Pub Date : 2022-12-01DOI: 10.21608/aumj.2022.176893.1029
Mostafa Abu-Elhossen, Mohamed Salah Eldean, Maraey M. Khalil
: Prelabour rupture of fetal membranes (PROM) refers to fetal membrane rupture before the onset of uterine contractions; preterm PROM (PPROM) is the term used when the pregnancy is less than 37 completed weeks of gestation. Purpose: This study aims to assess the accuracy of vaginal fluid urea and creatinine for the diagnosis of premature rupture of membranes and preterm premature rupture of membranes. Patients and Methods: A total of 90 pregnant women were included in the current study, between completed 28 weeks to completed 40 weeks of gestation, divided into two equal groups: 45 pregnant women with PPROM or PROM diagnosed by pooling of fluid in posterior fornix and 45 pregnant women who are attending the outpatient clinic for routine antenatal care, each group had the posterior vaginal fornix irrigated with 5ml saline and aspirated then assessed for urea and creatinine concentration. Results: This study showed that the confirmed PPROM and PROM group had higher levels of vaginal fluid urea and creatinine compared to the control group with a very highly statistically significant difference between the groups. Conclusion: vaginal fluid urea and creatinine determination for the diagnosis of PPROM and PROM is a rapid
:产前胎膜破裂(Prelabour rupture of fetal membrane, PROM)指子宫收缩发生前胎膜破裂;早产早PROM (PPROM)是指妊娠少于37周的情况。目的:本研究旨在评估阴道液尿素和肌酐对胎膜早破和胎膜早破诊断的准确性。患者和方法:本研究共纳入90名妊娠28周至40周的孕妇，分为两组:45名经后穹窿积液诊断为PPROM或PROM的孕妇和45名在门诊进行常规产前护理的孕妇，每组用5ml生理盐水冲洗阴道后穹窿并抽吸，然后评估尿素和肌酐浓度。结果:本研究显示，与对照组相比，确诊PPROM和PROM组阴道液尿素和肌酐水平较高，组间差异具有非常高的统计学意义。结论:阴道液尿素和肌酐测定对PPROM的诊断是快速的
{"title":"The value of vaginal wash urea and creatinine concentration for diagnosis of premature rupture of membranes","authors":"Mostafa Abu-Elhossen, Mohamed Salah Eldean, Maraey M. Khalil","doi":"10.21608/aumj.2022.176893.1029","DOIUrl":"https://doi.org/10.21608/aumj.2022.176893.1029","url":null,"abstract":": Prelabour rupture of fetal membranes (PROM) refers to fetal membrane rupture before the onset of uterine contractions; preterm PROM (PPROM) is the term used when the pregnancy is less than 37 completed weeks of gestation. Purpose: This study aims to assess the accuracy of vaginal fluid urea and creatinine for the diagnosis of premature rupture of membranes and preterm premature rupture of membranes. Patients and Methods: A total of 90 pregnant women were included in the current study, between completed 28 weeks to completed 40 weeks of gestation, divided into two equal groups: 45 pregnant women with PPROM or PROM diagnosed by pooling of fluid in posterior fornix and 45 pregnant women who are attending the outpatient clinic for routine antenatal care, each group had the posterior vaginal fornix irrigated with 5ml saline and aspirated then assessed for urea and creatinine concentration. Results: This study showed that the confirmed PPROM and PROM group had higher levels of vaginal fluid urea and creatinine compared to the control group with a very highly statistically significant difference between the groups. Conclusion: vaginal fluid urea and creatinine determination for the diagnosis of PPROM and PROM is a rapid","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133498239","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 : 2022-12-01DOI: 10.21608/aumj.2022.156806.1016
