Medicine and Health Sciences Commons^™

Modified Inferior Based Reduction Mammoplasty Versus Matrix Rotational Flap In Upper Inner Quadrant Breast Cancer, Abdelaziz Ragab Abdelaziz Sakr, Alaa Abd Elazeem Elsisi, Tarek Mohey Rageh, Mahmoud Ahmed Shahin

Menoufia Medical Journal

Objectives: to compare between inferior pedicle mammaplasty and matrix rotational advancement flap as techniques for upper inner quadrant breast cancers regarding oncoplastic and aesthetic results. Background: Breast conserving therapy (BCT) is the standard of care in early breast cancer; has a value to provide a treatment as effective as mastectomy with benefits of breast preservation. However, traditional conservative surgery in the upper inner quadrant may not have good cosmetic results. Methods: All 30 patients were candidates for breast conservation and with upper inner breast tumors; patients were randomly categorized into two groups. Group A (16 patients) included patients who underwent …

Outcome Of Combined Or Single Flexor Digitorum Superficialis And Flexor Digitorum Profundus Repair In Zone Ii, Mayadah Adel Nossir, Dalia Mofreh Elsakka, Hady Saleh Abou-Ashour, Mohamed Abdallah Elnahas

Menoufia Medical Journal

Objectives: To evaluate the outcomes of the repair of flexor digitorum Profundus (FDP) alone versus its repair combined with flexor digitorum superficialis (FDS) repair in Zone II flexor tendon injury. Background: Flexor tendon injuries in zone II of the hand present a challenging problem for hand surgeons. Injuries involving the FDP and FDS tendons require careful assessment and planning. The primary goals of repair are to achieve optimal tendon healing, maximize range of motion, and restore functional strength. Methods: A total of 24 patients presenting with FDP and FDP injury at zone II were surgically treated from 2020 to 2022. …

Treatment Of Post-Burn Hypopigmentation With Non-Cultured Epidermal Grafting, Islam Ibrahim Abd Elmohsen, Ahmed Tharwat Nassar, Tarek Fouad Kishk, Ahmed Fergany Saber, Hossam Hassan Fawzy

Menoufia Medical Journal

Objectives: To evaluate the applicability of cell therapy using non-cultured epidermal transplantation regarding the aesthetic outcome, , and possible complications in the treatment of post-burn hypopigmentation. Background: new non-cultured autologous epidermal techniques have been developed with similar results to the cultured melanocytes techniques, but are simpler, less expensive, and less time-consuming. Methods: This prospective study was conducted on 35 post-burn hypopigmentation patients presented at the Plastic and Reconstructive Surgery Department in Menoufia University Hospitals between April 2020 to April 2023. Results: We found that the repigmentation ranged between 20-95%, and the color matching ranged between 30-80%. Most cases had good …

Patients’ Expectations Before Coronary Artery Bypass Graft Surgery: A Cross- Sectional Study, Mohammad Abdallah, Shymaa Mamdouh Mohamed Abdu Sh.M, Abdel-Hady El-Gilany Ah.G, Wael Abdel-Aziz, Noha Eladawy, Olfat Farag

Menoufia Medical Journal

Background

Exploring patient’ s expectations before coronary artery bypass graft (CABG) surgery provides clinicians with important insights into their service population.

Objectives

The objective of this study is to describe the expectations of patients before CABG surgery and its associated factors.

Patients and methods

A cross-sectional study was conducted in the Outpatient Clinic of an Egyptian Cardiac Surgery Unit during the period from May 2017 to April 2018. A total of 446 patients who underwent CABG surgery were included. The socio-demographic and clinical data were collected from patients and their medical records. The Cardiac Surgery Patient Expectations questionnaire was used …

What Is The Ideal Free Flap For Microvascular Lower Limb Soft Tissue Reconstruction?, Mohamed Abdallah Elnahas, Abdallah Ahmad Amin, Fouad Mohamed Ghareeb, Hassam Hassan Fawzy

Menoufia Medical Journal

Objectives: is to detail four reliable free flaps including the anterolateral thigh, radial forearm, thoracodorsal and latissimus dorsi for use in lower extremity microvascular reconstruction and to establish factors to consider when developing an algorithm for reconstructing lower extremity injuries. Background: to achieve restoration of normal functions and good aesthetic outcomes ; microvascular free flaps are the preferred method for complex injuries repair in lower limbs. Methods: A total of 30 patients with complex soft tissue lower limb defects and deformities required surgical reconstruction were enrolled in this study. They underwent four types of free flap reconstruction. All patients were …

Treatment Of Acute Lower Extremity Deep Venous Thrombosis With Rivaroxiban Versus Warfarin, Mahmoud S. Eldesouky, Walid Salah-Eldin Gaber Elsayed, Abdelmoniem Farid Mohammed

Menoufia Medical Journal

Objectives: to assess extent of thrombus resolution and rate of complications in patients with lower extremity acute Deep Venous Thrombosis (DVT) treated with rivaroxaban compared to warfarin therapy. Background: For years, the standard treatment for acute lower extremity DVT has been the use of warfarin with bridge therapy by enoxaparin. New oral anticoagulant drugs such as rivaroxaban have been developed and used as an alternative to warfarin in the treatment of acute lower extremity DVT. Methods: This is a prospective study that was conducted on 130 patients to assess extent of thrombus resolution and rate of complications in patients with …

Study Of The Different Modalities For Scrotal Skin Reconstruction, Mohamed Ahmed Megahed, Ahmed Tharwat Nassar, Khaled Mohamed Albassam, Qutaibah Alkandari, Ahmed Fergany Saber, Mina Safwat Zaki

