The Egyptian Journal of Surgery最新文献_第6页

Short-term outcomes of intracorporeal versus extracorporeal ileotransverse anastomosis in laparoscopic right colectomy: A prospective randomized study 腹腔镜右结肠切除术中体外回肠吻合术与体外回肠吻合术的短期疗效：前瞻性随机研究

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.357128

Ahmed Aly Khalil, Kareem Gamal, Tarek Yousef, Mohamed Gouda, Kareem Kamel

{"title":"Short-term outcomes of intracorporeal versus extracorporeal ileotransverse anastomosis in laparoscopic right colectomy: A prospective randomized study","authors":"Ahmed Aly Khalil, Kareem Gamal, Tarek Yousef, Mohamed Gouda, Kareem Kamel","doi":"10.21608/ejsur.2024.357128","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357128","url":null,"abstract":"Background: Laparoscopic right colectomy is a widely accepted surgical technique for colon cancer resection, commonly using either intracorporeal anastomosis (ICA) or extracorporeal anastomosis (ECA). Our study compares the benefits of ICA versus ECA, as ICA has been suggested to provide faster recovery and shorter hospital stays. However, there is a lack of scientific evidence in this regard. Patients and Methods: An randomized clinical trial was conducted from November 2021 to June 2023 to compare intraoperative technical events and short-term postoperative clinical outcomes. Results: A total of 71 were randomized. The median operative time for the ECA group was 226.67 min (range: 167–310) and 222.78 min for the ICA group (range: 158–263) with no significant difference between them ( P=0.606 ). There is no significant difference in the number of harvested lymph nodes between the ECA group (mean: 13.88, range: 12–15) and the ICA group (mean: 13.78, range: 12–16) ( P=0.664 ). The incidence of postoperative ileus, vomiting, and intestinal obstruction did not differ significantly between the two groups ( P=0.728 , 0.795, and 0.885, respectively). Significantly, there was a higher incidence of wound infection in the ECA group ( P=0.047 ). The ICA group had significantly lower pain scale scores on the postoperative day ( P<0.001 ). Significantly shorter mean length of postoperative hospital stays was seen in the ICA group (4.15 vs. 5.27 for ECA, P<0.001 ). Delayed postoperative complications showed no significant difference ( P=0.061 and 0.362 for incisional hernia and internal hernia, respectively). Conclusion: ICA has less postoperative pain, shorter time to first flatus, shorter length of hospital stays, and lower rates of wound infection with nearly the same operative time compared with ECA.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"43 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698067","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

Comparative research for surgical excision and lay-open maneuver in treatment of hand and wrist ganglion cyst 手部和腕部神经节囊肿手术切除与平卧位手术治疗的比较研究

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.357106

Yahya Kamal

{"title":"Comparative research for surgical excision and lay-open maneuver in treatment of hand and wrist ganglion cyst","authors":"Yahya Kamal","doi":"10.21608/ejsur.2024.357106","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357106","url":null,"abstract":"Target: The goal of the study was to compare the outcomes of two different approaches to treating hand and wrist ganglia: the lay-open procedure and typical surgical excision. Patients and Methods: This study was conducted at the surgery department of the Alqureen General Hospital in Sharkia, Egypt, between January and December of 2023. This survey was completed by 40 individuals who had wrist or hand ganglions. Patients were divided into two categories based on casual distribution. Traditional surgical excision was used to treat one kind (group A), whereas a lay-open technique was used to treat the other kind (group B). Recurrences were noted during the 6-month proceedings for both. Results: The typical surgical excision took much longer to complete (61.2 vs. 23.7 min; P<0.001 ) than the lay-open procedure. There was a considerable variance between the two sorts with relation to the operating maneuver complexity ( P<0.001 ). Group A experienced more satisfied postoperative complications. However, when it came to wound infection and the appearance of minor postoperative discomfort, the difference between the two types was not statistically significant ( P=0.3 ). Patients in type B reported higher levels of satisfaction (90 vs. 45%; P<0.001 ). Conclusion: When compared with typical surgical excision for the treatment of hand and wrist ganglion cysts, the lay-open procedure appears to be preferable.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706229","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

Safety and efficacy of laparoscopic sleeve gastrectomy in elderly patients: A matched case-control study 老年患者腹腔镜袖带胃切除术的安全性和有效性：匹配病例对照研究

