Ibrahim Alaa-Eldin Tagreda, Ahmed Sedik Elasy, Mohamed Fawzy Salman, Hassan Ismael Mohamed
{"title":"Autologous Trans-obturator Rectus Fascia Sling for Treatment of Stress Urinary Incontinence in Women: Long-Term Outcomes","authors":"Ibrahim Alaa-Eldin Tagreda, Ahmed Sedik Elasy, Mohamed Fawzy Salman, Hassan Ismael Mohamed","doi":"10.58675/2682-339x.1917","DOIUrl":"https://doi.org/10.58675/2682-339x.1917","url":null,"abstract":"Background: treatment of stress urinary incontinence (SUI ) via autologus trans-obturator rectus fascia sling was first described by Linder and Elliott in 2014. However the long term efficacy of thesis technique have been rarely addressed.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136208513","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}
Mohamed Nagdy Wadid, Monir Osman Amein, Wael Mohamed Attia, Khaled Mohammed Ibrahim Halima, Ibrahim Metwaly Bauomy
{"title":"The Impact of SARS-CoV-2 Virus on Acute Coronary Syndrome Patients Correlated with Clinical, Echocardiographic and Coronary Angiographic Outcome","authors":"Mohamed Nagdy Wadid, Monir Osman Amein, Wael Mohamed Attia, Khaled Mohammed Ibrahim Halima, Ibrahim Metwaly Bauomy","doi":"10.58675/2682-339x.1923","DOIUrl":"https://doi.org/10.58675/2682-339x.1923","url":null,"abstract":"Background; COVID-19 pandemic has led to many negative problems for all aspects of society. While respiratory symptoms are typically most severe manifestations of COVID-19 infection, SARS-CoV-2 infection may be responsible for diversity of potentially severe cardiovascular manifestations, mainly in studied cases with pre-existing cardiovascular conditions, Aim and objectives; to evaluate impact of SARS-CoV-2 virus on acute coronary syndrome patients and correlate it with clinical presentation, Echocardiography and coronary angiography outcome, Subjects & techniques: This was case control research, has been happened in Department of cardiology Al-Azhar University on 300 patients divided on three groups presented with acute coronary syndrome, STEMI and NSTEMI. First control group were presented only with STEMI. The second case under study group was presented by STEMI & SARS-CoV-2 active infection. The last group were presented by “NSTEMI or unstable angina” and SARS-CoV-2 active infection, Results; statistical analysis of 300 patients divided on three groups presented with acute coronary syndrome (STEMI, NSTEMI or unstable angina).That showed high variation among studied groups as regard EF (Ejection fraction), cardiogenic shock, respiratory failure and increased in-hospital mortality, Conclusion; In studied cases infected with SARS-CoV-2, acute myocardial injury is related to in-hospital mortality and is indicator of poor prognosis. careful indication of more invasive diagnostic tests and subsequent implementation of appropriate treatments without delay as time is muscle,","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136209067","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}
Abd-ELHakeem Abdullah Farrag, Mohammed Nasr Akl, Aktham Amin Ahmed
{"title":"Comparison between Percutaneous and Open Repair in AcuteTendon Achilles Rupture in Active Young Patients","authors":"Abd-ELHakeem Abdullah Farrag, Mohammed Nasr Akl, Aktham Amin Ahmed","doi":"10.58675/2682-339x.1728","DOIUrl":"https://doi.org/10.58675/2682-339x.1728","url":null,"abstract":"Background; The Achilles tendon is the strongest and most often torn tendon in the human body and it is known that this rupture rate is rising in the third or fourth decade of life and it affects males more frequently. The majority of ruptures happen when doing sports. Aim and objectives; to compare between percutaneous and open repair of acute Achilles tendon rupture in active young patients who want to go back to resume activity following the repair. Patients and methods:30 participants were included in this prospective comparative research and randomly assigned to groups A and B. (each consists of 15 patients). While group A got percutaneous repair, group B had open repair. Hospitals affiliated with Al-Azhar University were the study's site (Al-Hussien University Hospital) as well as Zagazig General Hospital. The duration of the study was eighteen months. Result; No statistically substantial variation was detected between the two techniques as regard functional results (full weight-bearing, return to activity, muscle strength, and AOFAS score) at last follow-up. However, patients in the percutaneous group were able to achieve significantly larger degrees of ankle plantar flexion compared to the open group. Conclusion; at the long-term checkup, there is no variation between percutaneous and open Achilles tendon repairs. Although both groups had functionally equivalent results, open surgery of the Achilles tendon was linked with more wound problems.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"160 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136216857","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}
