bluuebunny/crossref_metadata_2025_split huggingface dataset:
Autologous Platelet-rich Plasma Versus Conventional Dressing in Treatment of Chronic Venous Leg Ulcers
Authors: Aldein Hesham Adel Alaa , Salib Wafi Fouad , Nageeb Ramy Mikhael , Mohamed Abdelrahman Ahmed , Radwan Ahmad Farid Elsayed Mostafa 
Published: October 2021

Abstract

Background
Prevalence of active venous leg ulcers was reported to be around 0.5% in different populations severely reduces quality of life, and increases the cost of health care. Management of VLUs include many modalities to obtain good result and improving patients life-style, these modalities include compression therapy, medical treatment, surgical and interventional procedures and local wound care. Objective: To compare between autologous platelet rich plasma and saline dressing in treatment of chronic leg venous ulcer concerning reduction of ulcer area.

Patients and Methods
That prospective study included 40 patients with chronic venous leg ulcers recruited from Ain shams university hospitals for whom treatment with PRP was done for 20 patients weekly for up to 3 weeks(one session of injection per week)(study group) and applying saline dressing for 20 patients(control group) in addition to compression therapy and follow up for4 months. Our objective was to compare rate of wound healing.

Results
A total of 44 venous ulcers from 40 patients who met the inclusion criteria were treated. Application of PRP was done for 20 patients weekly for up to 3 weeks(one session of injection per week)(study group) and applying saline dressing for 20 patients(control group) in addition to compression therapy and follow up for4 months.

Conclusion
We can draw the

conclusion
our study's results reveal that the use of PRP contributes to improving the results of treatment of venous ulcers and that it is an effective and safe therapy. Nonetheless, we need to consider that application of this or any other treatment should always be accompanied by the necessary management of the underlying disease, in addition to a suitable pressure bandage that improves venous return and facilitates favourable clinical course of lesions.
Management of Hemorrhoids with Doppler-Guided Hemorrhoidal Artery Ligation
Authors: Mohamed Reda Saad , Ahmed Tarek Youssef , AbdAlmegeed Mohammed Hamed , Hegazy Ahmed Ragab 
Published: October 2021

Abstract

Background
An innovative therapy for symptomatic hemorrhoids has been recently proposed it relies on the reduction of hemorrhoidal vascular flow by suturing hemorrhoidal arteries, which are previously located by means of an ultrasound transducer.

Objective
To evaluate retrospectively the outcome of Doppler-guided hemorrhoidal artery ligation in the management of symptomatic hemorrhoids.

Patients and Methods
Aretrospective study. The study conducted in Ain Shams University Hosptial (El Demerdash) under supervision of these supervisors. Study period: Six months.

Results
In our series, the HAL technique has achieved complete control of symptoms in 93.3% of patients after six-monthes follow-up.

Conclusion
Hemorrhoid ligation with mucopexy is a simple, safe and cost-effective ambulatory treatment for the patients of symptomatic hemorrhoids. It can be performed on an outpatient or day care basis on all grades of hemorrhoids to control bleeding and prolapsing hemorrhoids. Overall the results of hemorrhoid ligation and mucopexy were satisfactory with good control of patients complains.
Comparative study between Single Anastomosis Sleeve Ileal Bypass (SASI) and Mini Gastric Bypass (OAGB) in treatment of Morbid Obesity
Authors: Sabry Alaa A , Abd El-Sameea Karim S , Elmoez Ahmed A Abd 
Published: October 2021

Abstract

Background
Single anastomosis sleeve ileal bypass (SASI) procedure appears as anew metabolic and bariatric surgery based on santoro's operation, in which sleeve gastrectomy is followed by side to side gastro-ileal loop anastomosis.

Aim of the Work
to compare between Single Anastomosis Sleeve Ileal Bypass (SASI) and Mini Gastric Bypass (OAGB) in treatment of morbid obesity.

Patients and Methods
Our study was a prospective randomized comparative study in Ain Shams University hospitals involving 50 patients suffering from morbid obesity and in whom surgical management was indicated. Our patients were randomly divided using closed envelopment method into two groups: Group (1): (25 patients) were treated by laparoscopic SASI. Group (2): (25 patients) were treated by laparoscopic MGB.