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.357119

Hosam B. Barakat, Ahmed Badran, Mohamed Elsheikh

{"title":"Safety and efficacy of laparoscopic sleeve gastrectomy in elderly patients: A matched case-control study","authors":"Hosam B. Barakat, Ahmed Badran, Mohamed Elsheikh","doi":"10.21608/ejsur.2024.357119","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357119","url":null,"abstract":"Background: Despite the increasing prevalence of obesity among elderly individuals, there is ongoing debate regarding the safety of bariatric procedures in this age group. Objective: This study aimed to assess the efficacy and safety of laparoscopic sleeve gastrectomy (LSG), specifically in patients aged 55 years and older. Patients and Methods: A retrospective analysis was performed on patients subjected to LSG in our institution from 2019 to 2023. Forty elderly patients more than or equal to 55 years were included (study group) and were matched with forty younger patients (control group) based on BMI, sex, and comorbidities distribution. The study compared short-term outcomes regarding weight loss, comorbidities improvement, operative time, hospital stay, and complications. Results: There were no significant differences regarding the demographic characteristics or preoperative comorbidities distribution within the two groups. The mean operative time was slightly longer in the older patients than in the control group (53.85±12.17 vs. 49.25±16.22 min, respectively), but with no statistical significance. There was no perioperative mortality in both groups. The percent excess weight loss at 1 year for the older group was significantly lower than that for the younger group (58.1 vs. 68.74%. respectively). Most comorbidities in both groups were improved or resolved with no significant statistical. The morbidity rate was 15 and 17.5% for the elderly and the younger group, respectively, with no significant difference. Conclusion: LSG is safe and effective in patients more than or equal to 55 years and presents a valuable bariatric option that is efficient in inducing weight loss and improving obesity-related comorbidities and is associated with an acceptable morbidity rate comparable to younger populations.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"73 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714740","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

Comparative study for the outcome of living donor liver transplantation in patients with portal vein thrombosis in comparison to patients without portal vein thrombosi 门静脉血栓患者与无门静脉血栓患者活体肝移植疗效比较研究

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.274273.1008

Muhammad Musalam, Amr Abdel Nasser, Amro Abdelaal, Ahmed Khalil, H. S. Saber

{"title":"Comparative study for the outcome of living donor liver transplantation in patients with portal vein thrombosis in comparison to patients without portal vein thrombosi","authors":"Muhammad Musalam, Amr Abdel Nasser, Amro Abdelaal, Ahmed Khalil, H. S. Saber","doi":"10.21608/ejsur.2024.274273.1008","DOIUrl":"https://doi.org/10.21608/ejsur.2024.274273.1008","url":null,"abstract":"Background: Portal vein thrombosis (PVT) is a relative contraindication in living donor liver transplantation (LDLT). We monitored the outcome of adult patients with PVT in comparison to patients without PVT in LDLT.. Methods: This study is a retrospective cohort study. LDLTs that were performed at Liver Transplantation Unit in Air Forces Hospital and Nasser Institute, between January 2016 and June 2022 were evaluated. 176 cases were divided into two groups according to the presence of PVT, group A included 55 recipients who had PVT compared with group B including 121 recipients without PVT.. Results: In our study (N = 176), postoperative PV complications was recorded in 11 (6.3 %) cases. Five case in each group had postoperative PVT (9.8 % vs. 4.1 %), respectively and a single case of PV stenosis (0.8 %) was documented in non-PVT group. All patients who develop early postoperative PV (n = 3/10) complications unfortunately died because of it, unlike those who developed late PV complications, their 1 year survival rate was 70 % of cases and the overall mortality rate in patients developed PV complications was 40 %. Conclusion: PVT is established not to be a contraindication for LT but needs complex procedures and sophisticated techniques and Surgeons should be aware of these techniques to restore adequate portal flow in transplant for recipients with PVT.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"1 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696689","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

Value of drain in reduction of seroma and wound infection in Lichtenstein repair of inguinal hernia 引流管在减少腹股沟疝 Lichtenstein 修补术中血清肿和伤口感染方面的价值

