Morphometric Study Of The Sternum In Egyptian Persons By Ct Scan (from 10 To More Than 60 Years Old)

Background: The sternum is one of the bones of the skeleton with frequently detected variation, present studyfocused on morphometric study of the egyptian sternum by CT scan.Methods: 240 CT scan film from individual aged between 10 to more than 60 years divided into 6 groupsaccording to age each group included 40 cases (20 males and 20 females) for estimation of the sternal parameterswhich include the lengths of manubrium, sternal body , xiphoid process , the whole sternal length , detection ofthe variable maturation of the sternum and the presence of sternal foramina, sex variations of results aredetectedResults: The mean length of different parts of sternum was recorded as following: manubrium was 3.8 cm inmales, 3.6 cm in females. The body length was 8.6 cm in males, 7.9 cm in females, The xiphoid length was 2.5 cmin males, 1.9 cm in females. The total sterna length was 14.9 cm in males, 13.6 cm in females. The complete orpartial fusion of the manbriosternal junction is noticed in all the cases above fifty years. The complete or partialfusion of the xiphisternal junction is noticed in most of subjects by the age of forty five years. The pattern offusion of the sternal elements has no relation to sex .The sternal foramen detected only in 8.3 % of cases.Conclusions: Identification of sternal measurement and their anomalies such as sternal foramen has medicolegaland forensic importance

Risk factors and management of venous thromboembolic diseases in donor of living donor Liver transplant

Background: liver transplantation surgically replaces a failing or diseased liver with one that is normal and healthy. At this time, transplantation is the only cure for liver insufficiency or liver failure because no device or machine reliably performs all of the functions of the liver

Aim of the Work: this study aimed to highlight risk factors of the venous thromboembolism in donors of living donor liver transplant and its management

Patients and Methods: this study included 40 patients who underwent hepatectomy for living donor liver transplant. All patients were evaluated extensively, including history and physical examination and specialty consultations when indicated. All patients did haematological studies to detect the risk factors of thromboembolic disease

Results: in patients with manifestations of venous thromboembolism 2 donors have single risk factor for venous thromboembolism and 4 donors have double risk factors

Conclusion: presence of multiple risk factors for venous thromboembolism led to increase in its incidence, so during preoperative assessment of the donors, if they have multiple risk factors for thrombosis some precautions should be taken to avoid venous thrombosis

Recommendations: preoperative precautions include heamatological consultations for the donors and prophylaxis dose of anticoagulant. Intra operative precautions included pneumatic calf pressure, elastic stocking. Finally postoperative precautions should be continued, these donors should take therapeutic doses of anticoagulants and follow up by lower limb venous duplex