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 …

Comparison Between Duplex Ultrasound And Digital Subtraction Angiography In Extracranial Arterial Stenosis, Mohamed Ahmed Zaki, Mahmoud Galal Ahmed, Mohamed Salah Elfeshawy, Mohamed Hamed Riad Abdelaty

Al-Azhar International Medical Journal

Background: One of the leading causes of death and disability is stroke. Extracranial vascular stenosis is a significant and often occurring cause of ischemic stroke.

Aim and objectives: To compare the speed and accuracy of Doppler ultrasonography (DUS) to digital subtraction angiography (DSA) to determine the degree of stenosis in the carotid and vertebral arteries.

Patients and methods: 180 patients were recruited for our study between the beginning of February 2023 and the end of October 2023 who had been admitted to the emergency room or stroke unit at Al-Azhar University Hospitals with a clinical suspicion of extracranial vascular stenosis. …

Laparoscopic Versus Open Appendectomy In The Management Of Complicated Appendicitis, Selim Abd El-Rahman El-Nemr, Mohamed Mostafa Tag El-Din, Mahmoud Ebrahim Younes Abd El Gawad

Al-Azhar International Medical Journal

Background: Complicated appendicitis (CA) refers to a condition when the appendix becomes gangrenous and has perforated, leading to different levels of peritonitis.

Aim: To compare laparoscopic and open appendectomy (OA) in managing cases of CA in Egyptian patients.

Methods: This prospective comparative work was performed on 50 individuals ranging in age between 24 and 60 years old, both genders, diagnosed with CA, high Leukocytic count, American Society of Anesthesiologists (ASA) I or II, delay time of diagnosis of appendicitis, pelvic collection diagnosed by ultrasound and Appendicular mass diagnosed by ultrasound or clinical after general anaesthesia and CA is defined as …

Potential Role Of Subclinical Hypothyroidism In Carpal Tunnel Syndrome Patients (Case Control Study), Hussein Awad El Gharieb, Abdel-Ghaffar Ismail Fayed, Mohamed Ahmed Shaheen, Mohamed Ahmed Dighem

Al-Azhar International Medical Journal

Background: It is debatable how subclinical hypothyroidism affects peripheral nerves. The most prevalent type of nerve entrapment neuropathy, known as carpal tunnel syndrome (CTS), is brought on by compression of the median nerve at the wrist as it travels through the carpal tunnel, an osseo fibrous canal.

Aim: To estimate the potential association between subclinical hypothyroidism and CTS patients without a definite risk factor.

Patients and Methods: Over six months, individuals with CTS symptoms who visited the neurophysiology unit at Al-Azhar University Hospitals for an electrodiagnosis were the subjects of this case-control research. The study was carried out in two …

Systematic Review Of Outcomes Of Total Hip Arthroplasty In Morbidly Obese Patients, Mohamed Mostafa El Menawy, Mahmoud Mohamed El Said, Mahmoud Sabry Fathallah

Al-Azhar International Medical Journal

Background: Total hip arthroplasty (THA) has been proven to be an effective therapy for severe hip OA. It is also used to improve mobility and lessen discomfort in the elderly. Due to its demonstrated efficacy in improving patient quality of life, THA demand has risen over time.

Aim and objectives: To analyze the pre-, intra-, and postoperative clinical and radiological results and complications of THA in morbidly obese individuals.

Subjects and methods: 899 items could have been relevant to the initial search; however, after screening the titles and abstracts, 883 were found unsuitable. The remaining 16 papers were also analyzed. …

A Comparative Study Between Effect Of Follicular Unit Extraction Alone And Combined With Platelet Riched Plasma In Treatment Of Androgeneitc Alopecia (A Trichoscopic Evaluation), Hassan Mamdouh Abdelaziz, Abdelraouf Mohamed Almohsen, Yahya Zakarya Elsayed

Al-Azhar International Medical Journal

Background: Follicle unit extraction (FUE) is the minimally invasive process that has recently become the gold-standard procedure for hair transplantation, with excellent esthetic results. According to recent research, PRGF (plasma rich in growth factors) may promote tissue regeneration and the creation of new hair by releasing bioactive chemicals upon platelet activation.