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.357126

M. Mohamed, Mohamed M. Mahmoud, Mohamed A. AbdElhady

{"title":"Value of drain in reduction of seroma and wound infection in Lichtenstein repair of inguinal hernia","authors":"M. Mohamed, Mohamed M. Mahmoud, Mohamed A. AbdElhady","doi":"10.21608/ejsur.2024.357126","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357126","url":null,"abstract":"Background: In Egypt, open Lichtenstein mesh repair is the standard management option for symptomatic unilateral inguinal hernia. The use of drains is routinely done by many surgeons after such procedures with no proven evidence of their benefits and complications. That motivated us to conduct the present study to evaluate the value of drain insertion in such patients. Patients and Methods: The data of 60 consecutive patients (30 patients in the drain group and another 30 patients in the drainless group) diagnosed with unliteral inguinal hernia and underwent open Lichtenstein hernioplasty were retrospectively reviewed. The main outcome was the incidence of postoperative adverse events, mainly seroma, hematoma, and wound infection. Results: Our analysis revealed no notable differences between the drain and drainless groups regarding patient and hernia characteristics. The operative time and hospitalization period were also statistically comparable. The incidence of postoperative complications did not show noteworthy differences between the two approaches. The incidence of wound infection was similar in both groups (3.3%). Seroma occurred in only one (3.3%) patient in the drainless group. Hematoma occurred in 3.3% of drain cases and 6.7% of drainless cases. Moreover, wound edema was encountered in 6.7 and 13.3% of cases in the same groups, respectively. No patients developed recurrence during the 1-year follow-up period. Conclusion: The use of drains is not associated with significant protective effects against posthernioplasty complications. Its use should be individualized to decrease the impact of drain-associated complications.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715819","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 role of neoadjuvant chemotherapy in the management of rectal cancer 评估新辅助化疗在直肠癌治疗中的作用

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.357107

Ahmed F. Elkased, Naser M Abdel Bary, Mohamed S. Amar, Sherif Y. Hassan, Galal M. Abdel Kawy, Mohamed H. Elmelegy

{"title":"Evaluation of the role of neoadjuvant chemotherapy in the management of rectal cancer","authors":"Ahmed F. Elkased, Naser M Abdel Bary, Mohamed S. Amar, Sherif Y. Hassan, Galal M. Abdel Kawy, Mohamed H. Elmelegy","doi":"10.21608/ejsur.2024.357107","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357107","url":null,"abstract":". ABSTRACT Background: The current standard of care for locally advanced rectal cancer is neoadjuvant chemoradiotherapy followed by surgery. Recent research has highlighted the possible advantages of induction chemotherapy before concurrent Chemoradiotherapy (CRT) for individuals with locally advanced rectal cancer (LARC). Our research assesses the efficacy and viability of induction chemotherapy before concomitant chemoradiotherapy for locally advanced rectal cancer. Patients and Methods: Forty patients with locally advanced cancer rectum were enrolled in our study in 2019–2021. Initially, they underwent an induction chemotherapy regimen consisting of 3 cycles of FOLFOX (oxaliplatin, leucovorin, 5 fluorouracil) over 3 months. Response assessment of the patients was done by pelvic MRI. Concurrent chemoradiotherapy was given 2 weeks after completion of induction chemotherapy. Four weeks later, the patients were reassessed by pelvic MRI, computed tomography chest, and abdomen. Total mesorectal excision was performed at 6–8 weeks after the end of radiotherapy. Included patients were evaluated for pCR, Circumferential resection margins (CRM), RO resection, sphincter preservation, treatment toxicity, and postoperative morbidity and mortality. Results: In this study, sphincter preservation was achieved in eight out of 21 (38%) patients with low rectal tumors less than or equal to 5 cm who were candidates for Abdominoperineal resection (APR) and shifted to Anterior resection (AR); complete pathological response was achieved in seven (20.5%) patient; R0 resection was achieved in 34 (92%) patients; CRM was positive in three patients; two of them developed local recurrence and one of them developed distant metastasis. Conclusion: For locally","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706355","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

Short-term outcome after Roux-en-Y gastric bypass for revision after failed sleeve gastrectomy versus De novo Roux-en-Y gastric bypass for bariatric patients 减肥患者袖状胃切除术失败后进行 Roux-en-Y 胃旁路术翻修与重新进行 Roux-en-Y 胃旁路术后的短期疗效比较

