Medical Specialties Commons^™

Ureteric Stenting After Ureteroscopy... Is It A Must?, Abdelhamid Khattab, Alaa Ali Mousa, Fayez El Askari

Journal of Medicine in Scientific Research

Background: Ureteroscopy is a common treatment for renal and ureteral stones. This procedure may have caused some ureteral stress. Ureteral trauma can result in edema, ureteral obstruction, and flank pain. You may need to be admitted to the hospital or have a secondary ureteral stent inserted. It's not quite apparent if urologists should routinely implant temporary ureteral stents as a preventative measure to avert these issues.

Objective: ureteric stent uses after URS (as an overnight ureteric catheter attached to urethral catheter) vs non-stenting ureters; to evaluate the morbidity of ureteral stenting following simple ureteroscopy for lower ureteric stones.

Patients and …

Role Of Doppler Ultrasound And Triphasic Ct In Differentiation Between Benign And Malignant Portal Vein Thrombosis., Amira M. Gerges, Mohamed A. Abo El Maaty, Mohamed M. Fawzi, Ayman H. Hassan, Ahmed Said Badr, Sherihan S. Madkour

Journal of Medicine in Scientific Research

Background: Portal vein thrombosis is typically a consequence of cirrhosis that already exists, abdominal malignancy, hypercoagulable conditions, or abdominal inflammation. Imaging techniques are used to identify portal vein thrombosis. Once a thrombus has been identified using ultrasound, Doppler ultrasonography can be used to exclude malignancy activity. The following step is computed tomography or magnetic resonance angiograms if more information is needed. If these tests are insufficient, digital subtraction angiography should be carried out.

Methods: The study included 40 patients diagnosed by B mode ultrasound to have PVT and referred to the radiology department of the National Hepatology and Tropical Medicine …

Short Term Effects Of Bariatric Surgeries On Renal And Hepatic Functions On Obese Morbid Patients, Naglaa F. Al-Mihy, Esayed Elmokadem, Atteyat Aboelmaged Semeya

Journal of Medicine in Scientific Research

Background: Bariatric surgery has emerged as a well-established treatment for achieving long-lasting and successful weight reduction. Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are currently the most frequently done operations. The aim of this research was to investigate the hepatic and renal alterations following bariatric procedures, with a particular focus on SG.

Methods: This observational prospective cohort research was performed on 100 morbidly obese individuals with BMI ≥40 kg/m² who underwent SG. All patients were evaluated before surgery clinically and all laboratory investigations were done before operation as baseline, 3 months, 6 months after surgery, and after one …

The Value Of Right Ventricular Systolic Function Assessment By 2d Speckle Tracking Echocardiography In Severe Ms, Alaa Ramadan Youssuf, Mohammad Morsy, Ibrahim Afifi, Mohamed Mansour, Eman H Seddik

Journal of Medicine in Scientific Research

Background: Many patients with long-standing mitral stenosis (MS) experience pulmonary hypertension (PH), which can eventually result in right heart failure. Several studies investigated the RV function changes in MS patients in the perioperative periods but focused on balloon mitral valvotomy (BMV). So our study aimed to assess the RV changes in severe MS patients planned for surgical mitral valve replacement (MVR).

Methods: A case-control study was carried out on severe MS patients planned for surgical MVR being unfit for BMV were subjected to conventional MS indices, RV Fractional area change (FAC), lateral tricuspid annular plane systolic excursion (TAPSE), RV global …

Mediastinal Packing For Massive Bleeding Following Acute Ascending Aortic Dissection Surgery: Outcomes And Risk Factors Analysis, Ahmed Shafeek Ali, Mostafa Abd Al Salam Mohamed Ghazi, Mahmoud Maher Abdou Ibrahim, Haitham Alshahat Ramadan

Journal of Medicine in Scientific Research

Background: Surgery for Acute Ascending Aortic Dissection (AAAD) is often complicated by severe perioperative coagulopathy and critical bleeding. Mediastinal packing is a widely recognised technique used to manage and control this complication. This retrospective study aims to analyze early outcomes and potential risk factors for patients subjected to mediastinal packing after AAAD surgery.

