The Egyptian Journal of Surgery最新文献

{"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}

{"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}

{"title":"Optimum time and management for postmyocardial infarction ventricular septal rupture: A systematic review and meta-analysis","authors":"Omar A. S. Tawfik, Ayman M. Ammar, Mohammed Abd Al Jawad, Moustafa Gamal ELBarbary","doi":"10.21608/ejsur.2024.274343.1009","DOIUrl":"https://doi.org/10.21608/ejsur.2024.274343.1009","url":null,"abstract":"Background: Ventricular septal rupture (VSR) is one of the most fatal complications following myocardial infarction with high morbidity and mortality. Usually, the incidence of VSR ranges between 1% to 3% with some studies suggested it was declined to 0.3% with PCI era. Objective: To systemically assess the evidence regarding the optimum time and management for postmyocardial infarction ventricular septal rupture. Patients and Methods: The Cochrane Handbook for Systematic Reviews of Interventions was followed in the preparation of this systematic review. Additionally, we followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) criteria. Results: According to our findings, there was no significant difference in the cardiogenic shock risk ratio between patients who underwent early and late correction for ventricular septal defects after myocardial infarction. Our findings demonstrated that there was no significant difference ( P=0.57 ) in the time of VSD from MI standard mean difference between early and late correction for ventricular septal defect following myocardial infarction. There was no significant difference in the requirement for the IABP risk ratio between patients who underwent early and late repair for ventricular septal defects following myocardial infarction. The CPB time standard mean difference between early and late correction for ventricular septal defect, postmyocardial infarction patients significantly differ. Conclusion: Based on these findings, it can be concluded that shorter time from MI to surgery and from admission to surgery were associated with higher mortality.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851325","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":"Open distal pancreatectomy stump closure by linear stapling versus continuous suturing: a retrospective–prospective comparative study","authors":"Ahmed S.A. Moussa, Ahmed H.A. Hafez, Ahmed A.R.A. Aziz, Mahmoud T. Rayan","doi":"10.4103/ejs.ejs_298_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_298_23","url":null,"abstract":"\u0000 \u0000 Distal pancreatectomy (DP), performed for removing pancreatic lesions located to the left of the superior mesenteric vein, accounts for ~25% of all pancreatic resections. Most recently reported overall mortality rate of DP is less than 3%. However, albeit technically simpler to perform than pancreaticoduodenectomy, morbidity rate of DP remains substantial. Postoperative pancreatic fistulas (POPFs), which may result in numerous clinically significant and potentially life-threatening complications such as intraabdominal abscess, hemorrhage, and surgical site infection, is the leading cause of morbidity after DP, with an incidence of ~30–60%. Risk factors associated with POPFs after DP include decreased serum albumin levels, concurrent splenectomy, increased body weight, increased duration of surgery, higher American Society of Anesthesiologists score, and impaired renal function. Furthermore, POPFs often translate to significant increases in hospitalization costs.\u0000 \u0000 \u0000 \u0000 To compare the technique of DP stump closure in two groups of patients; a group underwent stump closure with linear stapling technique and the other group underwent stump closure with continuous suturing technique.\u0000 \u0000 \u0000 \u0000 This was a retrospective–prospective clinical trial that was conducted at General Surgery Department, Ain Shams University Hospitals on 30 patients who were admitted to specialized hepatobiliary units in Cairo, Egypt for open DP. Between January 2020 and June 2022 with postoperative follow-up period of 2 months. In our study, there were 30 patients (15 in the continuous suturing technique group and 15 in the linear stapling technique group) with a mean age of 45.37±10.662 years. Groups were similar in demographic and clinical characteristics (P>0.05).\u0000 \u0000 \u0000 \u0000 In our study, 13.33% patients in continuous suturing technique group developed clinically relevant POPF (grade B and grade C POPF), whereas 33.33% patients in stapling technique group develop POPF (P=1.00).\u0000 The amount of the blood loss which was found to be statistically significant as the P value was found less than 0.05 and the t test was found to be −2.396 which mean that the amount of the blood lost was more in the stapler group.