Surgery, Gastroenterology and Oncology

Read article Aim: Anastomotic leakage (AL) is a severe postoperative complication in colorectal surgery, but its preclinical diagnosis may improve outcomes and increase anastomotic salvage. This study aimed to assess the added value of serum biomarkers for early detection of colorectal AL.
Method: We performed a comprehensive literature review, and a qualitative and quantitative analysis of papers retrieved from MEDLINE, Embase, PubMed, Web of Science, Scopus and the Cochrane Library. We included all studies published before September 2021 assessing the serum biomarkers white ....[more]

Read article Objectives: This study sought to determine the commonest causes of acute abdominal pain (medical, surgical, and oncological) during the COVID-19 pandemic. Methods: From May 1, 2020, to February 28, 2022, 910 adult patients > 18 years of age of both sexes were admitted to the emergency department or already admitted but complaining of an acute abdomen and diagnosed with COVID-19.
Results: The mean age of the studied group was 48.13+-11.97 years, with male predominance (66%). Medical causes of the acute abdomen were in 34% of cases, and 66% were surgical causes. Gastr....[more]

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Aim: This study aimed to examine whether there is a relationship between spleen radiation doses and hematological parameters in gastric cancer patients.

Materials and Methods: The patients who received chemoradiotherapy for nonmetastaticlocally advanced gastric cancer were analyzed retrospectively. The dose parameters evaluated were spleen  V5, V10, V15, V20, V25, V30 and mean spleen dose (MSD). Blood tests were evaluated at the beginning of the treatment (basal), in the 12-14 fractions of the treatment (mid-treatment), in  he firs....[more]

Read article Background: Different component separation (CS) techniques had been evaluated to manage the large ventral abdominal hernias (VAH) with a debate about the best one in these hernias. We aimed to compare the outcomes of transversus abdominis release (TAR) and anterior component separation (ACS) as regard short term postoperative complication and recurrence rate.
Methodology: A prospective comparative study was conducted at Ain Shams university hospitals between January 2017 and May 2021 including 80 cases of VAH with single defect 10 cm. The cases....[more]

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

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Aim: Acute appendicitis is frequently encountered in gastroenterological field, and emergency appendectomy (EA) has been the principal treatment for those patients. In recent years, interval appendectomy (IA), which performs elective surgery after conservative treatment, has been widely accepted. However, guidelines for the adaptation of IA have not been established yet, and its effectiveness is still unclear. The purpose of this retrospective study is to evaluate IA or EA as the best practice for patients with acute appendicitis in our department.
Methods: Fro....[more]

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Introduction: Breast cancer patients with multicentric disease will require mastectomy advances of screening and genetics have ended in many ladies may needs prophylactic mastectomy nipple and areola sparing is good option for these patients with higher levels of psychosocial wellbeing.
Patient and Methods: The 300 breast cancer patients all have NSM for the therapy of multicentric breast cancer. The primary end point was tumor recurrence post NSM either was local, regional or metastatic recurrence and, the Secondary end point for this study....[more]

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Introduction: Several interposition techniques have been described for reconstruction after total gastrectomy in FAP patients, in open (1) and laparoscopic assisted surgery (2,3,4). The Longmire technique has the advantage of allowing all the food to pass through the duodenum and better absorption of nutrients, such as iron (5). Here, we describe the use of a pedicled isoperistaltic jejunal flap interposition technique to reconstruct the digestive tract after total gastrectomy, fully performed by laparoscopic approach, in a patient with FAP that had previous total....[more]

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Background: A giant colonic diverticulum is defined as a diverticulum with a diameter over 4 cm. Previous case reports have focused on and investigated the pathophysiology, but little is known about the growth pattern.
Methods: We present a case in which we retrospectively document the growth rate of a giant colonic diverticulum (GCD).
Results: A 67-year-old patient was sent to our surgical department with a CT confirmed cystic, air-filled cavity of more than 7 cm. Segmental resection of the megadiverticulum was perfor....[more]

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Acutely symptomatic chylous mesenteric cyst is a very rare cause of acute abdomen. We report a case of acutely inflamed chyle-containing benign mesenteric cyst, highlighting the role of laparoscopy as a safe diagnostic and therapeutic modality.

 

CASE REPORT

 

A 44-year old Caucasian female patient presented to our surgical admissions unit with generalised abdominal pain, vomiting and abdominal distension. Her past medical history was unremarkable and she had no previous abdominal or pelvic surgery. Clinical examination re....[more]