Menoufia Medical Journal最新文献_第2页

Evaluation of Mitrofanoff Stoma Using the Appendix in Pediatric Age Group 利用阑尾评估小儿米特罗法诺夫造口

Menoufia Medical Journal Pub Date : 2023-12-17 DOI: 10.59204/2314-6788.1022

Ahmed A. Gamal-Eldin, Mohamed E. Youssif, Mohamed M. Abdullah, Mohammed A. Khalil, Baher M. Abdel-Elraouf

引用次数: 0

Hepatic Affection in Acute Poisoned Cases admitted at menoufia poison control center over one year 梅努菲亚毒物控制中心一年内收治的急性中毒病例中的肝功能损伤情况

Menoufia Medical Journal Pub Date : 2023-12-13 DOI: 10.59204/2314-6788.1025

Hammad Sa, Hegazy Mm, Aboshreif Ra, A. Se

引用次数: 0

Intraoperative Decision Making for Neurolysis versus Neurectomy in Surgical Treatment of Meralgia Paresthetica 手术治疗麻痹性神经痛时神经切除术与神经切除术的术中决策

Menoufia Medical Journal Pub Date : 2023-11-30 DOI: 10.59204/2314-6788.1106

Yasser Bahgat Elsisi, Ahmed Gabry El Nagar, Osama Saber Shereef

引用次数: 0

Assessment of Left Ventricular Systolic Function after Surgical and Transcatheter Device Closure of Ventricular Septal Defect Using Speckle Tracking Imaging 斑点跟踪成像评价室间隔缺损手术及经导管装置闭合后左心室收缩功能

Menoufia Medical Journal Pub Date : 2023-11-08 DOI: 10.59204/2314-6788.1026

Suzy S. Lasheen, Mahmoud K. Ahmed, Mohamed M. Elgayar

{"title":"Assessment of Left Ventricular Systolic Function after Surgical and Transcatheter Device Closure of Ventricular Septal Defect Using Speckle Tracking Imaging","authors":"Suzy S. Lasheen, Mahmoud K. Ahmed, Mohamed M. Elgayar","doi":"10.59204/2314-6788.1026","DOIUrl":"https://doi.org/10.59204/2314-6788.1026","url":null,"abstract":"Objectives: To evaluate left ventricular (LV) systolic function in pediatric patients after ventricular septal defect (VSD) closure using conventional echocardiography and 2D speckle tracking derived strain. Background: VSD is a common congenital heart disease. Transcatheter device closure is an effective alternative to surgical closure with fewer complications. Methods: This prospective study included 54 children, divided into three groups: surgical closure (n=18), transcatheter closure (n=18), and control group (n=18). LV function was assessed before and one week and six weeks after closure using conventional echocardiogram and 2D speckle tracking derived strain including longitudinal, circumferential, and radial strain. Results: The study included 54 children aged from 6 months to 3 years. Perimembranous VSD was the most common type in the surgical group, while muscular VSD was the most common in the transcatheter group. Global longitudinal strain (GLS) was better in both VSD groups compared to control group before closure. LV ejection fraction (EF) and 2D global strain values decreased in both VSD groups after closure in the first assessment, but then recovered in the second assessment. Conclusion: There is a significant decrease in LV function immediately after closure detected by LVEF and 2D LV strain. The decline is more significant in patients who underwent surgical closure compared to transcatheter closure. Furthermore, the study highlights the usefulness of LV 2D strain in assessing LV systolic function in pediatric patients.","PeriodicalId":18558,"journal":{"name":"Menoufia Medical Journal","volume":"156 1‐3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Efficacy of Free Latissimus Dorsi Flap in Patients with Lower Limb Distal Extensive Injuries. 背阔肌游离皮瓣治疗下肢远端大面积损伤的疗效观察。

Menoufia Medical Journal Pub Date : 2023-11-08 DOI: 10.59204/2314-6788.1064

Mohamed Abdullah Mohamed El-Nahas, Tarek Fouad Keshk, Sherif Mohamed El Kashty, Ahmed Abdelaziz Talaab

{"title":"The Efficacy of Free Latissimus Dorsi Flap in Patients with Lower Limb Distal Extensive Injuries.","authors":"Mohamed Abdullah Mohamed El-Nahas, Tarek Fouad Keshk, Sherif Mohamed El Kashty, Ahmed Abdelaziz Talaab","doi":"10.59204/2314-6788.1064","DOIUrl":"https://doi.org/10.59204/2314-6788.1064","url":null,"abstract":"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 mean age of 24.63 ± 11.9, with males constituting 75% of patients SD ( 11.94 ) .Most patients had RTA as a mode of injury (87.5%). Four patients (25%) presented to the hospital and underwent debridement after 6 months or more from the injury. At the end of follow up period, all the 16 patients had their constructed limbs preserved with no failure cases. Overall, three cases (18.8%) required reoperation (P = 0.013). Conclusion: The present study elucidates that the free LD flap had an excellent outcome in reconstruction of the lower limb distal extensive injuries, with 100% salvage rate, and low complication and reoperation rate. Other larger studies are recommended.","PeriodicalId":18558,"journal":{"name":"Menoufia Medical Journal","volume":"142 11‐12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of transthoracic ultrasound in diagnosis and follow-up of pneumonia 经胸超声在肺炎诊断及随访中的作用

