patterns of presentation of haemorrhoids in Suez Canal area

The patterns of presentation of haemorrhoids were studied in 1100 patients. In this study haemorrhoids were twice as common in males than females. Eighty patients [7.8%] had 1st degree haemorrhoids, 710 [64.5%] had 2nd degree, 250 [22.7%] had 3rd degree and 60 patients had 4th degree haemorrhoids [5.5%]. The main presenting symptoms were bleeding [72.5%], prolapse [35%], pain [17.2%], and discharge +/- pruritus [23.3%]. Multiple associated ano-rectal lesions were present in 20.8%, including fissures [8%], fistulae [4%], perianal haematomas [1.9%], rectal prolapse [5%], polyps [1%] and cancer rectum [0.9%]. The multiplicity of these associated lesiens may determine to some extent the patterns of presentation of haemorrhoids in Egypt

Ethanolamine oleate sclerotherapy for vaginal hydroceles

Ethanolamine oleate is used nowadays to obliterate the hydrocele sacs. Since this method of treatment would offer a simple cure for patients as well as providing economic benefits, we investigated its usefulness in 29 patients with vaginal hydroceles. The amount of injected ethanolamine oleate ranged from 5-20 ml. according to the amount of aspirated fluid. Our cure rate of 93.1% after a follow up period of 24 weeks proved that ethanolamine oleate is a cost effective and safe treatment for patients with vaginal hydroceles

Observations on drainage versus non drainage after elective cholecystectomy

Drainage versus non drainage after elective cholecystectomy was studied in 50 patients with chronic cholecystitis. It was noticed that routine drainage after cholecytectomy is not always harmless as it may increase the incidence of post operative fever, pain, wound sepsis, localized peritonitis, pulmonary complication and the hospital stay

Preincisional intraperitoneal of sodium cephapirin as prophylaxis to wound infection

In a prospective randomised clinical trial the value of preincisional intraparietal injection of Sodium cephapirin [Cefatrexyl] was assesed as a prophylactic antibiotic. Fifty patients divided into two group [25 each] was studied, average age was 23 years, all oprations were in the inguinal region. One group received the antibiotic, the other group was used as control. The results showed a significant [P<0.05] decrease in wound sepsis and hospital stay. We concluded that the use of sodium cephapirin as a preincisional intraparietal prophylactic antibiotic diminished post operation wound sepsis and hospital stay, also the drug has no local or systemic adverse reactions when injected subcutaneously