Diabetic foot ulcer syndrome is a common complication of diabetes mellitus. Three main factors contribute to it: neuropathy, vasculopathy, and infection. This study was conducted evaluate the prevalence peripheral arterial disease (PAD) in diabetic patients its impact on limb salvage as an outcome. prospective cross-sectional included 392 cases, who were divided according presence PAD into 2 groups; with labeled +ve (172 cases) those without -ve (22 cases). All cases clinically assessed,...

Background: Ventral hernias represent dehiscence of the musculoaponeurotic plane, which ensures abdominal wall's solidity and tone. The aim this work was to compare laparoscopic enhanced view totally extraperitoneal (eTEP) versus intraperitoneal mesh placement (IPOM) in ventral hernia. Methods: This prospective randomized interventional study carried out on 60 patients aged > 18 years old, both sexes, with less than 8 cm width. Patients were randomly allocated using computer generated...

Herein we present our experience with laparoscopic common bile duct exploration (LCBDE) in managing stones.Data of 129 consecutive patients who underwent cholecystectomy (LC) and LCBDE done at institutes from April 2011 through June 2016 were prospectively recorded retrospectively reviewed.Since 2011, 3012 performed institutes, intraoperative cholangiogram (IOC) was 295 (9.8%) which detected choledocholithiasis (4.3%) them. successful to clear the (CBD) 123/129 (95.4%). Six postoperative...

Background Ventral hernia repair has changed dramatically over the past decades by introduction of laparoscopy and prosthetic biomaterials. This study aimed to compare short-term outcomes laparoscopic ventral (LVHR) versus open (OVHR). Patients methods prospective was conducted on 40 patients with who were randomized LVHR group or OVHR operative time, intraoperative complications, postoperative pain, hospital stay, cosmetic results. Results performed in 20 having a mean age 43.60±8.18 years,...

Post-cholecystectomy iatrogenic bile duct injuries (IBDIs), are not uncommon and although the frequency of IBDIs vary across literature, rates following procedure laparoscopic cholecystectomy much higher than open cholecystectomy. These caries a great burden on patients, physicians health care systems sometime life-threatening. associated with different manifestations that limited to abdominal pain, leaks from surgical drains, peritonitis fever sometimes jaundice. Such if witnessed during...

Abstract Introduction Creating pneumoperitoneum is the most challenging step during laparoscopy. The periumbilical area classic site for V eress needle insertion. We adopted a new access point peritoneal insufflation. Methods introduced insertion to create difficult laparoscopic procedures. placed between xiphoid process and right costal margin, it then proceeds toward patient’s axilla. collected data compare using this method of insufflation with Palmer's pneumoperitoneum. Results Since...

Background: Trauma has been considered a frequent cause of death or permanent disability in young subjects; hence, timely diagnostic approach is crucial.In polytrauma cases, contrast-enhanced ultrasound (CEUS) demonstrated to be great sensitivity compared (US) the detection solid organ traumas.Objective: To evaluate incidence and degree traumatic kidney injury (TKI) polytraumatic patients detected by versus CT scan abdomen effect renal injuries on short term outcome.Patients Methods: This...

Background Acute calculous cholecystitis is a common disease presentation in critically ill patients. It associated with increased mortality and morbidity rates case of insufficient treatment. However, the best approach to management still debatable. Patients methods This retrospective analysis prospectively designed study for evaluation different planes patients presented acute single university hospital from 2013-2017. The included all as main reason patient deterioration admission also...

Background:laparoscopic groin hernia repair has gained wide popularity in surgical practice the last two decades.Trans abdominal pre peritoneal (TAPP) and totally extra (TEP) are standing head to as most common laparoscopic techniques for hernia.Methods:This prospective randomized study was conducted between December 2013 2015.Sixty male patients suffering from non complicated inguinal were included.Patients into group A B (TEP).Intra operative variables postoperative pain complications...

Aim The primary objective of this prospective cohort study was to assess the outcomes aesthetic abdominal wall reconstruction with repair associated hernia utilizing a sutureless retromuscular technique. Materials and methods A single-center follow-up 67 consecutive patients medium-sized ventral pendulous abdomen conducted between January 2016 May 2019. detailed classification degree herniation, surgical complications, postoperative pain analysis, patient satisfaction were analyzed. Results...

Background: The surgical management of large bowel emergency patients remains controversial. However, there has been an increasing trend toward primary reconstructive surgery. Objective: To evaluate one-stage procedure versus two-stage in cases presented with obstructed nonperforated cancer colon terms operative time, hospital stay, postoperative complications, peri-operative mortality, and quality life. Patients methods: A prospective randomized study was conducted at Emergency Mansoura...

Introduction Surgical repair of inguinal hernias is one the most frequently performed operations. Transabdominal preperitoneal (TAPP) and Total extraperitoneal (TEP) methods are two commonly employed laparoscopic for herniorrhaphy. Objective To evaluate pain quality life (QoL) following hernia surgery utilizing TAPP TEP methods. Patients One hundred individuals with unilateral who had received a clinical diagnosis participated in this prospective trial. The research population was randomly...

Itroduction: Although theoretically a simple procedure, laparoscopic sleeve gastrectomy (LSG) can be followed by life-threatening complications. Early postoperative complications include staple line bleeding and leakage. Staple reinforcement (SLR) has been used to decrease these There are various methods for of such as suture over sewing, placing omental flap, using buttressing material, spraying fibrin glue along the line. However, it is controversial whether SLR reduces rate or not....

Background: Type 2 Diabetes Mellitus (T2DM) is an important health problem worldwide with about 23% of patients morbid obesity have type DM.Bariatric surgery originally developed solely as a weight-reduction therapy, but has been found to improve T2DM and reduce rates chronic vascular disease death.The International Federation recommended consideration bariatric for control T2DM.Methods: A total number 45 were randomized into two groups, the first group 26 (n=26) submitted Biliopancreatic...

Context Abdominal compartment syndrome (ACS) is caused when an acute increase in intra-abdominal pressure (IAP) occurs sufficient to impair vascular inflow and thereby compromising the viability of tissues organs within abdomen. Familiarity with presentation ACS mandatory for all clinicians who care critically ill patients avoid its high mortality if not recognized treated. The measurement IAP a vital part clinical management ACS. Early recognition important, need surgical decompression may...

Background: Emergency surgery for colon cancer is associated with high morbidity and mortality rates.Herein, this study was conducted to estimate the incidence detect risk factors leading in cases of obstructed left colonic carcinoma.Methods: This prospective research included 150 patients diagnosed underwent surgical intervention.Based on early mortality, they were divided into two groups; survival deceased ones.Results: Mortality encountered 19 (12.67%).The group showed older age higher...

Background: Incisional hernia is an undervalued complication after stoma closure, with rates about 40%.Mesh-reinforced reversal might be a simple and applicable approach to decrease the frequency of incisional hernia.There current debate efficacy this technique in preventing hernias following closure.Methods: In prospective clinical study, all patients temporary who admitted Mansoura University Hospital at period from February 2019 April 2021 fulfill eligibility criteria were distributed...

Background: There is a remaining high debate, about mesh fixation involved in laparoscopic inguinal hernia repair (LIHR) that largely influenced by the individual preferences of each surgeon. In this research study, comparison done between transabdominal preperitoneal (TAPP) using either staples or tissue adhesive (Amcrylate). Methods: This was prospective randomized controlled study applied to 100 patients having an hernia. Patients included were randomly sorted into two groups based on...