Methods: 352 consecutive patients who had undergone acute ascending aortic dissection (AAAD) surgery were studied at the National Heart Institution between February 2014 and Mars 2023. These patients were divided into two groups: the mediastinal packing with delayed closure group (n = 53; 15.05%) and …

Causes And Predictors Of Early 30-Day Rehospitalization After Isolated Elective Coronary Artery Bypass Surgery., Ahmed A Faragalla, Ahmed M Elshiemy, Sherif A Elhindawy, Ahmed A. Aziz

Journal of Medicine in Scientific Research

Background Despite advancements in interventional cardiology, CABG remains essential for many CAD patients. While surgical outcome scoring exists, early post-CABG re-hospitalization remains poorly understood.

Aim of the work This study investigates risk factors and underlying causes of 30-day readmission following elective isolated coronary artery bypass grafting (CABG).

Methods A prospective analysis of 550 consecutive elective isolated CABG patients at the National Heart Institute (January 2022 - June 2023) was undertaken to investigate the 30-day readmission rate, diagnoses, and independent predictors using a follow-up phone call strategy.

Results Analysis revealed a 2.9% (16/545) 30-day readmission rate. Surgical site infection was the …

The Central Corneal Thickness (Pachymetry) Changes Following Uneventful Phacoemulsification Surgeries, Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background:

The most popular cataract surgery method in the world is phacoemulsification surgery. There are two kinds of phacoemulsification: longitudinal and torsional. Our research compares the changes in central corneal thickness (pachymetry) after longitudinal and torsional phacoemulsification.

Patients and Methods:

In this prospective randomized trial, we will assess the changes in pachymetry following torsional versus longitudinal phacoemulsification. Our study will comprise fifty eyes with nuclear cataracts ranging in severity from grade 1 to grade 3.

Results :

Comparing postoperative pachymetry modifications between torsional phaco and longitudinal phaco revealed no statistically significant difference between the two groups.

Conclusion:

We came to …

Peroneal Artery Angioplasty As An Alternative For Limb Salvage In Patients With Critical Threatening Limb Ischemia, Mohamed Abdelsamie Abdelkhalek Elbahat, Mohamed Atef Almoslemany

Journal of Medicine in Scientific Research

Background: Chronic limb-threatening ischemia (CLTI) presents a significant health concern, particularly among patients with blockages in the lower leg arteries. Objectives: This prospective investigation aimed to evaluate the results of revascularization in CLTI patients, with particular attention to the peroneal artery as the preferred target vessel for limb salvage.

Materials and Methods: 50 CLTI patients were enrolled in the study and underwent thorough clinical evaluation, laboratory tests, and duplex scanning at regular intervals. Revascularization procedures, primarily using the antegrade femoral approach on the same side as the affected limb, involved balloon angioplasty. Postoperative outcomes were assessed based on the rates …

Adverse Pregnancy Outcomes Among Elderly Primigravida Women At Al-Galaa Maternity Teaching Hospital, Sherif M. Safwat, Marwa R. Shahin

Journal of Medicine in Scientific Research

Backgrounds: Pregnancy at advanced maternal age (AMA) is seen as a risk factor for poor maternal and perinatal outcomes. However, pregnancies with advanced maternal age have become more common in recent decades. This is attributable to increased employment options for women, a shift in gender norms, and improved reproductive medicine.

Objectives: Reviewing and assessment of the adverse pregnancy outcomes in elderly primigravida women compared to those with younger age.

Methodology: A case-control research study was conducted on patients who had attended for delivery at Al-Galaa Maternity Teaching Hospital during the period of one year from January 2022 to January 2023. …

One- Piece Foldable Intraocular Lens Versus 3- Piece Iol In Scleral Fixation Running Title, Ghada Samir Mohamed, Mohamed Gaber Abdallah

Journal of Medicine in Scientific Research

purpose.: To assess the stability of postoperative Intraocular Lens (IOL) between the one- piece foldable and three- piece IOLs by surgical technique of scleral fixation and so the efficacy of usage of one-piece IOL in this technique.

