ABSTRACT
Aim of the work: surgical sealants [adhesives] have been widely used in surgery to prevent air leaks [from holes in diseased soft tissues such as lung], liquid leaks [including hemostasis, as for oozing] and as adhesives [to bond two separate tissues, but very rarely]. They have many advantages over traditional techniques [i.e., sutures and staples] such as reducing both operative time and physical load on patients. Sutures have been most extensively used for wound closure, though they have shortcomings such as the highly skilled procedures involved, the long time required for wound closure, and the postoperative removal of non-bioabsorbable Sutures
Methods: forty male patients with primary unilateral groin hernia were randomized to undergo open hernia repair with suture fixation [Group B] or cyanoacrylate glue fixation of the mesh [Group A]. Primary outcome was early and late postoperative pain. Secondary endpoints were use of painkillers after 24 hours, morbidity rate and recurrence rate
Results: early postoperative pain and pain between 48 hours and 1 month after surgery were significantly lower in Group A. Only two patients had chronic pain and both were in Group B. Clinical recurrences were two, both in Group B
Conclusion: cyanoacrylate seemed to be a simple, original, reasonable, feasible, reproducible technique and competitive alternative to the standard tissue-penetrating mesh fixation devices in open inguinal hernioplasty. It is accompanied by a reduction in chronic inguinal pain, with no increase in the early recurrence rate
ABSTRACT
Introduction: Cinema is one of the unique means of mass communication used for entertainment and delivering out information and media messages, it is a communicative means has the benefit of multi-aesthetic aspects that collect movement, picture, and sound effects which make a person's senses and mind are exposed to an excitement degree that affects his attitudes and merge and include himself within and live it. For the previous, television scenes and cinema shots are become overwhelming the viewer for counting basically on the picture language that carries a credibility for being the basis of conviction and persuasion
Problem: Determined in this main question: what is the relationship between cinema direction and university youth exposure to foreign movies in Arab satellites?
Significance: Examining relationship between cinema direction and contents the satellite channels present
Objectives: Identifying the relationship between cinema direction and university youth exposure to foreign movies in Arab satellites
Type and Method: A qualitative study using the sample survey method
Sample and Population: Represented in youth aged [18-21 year olds] in [Cairo University-Ain Shams University-The American University-the British University]. It is administered on a random sample of 400 items [200 males/200 females]
Instruments: A Questionnaire Form
Statistical Treatment Approaches: Chi Square and [Z] Tests
Results: The Rate of those view foreign films permanently in satellite channels represent 92.8%, distributed to 89.5% for males and 96% for females. The ratio of those are watching foreign movies sometimes in satellite channels represent 7.2%, 10.5% for males and 4% for females, Results have explored the relationship between cinema direction and its role in density of viewing foreign movies among Egyptian youth
ABSTRACT
Aim: Assessment of: 1. Functional patterns in patients with refractory idiopathic constipation and its impact on treatment strategies. 2. Role of anorectal myectomy in outlet obstruction
Methods: Forty patients with refractory constipation were subjected to full clinical assessment, perineometry, standard proctography, measurement of the anorectal angle, assessment of colon motility, colon transit time, and anal manometry, assessment of rectal sensation, recto anal inhibitory reflex, electromyography, and rectal biopsy. Anorectal myectomy was performed as a therapeutic and diagnostic procedure
Results: Patients with normal CTT included 56.25% of children and 43.75% of adults. A significant difference was present in perineal descent between patients with delayed CTT and the control group. After anorectal myectomy, there was an overall significantfall in maximum resting anal pressure. The RAIR was present in 66.67% after anorectal myectomy. Rectal biopsy and histopathological examination revealed aganglionosis and diagnosis of ultrashort-segment Hirschsprungs disease in 31.25% with normal CIT and 16.7% with delayed CTT. 75% of patients with delayed CTT and without aganglionosis were initially improved by anorectal myectomy. Patients with ultrashort-segment were cured after anorectal myectomy
Conclusions: Anarectal myectomy is successful in outlet obstruction constipation and is perfect in detection and cure of ultrashort-segment Hirschsprungs disease presenting as refractory constipation
ABSTRACT
Background: Low-sited presacral intrapelvic malignant tumors represent one of the challenging situations for surgeons. Laparotomy alone often does not provide adequate exposure for complete excision of a midline intrapelvic tumor
Objective: To evaluate, describe and discuss the use of PMA in the treatment of intrapelvic malignant tumors which are too high to be approached through the perineum and too low to be excised by laparotomy alone
Patients: A prospective study of eighteen patients suffering from documented malignant Iow-sited intrapelvic tumors. Methods: All patients were subjected to tumor excision through the posterior midsagittal approach. After excision, the rectum was placed in the normal position. The pelvic floor muscles were reconstructed in the midline
Results: The size of the completely resected tumors ranged from 2.5 x 4 cm to 7 x 11.5 cm. Complete excision was amenable in 15 patients [83.33%], while in three patients only partial tumor excision could be done. Histopathological results of resected tumors showed the predominance of prostatic rhabdomyosarcoma in male patients and mature teratoma in female patients. Postoperatively, no complications were recorded. In all the nine patients above 4 years-old, fecal continence was not affected. The function of the bladder remained undisturbed in all patients. Postoperative follow up of patients revealed that patients with complete tumor excision [83.33%] were disease-free during the whole follow-up period, [mean of 24.5 +/- 5.33 months]. Conclusion: Based on the results of this study, it can be concluded that PMA is a safe effective procedure for the radical excision of Intrapelvic malignant tumors which are too low to be approached through the perineum and too high to be reached by laparotomy alone
ABSTRACT
Background: PSARP procedure is claimed to have a better chance of enabling normal continence in later years. Questions have arisen regarding whether PSARP is superior to other repair methods
Objective: This study was designed to analyze quantitatively the clinical, manometric and functional results of PSARP and to compare the results of one stage PSARP with the multistage PSARP
Patients: A prospective study of eighty patients with high anorectal malformation who were selected out of 193 cases admitted in the period from June 1997 to March 2000 to the Main Alexandria University Hospital
Methods: Twenty patients were selected at random for the one-stage PSARP [Group I]. Multistage PSARP were carried out for the remaining sixty patients [Group II]. All patients were assessed by electrostimulation, MRI, manometry, and FCS. Prospective follow up recorded the efficacy of PSARP, the clinical and the functional outcome together with complications. All patients were followed up for a period that ranged from three years to six years with a mean of 4.52 t 0.63 years
Results: Electrostimulation revealed that in only 49 patients [61.25%], the new anal site was found to be central within the muscle complex. 43.75% were continent with good PCS. 28.75% were intermittently continent. 27.5% had involuntary passage of stools at least once a day. One stage operation resulted in a much more superior PCS than the multistage procedure with highly significant difference in the good PCS and poor PCS cases. RAP was < 40 cm H20 in patients complaining of soiling. All continent patients showed MSP > 135 cm H20. There was no clear correlation between RV and sailing, but patients with severe soiling had an RV > 150 mL. 76.25% showed a rectal sensation urge to go. 36.25% showed a normal RAIR
Results: MRI correlated well with PCS and electrostimulation. Eleven patients had postoperative complications
Conclusion: PSARP allows preservation of the anatomy of pelvic floor muscles and limits affection of fecal continence. One stage PSARP is a safe effective procedure which gives the superior results in treatment of patients with high Anorectal malformations. It minimizes postoperative complications, colostomy drawbacks, costs, hospital stay and psychological problems