bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Study for Portomesentric Venous Thrombosis after Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients with BMI 35-45 with and without Anticoagulation, Retrospective Study
Authors: El-Ashry Alaa El-din Abdel-Hameed , Gamal El-Din Mostafa Mohab , El-Azm Hossam Attia Abo , Fouda Abdelrahman Yahya Mohammed 
Published: August 2023

Abstract

Background
Portomesentric vein thrombosis is a rare but documented complication of laparoscopic surgery. This rare complication is currently being encountered more frequently with the increase in the rates of laparoscopic bariatric surgery procedures being performed worldwide. Obesity is a worldwide health problem and Bariatric surgery has demonstrated to be an effective and sustainable method for regulation of morbid obesity, especially when it is resistant to both pharmaceuticals and combinations of diet and lifestyle regimens.

Aim of the Work
This study will evaluate the efficacy of use of anticoagulation after LSG in morbidly obese patients with BMI 35-45, to guard against PVT, through retrospective comparative study.

Patients and Methods
A retrospective analysis was performed on all sleeve gastrectomies performed in Ain Shams University Hospitals & some other hospitals between January 2020 & January 2021 to identify cases complicated by Portomesentric venous thrombosis. A total of 60 patients underwent LSG between January 2020 & January 2021 were divided into two groups in a retrospective comparative Pilot study with an average BMI 39.53 kg/m2. Patients from the two groups 10 patients underwent laparoscopic cholecystectomy along with LSG.

Results
There are chemical prophylactic measures can be used pre and post laparoscopic sleeve surgery however, as suggested by some papers post-operative thromboprophylaxis to all patients for 1 week duration and from 3 to 6 months for thrombophilia and high-risk patients, yet specific recommendation regarding VTE prophylaxis after sleeve gastrectomy is in need for prospective trial to guard from developing PVT.

Conclusion
As a phenomenon with an ambiguous and unpredictable symptom, PMVT should be kept in mind in any patient with unexplained abdominal pain after sleeve gastrectomy; in addition, portal venous phase contrast enhanced studies should always be considered when a diagnostic computerized tomography scan is performed. Strong evidence data about PMVT anticoagulant prophylaxis plan is still lacking, however; extended prophylaxis to 2 weeks in a high-risk patient may lower the PMVT incidence.
Evaluation of the Role of Negative Pressure Wound Therapy (NBWT) in Healing of Diabetic Foot Ulcers (DFU)
Authors: Gad Khaled Hussein , Monaem Ayman Hossam Eldin Abd El , Al-Saadany Ahmad Abd-El-Aal Shebl Ali 
Published: August 2023

Abstract

Background
Because of the variable time required for healing, foot wounds are a major concern in general surgery. Lower limb ulcers are exacerbated by chronic conditions like diabetes, as well as our ageing population. The application of negative pressure wound therapy (NPWT) has resulted in a paradigm change in the treatment of various wound types around the world.

Objective
To evaluate the role and the effectiveness of (NBWT) in the healing of diabetic foot ulcers (DFU), and to compare the rate of healing and the final outcome with the conventional dressing.

Methods
This randomized controlled prospective study was conducted upon thirteen patients who were presenting with DFU. The study was conducted in Ain Shams university hospitals and National Institute of Diabetes and endocrinology within 6 months.

Results
In terms of demographics and first labs, there was no statistically significant difference between the two groups based on data analysis. Improvement was considerably better in the NPWT group, providing significant confirmation of our findings regarding the efficacy of NPWT on wound outcomes.

Conclusion
Patients who received NPWT had a significant reduction in maximum wound depth as compared to those who received traditional dressings. NPWT may play a function in wound healing, according to this research.
Evaluation of Single Anastomosis Gastric Bypass
Authors: Mostafa Alaa Abass Sabry , El-Shennawy Mohammed El-Sayed , Helmy Medhat Mohamed , Abdrabou Ahmed 
Published: August 2023

Abstract

Objective
The study was performed to evaluate the technique of laproscopic single anastomosis gastric bypass for treatment of morbidly obese patient.

Study design
The patients were enrolled in a Prospective observational study, from May 2013 till May 2015, including 100 patients set for laparoscopic Single anastomosis gastric bypass. Surgical procedures and follow up were performed at Ain Shams University hospitals.