Material and method: This is a randomized controlled study includes one hundred eighteen eyes, which is divided into 2 groups. The group A includes fifty-nine eyes has implanted one- piece foldable IOL, while Group B with equal number of cases implanted three- piece foldable IOL. Cases were followed up for 12 months, every 3-month duration. Horizontal and vertical IOL optic tilt has been …

Oral Collagen Supplementation In 2nd Degree Burn And Chronic Pressure Ulcers, Wesam Ibrahem Homouda, Helmy Ahmed Soliman, Esayed Hussien Elmokadem

Journal of Medicine in Scientific Research

Background: Healing of wounds requires adequate intake of protein, iron, Vitamin-C and zinc. In case of deficiency in the dietary intake, supplements may be prescribed. Collagen-peptide supplements can enhance skin hydration, elasticity, and reduce wrinkles. Burns, caused by various agents, severely damage skin layers. Pressure ulcers occur when prolonged pressure on the skin leads to tissue ischaemia, disrupting nutrition and oxygen supply, resulting in tissue necrosis. Systematic reviews show that oral collagen, either intact or hydrolyzed, effectively improves skin health.

Objectives: This article aim to evaluate the effect of oral collagen intake as a healing promoting supplementation in management of …

Erratum: Added Value Of Diffusion Weighted Image And Apparent Diffusion Coefficient Mapping In Differentiation Between Bone Marrow Neoplastic Infiltration And Non-Neoplastic Complication In Hematologic Malignancies

Journal of Medicine in Scientific Research

No abstract provided.

Serum Procalcitonin As An Early Marker Of Diabetic Foot Sepsis In Shebin Elkom Teaching Hospital, Asmaa M Soliman, Shimaa M W Kalama, Rania T H Gebba, Randa I. Ahmed Elshiha, Samah Mohammed Abdelmonem Abu Sholaa, Elham T Awwad, Mohamed Ramzy Alawy, Mohamed Abdel Samie Abdelkhalek Elbahat

Journal of Medicine in Scientific Research

Background Diabetic foot infections are a serious consequence of diabetes mellitus, frequently resulting in major health problems such as amputation. Traditional diagnostic markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) have limitations, spurring more research into procalcitonin (PCT) as a possibly more reliable predictor of infection severity and consequences. Objectives To compare the efficacy of (PCT) to standard inflammatory indicators (ESR and CRP) in predicting outcomes of acute diabetic foot infections (DFI) and to determine its potential benefits in clinical settings. Patient and Methods A cross-sectional study was undertaken at Shebin Elkom Teaching Hospital between December 2023 …

Study Of Transient Elastography Changes And Biochemical Effects Of Direct Acting Antiviral Regimens In Egyptian Hcv Patients, Omar Mahmoud Azzam, Nageh Kamal Georgy, Hesham Mohamed Elwakeel

Journal of Medicine in Scientific Research

Background: In 2014–2015, a new era in the clinical practice of managing chronic HCV using direct antiviral drugs (DAAs) began. The results of DAAS therapy are promising, with higher sustained virological response (SVR) rates, shorter, more efficient regimens, and less treatment-related side effects in HCV patients. For many years, the field of liver specialists has focused most of its study and debate on the retrogradation of liver fibrosis. Recent evidence, however, has shown that fibrosis decline occurs in a variety of chronic liver disorders, including persistent viral hepatitis.

Objective: to assess the biochemical effects of various DAAS regimens and changes …

Optical Coherence Tomography Angiography Versus Spectral-Domain Oct In Assessing The Activity Of Exudative Age-Related Macular Degeneration., Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background Age-related macular degeneration (AMD) is the primary cause of visual deterioration in people over 50 in developed countries. Our study compares optical coherence tomography angiography (OCTA) with spectral domain optical coherence tomography (SD-OCT) to assist patients with exudative age-related macular degeneration (eAMD) in making treatment decisions. Patients and Methods The prospective case series consisted of 50 eyes from 35 patients having exudative neovascular age-related macular degeneration who were found to have choroidal neovascularization (CNV).While the SD-OCT data were utilized to determine the need for treatment, the OCTA data were utilized to establish the CNV criterion. To evaluate any possible …

A Retro- Spective Cohort Study Of Acute Mesenteric Ischemia In Severe Coronavirus-19 Pneumonia At Shebin-Elkom Teaching Hospital, Talal Ibrahim Mostafa Hagag, Salwa Mohamed Ahmed Dahesh, Shimaa Mohamed Kalama

