Publications by authors named "Fethi Chebbi"
Purpose: The Tokyo guidelines for diagnostic criteria and severity assessment of acute cholecystitis (AC), published in 2007, recommend early laparoscopic cholecystectomy (ELC) be done as soon as possible after the onset of symptoms. We conducted this study to analyze the changes in the therapeutic strategy for AC in a surgical center in Tunisia after the Tokyo guidelines were published.
Methods: Between January, 2005 and January, 2013, 649 patients underwent cholecystectomy for AC at the Department of Surgery, Mohamed Tahar Maamouri Hospital in Nabeul, Tunisia.
Article Synopsis
- The paper focuses on improving the management of penetrating cardiac injuries in a general surgery department through the creation of an initial assessment algorithm based on the authors' experience.
- This retrospective study reviews 19 patients aged around 25, all with stab wounds to the heart, highlighting that 42% were critically unstable and 21% had cardiac tamponade.
- Findings emphasize the importance of quick transfer to the operating room and effective surgical management, while also noting that stable patients could undergo additional investigations before treatment.
Vesico-sigmoid fistula is a rare complication of colic diverticular disease. It develops when the bladder sticks to an inflammatory colon making of a communication between the bladder and the digestive segment, usually the sigmoid. Liquid usually passes from the colon to the bladder because of the existing pressure gradient.
View Article and Find Full Text PDFWe report a case of hepatic artery aneurysm suggested by the appearance of epigastric mass. The diagnosis was confirmed by doppler sonography and helical CT. Surgical excision of the aneurysm without vascular reconstruction was carried out.
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