Egyptian Journal of Surgery最新文献_第3页

Short-term effect of laparoscopic sleeve gastrectomy on hyperlipidemic obese patients 腹腔镜袖式胃切除术治疗高脂血症肥胖患者的近期疗效观察

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Egyptian Journal of Surgery Pub Date : 2023-04-01 DOI: 10.4103/ejs.ejs_88_23

A. Sabry, M. Sorour, M. Gaber, Antwan Yousry Essa, M. Elkeleny

{"title":"Short-term effect of laparoscopic sleeve gastrectomy on hyperlipidemic obese patients","authors":"A. Sabry, M. Sorour, M. Gaber, Antwan Yousry Essa, M. Elkeleny","doi":"10.4103/ejs.ejs_88_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_88_23","url":null,"abstract":"Introduction Obesity has become a global epidemic and a major health problem in the twenty-first century. Studies have demonstrated that weight loss lowers increased serum total cholesterol and low-density lipoprotein (LDL) cholesterol and raises high-density lipoprotein (HDL) cholesterol. One of the most recent procedures for managing weight loss in obese people with other options is laparoscopic sleeve gastrectomy (LSG). Objectives The aim of this study was to evaluate the short-term effect of laparoscopic sleeve gastrectomy on lipid profile in hyperlipidemic obese patients during the nine months of postoperative care. Methods From July 2020 to October 2021, 50 hyperlipidemic obese patients who were eligible for bariatric surgery underwent this prospective study at Main University Hospital in Alexandria, Egypt. Before and one, three, six, and nine months after the surgical intervention, measurements of body weight, body mass index (BMI), waist circumference, fasting and postprandial blood sugar, serum cholesterol, triglyceride, HDL, and LDL levels were taken. Results The patients’ average age was 33.72±7.95 years. BMI, weight, blood sugar, and other measurements all significantly decreased. The mean body mass index (BMI) of the patients was 48.59±5.78 kg/m2 before surgery, however, it was reduced to 32.58±3.91 kg/m2 nine months afterwards. Studies revealed a statistically significant rise in HDL levels in the serum and a statistically significant fall in triglycerides, total cholesterol, and LDL levels. Results also revealed a favorable association between preoperative differences in age, BMI, and diabetes state and postoperative lipid profile alterations. Conclusion Laparoscopic sleeve gastrectomy (LSG) decreases body mass index, improves glucose and lipid metabolism, and alters the lipid profile by significantly lowering total cholesterol, triglycerides, and LDL cholesterol while significantly raising HDL cholesterol.","PeriodicalId":43393,"journal":{"name":"Egyptian Journal of Surgery","volume":"42 1","pages":"459 - 463"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44681594","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

Custodiol over cold blood cardioplegia in minimal invasive cardiac valve surgery 在微创心脏瓣膜手术中，库斯托二醇优于冷血心脏骤停

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Egyptian Journal of Surgery Pub Date : 2023-04-01 DOI: 10.4103/ejs.ejs_110_23

Mohamed Nabil Mohamed, Maged Ahmed Mohamed Ibrahem Shady, M. Fadala, Moustafa Gamal Moustafa