Mohammed Ayman Elsayed Elmekdam, Mohammad Mohammad Mohammad Ellithy, Mohammad Fathy Labib Mohammad, Mohamed Elsayed Hussien Ibrahim, Mohammad Abol wafa Ahmad Amin
{"title":"Role of ultrasonography in diagnosis of contralateral patent processus vaginalis in clinically diagnosed unilateral inguinal hernia in pediatrics","authors":"Mohammed Ayman Elsayed Elmekdam, Mohammad Mohammad Mohammad Ellithy, Mohammad Fathy Labib Mohammad, Mohamed Elsayed Hussien Ibrahim, Mohammad Abol wafa Ahmad Amin","doi":"10.58675/2682-339x.1860","DOIUrl":"https://doi.org/10.58675/2682-339x.1860","url":null,"abstract":"Background: In children with unilateral inguinal hernia, there is a debate about exploration of the contralateral side. Herniogrhaphy, diagnostic pneumoperitoneum, and intra-operative laparoscopy are the procedures that have been proposed to reduce the number of negative contralateral side explorations in children presenting with a unilateral congenital inguinal hernia. However, most of them are invasive methods. In our study we suggest using the ultrasonography in detection of the inguinal hernia with confirmation by laparoscope. Aim of the work: we aimed to assess the Sensitivity and specificity of US in the diagnosis of occult hernia after confirmation by laparoscopy. Patient and methods: Our study is considered an interventional prospective study that was done on 100 children with unilateral inguinal hernia. all patients underwent ultrasonography on both groins. Ultrasound was considered positive if the length of patent processus vaginalis was more than 20 mm or the internal ring diameter was more than 4mm. After the ultrasound, all patients were prepared for laparoscopic exploration to confirm the hernia diagnosis, and to treat the clinical hernia. Results: By comparing the US and laparoscopic results of symptomatic sides, we found that all cases that were diagnosed by the US to be positive were confirmed by laparoscopy. In asymptomatic sides, from 9 cases who were diagnosed by the US as positive hernia; the laparoscope confirmed them. However, from 91 cases that were diagnosed by the US to be negative, the laparoscope diagnosed one of them to be positive. The sensitivity and specificity of the US were found to be 100% in the symptomatic side. However, in the asymptomatic side; sensitivity, and specificity were 90%, 100% respectively. Conclusion: US is a good tool for the diagnosis and early detection of pediatric hernias","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135498456","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}
Abdel-Monem Mohammed Zakaria, Yasser Mohammed Said Diab, Mohammed Abdo Mekhamer Abdel-Monem
{"title":"A Comparative Study between Effect of Clomiphene Citrate and Letrozole on Endometrial Vascular Indices in Patients with Polycystic Ovarian Syndrome","authors":"Abdel-Monem Mohammed Zakaria, Yasser Mohammed Said Diab, Mohammed Abdo Mekhamer Abdel-Monem","doi":"10.58675/2682-339x.1956","DOIUrl":"https://doi.org/10.58675/2682-339x.1956","url":null,"abstract":"Background; Polycystic ovarian syndrome is one of common causes of infertility in reproductive-age females. Clomiphene citrate & letrozole are commonly used to induce ovulation, although they are antiestrogenic. Aim and objectives; to assess the role of clomiphene citrate & letrozole in helping ovulation and conception to occur and their impact on the receptivity of the endometrium of polycystic ovarian syndrome patients, Subjects and methods; In this study there were two groups of anovulatory PCOS patients each group included 50 patients who attended Al-Hussein University Hospital outpatient infertility and Gynecology clinic during the period from March 2022 till September 2022. All studied cases were subjected to: Detailed history taking, Thorough general & pelvic examination and Transvaginal Ultrasonography, Result; There was high variation between the two studied groups regarding endometrial vascular indices on day 21 of menstruation post-treatment. Conclusion; Endometrial receptivity in letrozole group is superior to clomiphene citrate group in PCOS females throughout the implantation window, that can be linked to better conception rates and ongoing pregnancy rates. Certain issues, even though, were not addressed in this research and must be addressed in future research, such as cumulative outcomes of 6 cycles, raising dose in non-responders & occurrence of miscarriage,","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135448202","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}
Anwar Abdelaleem Mohamed, Amal Mohamed Mohamed Mahmoud, Mohamed Ashraf Eljaky, Rasha Abdelhafiz Aly, Mohamed Akl Rady