Loay I. Aglan, Nihal Fathi, Sally Hakeem, Salah Maklad, Fatma Elnoby
ABSTRACT
摘要
{"title":"Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain","authors":"Loay I. Aglan, Nihal Fathi, Sally Hakeem, Salah Maklad, Fatma Elnoby","doi":"10.21608/aumj.2022.156806.1016","DOIUrl":"https://doi.org/10.21608/aumj.2022.156806.1016","url":null,"abstract":"ABSTRACT","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128254676","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 : 2022-12-01DOI: 10.21608/aumj.2022.159607.1019
Marwa Sayed, A. Abd Elrahman,, Mahmoud M. Hassan, Huda Mahmoud
ABSTRACT
摘要
{"title":"Validity of Various Severity Scoring System in the Surgical Intensive Care Unit","authors":"Marwa Sayed, A. Abd Elrahman,, Mahmoud M. Hassan, Huda Mahmoud","doi":"10.21608/aumj.2022.159607.1019","DOIUrl":"https://doi.org/10.21608/aumj.2022.159607.1019","url":null,"abstract":"ABSTRACT","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116214372","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 : 2022-12-01DOI: 10.21608/aumj.2022.147302.1013
Abd allah mahmoud, H. Mahmoud, Atef Abo El-Fadl, M. Kandeel
{"title":"Serum fetuin-A as a perdictive biomarker of chronic kidney disease","authors":"Abd allah mahmoud, H. Mahmoud, Atef Abo El-Fadl, M. Kandeel","doi":"10.21608/aumj.2022.147302.1013","DOIUrl":"https://doi.org/10.21608/aumj.2022.147302.1013","url":null,"abstract":"","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"239 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128629394","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 : 2022-06-01DOI: 10.21608/aumj.2022.237810
O. Ali, M. Hafez, Rasha Elnuby Abd Elaziz Abo, Elhasan, Shazly B. Ali
Background; Pulmonary congestion can be existing and frequently symptomless among dialysis cases, but its outcome is unknown. Early detection of pulmonary congestion is an essential aim for the avoidance of congestive heart failure in high-risky cases. Aim and objectives; To assess the role of chest ultrasound in the detection of lung congestion in patients with chronic renal failure under regular hemodialysis. Subjects and methods: A cross-sectional study was conducted at the nephrology department, Aswan university hospital, on 100 patients undergoing regular hemodialysis for at least more than 6 months. Demographic data, echocardiographic, and laboratory investigations were collected. Moreover, chest US was done and IVC diameter was measured predialysis and post- dialysis. Results ; The study included 100 patients; their mean age was 43.66 ±7.6. 52(52%) patients were male,47(47%) were hypertensive and 37(37%) patients were diabetic. There was a substantial reduction in B-Kerley’s lines post dialysis (p<0.001) and there was a substantial change in IVC diameter measurements before and after dialysis (p<0.001). Conclusion ; Chest US is a quick bed-side examination and a non-invasive dependable method for the evaluation of pulmonary congestion in in patients with chronic renal failure under regular hemodialysis.