Aim: This study examines the efficaciousness of FUE transplantation of hair alone and in conjunction with platelet-rich plasma (PRP) to manage androgenetic alopecia.

Patients and methods: Forty individuals with clinically confirmed androgenic alopecia were included in the study; of these, twenty underwent FUE hair transplantation alone. Twenty more patients …

Accuracy Of Fetal Kidneys Measurement In Estimation Of Gestational Age, Abd El-Moneim Mohamed Zakaria, Ahmed Mohamed Saeed, Tolba Abd El Baset Tolba Hawash

Al-Azhar International Medical Journal

Background: Preterm birth is a major contributor to infant death, and one of the most effective ways to manage pregnancy timing and reduce perinatal mortality is through gestational age (GA) assurance. The fetal kidney length allows for determining the GA with a single metric, which greatly simplifies the process.

Aim and objectives: To assess the precision of fetal kidney measurements in determining GA.

Patients and methods. This prospective research was done among 100 women attending the Obstetrics and Gynecology Department for Antenatal Care at El Hussein University Hospital and Etai El Baroud General Hospital. The study duration was from February …

The Effect Of Laparoscopic Sleeve Gastrectomy On Metabolic Syndrome Parameters In Morbidly Obese Patients, Mohamed Aboul Fetouh Ahmed Massoud, Ashraf Ibrahim Attia Al Sharkawy, Amira Ismail Khater, Ahmed Ismail Abd El Rahman Khater

Al-Azhar International Medical Journal

Background: The global epidemic of morbid obesity compelled modern medicine to take a multifaceted strategy, which resulted in the identification of metabolic syndrome (MS), one of the biggest causes of morbidity and death and a condition with self-aggravating elements. Metabolic surgery was developed in response to the demand for therapeutic approaches, providing opportunities for the safe and efficient treatment of all components of multiple sclerosis at the same time.

Aim and Objectives: To assess how laparoscopic sleeve gastrectomy affects obese patients' metabolic syndrome parameters.

Subjects and Methods: The present research is a prospective cohort investigation of fifty patients who underwent …

Corneal Endothelial Changes After Phacoemulsification In Diabetic And Non Diabetic Patients, Abdel-Ghany Ibrahim Abdel-Ghany, Mohamed Al Sadawy Hassan Al Sadawy, Mossab Mohamad Abdel-Moteleb Algazar

Al-Azhar International Medical Journal

Background: The corneal endothelium is a layer of hexagonal cells situated on the back of the cornea. It acts as a barrier to maintain the cornea's transparency.

Aim and objectives: Comparing post-phacoemulsification corneal endothelium alterations in non-diabetic patients to type 2 DM patients with grade 2 nuclear cataracts using specular microscopy.

Patients and Methods: This comparative prospective cross-sectional study was carried out on forty patients who had cataracts following phacoemulsification. The patients were divided into two equal groups: twenty patients with T2DM and twenty patients who did not have diabetes. The Ophthalmology Department of the Faculty of Medicine at Al-Azhar …

Comorbidity Of Stroke In Sample Of Egyptian Patients With Autoimmune Disease, Fathi Mahmoud Afifi, Ahmed Essmat Ali, Elsayed Maher Arafat

Al-Azhar International Medical Journal

Background: Autoimmune diseases can increase the risk of stroke and are associated with stroke-related disability.

Aim and objectives: To look into the radiographic, laboratory, and clinical characteristics of people who have autoimmune diseases that are exacerbated by stroke.

Patients and methods: Seven06 patients with acute ischemic stroke were included in our observational prospective cohort study; these patients were divided into two groups: 601 patients had no autoimmune illness, and 105 patients had an autoimmune condition.

Results: Among all participants, 27 patients (3.8%) were rheumatoid arthritis (RA), 34 (4.8%) systemic lupus erythematosus(SLE), 23 (3.3%) Behçet disease, 14 (2%) anti-phospholipid syndrome (APS) …

Maternal And Fetal Plasma Urocortin Levels In Pregnancies Complicated By Preeclampsia, Farid Ibrahim Hassan, Mofeed Fawzy Mohamed, Mohamed Ibrahim Al-Mohandes, Nagham Abed El Amer, Hani Mahmoud Mehanna

Al-Azhar International Medical Journal

Background: Preeclampsia is a multisystem illness that manifests in the latter half of pregnancy as end-organ failure, proteinuria, or new-onset hypertension.

