Pub Date : 2024-03-09DOI: 10.21608/bmfj.2024.249370.1954
Mohamed I Abourizk, Emad Abdelrahman, A. Zidan, Mena Armanyous, Mohammed Fadey
Background: Acute appendicitis (AA) is a prevalent emergency involving the abdomen that necessitates prompt attention and has a significant risk of negative appendectomy. Objective: To compare the sensitivity and diagnostic accuracy of RIPASA and Alverado scoring systems of acute appendicitis in correlation with intra-operative findings. Patients and Methods: This prospective study included 193 patients with acute appendicitis All items of RIPASA score and Alverado score were reported with a cut off value of 7.5 for RIPASA and 7 for Alverado and correlated to the postoperative histopathology. Results: The mean age of the included patients was 33.25 ± 11.39 years. The histopathological outcome in correlation to RIPASA score 84% of cases were true positive while 8.3% were true negative while the correlation with Alverado score 73% of cases were truly positive and 12.4% were truly negative. There was a statistically significant difference between both RIPASA and Alverado scores where RIPASA score was significantly more sensitive and accurate than Alverado with Higher NPV while Alverado score was more specific. Conclusion: According to the current results, RIPASA score is a reliable, feasible for Diagnosis of AA with high sensitivity, positive predictive value, and Diagnostic accuracy in comparison with the Alverado score.
{"title":"Accuracy and sensitivity of RIPASA score Versus Alvarado score in diagnosis of acute appendicitis.","authors":"Mohamed I Abourizk, Emad Abdelrahman, A. Zidan, Mena Armanyous, Mohammed Fadey","doi":"10.21608/bmfj.2024.249370.1954","DOIUrl":"https://doi.org/10.21608/bmfj.2024.249370.1954","url":null,"abstract":"Background: Acute appendicitis (AA) is a prevalent emergency involving the abdomen that necessitates prompt attention and has a significant risk of negative appendectomy. Objective: To compare the sensitivity and diagnostic accuracy of RIPASA and Alverado scoring systems of acute appendicitis in correlation with intra-operative findings. Patients and Methods: This prospective study included 193 patients with acute appendicitis All items of RIPASA score and Alverado score were reported with a cut off value of 7.5 for RIPASA and 7 for Alverado and correlated to the postoperative histopathology. Results: The mean age of the included patients was 33.25 ± 11.39 years. The histopathological outcome in correlation to RIPASA score 84% of cases were true positive while 8.3% were true negative while the correlation with Alverado score 73% of cases were truly positive and 12.4% were truly negative. There was a statistically significant difference between both RIPASA and Alverado scores where RIPASA score was significantly more sensitive and accurate than Alverado with Higher NPV while Alverado score was more specific. Conclusion: According to the current results, RIPASA score is a reliable, feasible for Diagnosis of AA with high sensitivity, positive predictive value, and Diagnostic accuracy in comparison with the Alverado score.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140396386","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}
Pub Date : 2024-03-09DOI: 10.21608/bmfj.2023.244728.1939
Taher Abdel-Aziz, Ghada Nabil Abd El Aziz, Mai Fawzy, Nagwa Ibrahim EL Dosoky, Hanaa Iraqi Ahmed Hegab, Ismail Dahshan
Purpose: This study’s purpose was to assess the relationship between COVID-19 and hematological variations on admission and 6 months after discharge. Patients and Methods: In a prospective observational study at Kafr Shokr Specialized Hospital from September 2021 to September 2022, 292 adult patients with PCR-confirmed COVID-19 were categorized into hospitalized and non-hospitalized groups. Comprehensive clinical evaluations, including blood assessments-were conducted. The hospitalized patients were re-evaluated for anemia six months after discharge. Results: Hemoglobin (Hb) levels were significantly higher in the non-hospitalized group, with a mean of 14.13 g/dL, compared to the hospitalized group with 12.43 g/dL (p < 0.001). Anemia affected 18.005% of the non-hospitalized group, compared to 45.3% of the hospitalized group. At 6-month follow-up, hospitalized patients showed a decrease in Hb levels and platelet counts and an increase in white blood cell counts. Logistic regression identified baseline anemia, lower Hb, and reduced MCH levels as predictors for post-COVID anemia. Conclusion: The study revealed that COVID-19 severity was associated with anemia, which persisted and increased in prevalence six months post-infection. Baseline anemia, Hb, and MCH levels emerged as crucial predictors for post-COVID anemia, emphasizing the need for continuous hematological monitoring in COVID-19 survivors.