Journal of Medicine in Scientific Research

The purpose of this study was to examine the link between acute mesenteric ischemia and COVID-19 illness in terms of time to admission and intervention. Furthermore, the study focused on the critical time to admission for all patients of mesenteric occlusion. Methods: This study is a retrospective cohort conducted on 60 adults Patients with mesenteric occlusion were hospitalized to Shebein Elkom Teaching Hospital's Intensive Care Unit from March 2020 to September 30, 2022. The study involved two groups of mesenteric occlusion patients: 30 with proven covid19 and 30 without covid19. All medical histories, clinical and laboratory examinations, and the time …

Effect Of Yellow (577) Sub-Liminal Laser In Treatment Of Center Involved Macular Edema, Mohammed Shikhoun Ahmed, Eman Mohamed Etify, Tomas Nader Zakaria

Journal of Medicine in Scientific Research

Background: Advances in laser technology have led to the development of selective treatment without chorio-retinal damage. Subthreshold micropulse yellow laser has widespread benefits for the treatment of different macular disorders, as it allows the treatment of central macular edema without damage of photoreceptors or ganglion cell complex. Methods: Two hundred eyes of 120 patients with center involved mild to moderate macular edema attending at vitro-retinal unit/ ophthalmology department at Sohag Teaching Hospital were included. A pre-subliminal laser assessment of BCVA, CMT, and GCC was performed. Follow-up assessments were performed at one month, three months and six months post-laser treatment. Results: …

Conservative Approach Compared To Cesarean Hysterectomy In Mangement Of Placenta Accreta Spectrum At Tanta University Hospitals, Muhammad Abdelrahim Abdelgwaad, Ayman Shehata Dawod, Hesham Mohammad Elsaid Borg, Heba Rady Elbassiouny

Journal of Medicine in Scientific Research

Placenta accreta spectrum (PAS) poses a significant issue for obstetricians, primarily attributed to the rising incidence of pregnant women presented by this condition. This research aimed to evaluate management options of placenta accreta spectrum (PAS) at Tanta University Hospitals and to assess safety and efficacy of Shehata's procedure compared to cesarean hysterectomy. Patients & Methods: This observational study was carried out prospectively involving 70 pregnant women presented with PAS to the Emergency Room and Outpatient Clinic of the Obstetrics Department at Tanta University Hospitals, spanning from July 2023 to July 2024. Comprehensive demographic and surgical data were collected and documented. …

Multiple Magnet Ingestion Causing Entero-Enteric Fistula, And Intestinal Obstruction, A Case Report, Mohammed Rabea Balaswad, Wael Ghorab

Journal of Medicine in Scientific Research

INTRODUCTION Foreign body ingestions in children are incredibly common. Magnet intake might be asymptomatic or cause evident symptoms, allowing for effective diagnosis and care. The condition is rare and difficult to diagnose until complications such as bowel obstruction or peritonitis arise from intestinal wall trapping in a magnetic field. CASE PRESENTATION A five-year-old male boy presented with history of intestinal obstruction, received admission to our hospital after his plain X-ray revealed some foreign entities thought to be magnets. An abdominal X-ray showed a bullet-shaped foreign body in the lower abdomen. Laboratory tests were normal, with the exception of a minor …

Early Outcome Of Mini-Mvs Surger Y Elsherif Et Al., Mahmoud Abdullghany Amin Elsherif, Rasha Hosny, Mohamed Ramadan Mohamed

Journal of Medicine in Scientific Research

Background: The conventional incision adopted to for mitral valve replacement is the full sternotomy, with proved over time and experience to be a simple and safe method. Minimal invasive mitral valve surgery (Mini-MVS) is an alternative approach for elective mitral surgeries that proved over the last years to be a promising option.

Aim of the study: Assessment of the early outcome of minimally invasive mitral valve surgery with or without tricuspid surgery.

Methods: A retrospective study on 100 consecutive patients who underwent minimal invasive mitral valve surgery from January 2021 to June 2023 at National Heart Institute in Egypt.