Results
One year after the surgery, there was significant diabetic remission rate and there was improvement of most of obesity-associated metabolic parameters

Conclusion
Our study suggests that both SASI and MGB are highly effective in controlling diabetes mellitus, hypertension and hyperlipidemia.
Extreme Oncoplastic Breast Surgery in Patients Presented to Ain Shams University Hospital, Initial Experience
Authors: Elrahman Samy Ahmed Abd , Osman Ahmed Gamal El Din , Abd-erRazik Mohammad Ahmad , Zaid Mohamed Hamdy , Sayed Ahmed Mohamed Hanafy 
Published: October 2021

Abstract

Background
Breast cancer, according to national cancer institute, is the most common site of cancer in women in Egypt as it accounts for about 38.8% of total malignancies among Egyptian females; it is an important cause of mortality among women.

Objective
s: Assess the feasibility of extreme oncoplasty and achievement of negative margins in the enrolled patients. Assess the aesthetic results of the extreme oncoplasty of the enrolled patients.

Patients and Methods
This is a prospective cohort study to assess the feasibility of extreme oncoplasty and achievement of negative margins in the enrolled patients and the aesthetic results of the extreme oncoplasty. This study was conducted at Ain-Shams University Hospitals. Approval of the Ethical Committee and written informed consent from all participants was obtained. Extreme oncoplasty techniques was proposed for patients in whom inclusion criteria was met. Diagnosis and staging examinations were carried out according to the standard protocol being conducted at Ain Shams University Hospitals.

Results
We report the oncoplastic outcomes after EO in a single institutional cohort of 20 patients with multifocal/Multicenteric or large tumors (≥50mm).While no major complications were observed after EO procedure, a low rate of minor complications (7.7%) was observed.

Conclusion
The combination of plastic surgery techniques with breast oncology surgery gives the surgeon a new tool for treatment of breast cancer. The preliminary results of our study indicate that selective patients (with multifocal/Multicenteric or large tumors) who were initially considered for mastectomy can be alternatively treated using Extreme oncoplasty (EO) followed by radiotherapy. EO can be considered as a safe and feasible surgical option for such patients without compromising aesthetic outcomes.
Recent management of surgically correctable hypertension
Authors: Ibrahim Emad EL-Din Farid , Abd-Elmgeed Shaaban Mohammed , Eweda Fawzy Salah Fawzy , Felebs Gerges Hosney Loka 
Published: October 2021

Abstract

Background
Surgical hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Obstructive sleep Apnea, Aldosteronism, presence of renal artery Bruits (suggesting renal artery stenosis), renal parenchymal disease (Bad kidneys), excess Catecholamines, Coarctation of the aorta, Cushing's syndrome, Drugs, Diet, polycythemia, and some neuroendocrine tumors.

Objective
To assess, through the available literature. The role of surgery in the management of endocrine, renal and vascular causes of hypertension and outcome benefits of surgery.

Data Sources
Medline databases (PubMed, Medscape, Science Direct. EMF-Portal) and all materials available in the Internet till 2018.

Data Extraction
If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures.

Conclusion
Secondary hypertension may be due to underlying correctable cause. Diagnosis and surgical correction of the underlying cause may improve hypertension and improve life quality of the patient especially in young patients resistant to medical therapy for hypertension.
Weight Loss Failure after Sleeve Gastrectomy and its Management
Authors: Moustafiz Alaa Abbas Sabry , Marzouk Mohamed Abd Elmoniem , El Shayeb Basem Helmy , Tawfik Karim Al Amir Mohamed 
Published: October 2021

Abstract

Background
Obesity has become an increasingly important global health problem. Laparoscopic sleeve gastrectomy is the most widely performed bariatric surgery.

Aim of the Work
To evaluate patients who failed to lose weight or regained weight after perfonning sleeve gastrectomy and how to manage them.

Patients and Methods
This study has been conducted at Ain Shams university hospital (Al Demerdash hospital) Ain Shams University. This is a prospective randomized controlled study (RCT) where 30 patients (20 females and 10 males) attended the outpatient clinic of the bariatric surgery unit complaining of failure of sleeve gastrectomy defined as: (failure to lose 500 0 of excess body weight or regain up to 200 0 of lost excess weight within one year or more from sleeve gastrectomy).

