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Evaluation of Mitrofanoff Stoma Using the Appendix in Pediatric Age Group 利用阑尾评估小儿米特罗法诺夫造口
Pub Date : 2023-12-17 DOI: 10.59204/2314-6788.1022
Ahmed A. Gamal-Eldin, Mohamed E. Youssif, Mohamed M. Abdullah, Mohammed A. Khalil, Baher M. Abdel-Elraouf
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引用次数: 0
Hepatic Affection in Acute Poisoned Cases admitted at menoufia poison control center over one year 梅努菲亚毒物控制中心一年内收治的急性中毒病例中的肝功能损伤情况
Pub Date : 2023-12-13 DOI: 10.59204/2314-6788.1025
Hammad Sa, Hegazy Mm, Aboshreif Ra, A. Se
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引用次数: 0
Intraoperative Decision Making for Neurolysis versus Neurectomy in Surgical Treatment of Meralgia Paresthetica 手术治疗麻痹性神经痛时神经切除术与神经切除术的术中决策
Pub Date : 2023-11-30 DOI: 10.59204/2314-6788.1106
Yasser Bahgat Elsisi, Ahmed Gabry El Nagar, Osama Saber Shereef
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引用次数: 0
Assessment of Left Ventricular Systolic Function after Surgical and Transcatheter Device Closure of Ventricular Septal Defect Using Speckle Tracking Imaging 斑点跟踪成像评价室间隔缺损手术及经导管装置闭合后左心室收缩功能
Pub Date : 2023-11-08 DOI: 10.59204/2314-6788.1026
Suzy S. Lasheen, Mahmoud K. Ahmed, Mohamed M. Elgayar
Objectives: To evaluate left ventricular (LV) systolic function in pediatric patients after ventricular septal defect (VSD) closure using conventional echocardiography and 2D speckle tracking derived strain. Background: VSD is a common congenital heart disease. Transcatheter device closure is an effective alternative to surgical closure with fewer complications. Methods: This prospective study included 54 children, divided into three groups: surgical closure (n=18), transcatheter closure (n=18), and control group (n=18). LV function was assessed before and one week and six weeks after closure using conventional echocardiogram and 2D speckle tracking derived strain including longitudinal, circumferential, and radial strain. Results: The study included 54 children aged from 6 months to 3 years. Perimembranous VSD was the most common type in the surgical group, while muscular VSD was the most common in the transcatheter group. Global longitudinal strain (GLS) was better in both VSD groups compared to control group before closure. LV ejection fraction (EF) and 2D global strain values decreased in both VSD groups after closure in the first assessment, but then recovered in the second assessment. Conclusion: There is a significant decrease in LV function immediately after closure detected by LVEF and 2D LV strain. The decline is more significant in patients who underwent surgical closure compared to transcatheter closure. Furthermore, the study highlights the usefulness of LV 2D strain in assessing LV systolic function in pediatric patients.