{"title":"Custodiol over cold blood cardioplegia in minimal invasive cardiac valve surgery","authors":"Mohamed Nabil Mohamed, Maged Ahmed Mohamed Ibrahem Shady, M. Fadala, Moustafa Gamal Moustafa","doi":"10.4103/ejs.ejs_110_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_110_23","url":null,"abstract":"Background Custodiol has been used as a multi-organ preservation solution and as cardioplegia in cardiac surgery in several nations, but not elsewhere in the globe. Long procedures can be completed without interruption with just one dosage, which offers myocardial protection for up to three hours. Objective This study compared the effects of Custodiol and Cold Blood Cardioplegia on the protection of the myocardium during minimally invasive cardiac valve surgery. Patients and methods On 82 patients receiving Custodiol and Cold Blood Cardioplegia during Minimally Invasive Cardiac Valve Surgery, a prospective research was done. The investigation took place between January 2021 and March 2022. There were two groups of patients. There were 41 patients in Group (A) who received Custodiol cardioplegia, and there were 41 patients in Group (B) who received cold blood cardioplegia. The study’s secondary endpoint was the measurement of Left ventricular ejection fraction in serial echocardiograms, whereas the study’s primary result was the detection of increased cardiac enzymes in serial measurements, signifying myocardial damage. Results Our data’s statistical analysis revealed that none of the outcomes under investigation exhibited a statistically significant difference between groups. Conclusion As determined by CK-MB and EF, a single-dose of antegrade cold custodiol cardioplegia during minimally invasive cardiac surgery is just as effective at preserving the myocardial as repeated antegrade cold blood cardioplegia.","PeriodicalId":43393,"journal":{"name":"Egyptian Journal of Surgery","volume":"42 1","pages":"554 - 558"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45857505","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

Effect of post-gastric sleeve pyloric length on control of type II diabetes mellitus 胃后袖幽门长度对II型糖尿病控制的影响

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Egyptian Journal of Surgery Pub Date : 2023-04-01 DOI: 10.4103/ejs.ejs_89_23

Lotfy S. Hassan, Mohamed A. Baky Fahmy, Ahmed Maher Elmonim, Mohamed Elshal

{"title":"Effect of post-gastric sleeve pyloric length on control of type II diabetes mellitus","authors":"Lotfy S. Hassan, Mohamed A. Baky Fahmy, Ahmed Maher Elmonim, Mohamed Elshal","doi":"10.4103/ejs.ejs_89_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_89_23","url":null,"abstract":"Background Although the effectiveness and safety of laparoscopic sleeve gastrectomy (LSG) have been demonstrated, there is still debate about the best surgical method, with the resection distance from pylorus (DP) being among the most contentious topics. In patients who had LSG for morbid obesity, the effect of the resection distance from the pylorus on the management of type II diabetes mellitus during the postoperative phase was examined. Patients and methods After receiving each patient’s agreement, a total of 46 obese individuals were enrolled. Patients were prospectively randomized into two groups, group A (‘AP group’) and group B (‘AR group’), based on the distance between the initial reload firing and the pylorus (4 cm for group A and 2 cm for group B, respectively). Blood sugar levels were measured three, six months, and one year following LSG. After a year of follow-up, the percentage of excess weight loss (%EWL) was calculated. Results Postoperative weight was statistically significant lower and EWL% was statistically significant higher in group B: LSG ‘2 cm’ compared to group A: LSG ‘4 cm’. As regard outcomes of type 2 diabetes mellitus after LSG, in spite of nonsignificant statistical value, we reported that there was higher frequency of complete remission after 3, 6 and 12 months in group B: LSG ‘2 cm’ compared to group A: LSG ‘4 cm’ and cases with complete remission were associated with significant higher EWL%. Conclusion Patients undergoing laparoscopic sleeve gastrectomy are recommended to have shorter resection distance from pylorus (DP) done. It has been linked to superior surgical results, weight reduction, and diabetes mellitus management with no problems recorded.","PeriodicalId":43393,"journal":{"name":"Egyptian Journal of Surgery","volume":"42 1","pages":"464 - 472"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45361597","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

Outcomes of thermal ablation combined with u/s guided foam sclerotherapy in treatment of superficial venous reflux in patients with postphlebitic venous leg ulcer 热消融联合u/s引导泡沫硬化治疗下肢静脉炎后浅静脉反流的疗效

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Egyptian Journal of Surgery Pub Date : 2023-04-01 DOI: 10.4103/ejs.ejs_85_23