Aims: seeks to assess urocortin levels in the plasma of the mother and fetus in 70 singleton pregnancies complicated by preeclampsia and in an additional 70 healthy, normotensive singleton pregnancies.

Patients and Methods: After receiving approval from the research and ethical council, this case-control study was carried out at El Hussein University Hospital between November 2022 and December 2023.140 pregnant women having singleton pregnancies were included in this investigation and divided into two categories. The control group consisted of …

Nerve To Anterior Belly Of Digastric Muscle As A Donor For Facial Re-Innervation: A Cadaveric Feasibility Study, Osama Abd El-Raheem Al Shahaat, Mohamed Abdel Hay Autifi, Al-Sayed Hussein El-Sharkawy, Mohamed Mahmoud Mohamed Elsayed

Al-Azhar International Medical Journal

Background: Cadaveric anatomical investigations are used to develop new surgical procedures. Surgeons all around the globe could benefit from publishing some cadaveric feasibility studies and using the results to enhance patient care. There have been further advancements in the surgical treatment of facial paralyzes.

Aim and objectives: To investigate the feasibility of using the part of the digastric muscle connected to the anterior belly as a new donor option for facial re-innervation through a cadaveric dissection study.

Patients and Methods: This cadaveric dissection feasibility study utilized five (10 sides) formalin-preserved cadavers of adults. The research was performed at Al-Azhar University's …

Dorsal Definition In Rhinoplasty Using Onlay Cartilage Graft, Moustafa Sayed Ahmed Meky, Tarek El-Bastawesy Zayid, Mahmoud Moustafa Mahmoud Mandour

Al-Azhar International Medical Journal

Background: Contemporary rhinoplasty demands aesthetic enhancement, concealment of the nasal dorsum, and accentuation of the dorsal aesthetic lines. The procedures utilized included onlay solid cartilage graft, diced cartilage graft, deep temporal fascia, rectus abdominis fascia, and diced cartilage encased in fascia.

Aim and objectives: To assess the dorsal definition in rhinoplasty using an onlay cartilage graft and assessment of its outcome with other common techniques used for this purpose.

Patients and methods: Fifteen patients were included in this prospective investigation within the Al Azhar University Hospitals. An onlay cartilage graft was inserted in these patients to define the dorsal nasal …

Small Transverse Scrotal Incision For Penile Prosthesis Implantation, Novel Technique, Ahmed Mahmoud Mahfouz Ibrahim, Yasser Ali Ahmed Badran, Mohamed Ibrahim Almetwally Algammal, Mohamed Abdallah Hindawy, Ayman Kotb Mohammed Koritenah

Al-Azhar International Medical Journal

Background: Currently, penile prosthesis placement remains a third-line therapy for erectile dysfunction. Infection remains the most challenging complication among patients post-PPI.

Aim of the work: Compare the validity and outcomes of the pure scrotal approach versus the classic penoscrotal incision for malleable PPI in our institute.

Patients and methods: 100 Participants candidates for malleable PPI were randomized after informed consent into two groups. Group (A) (n 50) underwent PPI through the scrotal approach, and group (B) (n 50) underwent the procedure through the Peno-scrotal approach. Both groups were studied for post-operative pain, wound healing, validity of the approach and post-operative …

Macular Microvascular Optical Coherence Tomography Angiographic Changes In Different Stages Of Primary Open Angle Glaucoma, Sherif Mohamed Mohamed Abualsoud, Ahmed Abdelmohsen Ayoub, Mohamed Abdel-Monem Mahdy

Al-Azhar International Medical Journal

Background: Globally, primary open-angle glaucoma (POAG) is recognized as a cause of permanent blindness. A novel noninvasive technique called optical coherence tomography angiography (OCTA) can quickly and quantitatively analyze the vascular plexus of the retina and optic disc.