目的:应用常规超声心动图和2D斑点追踪衍生应变评价小儿室间隔缺损(VSD)闭合后左室(LV)的收缩功能。背景:室间隔缺损是一种常见的先天性心脏病。经导管装置闭合是手术闭合的有效替代方法,并发症少。方法:本前瞻性研究纳入54例儿童,分为三组:手术闭合组(n=18)、经导管闭合组(n=18)和对照组(n=18)。使用常规超声心动图和2D散斑追踪得出的应变,包括纵向、周向和径向应变,评估闭合前、闭合后1周和6周的左室功能。结果:研究纳入54例6个月至3岁的儿童。膜周型室间隔在手术组中最为常见,而肌型室间隔在经导管组中最为常见。闭合前VSD组和对照组的整体纵向应变(GLS)均优于对照组。两组左室射血分数(EF)和2D总应变值在第一次评估关闭后下降,但在第二次评估中恢复。结论:LVEF和2D左室菌株检测左室闭合后立即功能明显下降。与经导管闭合相比,手术闭合患者的下降更为显著。此外,该研究强调了左室2D应变在评估儿科患者左室收缩功能方面的有效性。
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引用次数: 0
The Efficacy of Free Latissimus Dorsi Flap in Patients with Lower Limb Distal Extensive Injuries. 背阔肌游离皮瓣治疗下肢远端大面积损伤的疗效观察。
Pub Date : 2023-11-08 DOI: 10.59204/2314-6788.1064
Mohamed Abdullah Mohamed El-Nahas, Tarek Fouad Keshk, Sherif Mohamed El Kashty, Ahmed Abdelaziz Talaab
Objectives: to elucidate our experience in the use of latissmus dorsi free flap for the surgical reconstruction of distal lower limb complex injuries, regarding the surgical techniques and the patients' outcome. Background: from the variable types of free flaps, the free transfer Latissimus dorsi (LD) musculocutaneous flap is considered a workhorse in lower limb reconstruction. Methods: A total of 16 patients with complex lower limb defects and deformities required surgical reconstruction were enrolled in this study. They underwent free LD flap reconstruction and followed up for 6 months. Results: The total number of patient was 16 patients; they had a mean age of 24.63 ± 11.9, with males constituting 75% of patients SD ( 11.94 ) .Most patients had RTA as a mode of injury (87.5%). Four patients (25%) presented to the hospital and underwent debridement after 6 months or more from the injury. At the end of follow up period, all the 16 patients had their constructed limbs preserved with no failure cases. Overall, three cases (18.8%) required reoperation (P = 0.013). Conclusion: The present study elucidates that the free LD flap had an excellent outcome in reconstruction of the lower limb distal extensive injuries, with 100% salvage rate, and low complication and reoperation rate. Other larger studies are recommended.
目的:探讨应用背阔肌游离皮瓣修复下肢远端复杂损伤的手术方法及疗效。背景:游离皮瓣种类繁多,游离转移背阔肌(LD)肌皮瓣被认为是下肢重建的主力神。方法:选取16例需要手术重建的复杂下肢缺损和畸形患者。术后行游离皮瓣重建,随访6个月。结果:患者总数为16例;平均年龄24.63±11.9岁,男性占SD患者的75% (11.94),RTA为主要损伤方式(87.5%)。4例患者(25%)在受伤6个月或更长时间后就诊并接受清创。随访结束时,16例患者义肢均完整保存,无手术失败病例。总体而言,3例(18.8%)需要再次手术(P = 0.013)。结论:游离LD瓣在下肢远端广泛损伤重建中具有良好的效果,修复率100%,并发症和再手术率低。建议进行其他更大规模的研究。
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引用次数: 0
Role of transthoracic ultrasound in diagnosis and follow-up of pneumonia 经胸超声在肺炎诊断及随访中的作用
Pub Date : 2023-11-08 DOI: 10.59204/2314-6788.1107
Hanaa A. Eid, Mai M. El-Kalashy, Ahmed A. Elesdoudy, Zeinab A. Kasemy, Amal A. El-Koa
Objectives: To assess the role of transthoracic ultrasound (TUS) in the diagnosis and follow-up of pneumonia compared to CXR and HRCT. Background: Pneumonia is a serious health problem. TUS is quickly becoming one of the most useful non-ionizing radiation diagnostic techniques for identifying various lung illnesses. Methods: This prospective observational study was carried out in the Menoufia University Hospitals' Chest Diseases Department. From December 2022 to June 2023, it covered 50 patients who were clinically suspected of having pneumonia. The diagnosis was based on symptoms, signs, and chest HRCT. TUS and chest X-ray (CXR) were done and follow-up TUS after 7, 14, and 30 days. Results: TUS was able to identify consolidations in 44 out of 45 cases with HRCT consolidation, in which an air-bronchogram appeared in 37 cases, and a shred sign was in 17 cases. In addition, TUS revealed increased B lines in 7 of the 9 interstitial pneumonia patients, and pleural effusion was found in 14 cases. TUS had a sensitivity and specificity of 97.8% and 100% in the diagnosis of consolidation, with an accuracy of 98%, PPV100%, and NPV 83.3%, compared to 70% and 100% in the diagnosis of interstitial pneumonia, with an accuracy of 94%, PPV100%, and NPV 93%. Conclusion: TUS is more reliable than CXR for diagnosing pneumonia patients. It might also be used as a secure follow-up instrument.