Results
All three operations have promising outcomes regarding weight loss and comorbidities resolution like diabetes mellitus and hypertension in morbidly obese patients. When compared to RE-LSG, SADI and OAGB have better results regarding weight loss.

Conclusion
Weight loss failure and revisional surgery remain primary long term concern after laparoscopic sleeve gastrectomy. There are currently no guidelines or systemic reviews directing the standered of practice tör revisional surgery in patients with failed primary sleeve gastrectomy.
Results of Gastrojejunal Plication for Inadequate Weight Loss follow Roux-en-Y Gastric Bypass
Authors: Khalil Ahmed Ibrahim , Eskandaros Moheb Shoraby , Gerges Kerolos Samy Messed 
Published: October 2021

Abstract

Background
Obesity is a serious global epidemic and poses a significant health threat to humans.
The prevalence of obesity is increasing not only in adults, but also among children and adolescents. Non-operative treatment of obesity has commonly been ineffective, and bariatric surgery has been shown to be effective in achieving substantial weight loss and improving obesity related comorbidities in the long-term.

Aim of the Work
Our objective in this study is to assess the effectiveness of Gastro-jejunal stomal plication (GJP) for inadequate weight loss follow Roux-en-Y gastric bypass surgery (RYGB).

Patients and Methods
The study will use the following search tools and databases: PubMed, Google Scholar, Cochrane Clinical Trials Database, Cochrane Review Database, EMBASE, and Allied and Complementary Medicine. Search terms included Revisional Surgery, inadequate weight loss And Roux en Y gastric bypass, then gastro-jejunal plication. These studies were published from (2009-2017).

Results
Eleven studies were included and these studies worked on 420 patients. Comparisons between these were done according to age, sex, time interval between (RYGB) & GJP, weight loss after GJP, laparoscopic vs open technique and overall complications of revisional surgery (GJP).

Conclusion
The exact reasons for weight loss failure after RYGB remain incompletely elucidated and are probably multifactorial. Pouch resizing could be a valuable option for weight loss failure or regain in selected patients with a dilated gastric pouch after RYGB in the short term. Careful selection of candidates for this procedure through psychiatric and nutritional evaluations and volumetric measures of the gastric pouch, preferably using CT, is mandatory to identify those patients most likely to benefit from revision.
Fistulotomy with Primary Sphincter Repair in High Anal Fistula
Authors: Ahmed Tarek Youssef , Mustafa Mohab Gamal El-din , Elshawy Mohamed Elemam , Abdelaziz Modaser Hashim 
Published: October 2021

Abstract

Background
Anal fistula is abnormal communication between the anal canal and the perianal skin or perineum or buttocks. Anal fistula is almost always a consequence of an anorectal abscess that was drained. While the abscess represents the acute phase of the disease, fistula represents the chronic phase as the fistulous pathway may persist in about 1/3 of cases.

Aim of the Work
In this study we will perform fistulotomy with primary sphincter repair in high cryptoglandular fistula with assessment of recurrence rate, incontinence rate and patient satisfaction according to pain score, wound healing, discharge and return to daily activity parameters.

Methods
This was prospective cohort study on 30 patients of high peri-anal fistulae and fistulotomy and reconstruction (primary suture repair) of anal sphincter was done., the patients were followed up 6 months postoperatively regarding their continence using Wexner score, recurrence, discharge and their return to work by scheduled outpatient clinical examination.

Results
Among 30 patients only three patients complaining usual incontinence mostly as post defecation soiling. Three patients reported anal fistula recurrence: One occurred at the 5th month, while the other two occurred at the 6th month after surgery. The procedure was well tolerated by the patients as most of them complaining only minimal pain and returned to work after two weeks without need of other stage like other procedures.