Objective: To assess the alterations of macular microvasculature in different stages of POAG and correlate these alterations with retinal nerve fibre layer thickness visual field mean deviation.

Subjects and Methods: A cross-sectional study was performed on 60 eyes, including 45 eyes of POAG cases and 15 eyes of normal controls. POAG individuals were classified into mild, moderate, and severe groups according to …

Accuracy Of Mitral Valve Leaflets Tips Separation Assessed By 3d Transthoracic Echocardiography In Predicting Rheumatic Mitral Valve Stenosis Severity, Ahmed Al-Habbaa, Hani Khalaf, Ahmed Khaled

Al-Azhar International Medical Journal

Background: A significant cause of cardiovascular load in developing nations is mitral stenosis (MS), which is primarily due to rheumatic fever.

Aim and objectives: To assess the accuracy of mitral valve leaflets tips separation by 3DTTE in predicting the severity of rheumatic mitral valve stenosis and comparing MLS index by 3DTTE and MLS index by 2DTTE using planimetered MVA by 3DTEE as a reference method.

Patients and methods: This analytic cross-sectional study was conducted at the Cardiology Department of Al-Azhar University (Bab El-Sheriya University Hospital) from September 2022 to October 2023. It included sixty consecutive patients candidates for TEE evaluation; …

Three-Dimensional Transthoracic Echocardiographic Evaluation Of Tricuspid Regurgitation Severity Using Vena Contracta Area In Comparison With Volumetric Method, Mohey Eldein Mansour El-Abbady, Ibrahim Faragallah Said, Hani Abdel Shafook Khalaf, Hossam Eldein Nasr Ibrahim

Al-Azhar International Medical Journal

Background: In clinical practice, tricuspid regurgitation (TR) is a valvular heart requirement that is frequent.

Aim of the work: The objective is to utilize the 2D-determined EROA volumetric approach as a reference to establish 3D vena contracta area Cutoff values and ranges for (VCA) to differentiate TR grades, exceptionally mild and severe TR. Furthermore, to provide a standard calibration for TR grading, compare colour Doppler 2D regurgitant orifice area (ROA) and 3D VCA.

Patients and methods: This study was done at the Cardiology Department of Al-Azhar University (Bab El-Sheriaa University Hospital) from February 2023 to October 2023. It included fifty …

Acute Upper Gastrointestinal Bleeding In Post Covid-19 Patients Receiving Direct Oral Anticoagulants As Thromboprophylaxis, Ahmed Fawzy Selim, Mohamed Galal Flefel, Mohamed Sami Torky, Mohamed Abdel-Samiee, Mohamed Elsayed Sarhan

Al-Azhar International Medical Journal

Background: A hypercoagulable state is one of the main pathologic events in COVID-19 patients.

Aim of the study: To assess the possible bleeding sources and proper endoscopic interventions in patients cleared from COVID-19 but still receiving direct oral anticoagulants (DOACs).

Methods: We conducted this prospective study on 305 patients with first-attack upper gastrointestinal bleeding, recently finished COVID-19 treatment, and still using DOACs as a thromboprophylaxis.

Results: DOAC used were Rivaroxaban 10 mg once daily in 150 (49.18%) patients, Apixaban 2.5 mg BID in131 (42.95%) patients, Apixaban 5 mg BID in 15 (4.92%) patients, Rivaroxaban 20 mg in 9 (2.95%) patients. …

Role Of Urinary Scd25 As A Biomarker In Lupus Nephritis, Mahmoud Mohammed Mohammed Elmoazamy, Ayman Abd.Elaziz Abd.Elrahman, Waleed Saber Abd.Elnasser

Al-Azhar International Medical Journal

Background: A chronic autoimmune disorder that can impact any organ or tissue, systemic lupus erythematosus (SLE) is a global condition. A disease involves the interaction of hormonal fluctuations, environmental triggers, and genetic predisposition.

Aim and objectives: To determine the relationship between urinary sCD25 and lupus nephritis (LN) activity.

