The Egyptian Journal of Surgery最新文献

{"title":"Prediction of the outcome of nonoperative management of uncomplicated acute appendicitis in adults","authors":"Mohamed F. Anwar, Mahmoud A. Eissa, Hamdy Abdallah, S. Saber","doi":"10.21608/ejsur.2024.357115","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357115","url":null,"abstract":"Background: Antibiotic treatment may be an effective treatment modality for adult patients with acute appendicitis (AA) and ~75% of those patients may not need appendectomy at all, either during initial illness or during the first year of follow-up. Aim: This clinical trial aimed to investigate the outcome (success/failure) of nonoperative management (NOM) of uncomplicated AA in adults and to identify the independent predictors of this outcome. Patients and Methods: A prospective cohort study was conducted at Tanta University Hospitals during the period from July 2021 to July 2022 on 160 adult patients diagnosed with uncomplicated AA. Included patients received IV levofloxacin and metronidazole for 72 h. Daily clinical, laboratory, and ultrasound evaluation was performed. Patients responding successfully to NOM were discharged home while those who failed NOM were subjected to appendectomy. Results: The study included 81 males and 79 females with a mean age of 27.6 years and a mean BMI of 23.3 kg/m 2 . Total 137 (85.6%) patients showed successful outcomes of NOM during the initial admission. Multivariate analysis identified diabetes mellitus and longer duration of symptoms before admission as independent predictors of failure of NOM. During the 6 months follow-up, only two (1.5%) patients in the successful NOM group showed recurrent AA. Conclusion: NOM with antibiotics in adult patients with uncomplicated AA is associated with a high success rate. diabetes mellitus and longer duration of symptoms before admission were identified as independent predictors of failure of NOM.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141717079","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}

{"title":"Management of weight regain after laparoscopic Roux-en-Y gastric bypass: A retrospective study","authors":"Tarek A. Osman, Ahmed S. Mohamed, Ahmed Shoka","doi":"10.21608/ejsur.2024.357138","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357138","url":null,"abstract":". ABSTRACT Background/Objective: Laparoscopic Roux-en-Y gastric bypass (RYGB) is an efficient bariatric procedure. However, weight regain (WR) endangers its outcomes in ~10–20% of patients. In this study, we aim to unravel the weight loss outcomes of combined Limb distalization (LD) and laparoscopic pouch resizing (LPR) versus LD only. Patients and Methods: We retrospectively followed patients who had either type I LD or combined LPR and type I LD for WR post-RYGB over a 2-year follow-up period. Patients who had more than one bariatric procedure were excluded. WR is defined as a regain of greater than or equal to 5 kg/m 2 of the BMI, and/or a regain of 25% of percentage excess weight loss (%EWL). Results: During the study period from December 2019 to July 2023, 24 patients with WR after previous RYGB were enrolled. Eleven patients had type I LD (group A) while 13 patients had combined LPR and LD (group B). Both procedures had significantly higher %EWL and lower BMI than the preintervention values at one year of follow-up. Combined LPR and LD patients continued to lose weight significantly over the second year with a statistically significant drop in the mean BMI (from 31.9±6.8 to 28.7±7.1) and a similar rise in the mean %EWL (from 66.1±8.2 to 70.3±6.7), whereas LD patients had no additional significant weight loss at the 2-year follow-up. Combined LPR and LD led to more weight loss which is statistically significant at both 1-and 2-year follow-up ( P=0.046 , P=0.021 , respectively). Additionally, 20.8% of our patients developed complications with no mortality recorded. Only one patient had a relapse of obesity-related comorbidity. Conclusion: Patients with combined LPR and type I LD achieved more superior and durable weight loss at a 2-year follow-up compared to type I LD only.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691289","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}

{"title":"Assessment of early outcome of coronary artery bypass grafting with and without mitral valve surgery in moderate ischemic mitral regurgitation: A multicenter comparative cohort study","authors":"Mohamed Abdelfatah Ali, Morsi A. Mohammed, H. Elayouty, M. A. Amr, Elsayed A Fayad","doi":"10.21608/ejsur.2024.357146","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357146","url":null,"abstract":"Background: Some experts believe that revascularization alone for moderate ischemic mitral regurgitation, due to improvements in global and regional left ventricular function and geometry after coronary artery bypass grafting (CABG), can decrease rates of mitral regurgitation, however, the value of adding mitral valve repair or not to the CABG surgery remains controversial. Aim: To compare the early peri-operative results of surgical management of moderate ischemic mitral regurgitation by revascularization alone versus revascularization plus mitral valve surgery. Patients and Methods: This prospective cohort comparative study was conducted at Suez Canal University Hospitals, and Suez Hospital for Health Insurance, Cardiac Surgery Department from January 2020 to January 2023. This study was conducted on 100 patients with IHD undergoing CABG with moderate ischemic mitral regurge attending our clinic in Suez Canal University Hospital and Cardiac Surgery Department in Suez Hospital for Health Insurance. Results: The New York Heart Association (NYHA) classification showed statistically significant difference between both groups ( P=0.008 ). Also, group I had a higher mean of left ventricular ejection fraction than group II with statistically insignificant differences ( P>0.05 ). Group I had significantly lower segmental wall-motion abnormalities than group II with statistically significant differences ( P=0.042 ). Also, the severity of mitral regurgitation was significantly lower among group I than group II ( P=0.028 ). Among group I, the severity of NYHA classification distribution showed a statistically significant decrease ( P<0.001 ). Conclusion: Moderate mitral regurgitation in patients undergoing isolated CABG adversely NYHA functional class and mitral regurgitation does not reliably improve after CABG alone.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708061","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}