{"title":"Hematological Impact of COVID-19: Anemia in Post-COVID","authors":"Taher Abdel-Aziz, Ghada Nabil Abd El Aziz, Mai Fawzy, Nagwa Ibrahim EL Dosoky, Hanaa Iraqi Ahmed Hegab, Ismail Dahshan","doi":"10.21608/bmfj.2023.244728.1939","DOIUrl":"https://doi.org/10.21608/bmfj.2023.244728.1939","url":null,"abstract":"Purpose: This study’s purpose was to assess the relationship between COVID-19 and hematological variations on admission and 6 months after discharge. Patients and Methods: In a prospective observational study at Kafr Shokr Specialized Hospital from September 2021 to September 2022, 292 adult patients with PCR-confirmed COVID-19 were categorized into hospitalized and non-hospitalized groups. Comprehensive clinical evaluations, including blood assessments-were conducted. The hospitalized patients were re-evaluated for anemia six months after discharge. Results: Hemoglobin (Hb) levels were significantly higher in the non-hospitalized group, with a mean of 14.13 g/dL, compared to the hospitalized group with 12.43 g/dL (p < 0.001). Anemia affected 18.005% of the non-hospitalized group, compared to 45.3% of the hospitalized group. At 6-month follow-up, hospitalized patients showed a decrease in Hb levels and platelet counts and an increase in white blood cell counts. Logistic regression identified baseline anemia, lower Hb, and reduced MCH levels as predictors for post-COVID anemia. Conclusion: The study revealed that COVID-19 severity was associated with anemia, which persisted and increased in prevalence six months post-infection. Baseline anemia, Hb, and MCH levels emerged as crucial predictors for post-COVID anemia, emphasizing the need for continuous hematological monitoring in COVID-19 survivors.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140396366","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}
Pub Date : 2024-03-08DOI: 10.21608/bmfj.2024.267225.2012
Al.Shimaa Sabry, Hesham Rashid, Mohamed El-Khouly, Eman El-Keshk
Objectives: to utilize speckle tracking echocardiography to assess the left ventricular (LV) systolic function in rheumatic mitral stenosis (MS) patients. Methods: 100 patients were evaluated with pure rheumatic MS who were contrasted with 50 healthy individuals of matched age, gender, and risk factors. We assessed the mitral valve area (MVA) utilizing planimetry and the mean transmitral pressure gradient; then based on MVA, the patients were split into two groups. MS patients in the first group were classified as having severe symptoms, while patients in the second group had moderate symptoms. Speckle tracking echocardiography was employed to determine LV subclinical systolic dysfunction. Results: Regarding clinical data and LVEF, no statistically significant distinctions were seen between the groups. Global LV longitudinal strain was significantly diminished in MS patients. Both global basal and mid segments strain were significantly diminished in MS patients (P <0.001). On the contrary, with relation to the global apical strain, no statistically significant distinction existed between the groups under investigation (P=0.96). The global basal, mid, and apical longitudinal strain exhibited a significant negative relationship with the mean transmitral pressure gradient. Conclusions: MS patients
{"title":"Assessment of Left Ventricular Deformation in Rheumatic Mitral Stenosis Patients (Speckle Tracking Study)","authors":"Al.Shimaa Sabry, Hesham Rashid, Mohamed El-Khouly, Eman El-Keshk","doi":"10.21608/bmfj.2024.267225.2012","DOIUrl":"https://doi.org/10.21608/bmfj.2024.267225.2012","url":null,"abstract":"Objectives: to utilize speckle tracking echocardiography to assess the left ventricular (LV) systolic function in rheumatic mitral stenosis (MS) patients. Methods: 100 patients were evaluated with pure rheumatic MS who were contrasted with 50 healthy individuals of matched age, gender, and risk factors. We assessed the mitral valve area (MVA) utilizing planimetry and the mean transmitral pressure gradient; then based on MVA, the patients were split into two groups. MS patients in the first group were classified as having severe symptoms, while patients in the second group had moderate symptoms. Speckle tracking echocardiography was employed to determine LV subclinical systolic dysfunction. Results: Regarding clinical data and LVEF, no statistically significant distinctions were seen between the groups. Global LV longitudinal strain was significantly diminished in MS patients. Both global basal and mid segments strain were significantly diminished in MS patients (P <0.001). On the contrary, with relation to the global apical strain, no statistically significant distinction existed between the groups under investigation (P=0.96). The global basal, mid, and apical longitudinal strain exhibited a significant negative relationship with the mean transmitral pressure gradient. Conclusions: MS patients","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"40 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140257506","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}