Conclusion
Fistulotomy with primary sphincter repair is an effective therapeutic option for patients with high anal fistula. Our study demonstrated that immediate reconstruction of the sphincters after fistulotomy achieved high success rates and low risk of postoperative fecal incontinence, compared to reported rates after simple fistulotomy.
Early versus delayed operative management of appendicular mass
Authors: Tantawy Hassan sayed , El Hefny Amr Mohamed , Abd El Halim Ahmed Yasser , Nasr Mohammed Ali Abdel Ghaffar 
Published: October 2021

Abstract

Background
Acute appendicitis is one of the most common causes of acute abdomen. It may be either complicated or uncomplicated. Sometimes the acute inflammation of the appendix may be enclosed by the patient’s own defense mechanisms to form inflammatory phlegmon. Complicated appendicitis is a palpable appendiceal mass, phlegmon, or a localized abscess. A phlegmon is an inflammatory tumor consisting of the inflamed appendix, with the greater omentum and adjacent viscera.

Aim of the Work
To determine the preferred approach taken to the management of the appendicular mass, to compare between acute appendectomy and delayed surgical intervention for appendicular mass, and to determine patient outcome following appendectomy for appendicular mass.

Material and Methods: Study
A retrospective study.

Study Setting
The study has been conducted in Ain Shams University Hospital (El-Demerdash) and military hospitals in Cairo and Alexandria under supervision of thesis supervisors.

Study Period
The study retrospectively analyze data of patients diagnosed as appendicular mass between January 2017 and December 2017.

Study Population: Inclusion Criteria
Patients with acute abdomen, diagnosed as appendicular mass by clinical examination and imaging (US and CT).

Exclusion Criteria
Females with right ovarian problems. Cases with right ureteric stones. Cases of recurrence. Abdominal ultrasonography and CT did not confirm the mass.

Results
The present study was a descriptive, retrospective, study that included 20 patients diagnosed with appendicular mass attended to surgery clinics at El-Demerdash and Military hospitals between January 2017 and December 2017. The patients were divided into two groups: Group I including 10 patients started conservative treatment then received delayed appendectomy. Group II including 10 patients received early appendectomy.

Conclusion
In conclusion, early appendicectomy is a safe and superior option in patients with appendicular mass compared to delayed appendicectomy. The results indicate that early appendicectomy leads to shorter hospital stay and return to normal activities than delayed appendicectomy. Moreover, postoperative difficulties and complications were less following early appendicectomy. The early appendectomy appears to achieve more favorable outcomes in patients with more severe symptoms, high fever, and high inflammatory markers. Nonetheless, more studies are necessary to confirm our findings.
Using Prophylactic Prolene Mesh to Reduce the Incidence of Incisional Hernia at the Site of Stoma Closure
Authors: Tantawy Hassan Sayed , Mohamed Mohamed Mahfouz , Halim Ahmed Yasser Abdel , Aziz Mostafa Mohamed Abdel 
Published: October 2021

Abstract

Background
Incisional hernias at stoma sites are not an infrequent problem, occurring in up to 30% of cases and it also varied in a range of studies from 0-48%.

Objectives
This is a prospective study to detect the feasibility of application of prolene mesh at the site of stoma closure in reducing the rate of post stomal incisional.

INTRODUCTION
Abdominal wall hernias are common and are a significant cause of morbidity.
Stomas are commonly constructed following colorectal surgery to protect distal anastomosis or when sepsis prevents primary anastomosis. There is a risk of a wide range of morbidity following both stoma formation and stoma reversal (Chow et al., 2009).
Incisional hernias at stoma sites are not an infrequent problem, occurring in up to 30% of cases and it also varied in a range of studies from 0-48% (Tilney et al., 2008).
They occur over time and are generally under-reported, which may be due to the elderly nature of the population, the significant co-morbidities or early discharge from follow-up (Cingi et al., 2006).
One in three patients may develop a hernia after stoma closure, and around half of hernias that are detected require repair.Risk of hernia is greater after colostomy closure than after ileostomy closure(Bhangu et al., 2012).
A meta-analysis published in 2012 investigated the incidence of incisional hernia following closure of stoma, The overall mean incisional hernia rate following stoma closures was 7.4%. The authors reported a lower risk of hernia following reversal of ileostomy when compared to respectively (Bhangu et al., 2012).
A further systematic review found a similar incidence for stoma site incisional hernias to be 8.3% (0–33.9%) (Nguyen et al., 2014).
Two factors should be noted with regard to the incidence of stoma site hernia. Firstly, that the long-term risk is not known and secondly, that clinical examination alone is shown to have a lower detection rate of incisional hernia post stoma closure when compared to clinical imaging (Bhangu et al., 2012; Cingi et al., 2006).
Therefore, studies focusing on only clinical examination may be underestimating the prevalence, as radiological detected herniae may become symptomatic over time and may be missed in studies with a short follow-up period.