{"title":"Impact and outcome of primary prophylaxis of variceal bleeding among Egyptian hepatocellular carcinoma patients with portal vein thrombosis treated with Sorafenib","authors":"Anwar Abdelaleem Mohamed, Amal Mohamed Mohamed Mahmoud, Mohamed Ashraf Eljaky, Rasha Abdelhafiz Aly, Mohamed Akl Rady","doi":"10.58675/2682-339x.1971","DOIUrl":"https://doi.org/10.58675/2682-339x.1971","url":null,"abstract":"Background: Patients with cirrhosis and hepatocellular carcinoma (HCC) experience portal hypertension, causing esophageal varices (OV). Some HCC patients taking Sorafenib experience bleeding, while others ignore this effect and believe that sorafenib might minimize bleeding. A comparison was made between carvedilol therapy and primary preventive band ligations in HCC patients with a large, risky OV and portal vein thrombosis (PVT) taking sorafenib. Survival of these patients is also analyzed.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135448497","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}
Mohamed Abdelrashed AbdelKhalik, Mohamed Ghareeb Mohamed, Amr Ahmed Rezk, Ahmed Elsherbiny Ibrahim Gomaa
{"title":"Fecal Calprotectin as a Disease Activity and Prognostic Marker in Ulcerative Colitis","authors":"Mohamed Abdelrashed AbdelKhalik, Mohamed Ghareeb Mohamed, Amr Ahmed Rezk, Ahmed Elsherbiny Ibrahim Gomaa","doi":"10.58675/2682-339x.1910","DOIUrl":"https://doi.org/10.58675/2682-339x.1910","url":null,"abstract":"Background: Ulcerative Colitis (UC) is identified through endoscopy and biopsies. Endoscopy assesses a disease's severity. Calprotectin is a 24 kDa dimer of S100A8 and S100A9 calcium-binding proteins. Inflammatory bowel illnesses, celiac disease, and viral colitis elevate calprotectin levels in faeces.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135448498","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}
Mahmoud J Ibrahim. Azhar, Mohamed F Salman Azhar, Ibrahim A Abdel-Maksoud Azhar, Ali G Eid Azhar
{"title":"Factors Predicting the Outcome of Retrograde Flexible Ureterorenoscopy for the treatment of Renal Stones","authors":"Mahmoud J Ibrahim. Azhar, Mohamed F Salman Azhar, Ibrahim A Abdel-Maksoud Azhar, Ali G Eid Azhar","doi":"10.58675/2682-339x.1912","DOIUrl":"https://doi.org/10.58675/2682-339x.1912","url":null,"abstract":"Background: Flexible ureterorenoscopy (FURS) is widely used in surgical treatment of renal stones, due to the tendency toward minimally invasive options. This study conducted to evaluate factors affecting outcomes of FURS.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135841148","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}
Alhusain Nagm, Mohammed Hamadah, Kamal Elbaz, Ibrahim Ewiss
{"title":"An Endoscopic Journey to the Center of the Skull Base for Novice Neurosurgeons: From Cadaver to Theater","authors":"Alhusain Nagm, Mohammed Hamadah, Kamal Elbaz, Ibrahim Ewiss","doi":"10.58675/2682-339x.1927","DOIUrl":"https://doi.org/10.58675/2682-339x.1927","url":null,"abstract":"Background: For novice neurosurgeons (nNS), it is important to determine the safety of extended-endoscopic endonasal approaches (eEEA) by analyzing/eliminating surgical drawbacks. Aim: To evaluate the impact of cadaveric training for nNS on reducing obstacles/complication rates in the operative theater.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135841156","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}
Mohammed Mohammed Gebril, Ahmed Mohammed El Sadek, Mohammed Adel Mostafa
{"title":"Relation between Fetal Doppler Indices in Patients with Severe Preeclampsia at or above 34 Weeks of Gestation and Neonatal Outcomes","authors":"Mohammed Mohammed Gebril, Ahmed Mohammed El Sadek, Mohammed Adel Mostafa","doi":"10.58675/2682-339x.1827","DOIUrl":"https://doi.org/10.58675/2682-339x.1827","url":null,"abstract":"Background: Non-invasive Doppler flow velocimetry of the umbilical artery and cerebral circulation is utilized to measure fetal well-being. Doppler scans are more precise and might be a beneficial tool in predicting a negative perinatal outcomes in high-risk individuals, Aim and objectives: to evaluate the relation between the results of the uterine and fetal Doppler Indices of the umbilical and middle cerebral arteries in Women with Severe Eclampsia at or above 34 Weeks of Gestation and Neonatal Outcomes, Subjects and methods: This case-control research included 100 pregnant women who visited Al-Azhar University Hospital's obstetrics and gynecology department. They were split into two groups: (Group 1): enrolled 50 pregnant women with severe preeclampsia at or after 34 weeks of gestation, (Group 2): included 50 normal pregnant women at or after the 34th week of the gestation, from April 2021 to December 2021, Result: There is statistically significant difference between cases and controls regarding fetal complications as NICU admission, RDS, IUGR, IUFD and 5-minute APGAR score","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136004348","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}