Patient and methods
The study includes one hundred patients; 33 males and 67 females with a mean age of 33±10 years (range, 20–59), who fulfilled the criteria for bariatric surgery with BMI &gt;35 with associated co-morbidities, all patients underwent laparoscopic single anastomosis gastric bypass.

Results
The average operative time was 90 minutes, and the median length of hospital stay was 2 day. No mortality reported within 30 days postoperatively. early postoperative complication within 30 day, no cases of leak reported, endo luminal hemorrhage (2%)treated conservatively. long-term complications were bile reflux(1%), with failed medical treatment which Laparoscopically converted to RYGBP. iron deficiency anemia (1%.). Average weight loss at 1 year was 46 kg (70.08% of excess body weight). (88.8%) of the obesity-associated co morbidities are resolved within 1 year.

Conclusion
Laparoscopic single anastomosis gastric bypass offers major benefits with great satisfactory results over most alternative procedures, is a successful procedure for weight loss and maintaining the weight reduction in morbid obesity, it has highly safe with good technical feasibility, short hospital stay, a low rate of major postoperative complications and growing learning curve
Detection of the Sentinel Lymph Node in Breast Cancer Using Patent Blue Dye Technique, Gamma Probe and Combined Technique
Authors: Amer Ayman Ahmed Talaat Mohamed , El-Shinawi Mohamed El-Sayed , Ahmed Dina Hany , Ali Ayman Hossam Eldin Abd Elmonaem , Shmeila Ayman Aly Abou , Shuman Ahmed Gamal Shawky 
Published: August 2023

Abstract

Background
Breast cancer is the most common cancer among women and the second-leading cause of cancer deaths, Lymphatic mapping with SLN dissection provides a reliable image of the tumor status of the remaining axillary lymph nodes and it has the benefit of reducing the morbidity associated with the axillary lymph node dissection, including pain, sensory deficits, decreased range of movement, seromas and lymphedema, There is several techniques to determine SLN, in this study we used patent blue dye and gamma probe techniques in the detection of the sentinel lymph node.

Objective
To estimate and compare the detection rate of the sentinel lymph node in clinically and radiologically negative axillary node in breast cancer female patients by using of patent blue technique, gamma probe technique and a combination technique.

Patients and Methods
This study is prospective study included 90 female Egyptian women with early breast cancer and clinically negative axilla clinically and radiologically. These women divided into 3 groups according to the technique used in the detection of SLNB (first group used patent blue only, 2nd group used gamma probe only, 3rd group used combined techniques (patent blue and gamma probe).

Results
The most frequent site of lesion in the three groups was the upper outer quadrant; 80% in group I, 76.7% in group II, and 83.3% in group III. The most frequent pathology in the study groups was infiltrating duct carcinoma; 96.7% in all groups. No significant differences were observed between the study groups regarding neuropathic pain (P-value = 0.319). Patients with positive SLN in Group I 16.7%, in group 2 23.3% and in group 3 33.3%. No significant differences were observed between the study groups regarding number of SLN removed (P-value = 0.233), patients with positive SLN (P-value = 0.319) and number of patients underwent axillary clearance (P-value = 0.319).

Conclusion
This study confirms that prediction of axillary lymph node status in breast cancer patients using combined technique has the same accuracy as marking of SN with blue dye alone and therefore should be preferred.
Comparative Study between the Use of Self-Fixating Mesh and Non-Self-Fixating Mesh in Laparoscopic Inguinal Hernia Repair Transabdominal Preperitoneal (TAPP) Technique
Authors: Ghanem Ahmed Ghanem Diab , Wagdy Hesham Hassan , Hassan Mostafa Abdo , Mamdouh Mahfouz Remon 
Published: August 2023

Abstract

Background
Groin hernia repair is considered to be one of the most commonly performed operations by general surgeons however; there is no "gold standard" operation for treatment of inguinal hernias. The optimal surgical approach must be selected individually for the patient, taking into account patient age, hernia size, unilaterality or bilaterality, primary or recurrent status, and type of anesthesia, occupation, and leisure activities.

Objective
to compare between self fixating mesh and fixation of non self fixating mesh with absorbaple tacks in laparoscopic inguinal hernia repair transabdominal preperitoneal (TAPP) approach as regards intraoperative time, complications, postoperative pain, return to normal activity and incidence of recurrence.