{"title":"Efficacy of incisional negative pressure wound therapy in reducing groin wound complications following vascular reconstructive procedures: A randomized controlled trial","authors":"Ahmed M. Balboula, Mahmoud M. Atef, Mohammed I. El Maadawy, Ahmed A. Taha","doi":"10.21608/ejsur.2024.275643.1019","DOIUrl":"https://doi.org/10.21608/ejsur.2024.275643.1019","url":null,"abstract":"Background : Surgical site adverse events (SSAEs) following vascular reconstructive procedures, particularly in the groin area, present significant challenges, impacting patient outcomes, and healthcare costs. We conducted a randomized controlled trial to assess the efficacy of closed incisional Negative Pressure Wound Therapy (CINPT) in reducing groin wound complications compared with standard dressings. Patients and Methods: Patients undergoing lower limb vascular procedures involving groin incisions were enrolled and randomized into two groups: CINPT or standard dressings. Baseline characteristics were recorded, and wound assessments were conducted at 5, 10–14, and 30 days postoperatively, utilizing the Szilagyi classification for wound grading. The primary outcome was the occurrence of any groin wound complication within 30 days. Results: Among 62 patients (70 groins), CINPT significantly reduced the incidence of groin wound complications compared with standard dressings (5.26% vs. 28.13%, P=0.022 ). Revision surgeries were less frequent in the CINPT group, though not statistically significant. CINPT was associated with a shorter hospital stay (5.86±2.49 days vs. 8.74±5.90 days, P=0.0096 ). Subgroup analysis revealed significant benefits of CINPT in patients over 50 years, diabetics, smokers, and those with elevated inflammatory markers. Conclusion: CINPT offers a promising strategy for mitigating groin wound complications following vascular procedures, enhancing patient outcomes, and potentially reducing healthcare costs.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710173","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}

{"title":"Risk assessment in emergency laparotomy for outcome prediction in patients presenting to the emergency department","authors":"Mohamed M. Raslan, Amr Y. Elshayeb, Abdrabou N. Mashhour, Mohamed M. Saleh, M. Elbarmelgi","doi":"10.21608/ejsur.2024.290749.1078","DOIUrl":"https://doi.org/10.21608/ejsur.2024.290749.1078","url":null,"abstract":"Background: Despite a larger percentage of high-risk patients presenting for emergency surgery, the perioperative mortality has decreased significantly over the last half-century. By identifying high-risk patients in the preoperative phase and planning their perioperative management, morbidity and mortality can be reduced. This risk increases if the surgery is performed as an emergency. The main aim of this study is to evaluate risk factors that may be associated with higher postoperative mortality in patients undergoing emergency laparotomy, which can help in better management to decrease postoperative mortality. Patients and Methods: Patients who presented to Kasr Alainy Hospital of Cairo University, Emergency Department who underwent emergency laparotomy were evaluated for risk factors, which include age, sex, type of surgery, the time interval between onset of symptoms and surgical intervention, presence of peritonitis preoperatively, and previous laparotomy. Postoperatively, patients were followed up for occurrence of 10 days postoperative mortality, hospital readmission within 2 weeks after hospital discharge, and length of postoperative hospital stay. Results: The mean age of patients of emergency laparotomy was 42 years while the male : female ratio was 1.14 : 1. Indication of surgery showed a statistically significant difference in mortality with the highest incidence in patients with intestinal ischemia. The longest hospital stay was found in patients with blunt abdominal trauma. Conclusion: The type of surgery, according to the pathology of the target organ, can affect the 10 days postoperative mortality, which is highest in patients with intestinal ischemia.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693301","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}