Menoufia Medical Journal Pub Date : 2023-11-08 DOI: 10.59204/2314-6788.1107

Hanaa A. Eid, Mai M. El-Kalashy, Ahmed A. Elesdoudy, Zeinab A. Kasemy, Amal A. El-Koa

{"title":"Role of transthoracic ultrasound in diagnosis and follow-up of pneumonia","authors":"Hanaa A. Eid, Mai M. El-Kalashy, Ahmed A. Elesdoudy, Zeinab A. Kasemy, Amal A. El-Koa","doi":"10.59204/2314-6788.1107","DOIUrl":"https://doi.org/10.59204/2314-6788.1107","url":null,"abstract":"Objectives: To assess the role of transthoracic ultrasound (TUS) in the diagnosis and follow-up of pneumonia compared to CXR and HRCT. Background: Pneumonia is a serious health problem. TUS is quickly becoming one of the most useful non-ionizing radiation diagnostic techniques for identifying various lung illnesses. Methods: This prospective observational study was carried out in the Menoufia University Hospitals' Chest Diseases Department. From December 2022 to June 2023, it covered 50 patients who were clinically suspected of having pneumonia. The diagnosis was based on symptoms, signs, and chest HRCT. TUS and chest X-ray (CXR) were done and follow-up TUS after 7, 14, and 30 days. Results: TUS was able to identify consolidations in 44 out of 45 cases with HRCT consolidation, in which an air-bronchogram appeared in 37 cases, and a shred sign was in 17 cases. In addition, TUS revealed increased B lines in 7 of the 9 interstitial pneumonia patients, and pleural effusion was found in 14 cases. TUS had a sensitivity and specificity of 97.8% and 100% in the diagnosis of consolidation, with an accuracy of 98%, PPV100%, and NPV 83.3%, compared to 70% and 100% in the diagnosis of interstitial pneumonia, with an accuracy of 94%, PPV100%, and NPV 93%. Conclusion: TUS is more reliable than CXR for diagnosing pneumonia patients. It might also be used as a secure follow-up instrument.","PeriodicalId":18558,"journal":{"name":"Menoufia Medical Journal","volume":"155 10‐12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention of endometritis by precesarean section vaginal preparation using povidone–iodine versus chlorhexidine 剖宫产前阴道准备使用聚维酮碘与氯己定预防子宫内膜炎的比较

Menoufia Medical Journal Pub Date : 2023-11-03 DOI: 10.59204/2314-6788.1077

Abdlehamid E. Shahin, Elsayed Elshamy, Ragab M. Dawood, Samar R.M. El Hosary, Amira A. Fathey

引用次数: 0

Evaluation of Implant Based Immediate Breast Reconstruction 基于假体的即刻乳房重建术的评价

Menoufia Medical Journal Pub Date : 2023-11-03 DOI: 10.59204/2314-6788.1102

Mohamed Hamed Elmeligy, Mohamed Sabry Ammar, Ahmed Fawzy Ahmed Dewidar, Mohamed Abdullah Elnahas

{"title":"Evaluation of Implant Based Immediate Breast Reconstruction","authors":"Mohamed Hamed Elmeligy, Mohamed Sabry Ammar, Ahmed Fawzy Ahmed Dewidar, Mohamed Abdullah Elnahas","doi":"10.59204/2314-6788.1102","DOIUrl":"https://doi.org/10.59204/2314-6788.1102","url":null,"abstract":"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 studied patients Seroma and Minor infection were developed in 31.6% for each followed by lack of symmetry in 26.3 than unacceptable scar, pain in 21.1% for each then areola Depigmentation, restricted arm movement, numbness or tingling in 15.8% for each then hematoma and delayed wound healing in 10.5% for each. There was a significant improvement of EORTC Quality of Life Questionnaire C30 (QLQ‐C30) 6 month after operation than before operation in the studied population. Conclusion: Women who had breast reconstruction with implants were quite happy with the results and experienced minimal complications. Reconstructive surgery on the breast has been shown to substantially improve both patient satisfaction and quality of life. We were able to use BREAST-Q's evaluation of patient satisfaction to pinpoint areas where we might enhance our services.","PeriodicalId":18558,"journal":{"name":"Menoufia Medical Journal","volume":"20 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135873078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the effect of using vitamin C, thiamine, and hydrocortisone in treatment of sepsis 评估使用维生素 C、硫胺素和氢化可的松治疗败血症的效果

Menoufia Medical Journal Pub Date : 2023-10-27 DOI: 10.59204/2314-6788.1076

Yasser I. Fathy, Nevine M. Soliman, Mahmoud T. El-Halwany

引用次数: 0

Ultrasound Guided Quadratus Lumborum Block In Cirrhotic Patients Undergoing Major Abdominal Surgery (Randomized Control Trial) 超声引导下肝硬化腹部大手术患者腰方肌阻滞(随机对照试验)

Menoufia Medical Journal Pub Date : 2023-10-05 DOI: 10.59204/2314-6788.1034

Eman Sayed Ibrahim, Zeinab Fathy Elsayed Abdelaty, Mamdouh Elsayed Lotfy, Hanaa Saeed Abdelhafez, Wesam Eldin Abdelrahman Sultan

引用次数: 0