Pub Date : 2024-03-05DOI: 10.21608/bmfj.2024.253857.1976
Amira M. El Sayed, Walaa-Eldeen M. Ibrahim, Ayman M. Elbadawy, Sally H. Mohammed, Rasha O. Abd ElMoneim
Background: There is growing evidence that gender and sex differences matter when it comes to many diseases' epidemiology, etiology, treatment, and results; however, non-communicable diseases seem to be more affected by these differences. Aims : to investigate the effects of gender and sex variations on cardiovascular disease (CVD) risk factors and various diabetes CVD sequelae. Methods: A total of 1000 type 2 diabetic patients (T2DM), ages 35 to 75, were included in this cross-sectional study: 500 males and 500 females. Results: Diabetes duration (13.34 ± 4.64 vs. 11.99 ± 5.04 ys), HbA 1C (7.5 ± 0.55 vs. 7.28 ± 0.48 %) were considerably higher in females than males (p < 0.001). Waist circumference, smoking, and uric acid were significantly lower in females. BMI, total cholesterol (TC), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), triglycerides (TG), and family history of premature CVD were significantly higher in females. Heart failure, stroke, retinopathy, ischemic heart disease, and peripheral arterial disease were insignificantly different between both groups. While dysrhythmia, chronic kidney disease (CKD), and peripheral neuropathy (PN) were significantly lower in females than males. Conclusions: Among Egyptian diabetic patients, Diabetes duration, family history of premature CVD, BMI, HbA 1C, TC, LDL-C, HDL-C, and TG were considerably higher in females than males. However, Waist circumference, smoking, and uric acid were significantly lower in females. Males with T2DM may be more susceptible to PN and nephropathy, whereas females with the same disease may have a lower risk of arrhythmias than men with the same disease.
{"title":"Impact of Sex and Gender Differences on Cardiovascular Risk Factors and Cardiovascular Complications in Diabetic Patients in Benha City, Egypt: A Hospital-Based Cross-Sectional Study","authors":"Amira M. El Sayed, Walaa-Eldeen M. Ibrahim, Ayman M. Elbadawy, Sally H. Mohammed, Rasha O. Abd ElMoneim","doi":"10.21608/bmfj.2024.253857.1976","DOIUrl":"https://doi.org/10.21608/bmfj.2024.253857.1976","url":null,"abstract":"Background: There is growing evidence that gender and sex differences matter when it comes to many diseases' epidemiology, etiology, treatment, and results; however, non-communicable diseases seem to be more affected by these differences. Aims : to investigate the effects of gender and sex variations on cardiovascular disease (CVD) risk factors and various diabetes CVD sequelae. Methods: A total of 1000 type 2 diabetic patients (T2DM), ages 35 to 75, were included in this cross-sectional study: 500 males and 500 females. Results: Diabetes duration (13.34 ± 4.64 vs. 11.99 ± 5.04 ys), HbA 1C (7.5 ± 0.55 vs. 7.28 ± 0.48 %) were considerably higher in females than males (p < 0.001). Waist circumference, smoking, and uric acid were significantly lower in females. BMI, total cholesterol (TC), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), triglycerides (TG), and family history of premature CVD were significantly higher in females. Heart failure, stroke, retinopathy, ischemic heart disease, and peripheral arterial disease were insignificantly different between both groups. While dysrhythmia, chronic kidney disease (CKD), and peripheral neuropathy (PN) were significantly lower in females than males. Conclusions: Among Egyptian diabetic patients, Diabetes duration, family history of premature CVD, BMI, HbA 1C, TC, LDL-C, HDL-C, and TG were considerably higher in females than males. However, Waist circumference, smoking, and uric acid were significantly lower in females. Males with T2DM may be more susceptible to PN and nephropathy, whereas females with the same disease may have a lower risk of arrhythmias than men with the same disease.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264103","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}
Pub Date : 2024-03-05DOI: 10.21608/bmfj.2024.248828.1950
Aya Elshebl, Khaled Sallam, Ayat Allah Hussein, S. Kasem
