Abstract Background Laparoscopic cholecystectomy (LC) is one of the most common laparoscopic procedures performed by young surgeons nowadays. Sometimes, LC could be challenging, especially for junior leading to serious complications. Therefore, this study aims investigate preoperative ultrasonographic features that predict difficult LC. Methods In prospective study, patients ( n = 204) who underwent symptomatic cholelithiasis from January 2020 August 2022 were included. Preoperative...

Abstract Background The impact of human leukocyte antigen (HLA) compatibility and positive lymphocyte cross‐match ( LCM ) on organ transplantation is well‐recognized particularly in kidney heart transplantation; however, it still debatable liver LT ). So, the aim this study was to evaluate HLA mismatch outcome . Methods We retrospectively analyzed data all adult recipients who underwent living donor at our institute between January 2010 July 2016. excluded ABO blood group incompatible LDLT...

Abstract Background Portal vein complications (PVCs) after pediatric liver transplantation (LT) are sometimes asymptomatic, especially in the early phase, and can threaten both graft patient's survival. Therefore, purpose of this study is to analyze risk factors for portal thrombosis (PVT) stenosis (PVS) LT. Methods All patients ( n = 115) who underwent primary LT at Regensburg University Hospital between January 2010 April 2017 were included study. The pre‐, intra‐, postoperative parameters...

The use of marginal liver grafts has become an inevitable option because the continuous increase in number patients awaiting transplantation and severe shortage suitable donors. Recently, several approaches have been adapted to expand donor pool improve outcome both deceased living transplantation. Accordingly, this review discusses various types transplantation, their up-to-date innovations or strategies extend patient graft survival post-transplant.

Background In this study, the biliary-enteric anastomosis following choledochal cyst excision was studied using continuous suture and interrupted procedures in a pediatric population. Patients methods information on 57 children who received surgery at our facility between 2015 2020 gathered retrospectively. The patients that were enrolled divided into two groups: ( n =24) =33). Anastomotic leakage, anastomotic duration minutes, hospital stay days, cost all compared these groups. Results...

Abstract Introduction THUNDERBEAT (TB) is a novel device that uses both ultrasonic and advanced bipolar energies for hemostasis. Several recent human studies have proved the safety efficacy of TB in different surgical procedures, but there been no similar about its hepatic parenchymal transection. Therefore, aim study was to assess laparoscopic liver resection. Methods This retrospective compared Harmonic devices 80 patients who underwent resection from 2010 2016 our institution. To reduce...

True aneurysms of the superficial temporal artery (STA) are quite uncommon. Only 14 such cases described in literature. Ultrasound scan (USS) is an appropriate and easily accessible non-invasive diagnostic modality, as it can show both anatomical flow characteristics aneurysmal vessel. Other conditions to be included differential diagnosis haematoma, angiofibroma, eroding middle meningeal aneurysm, abscess or a parotid mass. Operative intervention indicated relieve symptoms this case,...

A 65-year-old woman was admitted with a complaint of constant dull aching pain in the epigastrium for 4 days, subsequent worsening and generalization pain. Clinically abdomen tender all over board-like rigidity. Chest radiography revealed pneumoperitoneum decision made to explore patient. During laparotomy we found mild peritoneal collection no perforation anterior surface stomach, duodenum, or entire gastrointestinal tract. After opening gastrocolic omentum, large posterior wall stomach....

Near-infrared (NIR) fluorescent cholangiography (FC) using indocyanine green (ICG) in laparoscopic cholecystectomy (LC) has been used as a technique for real-time visualization of bile ducts approximately ten years; however, no standard protocol determined. This study aimed to determine the optimal time administration ICG.In this prospective study, patients (n = 30) indicated LC were divided into two groups. The first group received ICG 1 h before anesthesia at dose 0.1 mg/kg (1 group),...

Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon is a rare cause of intestinal obstruction, and still etiology remains unknown. We report series 4 patients with cocoon, all the had previously undergone living-donor liver transplantation (LDLT). There was no evidence SEP before during LDLT. At time diagnosis SEP, 3 out ascites. First fourth multiple episodes attacks cholangitis, which were managed by percutaneous transhepatic biliary drainage hepaticojejunostomy, respectively....

Background Prediction of early mortality after hepatectomies for hepatocellular carcinoma is essential to identify high‐risk patients and decrease the operative rate. Several post‐operative clinical risk scores were developed recently predict post‐hepatectomy; however, which one best remains undefined. Therefore, aim this study was evaluate performance different in predicting hepatectomies. Methods A total 240 who underwent liver resection at our hospital between June 2011 July 2016...

Abstract Background One of the commonest pediatric surgeries is hydrocele. There are suggestions to wait for spontaneous resolution than operate these cases without harmful adverse events. Herein, we evaluated outcome watchfulness over 18 months. Methods The study included 93 infants with communicating hydrocele Pediatric Surgery Department, Faculty Medicine (Assiut, Egypt). They were planned be followed up months, and indications intervention hernia, increasing in size, being tense,...

Abstract Chylous ascites (CA) is a rare complication after abdominal surgeries, particularly donor hepatectomy and liver transplantation. We present case of CA developed following right hepatectomy. Initially managed with high-protein, low-fat diet Sandostatin ® (Octreotide Acetate), the patient’s condition improved but did not resolve. Subsequently, treatment plan was modified to include clear oral fluids, total parenteral nutrition, , resulting in significant improvement ultimate...

BACKGROUND: Chronic groin pain can be debilitating to patients, reducing their overall quality of life. Peripheral nerve stimulation (PNS) is an emerging neuromodulation therapy that may used for refractory other treatment modalities. CASE REPORT: An 86-year-old Hispanic man with a history left inguinal hernia repair mesh presenting chronic and abdominal was successfully treated subthreshold PNS at the ilioinguinal nerve. CONCLUSION: This case study demonstrated safely effectively manage...

Background: To improve the outcome of living donor liver transplantation (LDLT), a scoring system that could predict accurately patient and graft survival posttransplant is necessary. The aim this study to evaluate our previously proposed Muscle-model for end-stage disease (M-MELD) score compare it with other available scores find best correlates postoperative after transplant. Methods: We retrospectively reviewed data 199 patients who underwent LDLT from January 2010 July 2016 calculated...

Introduction The critical view of safety is an important concept for safe laparoscopic cholecystectomy. However, no standard step-by-step approach achieving the has been established until now. Therefore, this study aims to evaluate a new using diagonal line liver segment IV as anatomical landmark. Patients and methods In prospective non-randomized study, patients (n= 112) who underwent cholecystectomy symptomatic cholelithiasis were included. first 47 (DLC group) whereas, next 65...

Splenic autotransplantation is a promising method to recover splenic functions after traumatic splenectomy. However, it associated with several postoperative complications, such as subphrenic abscess, intestinal obstruction and torsion of the omentum necrosis implanted tissues. Therefore, aim this study evaluate new technique that could overcome those complications.A single segment spleen was inside pedunculated omental pouch fixed in native site 15 patients who underwent splenectomy for...