\u0000 There was no statistically significant difference in the rate of clinically relevant POPF (grade B and grade C POPF) with suture closure compared with stapler closure (13.33 vs. 33.33%).\u0000 There was no statistically significant difference in the risk of intraabdominal abscess.\u0000 There were three (20%) patients with a biochemical leak in continuous suturing technique group. In stapling technique group, three (20%) patients developed biochemical leaks. There was no significant in difference between groups in terms of biochemical leak.\u0000 In our study, mortality rates did not differ between stapler and suture closure techniques.\u0000 \u0000 \u0000 \u0000 Our study showed no significant difference between suture and stapler closure of DP stump with respect to POPF or intraabdominal collection after DP","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140220445","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":"Evaluation of targeted axillary dissection in node positive locally advanced breast cancer patients with complete pathological response to neoadjuvant chemotherapy","authors":"Mostafa K. Sedky, Ashraf A. Mostafa, Hossam A. AboElazm, Mohamed H. Zaid","doi":"10.4103/ejs.ejs_292_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_292_23","url":null,"abstract":"\u0000 \u0000 This study aimed to evaluate targeted axillary dissection in node locally advanced node positive breast cancer patients with complete pathological response to neoadjuvant chemotherapy.\u0000 \u0000 \u0000 \u0000 This is a prospective cohort study including 25 females diagnosed with locally advanced breast cancer with proven lymph node involvement who had complete pathological response to the neoadjuvant chemotherapy regarding the clipped previously involved lymph node. Lymph node biopsy and frozen section of the clipped lymph node after wire localization and the sentinel lymph node after patent blue dye injection was done. This is followed by paraffin section examination of the lymph node biopsy and 6 months follow-up for the patients.\u0000 \u0000 \u0000 \u0000 Twenty-four patients out of 25 patients had successful localization of the clipped and sentinel lymph node with no macrometastasis detected in frozen section. Twenty-two out of the 24 patients had no micrometastasis in paraffin section. Two of the 24 patients had micrometastasis on paraffin section and required axillary radiotherapy. One of the 25 patients failed localization of the clipped lymph node and received conventional axillary lymph node dissection. Two patients developed lymphedema, one of them after axillary radiotherapy, and the other one after axillary lymph node dissection.\u0000 \u0000 \u0000 \u0000 The combination of targeted axillary dissection and sentinel lymph node biopsy can replace axillary clearance in patients with node positive locally advanced breast cancer with complete pathological response to neoadjuvant chemotherapy.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140212406","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":"Effect of COVID-19 infection on Semen Parameters","authors":"Karim ElSaeed, Ahmed Emam","doi":"10.4103/ejs.ejs_276_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_276_23","url":null,"abstract":"\u0000 \u0000 To investigate the possible effects of coronavirus disease 2019 (COVID-19) infection on semen parameters in recovering men.\u0000 \u0000 \u0000 \u0000 In this prospective study, we investigated the impact of COVID-19 infection on semen parameters in a cohort of 44 reproductive-aged men who had recently recovered from COVID-19. Two sperm samples were collected from these participants at 3 and 6 months after infection and were compared with the patients’ pre-COVID-19 semen parameters.\u0000 \u0000 \u0000 \u0000 The mean age of the participants was 35±5 years. The mean duration of fever was 3 days. Most of our studied patients 32 (73%) were not hospitalized, and none were admitted to an intensive care unit. Thirty-two cases (73%) had a normal baseline semen analysis.\u0000 There was no statistically significant change in semen volume after 3 or 6 months or between 3 and 6 months. Meanwhile, the sperm concentration, total sperm count, progressive sperm motility, and normal morphology significantly declined after 3 and 6 months compared with baseline. These parameters partially recovered after 6 months, compared with 3 months.\u0000 In contrast to patients with normal baseline semen analysis, patients with abnormal baseline semen analysis had a significant increase in semen volume, a decrease in sperm concentration, and progressive motility at 3 and 6 months.\u0000 Patients who had high-grade fever had a statistically significant change in total count at 3 and 6 months and normal morphology at 3 months compared with patients with low-grade fever.