: Background: Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis. Nerve conduction studies (NCS) play an important role in GBS diagnosis and subtype classification but diagnosis of GBS in the very early stage may be challenging. The clinical presentation, course, the clinical recovery and outcome of GBS all are variable. Aim of the work: Our aim was to evaluate the clinical and neurophysiological findings of early Guillain-Barré syndrome and to identify factors that influence outcome. Patient and Methods: we prospectively recruited patients from clinical neurophysiology unit in Kasr Al –Ainy Hospitals and Benha University Hospitals, aimed to evaluate the clinical and neurophysiological findings of early GBS and to identify factors that influence outcome. The studied sample was 17 patients of GBS fulfilling its criteria . Results: majority of the patients were AIDP (76.5%), while (23.5 %) of patients were axonal (either AMAN or AMSAN) . Predictors of poor outcome were old age, cranial nerve dysfunction and respiratory muscle dysfunction. Conclusion: Electro-physiological studies play an important role in the early detection of GBS. Early diagnosis of GBS is essential as early treatment decreases the duration of GBS and its severity. Clinical presentation, course and outcome of GBS can be variable among patients.
{"title":"Utility of sequential nerve conduction studies and electromyography in early guillain barre syndrome; a clinical and electrophysiological study","authors":"Aya Elshebl, Khaled Sallam, Ayat Allah Hussein, S. Kasem","doi":"10.21608/bmfj.2024.248828.1950","DOIUrl":"https://doi.org/10.21608/bmfj.2024.248828.1950","url":null,"abstract":": Background: Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis. Nerve conduction studies (NCS) play an important role in GBS diagnosis and subtype classification but diagnosis of GBS in the very early stage may be challenging. The clinical presentation, course, the clinical recovery and outcome of GBS all are variable. Aim of the work: Our aim was to evaluate the clinical and neurophysiological findings of early Guillain-Barré syndrome and to identify factors that influence outcome. Patient and Methods: we prospectively recruited patients from clinical neurophysiology unit in Kasr Al –Ainy Hospitals and Benha University Hospitals, aimed to evaluate the clinical and neurophysiological findings of early GBS and to identify factors that influence outcome. The studied sample was 17 patients of GBS fulfilling its criteria . Results: majority of the patients were AIDP (76.5%), while (23.5 %) of patients were axonal (either AMAN or AMSAN) . Predictors of poor outcome were old age, cranial nerve dysfunction and respiratory muscle dysfunction. Conclusion: Electro-physiological studies play an important role in the early detection of GBS. Early diagnosis of GBS is essential as early treatment decreases the duration of GBS and its severity. Clinical presentation, course and outcome of GBS can be variable among patients.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"15 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264986","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}
Pub Date : 2024-03-04DOI: 10.21608/bmfj.2024.266022.2007
Hind Ahmed, Saleh Sayed Edris, N. Sarg, Essam Mohamad Mhlab, H. Mousa
Background : Uncontrolled diabetes mellitus plays a significant role in the development of diabetic nephropathy. Aim: This study was performed to assess the pathological effect of diabetes on the kidney, the possible improvement of diabetic nephropathy by Insulin, and the therapeutic effect of mesenchymal stem cells. Methods: 50 healthy albino adult male rats were subdivided into two main groups, Group 1: control group (8 rats). Group 2: 42 rats were given a single intraperitoneal injection of streptozotocin (80 mg/kg). After 6 weeks, confirming diabetic nephropathy, rats were dispersed into 3 groups as follows; Group (2a): diabetic nephropathic untreated rats, Group (2b) was given insulin glargine 6 IU/24 hours, for 6 weeks and Group (2c) was received MSCs in intravenous injection (10 6 cells) per rat once. After sacrificing rats at the end of the experiment, blood sampling was done for laboratory analysis of serum urea, and creatinine. Kidney samples were prepared for light and electron microscopic examination. Results: Diabetic rats showed altered biochemical and histological changes which are dilated filtration space, focal lytic (degenerated) areas, and congested blood capillaries were observed in the diabetic group. Disfigurement of the renal tubules, with vacuolated cytoplasm in the insulin group while, normal appearance with mild increase in the Bowman's space in the MSCs group, with significant ameliorative effects on renal function. Conclusion: Treatment with insulin and MSCs showed improved histological and biochemical parameters in the kidneys of diabetic rats.