目的:评价经胸超声(TUS)在肺炎诊断和随访中的作用,并与CXR和HRCT进行比较。背景:肺炎是一种严重的健康问题。TUS正迅速成为识别各种肺部疾病的最有用的非电离辐射诊断技术之一。方法:本前瞻性观察研究在梅努菲亚大学附属医院胸科进行。从2022年12月到2023年6月,它覆盖了50名临床怀疑患有肺炎的患者。诊断基于症状、体征和胸部HRCT。分别于第7、14、30天行超声心动图和胸部x线检查,并随访超声心动图。结果:在45例HRCT实变中,44例可见实变,其中37例出现空气支气管征,17例出现撕碎征象。此外,9例间质性肺炎患者中有7例出现B线增高,14例出现胸腔积液。TUS诊断实变的敏感性和特异性分别为97.8%和100%,准确性为98%,PPV100%, NPV为83.3%;诊断间质性肺炎的敏感性和特异性分别为70%和100%,准确性为94%,PPV100%, NPV为93%。结论:TUS对肺炎的诊断比CXR更可靠。它也可用作可靠的后续手段。
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引用次数: 0
Prevention of endometritis by precesarean section vaginal preparation using povidone–iodine versus chlorhexidine 剖宫产前阴道准备使用聚维酮碘与氯己定预防子宫内膜炎的比较
Pub Date : 2023-11-03 DOI: 10.59204/2314-6788.1077
Abdlehamid E. Shahin, Elsayed Elshamy, Ragab M. Dawood, Samar R.M. El Hosary, Amira A. Fathey
To compare the efficacy of povidone–iodine versus chlorhexidine in the prevention of postpartum endometritis and related febrile morbidity in women undergoing elective cesarean section (CS).
比较聚维酮碘与氯己定预防择期剖宫产(CS)妇女产后子宫内膜炎及相关发热发病的疗效。
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引用次数: 0
Evaluation of Implant Based Immediate Breast Reconstruction 基于假体的即刻乳房重建术的评价
Pub Date : 2023-11-03 DOI: 10.59204/2314-6788.1102
Mohamed Hamed Elmeligy, Mohamed Sabry Ammar, Ahmed Fawzy Ahmed Dewidar, Mohamed Abdullah Elnahas
Objectives: To evaluate immediate breast reconstruction using silicone implant regarding: advantage, disadvantage, complications and aesthetic outcomes, Background: Reconstruction after mastectomy allows women to mitigate some of the emotional and aesthetic effects of this devastating disease. Although there are a variety of alloplastic and autologous techniques, they all aim to achieve the same objective: the successful reconstruction of a breast mound that appears as natural as possible, Methods: This study will be conducted on 19 patients at General Surgery Department, Menoufia University and Patients will be randomly selected, Results: Among our studied patients 31.6% developed post-operative complications after reconstruction. Among our studied patients Seroma and Minor infection were developed in 31.6% for each followed by lack of symmetry in 26.3 than unacceptable scar, pain in 21.1% for each then areola Depigmentation, restricted arm movement, numbness or tingling in 15.8% for each then hematoma and delayed wound healing in 10.5% for each. There was a significant improvement of EORTC Quality of Life Questionnaire C30 (QLQ‐C30) 6 month after operation than before operation in the studied population. Conclusion: Women who had breast reconstruction with implants were quite happy with the results and experienced minimal complications. Reconstructive surgery on the breast has been shown to substantially improve both patient satisfaction and quality of life. We were able to use BREAST-Q's evaluation of patient satisfaction to pinpoint areas where we might enhance our services.