Results: …

Silent Signs: The Hidden Impact Of Aseptic Pyuria In Chronic Kidney Disease, Egypt, Ghadir Mohamed Elsawy, Basma Aref Altaweel

Journal of Medicine in Scientific Research

Introduction: This study, Element Type, reflects the prevalence of and clinical significance of aseptic pyuria among CKD patients in Egypt, addressing the vital knowledge gap that exists in understanding what implications this condition presents to the patient. More than 10% of the world's population suffers from chronic kidney disease that is characterized by progressive loss of renal function and requires monitoring of various clinical parameters, including pyuria and white blood cells present in urine. Aseptic pyuria is commonly misunderstood as a UTI and thereby mistreated with unnecessary antibiotic courses due to the presence of white blood cells with no bacterial …

Laboratory Evaluation Of Essential Oils Extracted From Peppermint And Eucalyptus Plants Against The Rat Flea (Xynopsylla Cheopis) And Evaluate Their Effects On Some Vital Process In Albino Rat, Rasha Ragheb Hassan, Micheal William Mikhail

Journal of Medicine in Scientific Research

The effectiveness of peppermint and eucalyptus oils was examined in the current study to the rat fleas (Xenopsylla cheopis). The constituents of each oil were identified by GC-MS. The LC50 and LC90 for each essential oil were calculated after 1 and 24 hours exposure. The effect of peppermint and eucalyptus oils on some vital process in albino rat treated with 1/10 and 1/20 of LD50 were studied for the ALT, AST, Urea and creatinine levels. TNF-α and IL-6 levels also were studied. Data indicated that peppermint essential oil had more efficacy than that of eucalyptus for 1 and 24 hours …

The Role Of Renal Resistive Index (Rri) As Early Non Invasive Predictor Of Renal Dysfunction And Relation To Estimated Gfr In Nafld Patients, Atteyat Aboelmaged Semeya, Hala Abd-Elhameed Tabl, Naglaa F. Al-Mihy

Journal of Medicine in Scientific Research

Background: Non-alcoholic fatty liver (NAFLD) is the diagnosis of fatty infiltration of the liver (steatosis) in the absence of other reasons, done through histology or imaging, with or without fibrosis or inflammation. We sought to ascertain the function of RRI as early non-invasive predictor of renal dysfunction and the relationship between eGFR and RRI in patients with NAFLD.

Methods: This cross-sectional research comprised 250 patients and controls gathered from outpatient clinic of the Hepatogasteroenterology Department, Benha teaching Hospitals. They were split into three groups: group 1 consisted of 100 NASH patients, fibrosis-free or with a history of the condition; group …

Role Of Magnetic Resonance Imaging (Mri) In Evaluating The Indeterminate Breast Lesions, Jehan Ibrahim M. Altohamy, Nivine Abdel Moneim Chalabi, Mohamed Amr Farouk, Mina Awny Moawad, Shrouk Mohamed Awadallah

Journal of Medicine in Scientific Research

Background: the number of women who are diagnosed with breast cancer (BC) continues to rise, making it the utmost public cause of cancer death among ladies globally. It has been proposed that high-risk individual's get breast MRIs, which are the most sensitive breast cancer screening method that does not use ionizing radiation. Aim and objectives; This research effort assesses breast MRI in order to clarify the Breast Imaging Reporting and Data System categorization of indeterminate mammography or ultrasonography examines as well as evaluate the diagnostic reliability of MRI in assessing lesions discovered on screening or diagnostic mammography or ultrasonography that …

Effect Of Nd:Yag Laser Capsulotomy For Treatment Of Posterior Capsular Opacification (Pco) On Central Macular Thickness (Cmt) And Ganglion Cell Complex (Gcc) At Sohag Teaching Hospital, Mohammed Shikhoun Ahmed, Alyaa Abdelnaser Ahmed

Journal of Medicine in Scientific Research

Background: After cataract surgery, a common consequence is posterior capsular opacification (PCO). Neodymium-doped Yttrium Aluminum Garnet (Nd:YAG) laser therapy is currently the most popular option for treating PCO since it is successful, fast, and non-invasive..

Methods: One hundred consecutive patients who visited the Sohag Teaching Hospital's outpatient ophthalmology clinic and were eligible with PCO were included in the study. Central macular thickness (CMT), ganglion cell complex (GCC), and best corrected visual acuity (BCVA) were measured prior to YAG laser treatment. Following the surgery, follow-up evaluations were conducted two weeks, one month, and three months later.