Menoufia Medical Journal

Objectives: to study different modalities of reconstruction of defects in the scrotum and to verify indications and efficacy of each technique. Background: Techniques of genital reconstruction continue to evolve. However, mainstays of therapy include split-thickness skin graft, primary closure, and musculocutaneous flap. The best cosmetic and functional outcomes appear to occur in patients being treated for local cutaneous and lymphatic conditions. Methods: A prospective cross-sectional study was conducted on thirty male patients with a defect of scrotal skin with age range between 20 and 70 years old. They attended the plastic surgery and burn department of Menoufia University during the …

Clinical Results Of Single-Vessel Versus Multiple-Vessel Infrapopliteal Intervention In Critical Limb Ischemia, Mostafa Kamel

Menoufia Medical Journal

Objectives: to compare the clinical outcomes of single-vessel versus multiple-vessel infrapopliteal interventions in patients diagnosed with critical limb ischemia (CLI) undergoing infrapopliteal revascularization. Background: Critical limb ischemia is a severe condition requiring revascularization procedures to restore blood flow. The choice between single-vessel and multiple-vessel interventions remains debatable. Understanding the clinical outcomes associated with each approach can guide treatment decisions and optimize patient care. Methods: A prospective study was conducted on 60 adult patients diagnosed with CLI who underwent infrapopliteal revascularization between January 2021 and January 2023. Single-vessel interventions were performed on 30 patients, while multiple-vessel interventions were performed on the …

Short Term Results Of Coiling Embolization Of Peripheral Arteriovenous Malformations, Abd El-Moniem Farid, Yehia Elkhatib, Fawzi Abobakr, Mahmoud Said

Menoufia Medical Journal

Objectives: To assess the short-term outcomes and procedure-related complications in AVM patients treated with endovascular coiling. Background: Peripheral arteriovenous malformations (AVMs) one of the most challenging among the various congenital vascular malformations to be treated. The Schobinger staging system is currently used to classify AVMs based on their clinical presentation. The best way to treat each AVM on a case-by-case basis, depending on AVM location and classification, on top of that, there is no consolidated agreement on the methods of treatment of AVMs. Methods: Fifty patients were involved in this clinical prospective study, diagnosed as peripheral AVM by several diagnostic …

The Efficacy Of Free Latissimus Dorsi Flap In Patients With Lower Limb Distal Extensive Injuries., Mohamed Abdullah Mohamed El-Nahas, Tarek Fouad Keshk, Sherif Mohamed El Kashty, Ahmed Abdelaziz Talaab

Menoufia Medical Journal

Objectives: to elucidate our experience in the use of latissmus dorsi free flap for the surgical reconstruction of distal lower limb complex injuries, regarding the surgical techniques and the patients' outcome. Background: from the variable types of free flaps, the free transfer Latissimus dorsi (LD) musculocutaneous flap is considered a workhorse in lower limb reconstruction. Methods: A total of 16 patients with complex lower limb defects and deformities required surgical reconstruction were enrolled in this study. They underwent free LD flap reconstruction and followed up for 6 months. Results: The total number of patient was 16 patients; they had a …

Evaluation Of Implant Based Immediate Breast Reconstruction, Mohamed Hamed Elmeligy, Mohamed Sabry Ammar, Ahmed Fawzy Ahmed Dewidar, Mohamed Abdullah Elnahas

Menoufia Medical Journal

Objectives: To evaluate immediate breast reconstruction using silicone implant regarding: advantage, disadvantage, complications and aesthetic outcomes, Background: Reconstruction after mastectomy allows women to mitigate some of the emotional and aesthetic effects of this devastating disease. Although there are a variety of alloplastic and autologous techniques, they all aim to achieve the same objective: the successful reconstruction of a breast mound that appears as natural as possible, Methods: This study will be conducted on 19 patients at General Surgery Department, Menoufia University and Patients will be randomly selected, Results: Among our studied patients 31.6% developed post-operative complications after reconstruction. Among our …

Role Of Transthoracic Ultrasound In Patient With Acute Dyspnea In Emergency Department, Ghada Ahmed Arafa, Hatem Mahmoud Sultan, Ahmed Amer Khamis, Tarek Mohey Rageh, Hanaa Abdelmohsen Eid

Menoufia Medical Journal

Objectives : To evaluate the role of transthoracic ultrasound in management of patients presented with acute dyspnea to the Emergency department. Background: Acute dyspnea is one of the main reasons for admission to the emergency department (ED). Physicians often need to make a rapid diagnosis and a treatment plan. Although traditional methods, they remain insufficient for final diagnosis, Transthoracic ultrasonography (TUS) has been used successfully as a bedside diagnostic tool for diagnosing chest and cardiovascular diseases. Methods: This prospective study was carried out on 96 patients with acute dyspnea at Emergency Department, Faculty of Medicine, Menoufia University Hospitals from May …

Early Outcome Of Video Assisted Thoracoscopic Surgery Management Of Chronic Empyema, Hesham Hassan Ahmed, Mohammed Hamdi, Heshama Greda, Amr Allama, Mohammed G Abdellatif

Menoufia Medical Journal

Objectives: To evaluate the use of Video-assisted thoracoscopic surgery (VATS) for chronic empyema regarding its effectiveness, duration of surgery, postoperative pain, and possible complications. Background: Empyema thoracis is a common disease which may be complicated with multiloculated chronic empyema. Different surgical techniques are used in treatment of empyema like thoracoscopic debridement and open thoracotomy decortication to provide lung re-expansion and restore the good respiratory function. Methods: Prospective observational study conducted from September 2015 to August 2017 including 29 patients diagnosed to have chronic empyema indicated for elective thoracoscopic debridement. Visual analogue score was used to assess postoperative pain. Results: Our …