Publications by authors named "Salah Elsalmy"
Article Synopsis
- The study examines a 10-year experience in laparoscopic repairs for various female genitourinary fistulae, focusing on both conventional and LESS techniques.
- A total of 46 patients were analyzed, with the majority having vesicovaginal (VVF) or vesicouterine (VUF) fistulae, and procedures resulted in no intraoperative complications and a mean hospital stay of just over three days.
- The findings indicate that laparoscopic repairs, including LESS methods, are effective and safe, providing a high success rate and reduced recovery time compared to traditional approaches.
Article Synopsis
- The study aimed to define the learning curve for laparoendoscopic single-site surgery (LESS) by analyzing data from an experienced laparoscopist who performed the procedures from 2009 to 2014.
- A total of 179 patients were analyzed, with procedures mostly focused on upper urinary tract surgeries; the study found low complication rates, particularly in more experienced hands.
- Results indicated that performing at least 30 LESS procedures is essential for achieving professional competence, highlighting that even with increased difficulty, complications and conversions remained low among experienced surgeons.
Article Synopsis
- - The study compares laparoendoscopic single-site surgery (LESS) and minilaparoscopy (ML) for treating upper urinary tract issues, involving 60 patients randomized between the two techniques.
- - Both groups had similar operative times and blood loss, but LESS patients reported less pain (lower Visual Analog Scale scores) and required fewer pain medications post-surgery compared to ML patients.
- - Cosmetic results after 12 months favored LESS, showing better scar assessments, while complication rates and hospital stays were comparable for both surgical methods.
Article Synopsis
- Recent findings suggest that LESS (Laparoendoscopic Single-Site Surgery) is a promising minimally invasive treatment for pediatric urologic issues, but prior studies have been limited in scope.
- This report presents the largest case series of pediatric LESS, involving 22 children who underwent 39 procedures from January 2011 to June 2013, all performed by a skilled surgeon without complications.
- Results showed high rates of satisfaction with aesthetic outcomes and successful repairs in patients with specific conditions, indicating the viability of LESS in urologic pediatric care.
Article Synopsis
- The study investigates the effectiveness of laparoendoscopic single-site pyeloplasty (LESS-P) across seven international institutions, analyzing various functional outcomes in 140 adult patients.
- Most procedures involved dismembered reconstructions with an average operative time of about 202 minutes and low intraoperative complication rates, although 18.6% of patients experienced complications within 90 days post-surgery.
- Results showed a high success rate, with 93.4% of patients reporting symptom resolution and notable improvements in kidney drainage, indicating that LESS-P outcomes are comparable to those of traditional laparoscopic techniques.
Article Synopsis
- The study introduces laparoendoscopic single-site surgery (LESS) for repairing vesicouterine fistula (VUF) and compares it to traditional laparoscopic repair methods.
- Eleven women participated, with six undergoing traditional repair using five ports and five receiving LESS repair, which used a single access point and an additional port for suturing.
- Results showed no complications in either group and similar effectiveness, but LESS repair was associated with slightly less blood loss and shorter hospital stays, indicating it may be a less invasive option.
Article Synopsis
- This study analyzes data from 101 patients who underwent laparoendoscopic single-site nephroureterectomy (LESS-NU) across 15 institutions between 2008 and 2012, focusing on their demographics and surgical outcomes.
- The average operating time was about 221 minutes, with a blood loss of approximately 232 mL; complications occurred in 10% of patients, and the average hospital stay was around 6 days.
- The study concludes that while the early outcomes for LESS-NU are promising and comparable to standard laparoscopic techniques, further research is needed to assess the long-term effectiveness and cancer recurrence rates of the procedure.
Objective: After failure of medical and behavioral therapy in enuresis, the usual next step is to investigate using urodynamics. The aim of this study was to determine the actual benefit and optimal method of urodynamics in the treatment of refractory enuresis.
Methods: This prospective randomized study included 56 patients: 17 males and 39 females with an age range of 7-16 years.
Article Synopsis
- The study examined the incidence and risk factors for complications related to laparoendoscopic single-site surgery in urology, involving 1,163 patients from 21 institutions.
- Results showed a low complication rate (3.3% intraoperatively and 9.4% postoperatively) but a high conversion rate (19.6%), with specific factors increasing the risks of conversion and complications.
- The findings suggest that this surgical method is relatively safe and effective when patient selection is handled carefully, which can help inform both surgical practice and patient counseling.
Objective: To describe for the first time the technique of laparoendoscopic single-site surgery (LESS) for repair of vesicovaginal fistula (VVF). LESS has recently been described as an alternative to conventional laparoscopy for the treatment of various urologic pathologic features.
Methods: The present study included 5 female patients with supratrigonal VVF who presented with urinary leakage per vagina after obstetric and gynecologic procedures.
Introduction And Objectives: Retroperitonoscopic nephrectomy in children was considered by some authors to be the final gold standard in children. Hence, we reviewed our data focusing on the safety and efficacy of the procedure.
Materials And Methods: In the period from November 2005 till February 2010, 35 patients were operated by a single surgeon (the first author); patients comprised 18 boys and 17 girls, with a mean age of 7.
Article Synopsis
- Laparoscopic repair of vesicovaginal fistula (VVF) is a minimally invasive procedure that shows promising results based on recent experiences with 15 female patients.
- The surgery involved closing the bladder and vagina using a technique that interposes omentum to enhance healing, with a smooth operation recorded (mean time 171.6 mins) and no complications during or after the procedure.
- Follow-up results (mean 18.9 months) indicated that all patients experienced successful outcomes, highlighting the effectiveness and safety of this laparoscopic approach for treating VVF.
Introduction And Hypothesis: Vesicovaginal fistula (VVF) is a distressing urologic disorder. We describe a new technique that adds a third layer of closure during vaginal repair of VVF.
Methods: Twenty female patients with low VVF were included.
Objectives: Surgical treatment of a congenital bladder diverticulum is indicated in symptomatic children. Diverticulectomy can be performed by an open or a laparoscopic approach. We report our recent experience in using the pneumovesicoscopic approach for accomplishing vesical diverticulectomy.
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