{"title":"The possible therapeutic role of mesenchymal stem cells of bone marrow in treatment of diabetic nephropathy in Albino rats.","authors":"Hind Ahmed, Saleh Sayed Edris, N. Sarg, Essam Mohamad Mhlab, H. Mousa","doi":"10.21608/bmfj.2024.266022.2007","DOIUrl":"https://doi.org/10.21608/bmfj.2024.266022.2007","url":null,"abstract":"Background : Uncontrolled diabetes mellitus plays a significant role in the development of diabetic nephropathy. Aim: This study was performed to assess the pathological effect of diabetes on the kidney, the possible improvement of diabetic nephropathy by Insulin, and the therapeutic effect of mesenchymal stem cells. Methods: 50 healthy albino adult male rats were subdivided into two main groups, Group 1: control group (8 rats). Group 2: 42 rats were given a single intraperitoneal injection of streptozotocin (80 mg/kg). After 6 weeks, confirming diabetic nephropathy, rats were dispersed into 3 groups as follows; Group (2a): diabetic nephropathic untreated rats, Group (2b) was given insulin glargine 6 IU/24 hours, for 6 weeks and Group (2c) was received MSCs in intravenous injection (10 6 cells) per rat once. After sacrificing rats at the end of the experiment, blood sampling was done for laboratory analysis of serum urea, and creatinine. Kidney samples were prepared for light and electron microscopic examination. Results: Diabetic rats showed altered biochemical and histological changes which are dilated filtration space, focal lytic (degenerated) areas, and congested blood capillaries were observed in the diabetic group. Disfigurement of the renal tubules, with vacuolated cytoplasm in the insulin group while, normal appearance with mild increase in the Bowman's space in the MSCs group, with significant ameliorative effects on renal function. Conclusion: Treatment with insulin and MSCs showed improved histological and biochemical parameters in the kidneys of diabetic rats.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"14 S3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266246","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}
Pub Date : 2024-03-03DOI: 10.21608/bmfj.2024.239516.1910
Ahmed Kasem Mohamed Zain Eldin, Ashraf Elmantwe, Hossam Elbanhawy, Mohamed El noury, Ahmed Sabra
: Background: non-descent vaginal hysterectomy (NDVH)is the differentiating procedure of gynecologic surgeons, introducing a new technique is crucial. Aim: To contrast perioperative consequences of employing Covidien LigaSure Impact™ with built-in add-on knife (Curved Large Jaw Open Sealer / Divider) and ERBE BiClamp®200C (Curved Sealer) standalone forceps with use of separate scissors for executing NDVH. Patients and methods: A retrospective analysis included 164 NDVH executed between January 2015 and April 2023 in Benha University Hospital. The LigaSure Impact™ group included 86 NDVH. The BiClamp® group included 78 NDVH. Results: Both groups showed no significant dissimilarity regarding their age, BMI, parity, preoperative mean hemoglobin levels, associated comorbidities, numbers of prior Cesarean section (CS), the indications for hysterectomy, the preoperative HBA1c or the preoperative hospital administration(P>0.05). Also, there was no difference between both groups in operative time, blood loss, removed uterine weight, intra-operative complications, need for blood transfusion, rates of incidental cystotomy, need for additional general anesthesia intraoperatively, shorter postoperative hospital stay, wound complications, less consumption of analgesic and lower amount as well as the need for postoperative venous thromboembolic prophylaxis (VTE), earlier ambulation, earlier return to daily activity, earlier resumption of coital activity, need to reoperate for wound-related complication (P>0.05). Conclusion: NDVH could be safely and efficiently achieved either Covidien LigaSure Impact™ or by ERBE BiClamp®200C. The gynecologist should follow the recommendations of gynecologic societies at least for feasible mobile non-scared uteri with uterine size up to 12 weeks needed to be extirpated to be accomplished vaginally.