Patients and Methods
Our study is a randomized prospective study. It was conducted in El Demerdash, Ain-Shams University Hospital on 08 patients with inguinal hernia who were operated upon between january 2020 and December 2020 with minimal follow up of 3 months.

Results
Based on our prospective randomized study, a few preliminary conclusions can be made. There was no significant difference in operative time between patients who underwent self gripping mesh fixation and those who underwent mesh fixation by absorpable tacks in TAPP reapir. The postoperative pain assessment at 1 week, 4 weeks and 3 months shows that no significant difference between the two groups confirming the atraumatic nature of the self gripping mesh. We found that both surgical approaches had almost the same Postoperative Hospital stay where the mean postoperative hospital stay was 1.5 days versus 1.6 days in Group A and Group B, respectively and all patients returned to normal activity with mean time 7 ± 2 versus 8 ± 2 days in Group A and Group B respectively. We found that no statistically difference as regard the recurrence between the use of Self Gripping mesh versus fixation of by non absorpable tacks.

Conclusion
After this comparative study, both the use of SGM and fixation of mesh by non absorpable tacks approaches are similarly effective in terms of operative time, the incidence of recurrence, complications and chronic pain coinciding with all the available literature.
Impact of Hypomagnesemia on Post-Thyroidectomy Hypocalcaemia
Authors: Kassem Alaa Mohamed Mohamed , Abdraboh Ayman Abdullah , Farahat Mahmoud Saad , Abdelrahim Hossam S 
Published: August 2023

Abstract

Background
Total thyroidectomy is the treatment of choice for many thyroid diseases. The most common metabolic complications are disorders of calcium ion concentrations. In this study we aimed to determine the incidence of hypomagnesemia after total thyroidectomy and to investigate whether hypomagnesemia after thyroidectomy has any impact on post-thyroidectomy hypocalcemia.

Patients and Methods
This study was a prospective analytical one done between July 2019 and July 2020 including fifty patients who underwent total or completion thyroidectomy. Our patients were divided according to adjusted serum calcium levels of day one postoperative and clinical manifestations of hypocalcemia into 2 groups, group (A) for normocalcemic patients (clinical and biochemical) and group (B) for hypocalcemic patients (clinical or biochemical). And each group was subdivided into two subgroups according to serum magnesium levels (normomagnesemia and hypomagnesemia).

Results
These results cleared that, postoperative biochemical hypocalcemia was detected in 36% of cases and hypomagnesemia was detected in 62%, from the hypocalcemic group there were 88.8% with hypomagnesemia while in the normocalcemic group, there were 46.8% with hypomagnesemia. In the postoperative period 24% of patients had manifestations of clinical hypocalcemia; all of these patients (100%) had biochemical hypocalcemia. All of the cases (100%) with symptomatic hypocalcemia had low serum magnesium levels while as for the patients with only biochemical hypocalcemia, 66 % had hypomagnesemia.

Conclusion
Our results concluded that, regarding the correlation between calcium and magnesium, there was a statistically highly significant positive correlation between calcium and magnesium in the first day postoperative of thyroidectomy. Post-thyroidectomy hypomagnesemia was found to be a good predictor of postoperative biochemical hypocalcemia and is closely related to the clinical manifestations of hypocalcemia. So, correction of both hypomagnesemia and hypocalcemia is necessary for prompt resolution of symptoms of refractory hypocalcemia after total thyroidectomy.
Intraperitoneal Bupivacaine in Laparoscopic Cholecystectomy, Efficacy and Feasibility
Authors: Ashry Alaa abdelhamid El , Khalil Medhat Mohammed Helmy , Gbr Amr Abdelbaky Tawfik 
Published: August 2023

Abstract

Background
Laparoscopic Cholecystectomy among the most frequently performed elective daycare surgeries. After laparoscopic cholecystectomy shoulder and abdominal pain causes considerable distress, to determine the efficacy of intraperitoneal bupivacaine instillation on management of early postoperative pain in patient undergoing laparoscopic cholecystectomy.

Aim of the Work
To determined the efficacy of intraperitoneal bupivacaine instillation on management early postoperative pain in patient with laparoscopic cholecystectomy.

Patients and Methods
This is a prospective randomized study with sample size of 50 patients underwent elective laparoscopic cholecystectomy. We recruited patients from surgery department at Agouza Hospital. We randomly assigned patients to undergo laparoscopic cholecystectomy with bupivacaine and 25 ml of physiological saline (0.9% normal saline) on liver bed or without bupivacaine.

