Symposium Posters

Problem Statement:

- Arthroscopic partial meniscectomy (APM) has been shown to be the most common meniscal surgical treatment in the United States

- Pre-op risk factors known to contribute to poor outcomes after APM:

• Symptom duration and radiographic OA at baseline

• Baseline knee functional score, location of meniscal tear, BMI, activity level, age, sex, and chondral damage on MRI

Project AIM:

To create an index score using easily available preoperative risk factors such as Kellgren-Lawrence (KL) grade, age, duration of symptoms, BMI, activity level, and preoperative outcome scores to predict the …

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

Al-Azhar International Medical Journal

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

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

Al-Azhar International Medical Journal

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

The Value Of Intraoperative Indocyanine Green Angiography To Assess Anastomotic Perfusion And Leakage In Patients Undergoing Laparoscopic Colorectal Resection: A Randomized Controlled Clinical Trial, Mohamed Mahmoud Eltaweel, Abdulhamed Hifny Mohamadain

Al-Azhar International Medical Journal

Background and Aim: Anastomotic leaking (AL) is a significant obstacle in colorectal surgery, with potential life-threatening consequences. Insufficient perfusion during surgery is one factor that can contribute to AL. Intraoperative angiography with indocyanine green (ICG) is a noninvasive imaging procedure that can monitor perfusion. This randomized controlled trial will investigate whether ICG angiography can decrease the frequency of AL and improve patient outcomes following laparoscopic colorectal resection. Methods: The clinical trial involved adult cases with a tumor located between 2 and 15 cm from the anal verge, who had colorectal anastomosis performed during colectomy or laparoscopic anterior rectal resection. The …