\u0000 \u0000 \u0000 \u0000 This study demonstrated that most semen parameters were negatively impacted after COVID-19 infection. The changes were partially reversible 6 months after the infection.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140213264","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":"Laparoscopic drainage versus interventional radiology for management of appendicular abscess: a randomized controlled trial","authors":"S. Negm, Ahmed Farag, E. A. Allah, Amr A. Abdelghani","doi":"10.4103/ejs.ejs_288_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_288_23","url":null,"abstract":"\u0000 \u0000 Laparoscopic drainage of appendicular abscess has become a novel technique due to its advantages over interventional radiology like a complete exploration of the abdomen, exclusion of other pathologies, excision of the appendix at the same session, better cosmesis, decreased incidence of wound infection, better visualization of surgical field, fine handling of edematous tissue and drainage of multiple collections.\u0000 \u0000 \u0000 \u0000 This randomized controlled clinical trial included all patients who developed the manifestations of appendicular abscess and were referred to the Zagazig University Hospital Emergency Department between January 2020 and February 2022. The study was prospectively approved by the Zagazig University Faculty of Medicine Institutional Review Board (Approval Number: 9871/26-9-2022), and was retrospectively submitted to clinicaltrials.gov in June 2022 (ClinicalTrials.gov ID: NCT05419440). The sample size was 172 patients divided into two equal groups, a laparoscopic group involved 86 patients (group 1) and an interventional radiology group involved 86 patients (group 2).\u0000 \u0000 \u0000 \u0000 Group 1 (laparoscopic drainage group) included 86 patients: 55.8% were males, with a mean age of 41.2 SD 12.2 years-old, while group 2 (interventional radiology group) included 86 patients: 51.2% were males, with a mean age of 36.8 SD 10.9 years-old. The incidence of reported complications in group (1) was 1 (1.2%) for bowel injury, 3 (3.5%) for fecal fistula, 0 (0%) for recurrence, 0 (0%) for pelvic collection and 0 (0%) for mortality while in group (2) were 5 (5.8%) for bowel injury, 0 (0%) for fecal fistula, 3 (3.5%) for recurrence, 8 (9.3%) for pelvic collection and 1 (1.2%). The incidence rates of quality of life in group (1) were 48 (55.8%) for excellent quality of life, 38 (44.2%) for good quality of life and 0 (0%) for poor quality of life, unlike group (2), the incidence rates of quality of life were 12 (14%) for excellent quality of life, 59 (68.6%) for good quality of life and 15 (17.4%) for poor quality of life.\u0000 \u0000 \u0000 \u0000 Laparoscopic management of appendicular abscess was safely applied in a good experienced hand without the need for interval appendectomy.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140220915","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":"Early and late complications arising from various bariatric surgical procedures in a tertiary center in Saudi Arabia","authors":"M. Aljiffry, Waleed M. Abulfaraj, Ashraf Maghrabi, Moaz Abulfaraj, Rama Tayeb, Jumana Akbar, B. Bamakhrama, Raghad K. Alotaibi, Rahaf Alotaibi, N. Baamir","doi":"10.4103/ejs.ejs_302_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_302_23","url":null,"abstract":"\u0000 \u0000 Individuals who are obese or morbidly obese face a significantly higher risk of experiencing postoperative complications. To evaluate high-risk patients undergoing bariatric surgery and mitigate the likelihood of further postoperative complications, various indicators are utilized. There are no prior reports about bariatric surgical procedures-related early/late complications that came out from the western region of Saudi Arabia.\u0000 \u0000 \u0000 \u0000 This retrospective study aims to evaluate both short-term and long-term postoperative complications after several bariatric surgeries, including sleeve gastrectomy, Roux-en-Y gastric bypass, and revisional bariatric surgery.\u0000 \u0000 \u0000 \u0000 The assessment of complications in 328 patients who underwent bariatric surgery involved analyzing demographic data, medical and surgical history, preoperative and postoperative BMI, histopathologic findings, and early and late complications. These data were obtained from a prospectively maintained database.\u0000 \u0000 \u0000 \u0000 Of the total participants, 241 underwent sleeve gastrectomy, 43 underwent gastric bypass, and 44 had revisional bariatric surgery. Complication rates varied among the different bariatric surgeries. Specifically, SG patients had the lowest early major complication rate (2.1%), while gastric bypass patients had a rate of 4.7%. Conversely, the ‘revisional’ operations reported the highest rate of early complications at 9.1%. Late complications demonstrated varying rates, with sleeve gastrectomy patients experiencing the highest incidence of gastroesophageal reflux disease at 39%, and gastric bypass patients showing the highest rate of nutritional deficiency at 58%.