Results: Comparing pre and …

Bone Grafting With Prp And Dental Implantation For Unilateral Alveolar Cleft Patients, Wesam Ibrahem Homouda, Helmy Ahmed Soliman, Mohamed Amr Hamdy Salem

Journal of Medicine in Scientific Research

Background: Cleft lip and palate (CLP) deformity is the most common congenital craniofacial anomaly, often treated with Alveolar Bone Grafting (ABG) in patients with alveolar clefts. Application of Platelet Rich Plasma (PRP) enhances healing by releasing high concentrations of cytokines from platelets. Over the past century, the treatment for alveolar clefts had been evolved, with the current standard being autologous cancellous bone grafts from iliac crest in 6 to 11-year-old patients during the mixed dentition period. Dental implant has role of holding dental prosthesis, preventing pronounced bone atrophy and loading the augmentation material in cleft area.

Objectives: The objective of …

Relationship Between Thyroid-Stimulating Hormone (Tsh) Levels And The Presence Of Non-Alcoholic Fatty Liver Disease (Nafld) Among Asymptomatic Individuals, Mohamed Ramzy Alawy, Shimaa M W Kalama, Rania T H Gebba, Samah Mohammed Abdelmonem Abu Sholaa, Asmaa M Soliman

Journal of Medicine in Scientific Research

Background: Thyroid gland and its hormones have a crucial effect in body weight regulation, metabolism of lipid, and insulin sensitivity, which all of them play an important and significant effect in the process of non-alcoholic fatty liver disease (NAFLD) development. Aim: This study aimed to evaluate the potential risk of occurrence of metabolic syndrome in euthyroid persons with NAFLD . Subjects and Methods: - This cross-sectional study was carried out on outpatient cases in the Department of Internal Medicine at Shebin El-Kom Teaching Hospital. Conducted between February 2024 and August 2024, our study included 96 participants recruited from outpatient clinic. …

Telemedicine And Physical Visits: A Dynamic Duo In Obesity Management Among Adolescents, Egypt, Enas Sayed Abbas, Safaa Al Hussein Tawfik, Gehan Fouad Ahmad, Lamiaa Ibrahim Haroon, Taghreed K. M. Elhady, Amira Said Nassar

Journal of Medicine in Scientific Research

Childhood obesity, a serious global issue, leads to various health problems like diabetes, high blood pressure, high cholesterol, and psychological issues. In Egypt, inconsistent data shows a significant prevalence of obesity among adolescents, influenced by factors like gender, age, and lifestyle. The study aims to explore the effectiveness of telemedicine, in conjunction with physical visits, for managing obesity among adolescents in Egypt. Telemedicine, a cost-effective and engaging alternative to in-person visits, can help patients lose weight and provide a safe, remote alternative, expanding treatment access to hard-to-reach populations. The study is a controlled clinical trial on overweight or obese adolescents …

Repair Vs. Replacement For Chronic Ischemic Mitral Valve Regurgitation: A Retrospective Cohort Study., Ahmed A Faragalla, Ahmed M Elshiemy, Sherif A Elhindawy, Ahmed A. Abedelhamid

Journal of Medicine in Scientific Research

Background: Chronic ischemic mitral regurgitation (CIMR) presents a surgical dilemma: repair or replace the mitral valve during coronary artery bypass grafting (CABG).

Aim of the work: This study investigates early outcomes following mitral valve repair versus replacement during CABG for CIMR patients.

Methods: The study employed a retrospective design, enrolling 100 patients who underwent CABG surgery with either mitral valve repair or replacement at the National Heart Institute. Patients were stratified into Group I (repair) and Group II (replacement). Further stratification within each group categorized patients by mitral regurgitation (MR) severity (moderately severe or severe).

Results: This analysis of mitral …

Abdominal Versus Vaginal Uterine Bisection For Retrieval Of Large Uteri During Laparoscopic Hysterectomy, Heba R. Elbasuiny, Ayman S. Dawood, Mohamed A. Raslan

Journal of Medicine in Scientific Research

Objective To assess the operative time, blood loss, and safety of two retrieval techniques in large uteri during total laparoscopic hysterectomy. Methods A cohort multicenter study conducted at Tanta University Hospitals and private laparoscopy centers in Delta region, Egypt, from June 2021 till October 2023. In this study, 73 patients were enrolled in this study and allocated into either abdominal bisection (Group I) or vaginal bisection (Group II). Abdominal bisection is performed by endoknife, while vaginal bisection is made by scalpel. Uterine size, hysterectomy time, uterine retrieval time, blood loss, and complications were recorded and compared. Results The mean age, …