{"title":"The Role of Chest Ultrasound in the Detection of Pulmonary Congestion in Hemodialysis patients in Aswan University Hospital","authors":"O. Ali, M. Hafez, Rasha Elnuby Abd Elaziz Abo, Elhasan, Shazly B. Ali","doi":"10.21608/aumj.2022.237810","DOIUrl":"https://doi.org/10.21608/aumj.2022.237810","url":null,"abstract":"Background; Pulmonary congestion can be existing and frequently symptomless among dialysis cases, but its outcome is unknown. Early detection of pulmonary congestion is an essential aim for the avoidance of congestive heart failure in high-risky cases. Aim and objectives; To assess the role of chest ultrasound in the detection of lung congestion in patients with chronic renal failure under regular hemodialysis. Subjects and methods: A cross-sectional study was conducted at the nephrology department, Aswan university hospital, on 100 patients undergoing regular hemodialysis for at least more than 6 months. Demographic data, echocardiographic, and laboratory investigations were collected. Moreover, chest US was done and IVC diameter was measured predialysis and post- dialysis. Results ; The study included 100 patients; their mean age was 43.66 ±7.6. 52(52%) patients were male,47(47%) were hypertensive and 37(37%) patients were diabetic. There was a substantial reduction in B-Kerley’s lines post dialysis (p<0.001) and there was a substantial change in IVC diameter measurements before and after dialysis (p<0.001). Conclusion ; Chest US is a quick bed-side examination and a non-invasive dependable method for the evaluation of pulmonary congestion in in patients with chronic renal failure under regular hemodialysis.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127318119","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 : 2022-06-01DOI: 10.21608/aumj.2022.237809
Ola Aladdin Muhammad Omar, S. Osman, A. Zidan, O. Abdulraheem
Background Würinger’s septum is a horizontal neurovascular bundle that provides nerve supply to the nipple-areola complex. The septum preservation has been studied in the literature in the context of surgical management of breast hypertrophy to maintain the nipple-areola complex (NAC) sensation. Objective: To evaluate operative experience of preserving the Würinger’s septum. And to evaluate the postoperative patients’ satisfaction Methodology: This study was conducted on 30 women who were scheduled for oncoplastic breast surgery or breast reduction. Preservation of the septum was achieved by careful dissection and gentle manoeuvres. At 3-month postoperative, questionnaire was given to the patients to assess the postoperative satisfaction. Results: This study was conducted on 30 women who underwent breast surgery for breast hypertrophy ( n =20) and early-stage breast cancer ( n =10); six women with breast hypertrophy, and four women without hypertrophy. The postoperative patients’ questionnaire at 3 months postoperatively most women had tendency to accept their breast shapes without braces ( n =28, 93.4%) and with braces ( n =29, 96.7%).Two (6.7%) women were found to have partial NAC loss at 3-month postoperative, none of them were among the cases of women with bilateral breast hypertrophy. Conclusions: Preserving the Würinger’s septum in surgeries for early-stage breast cancer and in breast hypertrophy is non-time consuming surgery and it maintains NAC vascularity and sensation.
{"title":"Preservation of Würinger’s septum during surgeries for women with breast hypertrophy and women with early breast cancer: intra-operative identification of the septum and postoperative outcomes","authors":"Ola Aladdin Muhammad Omar, S. Osman, A. Zidan, O. Abdulraheem","doi":"10.21608/aumj.2022.237809","DOIUrl":"https://doi.org/10.21608/aumj.2022.237809","url":null,"abstract":"Background Würinger’s septum is a horizontal neurovascular bundle that provides nerve supply to the nipple-areola complex. The septum preservation has been studied in the literature in the context of surgical management of breast hypertrophy to maintain the nipple-areola complex (NAC) sensation. Objective: To evaluate operative experience of preserving the Würinger’s septum. And to evaluate the postoperative patients’ satisfaction Methodology: This study was conducted on 30 women who were scheduled for oncoplastic breast surgery or breast reduction. Preservation of the septum was achieved by careful dissection and gentle manoeuvres. At 3-month postoperative, questionnaire was given to the patients to assess the postoperative satisfaction. Results: This study was conducted on 30 women who underwent breast surgery for breast hypertrophy ( n =20) and early-stage breast cancer ( n =10); six women with breast hypertrophy, and four women without hypertrophy. The postoperative patients’ questionnaire at 3 months postoperatively most women had tendency to accept their breast shapes without braces ( n =28, 93.4%) and with braces ( n =29, 96.7%).Two (6.7%) women were found to have partial NAC loss at 3-month postoperative, none of them were among the cases of women with bilateral breast hypertrophy. Conclusions: Preserving the Würinger’s septum in surgeries for early-stage breast cancer and in breast hypertrophy is non-time consuming surgery and it maintains NAC vascularity and sensation.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134062968","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 : 2022-06-01DOI: 10.21608/aumj.2022.237805