{"title":"Mid and long-term evaluation of left modified blalock-taussig shunt after cavopulmonary shunts: A retrospective cohort study","authors":"Ahmed Rady Attallah, Shady E. M. Elwany, Khaled M. Samer, Radwa M. A. Abozed, Mohamed Adel","doi":"10.21608/ejsur.2024.357143","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357143","url":null,"abstract":". ABSTRACT Background: Congenital heart diseases are the most common type of congenital malformations. Some of them may pass unnoticeable in the first days or maybe years of life, but the others are pretty serious and life-threatening due to major malformations that lead to the mixing of oxygenated and deoxygenated blood. Most of these cases are not repairable and require separating the venous and arterial blood to help improve oxygen saturation (SpO 2 ). Aim: The study aims to evaluate the mid and long-term effects of left modified blalock-taussig (MBT) shunt after bidirectional cavopulmonary shunt. Patients and Methods: A retrospective cohort study was conducted on 20 patients who underwent MBTS after Bidirectional Glenn. We evaluated the mid and long-term effects of MBTS in those patients, especially SpO 2 and echocardiographic findings. The study considered the ethical principles of the Helsinki Declaration approval from the research ethics committee at our institution (MS 510/2023). Results: There was a significant increase in postoperative SpO 2 in comparison to preoperative SpO 2 ( P<0.001 ) with a mean difference of 20.95%. Conclusion: Congenital cyanotic heart disease represents a life-threatening condition where the main problem is desaturation due to the mixing of arterial and venous blood. Bidirectional Glenn is a step to separate the oxygenated and deoxygenated blood. But later on, SpO 2 continues to decline and further intervention is needed. In this study, we found that MBTS provides a postoperative significant increase in SpO 2 in a wide group of those patients even who are not candidates for other operations without significant complications.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697705","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}

{"title":"Oral rivaroxaban for postoperative prophylaxis of venous thromboembolism after sleeve gastrectomy in patients with morbid obesity, is it safe: A prospective randomized clinical trial","authors":"Mahmoud A. Eissa, Tamer M. Elmahdy, S. Elgarf, A. Swelam, Gamal Mousa, Amr S. Ghobara, S. Saber","doi":"10.21608/ejsur.2024.279555.1034","DOIUrl":"https://doi.org/10.21608/ejsur.2024.279555.1034","url":null,"abstract":"Background: Deep vein thrombosis and pulmonary embolism are still one of the most crucial problems after weight-reducing surgeries in patients suffering from obesity. Many techniques were documented and routinely applied to prevent venous thromboembolism (VTE), particularly in those who are at high risk as morbid obese patients (BMI >40 kg/m 2 ), geriatric patients, and those who had previous history of VTE and open or revisional surgery. Patients and Methods: We conducted this randomized prospective clinical trial during the period from January 2021 to January 2023 on 500 obese patients who underwent sleeve gastrectomy for weight reduction divided into two groups: In the 250 patients of group A we used postoperative low-molecular-weight heparins (LMWH) 40 mg once daily subcutaneous injection for VTE prophylaxis, while group B (250 patients) were given oral anticoagulants (rivaroxaban) on the other hand. Results: This study aimed to compare the results of using both drugs as regards complications including both VTE and bleeding. Regarding bleeding, it also can present with a wide range of manifestations ranging from mild symptoms like port site hematoma, perigastric hematoma, or hematemesis, and melena. Regarding the age of patients in the studied groups there was no statistically significant difference between both groups. The incidence of minor, moderate to major, and life-threatening bleeding was nearly the same between both groups with no statistically significant difference. Throughout the study, only one case of porto-mesenteric thrombosis in the LMWH group. No clinically suspected Lower Limb deep vein thrombosis throughout the study with no need to do lower limb venous duplex. Conclusion: The safety and efficacy of Rivaroxaban as one of the most commonly used new Oral anticoagulants resembles that of the LMWH as a prophylaxis of VTE following weight-reducing sleeve gastrectomy surgery and could be a good oral alternative for LMWH.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706238","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}

{"title":"Weight loss scale calendar postbariatric surgery: call for standardized prediction","authors":"Mohamed A.M. Amin El Masry, Mostafa A.M. El Fiky","doi":"10.21608/ejsur.2024.274069.1005","DOIUrl":"https://doi.org/10.21608/ejsur.2024.274069.1005","url":null,"abstract":"Background: Candidates for bariatric surgery need realistic targets for weight loss after surgery and the surgeons need to ensure that the patients are on the way to successful weight loss. This study aimed to present a weight loss calendar estimating the average loss in BMI per week after the surgery and to introduce a simple formula to help make an easy and reliable prediction of the weight loss outcome after bariatric surgery. Patients and Methods: This is a retrospective study that included patients who were consecutively recruited for bariatric surgery. During the postoperative follow-up visits, the patients’ weight loss data were recorded and analyzed. The study cohort was randomly split into a training group (to derive the regression models) and a validation group (to validate the obtained model). Results: The mean preoperative BMI was 47.8 ± 8.3 kg/m 2 . At the 12-month follow-up, the mean BMI was 30.04 ± 5.3 kg/m 2 , the mean percentage of excess weight loss (EWL %) was 80.9 ± 18.7 and the mean percentage of total weight loss % was 36.9 ± 5.8. The regression equation was formulated as follows: 1-year EWL % = 139.71 + (- 0.291 × age) + (- 0.981 × baseline BMI) + (0.95 × 2-week EWL %) + (- 17.151 × previous bariatric procedure). The regression formula was: 1-year BMI = (- 3.61) + (- 0.079 × age) + (0.539×baseline BMI) + (4.977 × previous bariatric procedure). Conclusion: The patient’s age, baseline BMI and history of previous bariatric procedures were significant predictors of the 1-year BMI. The same variables, combined with the early postoperative EWL %, significantly predicted the 1-year EWL %.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696880","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}