Results
Fifty patients finally met our inclusion criteria. In bupivacaine group, mean age was 35 (± 6.6), 64% were females and 36% were males. While in non-bupivacaine group mean age was 37.6 (± 6.6), 68% were females and 32% were males with no statistically significant difference between both groups; age (P value=0.22) and age (P value=0.77), In bupivacaine group there was significant pain reduction compared to non-bupivacaine group in terms of VAS at 2 h (p value=0.04), 12 h (p value=0.02), 24 h (, p value=0.01) and VRS at 2 h (p value&lt;0.01), 12 h (p value&lt;0.01), 24 h (p value&lt;0.01). Hospital stay was lower hospital stay in bupivacaine group 0.94 (± 0.16) than nonbupivacaine group 1.21 (± 0.41) (p value&lt;0.01). Need for additional analgesia was lower in bupivacaine group (P value &lt;0.01).

Conclusion
Intraperitoneal route for administration of local anaesthetic is a safe and effective approach. Bupivacaine is an effective treatment option to achieve postoperative analgesic, limit the duration of hospital stay and the need for additional analgesia. But it did not significantly lower the incidence of nausea and vomiting.
Early versus Delayed Enteral Nutrition after Gastrointestinal Anastomosis in Children: A Systematic Review and Meta-Analysis
Authors: Ahmed Osama Mahmoud Elsayed , AbouZeid Amr Abdelhamid , Nageeb Ramy Mikhael , El-Raheb Athnasious Barsoom Michael 
Published: August 2023

Abstract

Background
Elective intestinal anastomosis is a frequently used surgical procedure in pediatric surgery. This option is used to restore intestinal continuity (ileostomy or colostomy closure), resolve an inflammatory disease or functional or anatomic congenital malformation. It is a common practice to avoid oral feeding in children after intestinal anastomosis surgery, traditionally from 3-5 days. Recently, interest has increased in the concept of early enteral nutrition (EEN) in abdominal surgery in adults, but it needs further research in children.

Aim of the Work
The aim of this study is to determine whether early enteral nutrition following elective gastrointestinal anastomosis surgery in children leads to improved patient outcome measures and to assess whether this practice increases the risk of postoperative complications, according to literature published in the period from 2010- 2020

Patients and Methods
We searched PubMed, Cochrane, Embase, Google scholar, Egyptian Knowledge Bank including Science Direct, Scopus and Web of Science. Data from 2010 – 2020 were obtained using the following Medical Subject Headings (MeSH) terms. For the early aspect of nutrition, we used the MeSH terms ‘‘early’’ or ‘‘enhanced recovery’’ and ‘‘enteral nutrition’’ or ‘‘feeding’’. For the surgical background, we used the MeSH terms ‘‘gastrointestinal’’ or ‘‘bowel/intestinal’’ or ‘‘colorectal’’ and ‘‘surgery’’ or ‘‘anastomosis’’ or ‘‘resection,’’ while for the population we used the terms ‘‘child’’ or ‘‘pediatric’’ or ‘‘infant’’. Multiple outcomes were used. The softwares Review Manager (RevMan 5.3, The Cochrane Collaboration) and STATA (Stata Corp. 2007) were used to analyse the data and formulate the results.

Results
Seven RCT studies met the inclusion criteria, comprising 278 cases with EEF and 323 cases with DEF. Enteral feeding started significantly earlier in the EEF group compared to the DEF group (MD = -69.43; 95% CI -72.20 to -66.65; p &lt; 0.0001). The EEF group had an earlier time to first bowel movement (MD -18.18; 95% CI -27.04 to -9.32; p &lt; 0.0001), an earlier time to full diet intake (MD -103.50; 95% CI -126.63 to -80.37; p &lt; 0.00001) and a shorter length of hospital stay (MD -3.57; 95% CI -4.4 to -2.74; p &lt; 0.00001). There was no significant difference in incidence of nausea and vomiting (OR = 1.36; 95% CI 0.56, 3.30; p = 0.5), abdominal distension (OR = 1.68; 95% CI 0.80, 3.53; p = 0.17) or anastomotic dehiscence (OR = 0.58; 95% CI 0.19, 1.75; p = 0.34) between groups. There was significant difference between groups in surgical site infection (OR = 0.27; 95% CI 0.13, 0.57; p = 0.0005) and fever (OR = 0.32; 95% CI 0.16, 0.61; p = 0.0007) in favour of EEN.