Esraa Ali Mohammed Ali Yousef, A. El-Nashar, Shaimaa M. M. Bebars, Rasha M. Mohamed, Samir Said
Background: Ovarian cancer (OC) ranks as the fifth leading cause of malignancy-associated mortality in females. Purpose: This study aims to evaluate the association between A1 immunohistochemical (IHC) FOX expression in epithelial ovarian cancer (EOC) and its relation to their prognosis, as well as its association with other established prognostic indicators like patient's age, tumor laterality, histological subtype, grade and stage, and aims to validate the role of IHC-FOX A1 expression as a prognostic marker in female patients with EOC in Egypt. Patients and Methods: From January 2017 to January 2019 a total of 52 paraffin embedded blocks from patients with EOC were collected. Two serial sections from each tissue block were cut at 4 microns thickness to be used as follows: first section was stained with routine Hematoxylin and Eosin (H&E) to confirm the histologic diagnosis and tumor grade. The second was treated with FOX A1 antibodies to show its expression. Results: High significant relation was detected between advanced patient's age, high tumor grade, advanced stages, tumors with ruptured capsule and ascites and FOX A1 expression regardless tumor laterality. Conclusion: IHC-FOX A1 in EOC is considered a poor prognostic parameter as it is expressed in more than 70% of cases of EOC, significantly with advanced patient's age, high tumor grade, advanced stage, tumors with ruptured capsule and ascites regardless tumor laterality. The results of the present study indicated that FOX A1 could be considered as a poor prognostic marker.
{"title":"IMMUNOHISTOCHEMICAL EXPRESSION OF FORKHEAD BOX (FOX) A1 IN EPITHELIAL OVARIAN CANCER","authors":"Esraa Ali Mohammed Ali Yousef, A. El-Nashar, Shaimaa M. M. Bebars, Rasha M. Mohamed, Samir Said","doi":"10.21608/aumj.2022.237805","DOIUrl":"https://doi.org/10.21608/aumj.2022.237805","url":null,"abstract":"Background: Ovarian cancer (OC) ranks as the fifth leading cause of malignancy-associated mortality in females. Purpose: This study aims to evaluate the association between A1 immunohistochemical (IHC) FOX expression in epithelial ovarian cancer (EOC) and its relation to their prognosis, as well as its association with other established prognostic indicators like patient's age, tumor laterality, histological subtype, grade and stage, and aims to validate the role of IHC-FOX A1 expression as a prognostic marker in female patients with EOC in Egypt. Patients and Methods: From January 2017 to January 2019 a total of 52 paraffin embedded blocks from patients with EOC were collected. Two serial sections from each tissue block were cut at 4 microns thickness to be used as follows: first section was stained with routine Hematoxylin and Eosin (H&E) to confirm the histologic diagnosis and tumor grade. The second was treated with FOX A1 antibodies to show its expression. Results: High significant relation was detected between advanced patient's age, high tumor grade, advanced stages, tumors with ruptured capsule and ascites and FOX A1 expression regardless tumor laterality. Conclusion: IHC-FOX A1 in EOC is considered a poor prognostic parameter as it is expressed in more than 70% of cases of EOC, significantly with advanced patient's age, high tumor grade, advanced stage, tumors with ruptured capsule and ascites regardless tumor laterality. The results of the present study indicated that FOX A1 could be considered as a poor prognostic marker.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131377700","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 : 2022-06-01DOI: 10.21608/aumj.2022.237806
A. Ismail, Enam K Ali, H. Aly, Ahmed A Sedik
Background: Asthma-related school absenteeism affects 59% children with asthma and is linked to lower academic performance, especially among urban minority youth. Objective: To determine risk factors of bronchial asthma and its exacerbation in children attending Aswan University Hospital. Patients and methods: The present study was a prospective cross-sectional study that included 90 known asthmatics patients selected from Pulmonology Clinic and pediatrics department and reception units at Aswan University Hospital through the period from January to June 2020. Results: Patients with asthma exacerbation were older, had longer disease duration and more likely to be males. Likewise, there was statistically significant difference between studied groups regarding family history of asthma. There was statistically significant difference between controlled and uncontrolled asthma as regard Stayed home from school due to respiratory symptoms/asthma, do not taking full part in physical education in school and have respiratory symptoms/asthma associated with physical education or sports. Conclusion: These findings suggest opportunities to improve asthma control. Asthma management at schools is important for pediatric pulmonologists and allergists, primary care providers, and the whole interdisciplinary team working alongside them to provide quality asthma care.
