Appraisal of El-Minia university experience in the management of complications of vascular access for hemodialysis

This thesis has demonstrated an experience with vascular access procedures performed over the past three years at El-Menia University Hospital in patients with ESRD. The complications that occurred with these procedures have been reviewed in an effort to determine how they might have been prevented and also how they could be best managed once they are encountered. Of 250 consecutive patients with ESRD who underwent vascular access surgery for hemodialysis, 88 patients developed 108 complications that required medical and /or surgical intervention. 247 patients had autogenous arteriovenous fistula and three patients had exp and ed polytetrafluoroethylene grafts. The complications included 8 hemorrhages, 18 infections, 58 thrombosis, 5 venous hypertension, 3 steal phenomena, 8 venous aneurysms and 8 arterial aneurysms. Twenty-three complications were corrected and the overall failure rate was 34%. Details of management, lessons learned and recommendations were presented

Distal splenorenal shunt. reassessment of rationale from Egyptian perspective

Selective distal splenorenal shunt [DSRS] occupied an important role in the management of bleeding esophageal varices. This role, however, has been challenged by the introduction of new therapies over the past two decades. This encouraged us to reassess our experience with DSRS in order to evaluate its role in the management of portal hypertension at the present time. The results presented in this paper as well as the reported results of the new modalities support the important role of DSRS in the management of variceal bleeding in appropriately selected Egyptian patients