Role guided intraperitoneal port-a-cath insertion in the managment of cancer ovary of fluoroscopic

The use of intraperitoneal [IP] chemotherapy as a treatment for ovarian cancer has been demonstrated to result in improved survival. The aim of this work is to evaluate the applicability and efficacy of fluoroscopic placed intraperitoneal port-A-cath and to assess the response rate to intraperitoneal chemotherapy in cases of ovarian carcinoma. The studied group included, 22 female patients with malignant ovarian cancer whom referred from gynecological surgery and gynecological oncology units to the Vascular and Interventional Radiology Unit, Ain Shams University Hospitals, for peritoneal port-A-cath application. All the patients were known cases of either primary or recurrent ovarian cancer, underwent cytoreductive surgery and referred to us. Intraperitoneal port-A-cath with the aid of fluoroscopy showed highest technical success [91.9%] and lowest complication rate on the long run compared to other methods of peritoneal access. Patients with cancer ovary showed significant improvement of the disease process denoted by changes in the degree of ascites, peritoneal nodules and tumor marker level after receiving combined IV/ IP chemotherapy. Port catheters proved to be the most safe method of long term access to the peritoneal cavity with the lowest complication rate compared to other methods of access to the peritoneal cavity

Combined duplex ultrasound assessment of peak systolic velocity and waveform acceleration in the penile flaccid state in patients with erectile dysfunction

Duplex ultrasonography in conjunction with intracorporeal injection of vasoactive agent such as papaverine and prostaglandine El is a widely spread method in diagnosis of various type of impotence. However, many searshes accused it as invasive and time consuming method of diagnosis. In addition, it is not the accurate method to diagnose the extent of affection of the penile vascularity in arteriogenic impotence. Our study was performed trying to find if the simple assessment of penile vasculature in the flaccid state can be accurate or not and if there is another confirming parameter that serve assessment of the patients without the invasiveness of the intracorporeal injection of vasoactive agents with its complications