Conclusion
When early enteral nutrition was compared to traditional delayed feeding, results showed that EEN is safe and effective in pediatric patients undergoing elective intestinal anastomosis.
Retroyp

ective Com

parative Study between Slee

ve Gastrectom

y and Mini Gastric Bypass Regarding Postoperative Skin Redundancy
Authors: Aamer Mohamed Ahmed Mohamed , Eskandaros Moheb Shoraby , Afifi Amr Hamed , Saeed Ilany Gamal Hazkial 
Published: August 2023

Abstract

Background
Obesity has reached epidemic levels worldwide affecting more than 30% of adults. Mortality rates in patients with morbid obesity are 6-12 times higher in men aged 25 — 44 versus men with healthy weight of the same age. Surgical treatment of comorbidities appears to be cost effective by eliminating use of medications in patients who were previously morbidly obese.

Aim of the Work
to determine and evaluate the impact of sleeve gastrectomy and minigastric bypass procedure on weight loss and post operative skin redundancy.

Patients and Methods
The study included 50 morbidly obese patients that were assigned to two equal groups as regards to the operation they underwent either Laparoscopic MGB or Laparoscopic SG. The primary outcome measured was change in weight and BMI. The secondary outcome was skin redundancy after operation. Patients were followed up to 1 2 months after operation.

Results
After retrospectively comparing the two procedures for a year, almost both procedures have near same effect on loss of weight and MGB has slightly more skin redundancy after operation. The statistical differences observed as regards to BMI and skin redundancy

Conclusion
So this study was carried out to compare the effect on 50 patients undergone laparoscopic sleeve gastrectomy and laparoscopic mini gasteric bypass see if there was effect on weight loss and skin redundancy progress among those patients, 25 patients performed laparoscopic sleeve gasterectomy and 25 patients performed laparoscopic mini-gasteric bypass.
Risk Factors and Outcomes for Colonic Ischemia after Abdominal Aortic Aneurism Repair
Authors: Ahmed Tarek Youssef , Rezk Mohamed Abdelmoneam , Mahmoud Amr Abdelghaffar , Meshref Mahmoud Mohamed 
Published: August 2023

Abstract

Background
Colonic ischemia is a major adverse event after abdominal aortic aneurysm (AAA) repair. incidence of clinically significant colonic ischemia is in the range of 1 to 3% after elective surgery and 10% in case of rupture. When routine postoperative colonoscopy is performed, the incidence is higher.

Aim of the Work
It aims to review the clinical spectrum of mesenteric ischemia (CI) following abdominal aortic aneurysm (AAA) repair and to assess the incidence, overall mortality, and associated factors of occurrence.

Patients and Methods
This is a retrospective study which was done to assess the risk factors and outcomes of mesenteric ischemia after Abdominal Aortic Aneurism repair. This study was performed using Ain Shams University database from February 2018 to February 2021. Patients were identified who had undergone open and endovascular AAA repair using Hospitals general files. The variables of the study were chosen from the list of the original variables within the database for AAA repair including patients underwent AAA repair and had documentation of the presence or absence of postoperative IC in their medical records.

Results
The results of this study provide supporting evidence that repair for a ruptured AAA, open repair and need for blood transfusion, were the most important predictors of postoperative ischemic colitis. Other factors included patient factors such as age, gender, diabetes mellitus, hypertension, coronary artery disease, chronic kidney disease and, as well as operative factors, such as long duration of surgury, excessive blood loss and ischemia time. Further, using the common femoral artery as the site of distal anastomosis during open repair and interruption of the hypogastric artery, because of ligation/occlusion during open repair were also predictors of postoperative ischemic colitis. In addition, postoperative ischemic colitis increase the duration of ICU stay and 30-day mortality was much worse in these parients.

Conclusion
This study reveals that although colonic ischemia following AAA repair is rare, their outcome is very poor. The cause of postoperative ischemic colitis is multifactorial. open repair and rupture of the aneurism before surgury proved to be an important predictors. Other risk factors included age, gender, hypertension, coronary artery disease, chronic kidney disease and factors indicative of more operative stress, including longer operative time, and extensive blood loss.