This work is conducted in Mansoura University Hospitals,Egypt,to show the advantages and disadvantages of endoscopic stapedotomy in comparison to microscopic stapedotomy.The work described has not been published previ...This work is conducted in Mansoura University Hospitals,Egypt,to show the advantages and disadvantages of endoscopic stapedotomy in comparison to microscopic stapedotomy.The work described has not been published previously nor under consideration for publication elsewhere.The authors declare that there is no conflict of interest.This study is a part of a master degree thesis submitted by Eslam Mahmoud as partial fulfillment for a master degree.Institutional review board approval,Faculty of Medicine-Mansoura University,was obtained for the study(IRB:MS/15.09.49).展开更多
Intra-abdominal drains are still routinely used in the surgical management of gangrenous and perforated appendicitis. A systematic review was performed with the aim of establishing their influence on postoperative com...Intra-abdominal drains are still routinely used in the surgical management of gangrenous and perforated appendicitis. A systematic review was performed with the aim of establishing their influence on postoperative complications in such cases. A literature search was conducted using the search engines Pub Med and Cochrance Central Register of Controlled Trials. Included were retrospective case-controlled and prospective randomized controlled trials on the use of drain for open appendicectomy in gangrenous and perforated appendicitis. Twelve articles were found that met the inclusion criteria. Intrabdominal abscesses, postoperative ileus, surgical site infections, fecal fistulas and burst abdomen had significant higher incidences in the drain vs non drain group(10.3%, 20.3%, 32.5%, 3.4% and 5.7% vs 4.7%, 8.5%, 16.2%, 0% and 0%, respectively). In most cases the risk was more than doubled in the drain group compared to the non-drain one. There were no significant differences among groups in termsof mortality while the results were underpowered to effectively evaluate wound dehiscence and adhesions. The use of intra-abdominal drains in the management of gangrenous and perforated appendicitis by open appendicectomy is associated with an increased rate of common postoperative complications.展开更多
Hepatocellular carcinoma(HCC)is the sixth most commonly diagnosed cancer worldwide and represents the predominant form of primary liver cancer,accounting for approximately 90%of cases(1).Predictions indicate a signifi...Hepatocellular carcinoma(HCC)is the sixth most commonly diagnosed cancer worldwide and represents the predominant form of primary liver cancer,accounting for approximately 90%of cases(1).Predictions indicate a significant rise in the incidence of liver cancer over the next two decades.This emphasises the urgent imperative for cutting-edge research to enhance patient outcomes and optimise surgical resection strategies for HCC(2).展开更多
文摘This work is conducted in Mansoura University Hospitals,Egypt,to show the advantages and disadvantages of endoscopic stapedotomy in comparison to microscopic stapedotomy.The work described has not been published previously nor under consideration for publication elsewhere.The authors declare that there is no conflict of interest.This study is a part of a master degree thesis submitted by Eslam Mahmoud as partial fulfillment for a master degree.Institutional review board approval,Faculty of Medicine-Mansoura University,was obtained for the study(IRB:MS/15.09.49).
文摘Intra-abdominal drains are still routinely used in the surgical management of gangrenous and perforated appendicitis. A systematic review was performed with the aim of establishing their influence on postoperative complications in such cases. A literature search was conducted using the search engines Pub Med and Cochrance Central Register of Controlled Trials. Included were retrospective case-controlled and prospective randomized controlled trials on the use of drain for open appendicectomy in gangrenous and perforated appendicitis. Twelve articles were found that met the inclusion criteria. Intrabdominal abscesses, postoperative ileus, surgical site infections, fecal fistulas and burst abdomen had significant higher incidences in the drain vs non drain group(10.3%, 20.3%, 32.5%, 3.4% and 5.7% vs 4.7%, 8.5%, 16.2%, 0% and 0%, respectively). In most cases the risk was more than doubled in the drain group compared to the non-drain one. There were no significant differences among groups in termsof mortality while the results were underpowered to effectively evaluate wound dehiscence and adhesions. The use of intra-abdominal drains in the management of gangrenous and perforated appendicitis by open appendicectomy is associated with an increased rate of common postoperative complications.
文摘Hepatocellular carcinoma(HCC)is the sixth most commonly diagnosed cancer worldwide and represents the predominant form of primary liver cancer,accounting for approximately 90%of cases(1).Predictions indicate a significant rise in the incidence of liver cancer over the next two decades.This emphasises the urgent imperative for cutting-edge research to enhance patient outcomes and optimise surgical resection strategies for HCC(2).