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.273846.1001

S. Saber, Tarek M. Sehsah, Mahmoud A. Eissa

{"title":"Short-term outcome after Roux-en-Y gastric bypass for revision after failed sleeve gastrectomy versus De novo Roux-en-Y gastric bypass for bariatric patients","authors":"S. Saber, Tarek M. Sehsah, Mahmoud A. Eissa","doi":"10.21608/ejsur.2024.273846.1001","DOIUrl":"https://doi.org/10.21608/ejsur.2024.273846.1001","url":null,"abstract":"Background: Revisional bariatric surgeries for weight regain are rising; however, they are considered as riskier and less efficient than primary bariatric procedures. This study aimed to study short-term postoperative outcomes after Roux-en-Y gastric bypass (RYGB) for revision after failed Sleeve gastrectomy versus primary RYGB in Bariatric patients regarding Weight loss, comorbidity resolution, Postoperative complications, hospital stay, mortality, and readmissions. Patients and Methods: This retrospective study was designed to compare early postoperative outcome between 2 groups of patients admitted to General Surgery Department, Tanta University Hospitals during the period from June 2018 and June 2023. Results: A total of 254 patients were included in the study, with 87 patients in revisional RYGB and 167 patients in primary RYGB. Groups were matched for age, sex, smoking, preoperative weight, and comorbidities. The duration of revisional RYGB was significantly longer than primary RYGB (201.1±49.85 vs. 161.9±45.05; P <0.001 ). Revisional RYGB patients stayed longer in the hospital (2.54±0.74 vs. 1.87±0.78; P <0.001 ). Total weight loss was significantly higher after 6 months and 1 year in Primary RYGB than group revisional RYGB ( P value<0.05 ). However, no differences were detected in postoperative complications, readmissions, reoperation rates, and comorbidity resolution. Conclusion: RYGB as revisional surgery after a previous Sleeve gastrectomy is a complex procedure that must be indicated with care. It is a safe technique, with postoperative complication rates similar to those of primary RYGB, while it may need longer operative","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"115 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713174","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

Correlating preoperative clinicopathological factors with skin and/ or nipple–areola complex tumor involvement in postmastectomy specimens 术前临床病理学因素与乳房切除术后标本中皮肤和/或乳头乳晕复合体肿瘤受累的相关性

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.274248.1006

Mohamed Mahmoud Ezzat, Mohamed Adel Mohamed, Yasser Baz, Gehad Ahmed, Manal M. El Mahdy

{"title":"Correlating preoperative clinicopathological factors with skin and/ or nipple–areola complex tumor involvement in postmastectomy specimens","authors":"Mohamed Mahmoud Ezzat, Mohamed Adel Mohamed, Yasser Baz, Gehad Ahmed, Manal M. El Mahdy","doi":"10.21608/ejsur.2024.274248.1006","DOIUrl":"https://doi.org/10.21608/ejsur.2024.274248.1006","url":null,"abstract":". ABSTRACT Background: Breast cancer is the most commonly diagnosed cancer in women. Breast-conserving surgery is a common standard for treating many breast cancer patients. However, MRM (Modified radical mastectomy) is still done in ⁓ 30 % of patients undergoing surgeries. Our goal of the study is to identify factors that predict histopathological retro-areolar ducts and skin lymphatics tumor involvement, as well as to formulate bases extending the indication of skin sparing, especially nipple–areola complex (NAC) sparing mastectomy. Patients and Methods: The study is an observational analytic study conducted on 145 cases. Inclusion criteria of the study are females sex, aged more than 18 years with locoregional breast disease who are candidates for MRM. Exclusion criteria are cases with grossly involved NAC, inflammatory breast cancer, skin ulceration, and nodules, Paget’s disease of the nipple, and candidates for conservative breast surgery. Preoperatively, all patients were subjected to a triple assessment of the breast cancer. Postoperatively, all mastectomy specimens are sent for the histopathological assessment. Results: By univariate analysis, factors significantly affecting skin and NAC tumor involvement were age, tumor size, multifocality, nodal metastasis, histological grade, localized skin edema (peau d’orange), and lymphovascular invasion. By multivariate analysis, factors significantly increasing skin and NAC tumor involvement were nodal metastasis, localized skin edema, unexposure to neoadjuvant chemotherapy, and HER2 neo positive cases. Conclusion: We can extend indications of SSM (Skin sparing mastectomy) in cases with negative nodal metastasis and absence of localized skin edema, who were exposed to neoadjuvant chemotherapy and HER2 neo negative cases.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"36 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690415","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 role of biomarkers in the early detection of dehiscence of intestinal and colonic anastomoses. 生物标志物在早期检测肠道和结肠吻合口裂开中的作用。