Subjects and methods: Prospective research was done on 60 cases ( 57 female and three male ) and 25 adult persons (20 female and five male) as a control group. This study was done in Al-Azhar University Hospital Asyut's nephrology unit and Elhussin Universal Hospital's nephrology unit, with informed written consent from …

Incidence Of Causative Organisms Of Vaginitis In Females With Intrauterine Device, Ahmed Samy Soliman, Bahaa Eldeen El Mohammady Mohammed, Mahmoud Abdel Lateef Hasheesh, Ibrahim Hamdy Tawfeeq Abdelhady

Al-Azhar International Medical Journal

Background: Vaginitis is a common gynecological condition that affects many women of reproductive age, including bacterial vaginitis, yeast infection, and trichomonas vaginalis. While intrauterine devices (IUDs) can be an effective method of contraception, they may also influence the vaginal environment by increasing the pH, making it more alkaline, making it more hospitable to bacteria, increasing the amount of cervical mucus, decreasing the diversity of bacteria in the vagina leading to overgrowth of certain types and potentially increase the risk of vaginitis. Additionally, IUDs may facilitate the movement of microorganisms from the lower genital tract to the upper genital tract, potentially …

Planned Domiciliary Versus Hospital Care Provided For Women With Premature Rupture Of Membranes, Abdelmoniem Mohamed Zakaria, Fahd Abdelaal El Omda, Ahmed Eed Ibrahim Mousa

Al-Azhar International Medical Journal

Background: Premature rupture of membranes (PPROM) is the term used to describe the spontaneous breaking of the fetal membranes before 37 weeks of pregnancy, with at least one hour passing between the rupture and the start of contractions.

Aim and objectives: To reduce the incidence of maternal and newborn morbidity and mortality associated with premature rupture of membranes (PPROM).

Patients and methods: This prospective comparative study was conducted on 100 women divided into two equal groups, who will undergo delivery following home or hospital care following PROM during the study period from October 2021 to October 2022, presenting to the …

The Ability Of Pulse Oximetry-Derived Peripheral Perfusion Index To Detect Fluid Responsiveness In Patients With Septic Shock, Mostafa Abdel-Hamed Aboelenin, Randa Aly Soliman, Fathy Abdel-Halim Mohamed

Al-Azhar International Medical Journal

Background: The fluid challenge test is a prominent method for determining fluid responsiveness in patients with acute circulatory failure. An easy method will be tested to detect the patient's response to the fluorimetry-derived using pa, oximetry-derived peripheral pe, and fusion index.

Objective: To evaluate: whether pulse oximetry-derived peripheral perfusion index may predict fluid responsiveness in septic shock patients.

Subjects and Methodology: A prospective cohort research was conducted on 35 septic shock patients requiring fluid resuscitation to compare LVOT VTI variability and PPI for assessing fluid responsiveness. After baseline measurements, we administered a mini fluid challenge of 200ml crystalloids. Fluid responsiveness …

Shockwave Therapy Versus Therapeutic Ultrasound And Kinesio Tape In Lateral Epicondylitis, Marwa Youssef Elsabry, Sobhiea Ali Mahmoud, Amira Shahin Ibrahim

Al-Azhar International Medical Journal

Background: Lateral epicondylitis is a degenerative injury that cannot be diagnosed by blood tests and rarely by X-rays; rather, it is usually diagnosed by the description of the site of the pain and by certain findings from a physical examination.

Aim of the work: To examine the respective contributions of shockwave therapy, therapeutic ultrasound, and Kinesio tape in managing lateral epicondylitis.

Methodology: This research was carried out at Al-Zahraa University Hospital and AL-Matria Teaching Hospital (Rheumatology & Rehabilitation department) on 90 patients were divided into three equal groups: Group I received ESWT, Group II applied kinesio tape, and Group III …

Adequacy Of Hemodialysis And Its Relation To Neutrophil-To-Lymphocyte Ratio Among Patients Undergoing Regular Hemodialysis, Abdelwahab Mohammed Lotfy Soliman, Hazem Sayed Ahmed Ayoub, Medhat Ali Salah Abd Elghaffar, Ibrahim Mohamed Eid Abd Elhamied

Al-Azhar International Medical Journal

Background: One of the major concerns for patients with end-stage renal disease (ESRD) who are receiving hemodialysis is the effectiveness of the dialysis treatment. Inflammation levels are elevated in patients with inadequate dialysis. Inflammation can be detected by measuring the neutrophil-to-lymphocyte ratio (NLR).