{"title":"Risk factors and predictors of mortality in cases of on-demand relaparotomy due to complicated intraperitoneal Sepsis: a prospective study","authors":"Ahmed E. Elghrieb, Ashraf Abbas, Mahmoud A. Aziz, H. Elghadban, Magdy Basheer, Ahmed Negm, Abdelrahman Albahy","doi":"10.21608/ejsur.2024.274050.1002","DOIUrl":"https://doi.org/10.21608/ejsur.2024.274050.1002","url":null,"abstract":"Background: Relaparotomy patients burden healthcare systems, especially in low-income centers. With over occupying ICU beds at the hospital, numerous patients were not admitted to the ICU despite multiple surgeries and adverse events requiring strict supervision, so in this study we aimed to determine the risk factors and predictors of mortality in patients who underwent on-demand re-laparotomy (OD) due to complicated intraperitoneal sepsis. Methods: A total of 113 patients who needed re-laparotomy for complicated intraperitoneal sepsis were included in the study. Patients who underwent planned re-laparotomy (PR) or were re-explored laparoscopically were excluded. We followed with laboratory and radiological investigations to evaluate improvement, wound infection, anastomotic leakage, hemorrhage, burst abdomen, surgical re-exploration and mortality. Results: Mortality was greater in males (87.9 %), patients with chronic kidney disease (12.1 %), patients with coronavirus disease 2019 (27.3 %), patients with a negative surgical history of previous abdominal surgery, and patients with a presentation of acute abdomen (60.6 %). There were statistically significant differences between survived and mortality cases in terms of the procedure, operative findings, surgical site, preoperative shock, surgical procedure, admission to the ICU, and outcome of the intervention. Multi-organ failure Conclusion: Our study revealed the following factors are predictors of mortality in patients who needed OD due to complicated intraperitoneal sepsis: , pre-re-exploration shock, a time since primary surgery 7 days or more, the operative finding of mesenteric vascular occlusion and intestinal gangrene, intestinal","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697529","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}

{"title":"Options of common femoral artery access for chronic lower limb ischemia endovascular treatment: Comparison between ultrasound versus anatomical guidance","authors":"Mohamed H.A. El Mawla, U. S. Imam, Ibrahim S.A. Elaziz, Abdulaziz Z Algaby, Khaled Shawky","doi":"10.21608/ejsur.2024.357144","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357144","url":null,"abstract":"Background: One of the most frequent causes of illness and mortality is chronic lower limb ischemia. Most patients often report rest discomfort or intermittent claudication. In most cases, peripheral arterial disease (PAD) involves endovascular therapy along with adjunctive stenting, which is a well-acknowledged and utilized method for treating lower limb arterial endovascular disease. To achieve common femoral access, the traditional access process combines fluoroscopic guidance, anatomic landmarks, and palpation. To treat chronic lower limb ischemia using an endovascular approach, this study compares the use of ultrasound (US) against anatomical guides in common femoral artery access. According to the study’s findings, US guidance reduces access times, puncture tries, the incidence of venipunctures, the incidence of retroperitoneal hematomas, and local bruising during puncture to the femoral artery in the treatment of chronic lower limb ischemia by angioplasty. Patients and Methods: The 400 patients in this retrospective study had persistent lower limb ischemia. The research is carried out at Beni-Suef University Hospital’s Vascular Surgery unit from January 7, 2023, until January 9, 2023. For the last two years, from January 7, 2021, to January 7, 2023, statistics were gathered via patient registration data. Results: Compared with patients who underwent access to the femoral artery anatomically, the intraprocedure time required for femoral artery access was significantly shorter in those patients who underwent access to femoral artery access guided by US, also less morbidity like bruises, hematoma, and pseudoaneurysm was recorded in US-guided group. Conclusion: Routine US-guided femoral artery access was superior to anatomical-guided femoral access and improved CFA cannulation.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713731","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}