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.291145.1080

Mohammed M. Raslan, Amr Y. El-Shayeb, Mohammed A.M. Ghoneim, Ahmed S. Khalifa

{"title":"The role of biomarkers in the early detection of dehiscence of intestinal and colonic anastomoses.","authors":"Mohammed M. Raslan, Amr Y. El-Shayeb, Mohammed A.M. Ghoneim, Ahmed S. Khalifa","doi":"10.21608/ejsur.2024.291145.1080","DOIUrl":"https://doi.org/10.21608/ejsur.2024.291145.1080","url":null,"abstract":"Background: Anastomotic leakage is a major complication after intestinal and colorectal surgery. Diagnosis is usually established days after it has occurred, which is associated with high morbidity and mortality. Inflammatory markers have been proposed to predict the incidence of anastomotic leakage. Objective: The aim was to evaluate the role of C-reactive protein (CRP), white cell count, gamma-glutamyl transferase, CRP/albumin ratio (CAR), neutrophil/lymphocyte ratio (NLR) and hyponatremia in early detection of anastomotic leakage (AL)in preclinical stage following open and laparoscopic colorectal and intestinal surgery. Patients and Methods: A longitudinal prospective cohort study included patients admitted to the general surgery department. Patients were indicated for intestinal anastomosis and were eligible for inclusion. Among them, 55 were on elective settings, and 50 in emergency settings. Results: A total of 105 patients were included. They had a mean age of 49.0±15.1 years and 61% of them were males. Twenty (19%) patients developed postoperative anastomotic leakage, among those, 6 were on the sixth postoperative day. CAR day 3 and CAR day 5 were significantly higher among the mortality patients with P values of 0.041 and 0.027, respectively. CRP level was significantly higher among patients with poor survival outcomes ( P value= 0.024 ). CRP trajectory was significantly associated with a mortality rate as patients who had a rise greater than 50 mg/dl between day 3 and day 5 had a higher mortality rate with a P value of 0.007. Conclusion: CRP trajectory, CAR and Neutrophil/lymphocyte ratio can significantly predict the incidence of anastomotic leakage. Settings of surgery (emergency) was an independent risk factor for development of postoperative leakage.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"338 5‐6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691796","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

Securing Mesoappendix during Laparoscopic Appendicectomy: Ligation vs. Ligasure 腹腔镜阑尾切除术中的中盲肠固定：结扎与测量

The Egyptian Journal of Surgery Pub Date : 2024-07-01 DOI: 10.21608/ejsur.2024.357134

Mahmoud Abdelhameid, Mohamed Abdelshafy, A. Taha

{"title":"Securing Mesoappendix during Laparoscopic Appendicectomy: Ligation vs. Ligasure","authors":"Mahmoud Abdelhameid, Mohamed Abdelshafy, A. Taha","doi":"10.21608/ejsur.2024.357134","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357134","url":null,"abstract":"Background: Securing the mesoappendix during appendectomy is a crucial step in this procedure. The current study aimed to evaluate the perioperative outcomes of intracorporeal ligation versus Ligasure in securing the mesoappendix during laparoscopic appendicectomy (LA). Patients and Methods: A prospective randomized comparative study was carried out in a tertiary care hospital. Patients who had laparoscopic appendectomy for acute appendicitis between January 2021 and January 2024 were included in this study. Patients were allocated to one of two groups. Group I: the mesoappendix was secured by intracorporeal suture ligation. Group L: the mesoappendix was secured by LigaSure. Demographic and perioperative data were collected, tabulated, and analyzed by SPSS 23. Results: A total of 100 patients underwent LA. No statistically significant difference was found between the two groups regarding age, sex ratio, or BMI. The technique duration was 8.9±3.5 min in group I, while the duration was 4.9±2.3 min in group L (statistically significant difference P≤0.05 ). None of the patients required conversion to an open surgery. The duration of postoperative hospital stay was 12.1±2 h for group I, and 11.1±8 h for group L ( P>0.05 ). One (2%) patient in group I had a postoperative right iliac fossa-infected hematoma. In group L, there was no postoperative complications. Conclusion: In LA, the incidence of perioperative complications is not affected by the method used for securing the mesoappendix. However, intracorporeal ligation takes a longer time, which could be improved with training, it is cost-effective, safe, and suitable when energy-sealing devices are not available or in low-resource facilities.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698287","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