{"title":"Risk factors of asthma exacerbations in children and its effect on their school absence and performance","authors":"A. Ismail, Enam K Ali, H. Aly, Ahmed A Sedik","doi":"10.21608/aumj.2022.237806","DOIUrl":"https://doi.org/10.21608/aumj.2022.237806","url":null,"abstract":"Background: Asthma-related school absenteeism affects 59% children with asthma and is linked to lower academic performance, especially among urban minority youth. Objective: To determine risk factors of bronchial asthma and its exacerbation in children attending Aswan University Hospital. Patients and methods: The present study was a prospective cross-sectional study that included 90 known asthmatics patients selected from Pulmonology Clinic and pediatrics department and reception units at Aswan University Hospital through the period from January to June 2020. Results: Patients with asthma exacerbation were older, had longer disease duration and more likely to be males. Likewise, there was statistically significant difference between studied groups regarding family history of asthma. There was statistically significant difference between controlled and uncontrolled asthma as regard Stayed home from school due to respiratory symptoms/asthma, do not taking full part in physical education in school and have respiratory symptoms/asthma associated with physical education or sports. Conclusion: These findings suggest opportunities to improve asthma control. Asthma management at schools is important for pediatric pulmonologists and allergists, primary care providers, and the whole interdisciplinary team working alongside them to provide quality asthma care.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121772884","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 : 2022-06-01DOI: 10.21608/aumj.2022.237808
Elshazly Abdelmontlib, Maasoumeh Saleh, M. M. Hussein
Background: A great number of surgical techniques have been developed to adequately correct hypospadias with curvatures greater than 30°. Purpose: to compare the final outcome for repair of hypospadias with severe chordee using single versus two-stage repair and to measure the degree of parent’s satisfaction for both procedures. Materials & Methods: a total of 40 patients with hypospadias associated with severe chordee were divided into 2 groups; 20 patients each repaired with single stage in group I and two stage in group II. Eligible patients included hypospadias with severe chordee and age from 6 months to 12 years. patient were evaluated regarding postoperative complications, cosmetic appearance and parent's satisfaction at 1,3 and 6 months. Results: Patients age ranged from 6 month's to 12 years, fistula was in 6 cases in group I (30%) while group II had no cases of fistula (p=0.039), meatal stenosis was in two cases in each group (p=1). Post-operative complications were 50% versus 10% for single-stage and two-stage repair, respectively. parent satisfaction was excellent in 4 cases in group I (20%) and 7 cases in group II (35%) (p=0.219), very good in 4 cases in both groups (p=1),good in 5 cases in group I (25%) and 9 in group II (45%) (p=0.115) and poor in 7 cases in group I (35%) and 0 cases in group II (p=0.34). There was statistically significant better parents’ satisfaction for the two-stage repair than single stage repair. Conclusion: Two-stage repair was associated with statistically significant less postoperative complications and more parents’ satisfaction than single stage repair.