AIM OF THE WORK
This is a prospective study to detect the feasibility of application of prolene mesh at the site of stoma closure in reducing the rate of post stomal incisional.
The role of surgical clips in Breast Conserving Therapy: Systematic review of the Literature
Authors: Ouf Tarek Ismail , Osman Ahmed Gamal El-Din , Hafez Ramy Fouad , Mohammed Omnia Mahmoud 
Published: October 2021

Abstract

Introduction
Conservative breast therapy consists of wide local excision followed by local control of the breast cancer by boost radiotherapy. For radiologists, identification of breast tumor bed (TB) is an essential first step for them to start their radiotherapy. There is number of ways to identify the tumor bed, one of them is inserting the metallic clips in the tumor bed cavity intraoperative. They mark the tumor cavity against the whole breast normal tissue as they appear radioopaque during radiotherapy.

Purpose
The primary aim of this study is to investigate the need & validity of surgical clips insertion in breast tumor bed and its effect on further breast radiotherapy through a systematic review that includes all published studies which used clips for marking the breast tumor bed. The secondary aim is to define the needed number of surgical clips to define the breast tumor bed clearly and obviously and what are the best types of surgical clips to be used for this purpose.

Methods
The literature review was done by searching on different databases using the keywords for only English studies reporting using surgical clips for localization in breast surgeries. There was no restriction to specific period or study design. Assessment of included studies was done by 2 independent researchers.

Results
54 articles (n = 3427 patients) were the total number of studies that met our inclusion criteria. These studies were of different study designs. Cohort studies were the most representing type about 40 articles. The most common used clips type (21 study, n = 1444 patient) was metallic hemostatic clips according to the sum of operated patients and count of studies. Although all studies confirmed the importance and effectiveness of using clips for tumor bed localization, there was no standard optimum number of clips that can be used for localization. However, most studies used definite number of clips as 4 or 5 clips or used number ranging from 1-5 clips. The same for inserted clips margins at tumor bed, only few studies mentioned definite cavity margins. The 4 main margins (anterior, posterior, superior, inferior) were the commonest reported sites.

Conclusion
Using surgical clips whatever their type is very helpful for radiologists to define breast tumor bed especially with the obvious increase in using oncoplastic techniques. It’s recommended to use more than 5 clips at tumor bed cavity with special concern to insert them at least 4 margins of tumor bed.
Comparative study between using of quilting sutures vs. using of fibrin sealant in prevention of seroma after abdominoplasty
Authors: Isaac Therese Wagih Mickael , Farid Emad EL Deen , Omran Hesham Mohammed , Hweidi Ahmed Sobhi 
Published: October 2021

Abstract

Background
Abdominoplasty is one of the most common body-contouring procedures. It is among the top five procedures in aesthetic surgery. The aim of abdominoplasty is to remove excess fat and skin and restore weakened muscles to create smoother firmer abdominal figure

Aim of study
The aim of the present study is to compare between the rate of seroma in patients undergone abdominoplasty using quilting sutures technique and patients undergone abdominoplasty using fibrin glue.

Patients and Methods
This study was conducted on 20 patients complaining of variable degrees of abdominal wall laxity seeking for surgical repair of abdominal wall, conducted from april 2019 till october 2019.on patients admitted at ain shams university hospitals and cairo university hospitals

Results
This study includes twenty patients with abdominal wall redundancy presented to Ain-Shams university hospital and kasr AL Ainy university hospital in the period (April 2019 - October 2019). The patients were divided into two groups: group A ten patients undergone abdominoplasty with quilting sutures technique, group B ten patients undergone abdominoplasty with fibrin glue.
All 20 patients were females aging between 25 and 50 and with BMI between 25 and 30.

Conclusion
Within the limitations of our study we have concluded that this study adds to the mounting evidence that placement of quilting sutures or the application of fibrin glue is safe and effective and will contribute to a decrease in the seroma rate, the total amount of drain output, the time of drain removal and complications. It produces a safe and less eventful postoperative period.