The Egyptian Journal of Surgery最新文献

{"title":"Laparoscopic Hartmann reversal: A single center experience in a developing country","authors":"Emad M. Abdelrahman, Sherif M. ElKaffas, Mohamed I. Abuelnasr","doi":"10.21608/ejsur.2024.357125","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357125","url":null,"abstract":". ABSTRACT Background: In colorectal surgery, one of the trickiest techniques is the Hartmann reversal. The rate of anastomosis leaking varies. Minimally invasive surgeries like laparoscopic Hartmann reversal (LHR) have become more popular because of lower morbidities. The aim of this study was to report our institutional experience in LHR. Patients and Methods: The current prospective randomized study included 62 patients who were eligible for HR. Patients were randomly allocated into two equal groups. Group A (n=31) underwent LHR, while group B underwent open Hartmann reversal. Follow-up was planned for at least 6 months. Results: The mean age was 45.72±15.12 and 42.66±14.91 in groups A and B, respectively. There was a statistically significant longer mean operative time with more mean blood loss in group B ( P≤0.001 ) with a significantly longer hospital stay. The postoperative complications, including wound infection, dehiscence, seroma, intestinal leak, ileus, and incisional hernia, were evident in group B when compared to group A ( P≤0.001 ). Conclusion: Well-chosen patient makes (HR) a safe and beneficial technique for improving a patient’s quality of life. Patients can get substantial benefits with minimally invasive procedures, such as a quicker recovery with fewer operating hours, less projected blood loss, a shorter time to flatus, less pain following surgery, and a shorter hospital stay.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704440","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":"Trial of thyroid auto-transplantation after total thyroidectomy in benign thyroid diseases","authors":"Mohamed Salah El-din, Hesham Adel Alaa, Ayman Hossam Eldin, Ahmed Saeed Saad","doi":"10.21608/ejsur.2024.357141","DOIUrl":"https://doi.org/10.21608/ejsur.2024.357141","url":null,"abstract":"Background: Thyroid auto transplantation was introduced after the success of parathyroid auto transplantation. Heterotopic thyroid autotransplantation is a technique that preserves viable thyroid tissue in the body after total thyroidectomy, which may revascularize and restore thyroid function. Thyroid autotransplantation can help avoid lifetime thyroid hormone replacement therapy, which may have some drawbacks such as disruption of lipid metabolism, coronary heart disease, non-compliance, and malabsorptionThyroid autotransplantation can also preserve the inner auto-regulatory mechanism of thyroid hormone production, which can adjust to the body’s needsThyroid autotransplantation can prevent reoperation at the site of previous neck surgery in cases of recurrent goiters or hyperthyroidism, which can be associated with a high rate of complications. heterotopic thyroid autotransplantation is still not a popular technique and there is limited data on its long-term outcomes and safety. Some studies have reported satisfactory results in terms of survival and function of the thyroid implant, but the number of patients and the follow-up periods were very low. There are also some challenges and controversies regarding the optimal site, size, and number of the grafts, as well as the indications and contraindications of this procedure.","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":"33 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709205","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":"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}

{"title":"Different techniques for identification of facial nerve during superficial parotidectomy","authors":"Peter Victor Kamel, Ahmed Saad Ahmed, Usama Saeed Imam, Ahmed Safaa Ahmed, Sherif El Prince Sayed","doi":"10.4103/ejs.ejs_315_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_315_23","url":null,"abstract":"\u0000 \u0000 Parotidectomy is a common surgical procedure for the treatment of benign and malignant lesions of the parotid gland. Identification of the facial nerve trunk is essential during surgery of the parotid gland to avoid facial nerve injury. A comprehensive knowledge of its anatomy and meticulous dissection are the keys for the identification of the facial nerve trunk and its branches.\u0000 \u0000 \u0000 \u0000 To compare between the traditional antegrade parotidectomy and retrograde in identification of facial nerve during superficial parotidectomy, determination the best anatomical landmark, the time of exploration of facial nerve, outcomes, facial nerve complication, duration of surgery, patient satisfaction as well as other complications.\u0000 \u0000 \u0000 \u0000 Twelve patients who were diagnosed with having parotid gland neoplasms, and had undergone superficial Parotidectomy were recruited and assessed for eligibility at General Surgery Department, Beni-Suef University Hospital. Patients were divided according to the surgical technique into two equal groups, group A (the antegrade dissection group), and group B (the retrograde dissection group), follow-up was 6 months.\u0000 \u0000 \u0000 \u0000 There was no statistically significant differences between both groups regarding pain, paresthesia and pathology postoperation (P value>0.05). Longer mean operation time was observed in the antegrade dissection group in comparison with the retrograde dissection group (2.06±0.75 and 1.61±0.31 h, respectively), which was statistically insignificant (P value>0.05). There was a statistically significant increase in facial nerve injury among patients in the antegrade dissection group in comparison with the retrograde dissection group (P value=0.046). There was no statistically significant difference between techniques regarding hospital stay duration and complications three months postoperation (P value>0.05).\u0000 \u0000 \u0000 \u0000 Retrograde facial nerve dissection technique is better than the classical antegrade technique in the superficial parotidectomy within this study.\u0000","PeriodicalId":22550,"journal":{"name":"The Egyptian Journal of Surgery","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140218092","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}