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Background: Paraumbilical hernia is a common disease and its repair is one of the most performed surgical interventions worldwide. The most important techniques in its repair are hernioplasty and herniorrhaphy and both differ significantly.Methods: We conducted a prospective randomized controlled trial to compare hernioplasty versus herniorrhaphy alone in small-sized paraumbilical hernia as regards local wound complications e.g., seroma and wound infection in addition to recurrence rates, operation time and overall cost, by comparison between two groups each comprising 50 patients.Results: There was no significant difference between both techniques regarding hernia recurrence as well as wound complication. On the other hand, herniorrhaphy reduced significantly incision size, time of operation and overall cost.Conclusions: Our study revealed that herniorrhaphy alone is better in small-sized paraumbilical hernia repair as it showed significant correlation with decrease incision size, time of operation and overall cost.
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Background: Bariatric surgery became the most popular choice in the management of obesity. Laparoscopic sleeve gastrostomy (LSG) and laparoscopic mini-gastric bypass (LMGB) has taken place in weight-loss and improvement in comorbidities.Methods: This was a retrospective cohort study with equal allocation included 112 super-obese patients with body mass index ≥50 kg/m2, which carried out in General Surgery department of Al-Azhar University Hospitals, between January 2016 and December 2018. 56 patients underwent LSG (Group A), and 56 patients underwent LMGB (Group B). Metabolic effect and weight loss outcomes were evaluated over one year.Results: Operative time was shorter in LSG than LMGB (64.3±33.32 min versus 70±37.24 min). There was a highly significant more weight loss in LSG than in LMGB at 6 and 12 months following the surgery. Also, improvement of type 2 diabetes mellitus, hypertension, hyperlipidemia, and quality of life occurred after 1 year in both surgeries.Conclusions: LSG and LMGB were better optimal procedures for super-obese patients with a comparable percent excess weight loss and improvement of associated comorbidities.
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This study was done on 51 adults with rectal prolapse to evaluate the ethanolamine oleate solution injection assisted by suture rectopexy in complete prolapse and alone in partial prolapse. It included 32 patients with complete rectal prolapse, 8 males and 24 females with age range from 20 to 64 years. After full mobilization of the rectum, four-non-absorbable sutures [Prolene sutures, No. 0] were used to fix it to the periosteum of the promontory of the sacrum. A spinal needle attached to an injection syringe was inserted through the skin just outside the mucocutaneous junction. Using a guiding finger in the rectum, the needle was passed through the perianal skin for about 10 cm above the anal verge. Then injection of ethanolamine oleate solution was done in the submucosal plain while we withdrew the needle outside. The injection was repeated in four quadrants at 6, 9, 12, 3 o'clock. Then the rectum was lightly packed with a gauze, which was removed at the following defecation. The results were very encouraging regarding: a] Prolapse management, all patients were cured of their prolapse with no recurrence after follow up period ranged from 16 to 36 months, b] Continence regain, in grade 3 incontinence, 83.5% got full continence and the incidence was 100% in grade 2 and c] No constipation occurred which is a major complication of abdominal rectopexy. Injection alone was done in 19 patients with partial rectal prolapse [6 males and 13 females] with 68.4% success from the first trial and 10.5% success after the second injection. On conclusion, ethanolamine oleate solution injection is safe, effective and cheap method for treatment of partial rectal prolapse and assists abdominal rectopexy in complete prolapse
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Se presentan los resultados de un estudio prospectivo, realizado en 100 pacientes que asistieron a la Maternidad del Hospital Central de Valencia (HCV), en los meses comprendidos entre octubre 88 y enero 89, las cuales se dividieron en dos grupos de 50 pacientes cada uno; a un grupo se le realizó Revisión Manual Endouterina (RME) y un grupo control donde no se realizó la maniobra. La mayor frecuencia de Endometritis Puerperal (EP) se presentó en el grupo de pacientes a quienes se realiza la RME. Las formas clínicas más frecuentes de infección post-parto, fueron: Endometritis Puerperal, Epsiorrafía Infectada y Loquios Fétidos