\u0000 \u0000 \u0000 \u0000 The study found that the baseline characteristics of patients did not exert a statistically significant influence on the occurrence of postoperative complications. However, different types of bariatric surgeries presented varying complication rates. Patients who underwent gastric bypass tended to have the highest rate of nutritional deficiency, while sleeve gastrectomy patients exhibited the highest rate of gastroesophageal reflux disease. Selecting the appropriate bariatric surgical procedure warrants careful consideration of patients’ preferences, demographic characteristics, presence of other medical conditions, and a comprehensive understanding of the potential advantages and disadvantages of each surgical option. Collectively, our findings would help discussing the expected outcome with the patients before surgery.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211940","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":"Effect of laparoscopic mini gastric bypass versus laparoscopic single anastomosis sleeve ileal bypass on serum iron and calcium levels","authors":"A. Nawar, Mostafa Baumy, Ahmed Eid, Ayman T. Mohamed","doi":"10.4103/ejs.ejs_319_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_319_23","url":null,"abstract":"\u0000 \u0000 Although bariatric surgery techniques are very effective in the treatment of obesity, they are usually associated with evident nutritional deficiencies. Such operations require ongoing medical care along with vitamin (Vit) and nutrition supplements.\u0000 \u0000 \u0000 \u0000 Is to determine and compare the effect of Laparoscopic mini gastric bypass (MGB) versus laparoscopic single anastomosis sleeve ileal bypass (SASI) on serum iron and calcium levels.\u0000 \u0000 \u0000 \u0000 The current prospective Randomized controlled study included 62 patients who were randomly allocated into one of two equal groups. Group A (n=31) underwent MGB while group B (n=31) underwent SASI. Follow-up was designed for 6 and 12 months in both groups for the serum iron profile, serum folate, Vit B12, Vit D, parathyroid hormone, and calcium level.\u0000 \u0000 \u0000 \u0000 There was a statistically significant decrease in Excess weight loss (EWL)% in both groups after 1, 6, and 12 months and a significant EWL % in group A more than group B (P=0.045*). There was a statistically significant drop in the Iron profile components’ levels in both groups after 1, 6, and 12 months in comparison with the corresponding baseline levels. There was a statistically significant decrease in the calcium level as well as Vit D3 within both groups at 1, 6, and 12 months follow-up with a significant increase in Parathyroid hormone in both groups at the same interval of follow-up.\u0000 \u0000 \u0000 \u0000 Both MGB and SASI are effective methods for the treatment of morbid obesity. However, adherent follow-up for the Iron profile, Vit B12, Vit D3, parathyroid hormone, and calcium levels are mandatory.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140212781","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":"Evaluation of preputial graft urethroplasty in primary repair of narrow plate hypospadias","authors":"Mohamed N. Dorgham, H. Elsaket, S. Kaddah, Hamed M. Seleim, Osama A. Awad","doi":"10.4103/ejs.ejs_321_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_321_23","url":null,"abstract":"\u0000 \u0000 There is yet no perfect Procedure for repairing hypospadias. In certain cases, a graft is required to reinforce the poor urethral plate (UP). The study aims to assess the efficacy of dorsal inlay preputial graft urethroplasty (DIGU) as a primary repair for narrow urethral plate distal and mid-penile hypospadias.\u0000 \u0000 \u0000 \u0000 A 40- child who underwent dorsal inlay preputial graft urethroplasty Repair for primary distal or mid-penile hypospadias at least 6 months old, as well as a UP less than 8 mm in a noncircumcised penis, were included in the research.\u0000 \u0000 \u0000 \u0000 The success rate was 75% (30 patients) and the Complications rate was 25% (10 patients). Six (60%) of the ten complicated patients had UP widths of 2.5–4 mm (total of 8 patients), implying that 75% of these patients had complications. There were four patients with fistula, two patients with meatal stenosis, two patients with meatal retraction, and two patients with failure.\u0000 \u0000 \u0000 \u0000 One of the main factors influencing the surgical result of the hypospadias correction is the width and configuration of the UP.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140217641","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}