M. Mohamed, Mohamed Ahmed ELGaly, Mohamed Ahmed Rady, M. Fakhr

{"title":"Outcomes of thermal ablation combined with u/s guided foam sclerotherapy in treatment of superficial venous reflux in patients with postphlebitic venous leg ulcer","authors":"M. Mohamed, Mohamed Ahmed ELGaly, Mohamed Ahmed Rady, M. Fakhr","doi":"10.4103/ejs.ejs_85_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_85_23","url":null,"abstract":"Background Venous leg ulcers are a considerable health problem because of their high incidence, slow healing, high recurrence rate, and high cost of treatment. Minimally invasive treatments such as endovenous thermal ablation and foam sclerotherapy proved to be safe and effective. However, there is a paucity in studies focusing on the management of postphlebitic venous ulcers using endovenous thermal ablation of the superficial system in combination with foam sclerotherapy. Objectives The aim of our study was to assess the healing time, procedure-related complications and recurrence rate in patients having a postphlebitic venous leg ulcer after being treated with EVLA associated with ultrasound-guided foam sclerotherapy to incompetent perforators with compression therapy. Subjects and methods This is a prospective observational study, conducted at Ain Shams University Hospitals and Nasser institute hospital in Cairo on 30 patients presented with postphlebitic venous leg ulcers. Results After one year, 90% of cases had a totally healed ulcers, 10% with ulcer decrease in size of more than 50%, and recurrence rate 6.7%. The adverse events of this procedure were DVT (6%), hematoma (6%), ecchymosis (43%), thrombophlebitis (6%), and pain (70%). There was significant improvement of the VCSS as regard pain, edema, inflammation, ulcer size, and number. There was highly significant (P < 0.0001) improvement in the mean (SD) VCSS (preoperative 18 [2.808] vs. postoperative 6.367 [2.3449]). Conclusion Patients with totally recanalized deep venous system post deep venous thrombosis, presenting with nonhealing venous leg ulcers, may benefit from thermal ablation of superficial varicose veins combined with ultrasound-guided foam sclerotherapy. This combined approach is a feasible, safe, and effective modality in terms of improved healing rate, low recurrence rate, low complications, and significant improvement in quality of life.","PeriodicalId":43393,"journal":{"name":"Egyptian Journal of Surgery","volume":"42 1","pages":"535 - 542"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41502889","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

Indocyanine green direct injection into gallbladder during laparoscopic cholecystectomy: a safety method to outline biliary anatomy 腹腔镜胆囊切除术中胆内注射吲哚菁绿:一种安全的胆道解剖方法

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Egyptian Journal of Surgery Pub Date : 2023-04-01 DOI: 10.4103/ejs.ejs_94_23

M. Hedaya, Amr Mohamed Ayad, Ayman S. Helmy, Engy Sultan

{"title":"Indocyanine green direct injection into gallbladder during laparoscopic cholecystectomy: a safety method to outline biliary anatomy","authors":"M. Hedaya, Amr Mohamed Ayad, Ayman S. Helmy, Engy Sultan","doi":"10.4103/ejs.ejs_94_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_94_23","url":null,"abstract":"Background One of the most frequently done operations in digestive surgery is the laparoscopic cholecystectomy (LC). Despite several safety precautions and guidelines, iatrogenic bile duct damage (BDI) during LC still occurs at a very high incidence. Fluorescence of biliary system may minimise surgical difficulties that might emerge owing to unintended harm to the common bile duct. Methods We outline a technique for directly injecting Indocyanine Green (ICG) into the gallbladder to clarify the architecture of the cystic duct and common bile duct. Fifty patients who underwent elective laparoscopic cholecystectomy participated in the study, which was a randomised controlled clinical trial. Patients who had intraoperative direct injection of ICG into the gallbladder were chosen at random using closed envelope technique, then using near-infrared fluorescence (NIF) imaging during LC) and controls (who underwent standard LC technique) Twenty five patients in each limb. Patients were studied pre-operative, intraoperative & postoperative. 50 patients in all, 25 of whom received LC with intracholecystic ICG injection, and 25 of whom underwent standard LC without the use of ICG, were included in our study. Results ICG dye was successful to delineate extrahepatic biliary anatomy well in 20 cases out of 25, while without ICG, 9 cases out of 25 were without clear delineation of common bile duct intraoperative even if cystic duct was clear enough to avoid complications in both groups . Operative Time average in cases with ICG-assisted LC was 78±15.0 min which was less than the average of time consumed in LC without ICG to dissect cystic duct and visualize critical view of safety, 101±11.87 min Conclusion Direct gallbladder ICG infusion enables quick extrahepatic biliary system imaging and clarifies the dissection, increasing protection against BDI and reducing intraoperative dissection time.","PeriodicalId":43393,"journal":{"name":"Egyptian Journal of Surgery","volume":"42 1","pages":"549 - 553"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42208228","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