{"title":"Hypospadias with Severe Chordee: Single versus Two-Stage Repair: A Comparative Study","authors":"Elshazly Abdelmontlib, Maasoumeh Saleh, M. M. Hussein","doi":"10.21608/aumj.2022.237808","DOIUrl":"https://doi.org/10.21608/aumj.2022.237808","url":null,"abstract":"Background: A great number of surgical techniques have been developed to adequately correct hypospadias with curvatures greater than 30°. Purpose: to compare the final outcome for repair of hypospadias with severe chordee using single versus two-stage repair and to measure the degree of parent’s satisfaction for both procedures. Materials & Methods: a total of 40 patients with hypospadias associated with severe chordee were divided into 2 groups; 20 patients each repaired with single stage in group I and two stage in group II. Eligible patients included hypospadias with severe chordee and age from 6 months to 12 years. patient were evaluated regarding postoperative complications, cosmetic appearance and parent's satisfaction at 1,3 and 6 months. Results: Patients age ranged from 6 month's to 12 years, fistula was in 6 cases in group I (30%) while group II had no cases of fistula (p=0.039), meatal stenosis was in two cases in each group (p=1). Post-operative complications were 50% versus 10% for single-stage and two-stage repair, respectively. parent satisfaction was excellent in 4 cases in group I (20%) and 7 cases in group II (35%) (p=0.219), very good in 4 cases in both groups (p=1),good in 5 cases in group I (25%) and 9 in group II (45%) (p=0.115) and poor in 7 cases in group I (35%) and 0 cases in group II (p=0.34). There was statistically significant better parents’ satisfaction for the two-stage repair than single stage repair. Conclusion: Two-stage repair was associated with statistically significant less postoperative complications and more parents’ satisfaction than single stage repair.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114864639","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 : 2022-06-01DOI: 10.21608/aumj.2022.237800
M. Kabbash, M. Ismail, A. M. Mohammed, Galal, Ashraf Saad Amin Ahmed
Background: Lower limb Varicose Veins disease among the most prevalent of diseases, it affects all the strata of society, affecting around 20–30% of adults. Objective: Comparing Surgery versus Foam Sclerotherapy in 1ry Lower Limb Varicose Veins treatment. Patients and Methods: This prospective study was conducted on forty patients attended to outpatient clinic of Vascular surgery department Aswan University Hospital with 1ry Lower Limbs varicose veins in one year duration, from January 2018 to January 2019, and admitted to the department. Twenty of them had been Subjected to Surgical Treatment, and the other Twenty patients Subjected to Foam Sclerotherapy Injection. Results: A total of forty patients presented, twenty of them subjected to surgery and the other twenty patients subjected to Foam Sclerotherapy, with net result after one year follow up showed efficacy 85%, and 75% for surgery and Foam Sclerotherapy respectively, and non-significant statistical difference (P value = 0.695 ) to incidence of recurrence of varicosity. Conclusion: Sclerotherapy is promising less invasive, shorter duration intervention, with good short term efficacy, with promising results in comparison to surgery, with need for more data regarding long term efficacy.
{"title":"Comparative study between Surgical Stripping and Foam Sclerotherapy in management of lower limb varicose Veins","authors":"M. Kabbash, M. Ismail, A. M. Mohammed, Galal, Ashraf Saad Amin Ahmed","doi":"10.21608/aumj.2022.237800","DOIUrl":"https://doi.org/10.21608/aumj.2022.237800","url":null,"abstract":"Background: Lower limb Varicose Veins disease among the most prevalent of diseases, it affects all the strata of society, affecting around 20–30% of adults. Objective: Comparing Surgery versus Foam Sclerotherapy in 1ry Lower Limb Varicose Veins treatment. Patients and Methods: This prospective study was conducted on forty patients attended to outpatient clinic of Vascular surgery department Aswan University Hospital with 1ry Lower Limbs varicose veins in one year duration, from January 2018 to January 2019, and admitted to the department. Twenty of them had been Subjected to Surgical Treatment, and the other Twenty patients Subjected to Foam Sclerotherapy Injection. Results: A total of forty patients presented, twenty of them subjected to surgery and the other twenty patients subjected to Foam Sclerotherapy, with net result after one year follow up showed efficacy 85%, and 75% for surgery and Foam Sclerotherapy respectively, and non-significant statistical difference (P value = 0.695 ) to incidence of recurrence of varicosity. Conclusion: Sclerotherapy is promising less invasive, shorter duration intervention, with good short term efficacy, with promising results in comparison to surgery, with need for more data regarding long term efficacy.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122918790","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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