{"title":"The Value of Knife Add-on to Vessel Sealing Devices: A Retrospective Comparison of Covidien Ligasure Impact and ERBE Biclamp 200 in Non-descent Vaginal Hysterectomy","authors":"Ahmed Kasem Mohamed Zain Eldin, Ashraf Elmantwe, Hossam Elbanhawy, Mohamed El noury, Ahmed Sabra","doi":"10.21608/bmfj.2024.239516.1910","DOIUrl":"https://doi.org/10.21608/bmfj.2024.239516.1910","url":null,"abstract":": Background: non-descent vaginal hysterectomy (NDVH)is the differentiating procedure of gynecologic surgeons, introducing a new technique is crucial. Aim: To contrast perioperative consequences of employing Covidien LigaSure Impact™ with built-in add-on knife (Curved Large Jaw Open Sealer / Divider) and ERBE BiClamp®200C (Curved Sealer) standalone forceps with use of separate scissors for executing NDVH. Patients and methods: A retrospective analysis included 164 NDVH executed between January 2015 and April 2023 in Benha University Hospital. The LigaSure Impact™ group included 86 NDVH. The BiClamp® group included 78 NDVH. Results: Both groups showed no significant dissimilarity regarding their age, BMI, parity, preoperative mean hemoglobin levels, associated comorbidities, numbers of prior Cesarean section (CS), the indications for hysterectomy, the preoperative HBA1c or the preoperative hospital administration(P>0.05). Also, there was no difference between both groups in operative time, blood loss, removed uterine weight, intra-operative complications, need for blood transfusion, rates of incidental cystotomy, need for additional general anesthesia intraoperatively, shorter postoperative hospital stay, wound complications, less consumption of analgesic and lower amount as well as the need for postoperative venous thromboembolic prophylaxis (VTE), earlier ambulation, earlier return to daily activity, earlier resumption of coital activity, need to reoperate for wound-related complication (P>0.05). Conclusion: NDVH could be safely and efficiently achieved either Covidien LigaSure Impact™ or by ERBE BiClamp®200C. The gynecologist should follow the recommendations of gynecologic societies at least for feasible mobile non-scared uteri with uterine size up to 12 weeks needed to be extirpated to be accomplished vaginally.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267258","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}
Pub Date : 2024-03-03DOI: 10.21608/bmfj.2024.256775.1981
Alaa Kandil, Hossam Baiomy, Hatem Samir Abdel-Raouf Elegily, Ehab Kamal El-melegy, Mai Abd Elshafy Elbahlwan, Yousry Esam-Eldin Abo-Amer
: Background: MAFLD is prevalent throughout the world, with an estimated prevalence 25%. Although advanced liver fibrosis has been shown to have a significant impact on the incidence and mortality of cardiovascular diseases (CVDs) in individuals with MAFLD, the relationship between the degree of liver fibrosis and carotid atherosclerosis is still debated. Aim and objectives: to evaluate the echocardiographic abnormalities and carotid artery atherosclerosis in MAFLD patients. Patients and methods: This cross-sectional study was carried out on 49 patients diagnosed with MAFLD at hepatology, gastroenterology outpatient clinic at mahalla hepatology teaching hospital. Results: The mean age ±SD was 43.69 ± 11.36; there were 20.4 % male, 79.6 % female. There was statistically significant correlation between steatosis score and age, AST to platelets ratio, FIB4 score, NAFLD score, systolic blood pressure (SBP), diastolic blood pressure (DBP), fibrosis, triglycerides (TG), total cholesterol, high density lipoprotein (HDL), and low-density lipoprotein (LDL). There was a statistically significant correlation between steatosis score and left Carotid and left ventricular global longitudinal strain (LVGLS). Conclusion: we can conclude that MAFLD has a significant association with higher cardiovascular risk in terms of carotid artery atherosclerosis and echocardiographic abnormalities.