背景:乳房切除术后乳房重建可以减轻这种毁灭性疾病对女性的一些情感和美学影响。虽然同种异体和自体技术多种多样,但它们的目的都是为了实现尽可能自然的乳房丘的成功重建。方法:本研究将对Menoufia大学普通外科的19例患者进行随机选择,结果:在我们研究的患者中,31.6%的患者在重建后出现了术后并发症。在我们研究的患者中,血清肿和轻微感染占31.6%,其次是不对称(26.3%),不可接受的疤痕(21.1%),疼痛(21.1%),乳晕色素沉着(15.8%),手臂运动受限,麻木或刺痛(15.8%),血肿和伤口愈合延迟(10.5%)。研究人群术后6个月EORTC生活质量问卷C30 (QLQ‐C30)较术前有显著改善。结论:采用假体进行乳房再造术的妇女对手术效果满意,并发症少。乳房重建手术已被证明可以大大提高患者的满意度和生活质量。我们能够使用BREAST-Q对患者满意度的评估来确定我们可以提高服务的领域。
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引用次数: 0
Evaluation of the effect of using vitamin C, thiamine, and hydrocortisone in treatment of sepsis 评估使用维生素 C、硫胺素和氢化可的松治疗败血症的效果
Pub Date : 2023-10-27 DOI: 10.59204/2314-6788.1076
Yasser I. Fathy, Nevine M. Soliman, Mahmoud T. El-Halwany
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引用次数: 0
Ultrasound Guided Quadratus Lumborum Block In Cirrhotic Patients Undergoing Major Abdominal Surgery (Randomized Control Trial) 超声引导下肝硬化腹部大手术患者腰方肌阻滞(随机对照试验)
Pub Date : 2023-10-05 DOI: 10.59204/2314-6788.1034
Eman Sayed Ibrahim, Zeinab Fathy Elsayed Abdelaty, Mamdouh Elsayed Lotfy, Hanaa Saeed Abdelhafez, Wesam Eldin Abdelrahman Sultan
Objectives: to assess the effect of ultrasound-guided bilateral continuous anterior QLB on alleviating pain and fentanyl consumption in cirrhotic patients who undergoing major abdominal surgery. Methods: 60 cirrhotic patients undergoing major abdominal surgery were involved in this double blinded randomized control study. In group B bilateral anterior QLB with (0.4ml/kg) bupivacaine 0.25% in each space between QL and psoas major muscle then continuous infusion of bupivacaine 0.25% at dose 10ml/hr. In group S bilateral anterior QLB with equal volume of 0.9 saline in the same plane. Hemodynamics, intra and postoperative analgesic consumption, VAS score, incidence of nausea and vomiting, respiratory complications were recorded. Results: The mean fentanyl consumption intra and 12 hours postoperative in group B and group C were (337.93± 135.39 and 312±170.36 VS. 518.33 ±121.40 and 582.00 ±141.16 microgram p
目的:评价超声引导下双侧连续前路QLB对减轻腹部大手术肝硬化患者疼痛和芬太尼消耗的影响。方法:对60例接受腹部大手术的肝硬化患者进行双盲随机对照研究。B组双侧腰大肌前侧腰大肌与腰大肌间各间隙灌注0.25%布比卡因(0.4ml/kg),然后以10ml/hr的剂量连续输注0.25%布比卡因。S组双侧前路QLB在同一平面内等量0.9生理盐水。记录血流动力学、术中及术后镇痛消耗、VAS评分、恶心呕吐发生率、呼吸系统并发症。结果:B组和C组术后12 h内芬太尼平均消耗量分别为(337.93±135.39、312±170.36)μ g和(518.33±121.40、582.00±141.16)μ g p
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引用次数: 0
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Menoufia Medical Journal
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