Objectives: To assess the level of HD sufficiency in (ESRD) patients and how it relates to other factors that impact patient outcomes, such as (NLR), anemia, and blood pressure.

Methods: This cross-sectional study included one hundred ESRD cases from the Hemodialysis Unit at Al-Hussein University Hospital in collaboration with the Allergy and Immunology Center divided into two …

Thyroid Hormone Profile In Advanced Chronic Kidney Disease, Mohamed El-Sayed Mohamed Khalil, Gamal Ali Badr, Ibrahim Ghonim Ramadan, Gamal Zakaria Almorsy

Al-Azhar International Medical Journal

Background: Interactions between thyroid hormones and renal function are complex. Both the metabolism and disposal of thyroid hormones include the kidney. Additionally, it plays a crucial role in the function of thyroid hormones.

Objectives: To assess thyroid hormone disorders in advanced chronic kidney disease.

Patients and methods: This cross-sectional study involved fifty chronic kidney disease patients as group I and 50 end-stage renal disease patients as group II. It was performed in the Internal Medicine Department and Nephrology Unit of El-Hussein Hospital, Al-Azhar University. Glomerular filtration rate (GFR) was calculated using the Modification of Diet in Renal Disease study (MDRD) …

Effectiveness Of Hysteroscopic Surgeries For Intrauterine Lesions On Pregnancy Rate In Patients With Primary Infertility, Fahd Abd Elaal Elomda, Abd Elmonsef Abd Elghaffar Mustafa, Mohammed Abdalla Hassanin

Al-Azhar International Medical Journal

Background: Hysteroscopy is a technique used by gynecologists to examine the endometrial cavity and perform surgical procedures on the uterus from outside the body (transcervical).

Aim of the work: This study will utilize a prospective design to ascertain whether or not medical treatment via operational hysteroscopy is beneficial in boosting conception rate and decreasing patient complaints in women diagnosed with intrauterine abnormalities and primary infertility.

Patients and methods: This study, which involved fifty patients, is prospective. Of childbearing age who visited the Al-Hussein University Hospital with complaints of primary infertility were analyzed in this study after giving informed consent. They …

Safety And Efficacy Of Intralesional Polidocanol Sclerotherapy In The Treatment Of Plantar Warts : A Pilot Study, Bayoumy Ibrahim Abd-Elhameed Eassa, Ahmad Kamel Seddeik Abdel-Hameed, Ahmed Ismail Ali Ismail

Al-Azhar International Medical Journal

Background: Benign lesions called warts can develop on the skin and mucosa. These are among the most prevalent skin conditions, and their severity can vary from a small quantity of annoyance that goes away on its own to a bothersome chronic ailment.

Aim and objectives: To cure plantar warts, this study assesses the safety and effectiveness of intralesional polidocanol sclerotherapy.

Patients and methods: This is a prospective, open-label pilot research involving 80 plantar wart patients. They were chosen from Al-Azhar University Hospitals' Outpatient Dermatology Clinics. In addition to a clinical and dermatological examination, every patient had a thorough history-taking procedure …

Efficacy Of Bilateral Uterine Artery Ligation Versus Uterine Fixation Suture (Modified B-Lynch) In Treatment Of Atonic Post-Partum Hemorrhage, Abdelmoniem Mohamed Zakaria, Fahd Abdelaal El Omda, Sherif Hassan Hamza Hassan Elshamy

Al-Azhar International Medical Journal

Background: One of the significant obstetrical crises that can turn a typical physiological labor and delivery process into a potentially fatal situation in a matter of minutes is post-partum hemorrhage (PPH).

Aim and objectives: To aid in lowering the incidence of maternal morbidity and death due to atonic PPH.

Patients and methods: One hundred patients with a high risk of atonic PPH who presented with PPH (blood loss of 1000 ml) to the Obstetrics and Gynecology Department at Al-Hussein University Hospital and Ismailia Medical Complex between November 2021 and October 2022 were the subjects of a prospective comparison study. Two …