{"title":"Echocardiographic Abnormalities and Carotid Artery Atherosclerosis in Metabolic Associated Fatty Liver Disease Patients","authors":"Alaa Kandil, Hossam Baiomy, Hatem Samir Abdel-Raouf Elegily, Ehab Kamal El-melegy, Mai Abd Elshafy Elbahlwan, Yousry Esam-Eldin Abo-Amer","doi":"10.21608/bmfj.2024.256775.1981","DOIUrl":"https://doi.org/10.21608/bmfj.2024.256775.1981","url":null,"abstract":": Background: MAFLD is prevalent throughout the world, with an estimated prevalence 25%. Although advanced liver fibrosis has been shown to have a significant impact on the incidence and mortality of cardiovascular diseases (CVDs) in individuals with MAFLD, the relationship between the degree of liver fibrosis and carotid atherosclerosis is still debated. Aim and objectives: to evaluate the echocardiographic abnormalities and carotid artery atherosclerosis in MAFLD patients. Patients and methods: This cross-sectional study was carried out on 49 patients diagnosed with MAFLD at hepatology, gastroenterology outpatient clinic at mahalla hepatology teaching hospital. Results: The mean age ±SD was 43.69 ± 11.36; there were 20.4 % male, 79.6 % female. There was statistically significant correlation between steatosis score and age, AST to platelets ratio, FIB4 score, NAFLD score, systolic blood pressure (SBP), diastolic blood pressure (DBP), fibrosis, triglycerides (TG), total cholesterol, high density lipoprotein (HDL), and low-density lipoprotein (LDL). There was a statistically significant correlation between steatosis score and left Carotid and left ventricular global longitudinal strain (LVGLS). Conclusion: we can conclude that MAFLD has a significant association with higher cardiovascular risk in terms of carotid artery atherosclerosis and echocardiographic abnormalities.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"109 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267113","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}
Pub Date : 2024-03-03DOI: 10.21608/bmfj.2024.243409.1928
Ahmed Ahmed, Ashraf Elmantwe, Ahmed Helal, Ahmed Sabra, Hossam Elbanhawy, Fatma Darwish
: Background: An enlarged fibroid uterus greater than 12 weeks considered a contraindication for Non-Descent Vaginal Hysterectomy (NDVH) by most gynecologic surgeons, is this contraindication real or alleged? Aim: to evaluate impact of uterine size on peri-operative consequences in women underwent NDVH for benign conditions. Patients and Methods: This study includes 340 women underwent NDVH; 232 women had uterine size up to 12 weeks (control group) and 108 women had uterine size more than 12 and up to 24 weeks (index group). Results: Both groups were similar regards menopausal, nulliparity status, number of prior vaginal birth, preoperative medical status, and American Society of Anesthesiologists grades (P>0.05), but different in percentage of women with fibroids, cervical pathology, prior Cesarean section, and virgin lower abdomen(P<0.05). No important differences were detected in perioperative outcomes as transfusion, thrombosis, ureteral, bladder, or bowel injuries, fever, systemic infections, fistula, conversion to total abdominal hysterectomy, total postoperative (PO) complications and length of PO hospital stay (P>0.05). However, the effect of uterine size larger than 12 weeks in comparison to uterine size up to 12 weeks was significant on the subsequent outcomes total operative time (55 minutes) operative blood loss (160 ml), needs for general anesthesia, needs for debulking, needs for analgesics, decline in PO HB, and return to usual activity(P<0.05). Conclusion: Non-Descent Vaginal Hysterectomy (NDVH) cloud be executed for women had fibroids with uterine size greater than 12 weeks without increase in perioperative morbid outcomes when compared to women with uterine size up to 12 weeks.
