Minimally access versus conventional hydrocelectomy: a randomized trial.

Objective: To compare our previously published new minimally access hydrocelectomy versus Jaboulay's procedure regarding operative outcome and patient's satisfaction.

Materials And Methods: A total of 124 adult patients were divided into two groups: A and B. Group A patients were subjected to conventional surgical hydrocelectomy (Jaboulay's procedure) and group B patients were subjected to the new minimal access hydrocelectomy.

Laparoscopic transabdominal preperitoneal approach for recurrent inguinal hernia: A randomized trial.

Introduction: The repair of the recurrent hernia is a daunting task because of already weakened tissues and distorted anatomy. Open posterior preperitoneal approach gives results far superior to those of the anterior approach. Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is an evolving technique associated with advantages of a minimally invasive approach.

Operative outcome and patient satisfaction in early and delayed laparoscopic cholecystectomy for acute cholecystitis.

Introduction. Early laparoscopic cholecystectomy is usually associated with reduced hospital stay, sick leave, and health care expenditures. Early diagnosis and treatment of acute cholecystitis reduce both mortality and morbidity and the accurate diagnosis requires specific diagnostic criteria of clinical data and imaging studies.

Modified off-midline closure of pilonidal sinus disease.

Background: Numerous surgical procedures have been described for pilonidal sinus disease, but treatment failure and disease recurrence are frequent. Conventional off-midline flap closures have relatively favorable surgical outcomes, but relatively unfavorable cosmetic outcomes.

Aim: The author reported outcomes of a new simplified off-midline technique for closure of the defect after complete excision of the sinus tracts.

Efficacy of protective tube cecostomy after restorative resection for colorectal cancer: a randomized trial.

Background: The construction of colostomy is associated with decreased physical and psychological well-being as well as decreased quality of life. Cecostomy is the creation of an opening in the cecum to provide colonic decompression.

Objective: This work was conducted to evaluate the efficacy of tube cecostomy as an alternative to colostomy in the managing patients with left-sided colonic carcinoma and rectal cancer in terms of occurrence of postoperative morbidity and mortality and the functional outcome.

Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study.

Background: Inguinal herniorrhaphy remains one of the most common general surgical operations, with approximately 15% performed for recurrence. The repair of the resulting recurrent hernia is a daunting task because of already weakened tissues and obscured and distorted anatomy. The aim of this study is to compare the posterior preperitoneal versus anterior tension-free approach for repair of unilateral recurrent inguinal hernia regarding complications and early recurrence.

Incidence, patterns, and factors predicting mortality of abdominal injuries in trauma patients.

Background: Abdominal trauma is a major public health problem for all nations and all socioeconomic strata.

Aim: This study was designed to determine the incidence and patterns of abdominal injuries in trauma patients.

Materials And Methods: We classified and identified the incidence and subtype of abdominal injuries and associated trauma, and identified variables related to morbidity and mortality.

Assessment of causes and patterns of recurrent varicose veins after surgery.

Background: Varicose vein surgery is characterized by high recurrence rate of 60% after 5 years of follow-up observation, and this is a disappointing finding, both for the patient and surgeon.

Aim: To identify the possible causes and patterns of recurrent varicose veins.

Materials And Methods: 92 patients with recurrent varicose veins were enrolled in this study.

Perforated duodenal ulcer in high risk patients: is percutaneous drainage justified?

Background: Conservative treatment was recommended as the treatment of choice in perforated acute peptic ulcer. Here, we adjunct percutaneous peritoneal drainage with nonoperative conservative treatment in high risk elderly patients with perforated duodenal ulcer.

Aim: The work was to study the efficacy of percutaneous peritoneal drainage under local anesthesia supported by conservative measures in high risk elderly patients, according to the American Society of Anesthesiologists grading, with perforated duodenal ulcer.

Percutaneous dilatational versus conventional surgical tracheostomy in intensive care patients.

Background: Tracheostomy is usually performed in patients with difficult weaning from mechanical ventilation or some catastrophic neurologic insult. Conventional tracheostomy involves dissection of the pretracheal tissues and insertion of the tracheostomy tube into the trachea under direct vision. Percutaneous dilatational tracheostomy is increasingly popular and has gained widespread acceptance in many intensive care unit and trauma centers.

Ancient Egyptian surgical heritage.

Egyptian medicine influenced the medicine of neighboring cultures, including the culture of ancient Greece. From Greece, its influence spread onward, thereby affecting Western civilization significantly. The oldest extant Egyptian medical texts are six papyri: The Edwin Smith Surgical Papyrus and the Ebers Medical Papyrus are famous.

New minimally access hydrocelectomy.

Objective: To ascertain the acceptability of minimally access hydrocelectomy through a 2-cm incision and the outcome in terms of morbidity reduction and recurrence rate. Although controversy exists regarding the treatment of hydrocele, hydrocelectomy remains the treatment of choice for hydroceles. However, the standard surgical procedures for hydrocele can cause postoperative discomfort and complications.

Pneumatosis intestinalis with complete remission: a case report.

Introduction: Pneumatosis cystoides intestinalis is a rare disease characterized by presence of multilocular cysts in the gastrointestinal wall. Rarely, patients may experience symptoms secondary to the cysts. The pathogenesis of pneumatosis cystoides intestinalis is still unclear and many theories have been advocated to explain the exact origin.

Effect of honey versus intergel in intraperitoneal adhesion prevention and colonic anastomotic healing: a randomized controlled study in rats.

Introduction: Intra-abdominal adhesion formation and reformation after surgery are still an unavoidable event in spite of modern surgical techniques and are a cause of significant morbidity, resulting in infertility, pain and intestinal obstruction.

Aim: To investigate the effect of honey in adhesion prevention and colonic anastomotic healing in rats.

Methods: In the present study, 75 male Sprague-Dawley rats were used and divided into 3 groups for study: [25 rats for each], the intergel, honey and control groups.

Multiple splenic abscesses in a rather healthy woman: a case report.

Introduction: Abscess of the spleen is a rather clinical rarity with reported mortality rate up to 47%. The timely and widespread use of imaging methods facilitates early diagnosis and guides treatment, thus improving the prognosis. Most of patients were with recognized risk factors including conditions that compromise the immune system, trauma and intravenous drug abuse in addicts.

Isolated loss of inferior pubic ramus: a case report.

Introduction: It has been stated that regulation of the development of the iliac bone is different from that of the ischium and pubis. There are well-known clinical syndromes concerned with hypoplasia of ischiopubic bone, such as small patella syndrome, nail-patella syndrome, ischiopubic-patellar hypoplasia, and ischiopubic hypoplasia.

Case Presentation: A fit and otherwise healthy 35-year-old woman presented with pain in the left lower limb of 6 months duration.