Conversion of open varicose veins surgery unit into a modern one-stop shop endo-venous unit: strategies and cost-effectiveness 将开放性静脉曲张手术单位转变为现代一站式静脉内单位:策略和成本效益

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Egyptian Journal of Surgery Pub Date : 2023-04-01 DOI: 10.4103/ejs.ejs_73_23

M. Elkassaby, A. Hassanin, A. Elmallah

{"title":"Conversion of open varicose veins surgery unit into a modern one-stop shop endo-venous unit: strategies and cost-effectiveness","authors":"M. Elkassaby, A. Hassanin, A. Elmallah","doi":"10.4103/ejs.ejs_73_23","DOIUrl":"https://doi.org/10.4103/ejs.ejs_73_23","url":null,"abstract":"Purpose to provide a road map for converting varicose veins service to endovenous ablation and assess its process and outcome on patients with varicose veins. Patients and methods Retrospective assessment of prospectively recorded data for converting vein unit which exclusively did open varicose veins surgery (OS) (39 patients from September 2019 to February 2020) to endovenous radiofrequency ablation (ERFA) service (44 patients from March 2020 to January 2021). Results There was no statistical difference in theatre time between both interventions despite dealing with more complex cases in the ERFA group with more truncal veins (χ2=11.950FNx01, P<0.001FNx01) and a higher number of stab avulsions (V number) (χ2=217.889, P<0.001FNx01). On the other hand, the overall cost was significantly lower in open group compared to ERFA (Mean±SD 1261±386 US$ and 1519.2±392 US$ respectively, P<0.001FNx01. This statistical difference was reduced to P=0.041 when subgroup analysis only included cases with higher number of avulsions. In multivariate analysis, cost was associated with surgical duration and using ERFA however, less complications were recorded in ERFA group (χ2=4.419FNx01 P=0.036FNx01) and recovery time was significantly longer in open group (8.90±2.44) than in ERFA group (6.0±1.06), P<0.001FNx01 Conclusion Converting varicose veins service to a modern ERFA is safe and effective when properly planned. ERFA is associated with shorter recovery and less theatre time and complications despite higher cost which becomes more cost-effective in cases with more truncal veins and avulsion sites.","PeriodicalId":43393,"journal":{"name":"Egyptian Journal of Surgery","volume":"42 1","pages":"409 - 417"},"PeriodicalIF":0.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45085240","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

Comparison between pure transanal soave and laparoscopic assisted techniques in treatment of children with Hirschsprung disease 单纯经肛和腹腔镜辅助技术治疗儿童先天性巨结肠的比较

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Egyptian Journal of Surgery Pub Date : 2023-01-01 DOI: 10.4103/ejs.ejs_40_23

Yehia Emad, Mohamed Ali Bersy, M. Eldebeiky, W. Ghanem, A. M. Allam

引用次数: 0

The significance of ultrasound-guided localization of nonpalpable breast lesions using carbon suspension 碳悬浮液在超声引导下定位不可触及乳腺病变的意义

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Egyptian Journal of Surgery Pub Date : 2023-01-01 DOI: 10.4103/ejs.ejs_50_23

S. Ibrahim, M. Mohammed, Maha Mohammed Abdel Raof, Kareem fahmy Abd Moaty, Ahmed Mohamed Bassiouny

引用次数: 0

Single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy for acute appendicitis: a randomized controlled trial 单孔腹腔镜阑尾切除术与传统腹腔镜阑尾切除治疗急性阑尾炎的随机对照试验