{"title":"Is an enlarged fibroid uterus a contraindication for Non-Descent Vaginal Hysterectomy (NDVH)? Retrospective comparison between cohort whose uterine size ≥ 12 weeks and cohort whose uterine size less than 12 weeks underwent NDVH.","authors":"Ahmed Ahmed, Ashraf Elmantwe, Ahmed Helal, Ahmed Sabra, Hossam Elbanhawy, Fatma Darwish","doi":"10.21608/bmfj.2024.243409.1928","DOIUrl":"https://doi.org/10.21608/bmfj.2024.243409.1928","url":null,"abstract":": Background: An enlarged fibroid uterus greater than 12 weeks considered a contraindication for Non-Descent Vaginal Hysterectomy (NDVH) by most gynecologic surgeons, is this contraindication real or alleged? Aim: to evaluate impact of uterine size on peri-operative consequences in women underwent NDVH for benign conditions. Patients and Methods: This study includes 340 women underwent NDVH; 232 women had uterine size up to 12 weeks (control group) and 108 women had uterine size more than 12 and up to 24 weeks (index group). Results: Both groups were similar regards menopausal, nulliparity status, number of prior vaginal birth, preoperative medical status, and American Society of Anesthesiologists grades (P>0.05), but different in percentage of women with fibroids, cervical pathology, prior Cesarean section, and virgin lower abdomen(P<0.05). No important differences were detected in perioperative outcomes as transfusion, thrombosis, ureteral, bladder, or bowel injuries, fever, systemic infections, fistula, conversion to total abdominal hysterectomy, total postoperative (PO) complications and length of PO hospital stay (P>0.05). However, the effect of uterine size larger than 12 weeks in comparison to uterine size up to 12 weeks was significant on the subsequent outcomes total operative time (55 minutes) operative blood loss (160 ml), needs for general anesthesia, needs for debulking, needs for analgesics, decline in PO HB, and return to usual activity(P<0.05). Conclusion: Non-Descent Vaginal Hysterectomy (NDVH) cloud be executed for women had fibroids with uterine size greater than 12 weeks without increase in perioperative morbid outcomes when compared to women with uterine size up to 12 weeks.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"76 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267212","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}
Pub Date : 2024-02-24DOI: 10.21608/bmfj.2024.258940.1986
Ahmed K.Abbas, Wael Naeem, omar k.Naser, Ahmed Gamal Goda Helal, Labiba Kasem Elsayed, Heba Khatab, Ali A. Bendary
: Background: Preterm labor, accounts for the vast majority of infant mortality and morbidity. One of perinatal care primary goals is now the prevention of preterm labor. Aim: to determine whether vaginal progesterone maintenance medication could lengthen the latency period following a successful episode of preterm labor, this study examined this possibility. Methods: The women were split into two groups when the uterine contractions stopped: 50 patients made up the first group (the study group). A micronized vaginal progesterone supplement was administered to women daily in doses of 200 mg. Progesterone vaginal suppository was continued, and the women were told to reduce their physical activity, until 36 weeks of gestation. There were 50 patients in the second group (the control group). In addition to being told to minimize their physical activity, women were not offered any medicines or follow-up care. Patients were kept in the hospital if labor pain persisted; otherwise, if they were stable, they were released . Results: the study discovered that vaginal progesterone lower the risk of labor before 37 weeks of gestation for women who are more likely to high risk for preterm labor. Accordingly, treatment with progesterone agents to lessen preterm birth complications should continue to women who are at risk. Conclusion: In this study, it was discovered that preventive treatment of 200 mg vaginal suppositories of progesterone following successful tocolysis was linked to a longer gestation period and improved fetal outcomes in high-risk patients.
{"title":"Effect of Vaginal Progesterone after tocolytic therapy in threatened preterm labor.","authors":"Ahmed K.Abbas, Wael Naeem, omar k.Naser, Ahmed Gamal Goda Helal, Labiba Kasem Elsayed, Heba Khatab, Ali A. Bendary","doi":"10.21608/bmfj.2024.258940.1986","DOIUrl":"https://doi.org/10.21608/bmfj.2024.258940.1986","url":null,"abstract":": Background: Preterm labor, accounts for the vast majority of infant mortality and morbidity. One of perinatal care primary goals is now the prevention of preterm labor. Aim: to determine whether vaginal progesterone maintenance medication could lengthen the latency period following a successful episode of preterm labor, this study examined this possibility. Methods: The women were split into two groups when the uterine contractions stopped: 50 patients made up the first group (the study group). A micronized vaginal progesterone supplement was administered to women daily in doses of 200 mg. Progesterone vaginal suppository was continued, and the women were told to reduce their physical activity, until 36 weeks of gestation. There were 50 patients in the second group (the control group). In addition to being told to minimize their physical activity, women were not offered any medicines or follow-up care. Patients were kept in the hospital if labor pain persisted; otherwise, if they were stable, they were released . Results: the study discovered that vaginal progesterone lower the risk of labor before 37 weeks of gestation for women who are more likely to high risk for preterm labor. Accordingly, treatment with progesterone agents to lessen preterm birth complications should continue to women who are at risk. Conclusion: In this study, it was discovered that preventive treatment of 200 mg vaginal suppositories of progesterone following successful tocolysis was linked to a longer gestation period and improved fetal outcomes in high-risk patients.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"92 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433489","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}
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