Sherif Elgazzar - Academia.edu (original) (raw)
Uploads
Papers by Sherif Elgazzar
Benha Journal of Applied Sciences, 2021
Background: Appendicitis is the most common abdominal surgical emergency. There is an approximate... more Background: Appendicitis is the most common abdominal surgical emergency. There is an approximately 6% to 8% lifetime risk of appendicitis. Appendicitis is primarily a disease of adolescents and young adults with a peak incidence in the second and third decades of life. H.pylori colonizes mainly stomach and duodenum but also, reported in other sites. Objective: This study was proposed for finding out if there is a relation between H.pylori infection and acute appenendicitis. Methods: The current study was prospectively conducted at Surgical Department of Benha University and Assiut General Hospital. The study conducted two hundreds patients were clinically, laboratory and radiologically diagnosed to have acute appendicitis. Results: Many authors studied the relationship between appendicitis and H.pylori but still this relation is controversial. This study was done to study if there is a relation between H.pylori infection and acute appendicitis. Two hundred patients with confirmed acute appendicitis were enrolled. Diagnosis of acute appendicitis was done based on clinical, laboratory and radiological data. Majority (63%) of those patients were males with mean age of all patients were 24.12 ± 9.50 years with range between 8 and 62 years. based on blood tests, 143 (71.5%) patients were seropositive while only 57 (28.5%) patients were seronegative. Also, H.pylori antigen in stool was positive in 88 (44%) patients and histopathology of the specimen revealed that only 10 (5%) patients were positive to H.pylori. Also, in the current study; 48.3% of those with seropositive H.pylori had suppurative appendicitis while 59.6% of those with seronegative H.pylori had catarrhal appendicitis. Based on the current we found that patients with seropositive H.pylori had more severe form of acute appendicitis. Till now, there is controversy about role of H.pylori in the pathogenesis of acute appendicitis. Based on the current study, it's recommended to perform such studies prospectively in multiple centers with large sample size. Conclusion: It seems that there is controversy about role of H.pylori in the pathogenesis of acute appendicitis. However seropositive patients are more likely to have perforated and gangrenous appendicitis and have more post-operative SSI.
Benha Medical Journal
Background: Hypospadias is a common congenital anomaly, affecting approximately 1 of 300 live mal... more Background: Hypospadias is a common congenital anomaly, affecting approximately 1 of 300 live male births making hypospadias the second most common birth defect in boys after cryptorchidism. There are more than 100 techniques for urethral reconstruction among these techniques the tubularized incised urethral plate (TIP) which was proposed by Snodgrass and has been the most popular technique for the repair of primary hypospadias. The aim of this work is to assess preputioplasty with Snodgrass technique in cases of distal hypospadias without severe chordea in comparison to correction of hypospadias with circumcision in Snodgrass technique regarding to the results and the outcome. Methods: This is a prospective randomized study that included 40 children with distal hypospadias. Our patients were randomized into two groups. Group 1: (20 patients) underwemt Snodgrass technique with preputioplasty .Group 2: (20 patients) underwent Snodgrass technique with circumcision. Results: In the present study, 18 (90%) of parents in group 1 was satisfied from surgery outcomes and 2(10%) weren"t satisfied. the incidence of early complications was 8 (40%) of cases in group 1 while in group 2, was 5 (25%). The incidence of late complications was 4 (20%) cases in group 1 in group 2, was 6 (30%). Conclusion: Preputioplasty with Snodgrass urethroplasty does not increase the urethroplasty complication rate. In addition, we think that it adds an important cosmetic benefit,that is the normal appearance of penis compared with circumcision.
The Egyptian Journal of Plastic and Reconstructive Surgery, Jul 1, 2021
ABSTRACTBackground: Reconstruction of the lower leg and ankle soft tissue defects is not that the... more ABSTRACTBackground: Reconstruction of the lower leg and ankle soft tissue defects is not that the convenient task, due to the unique anatomy and its variation. Aim of Study: Evaluation efficacy of the Free-Style, Perforator-Plus flap concepts in the reconstruction of the soft tissue defects at lower two-thirds leg, tendo-Achilles and ankle regions.Method: A Prospective (Case Series) Study, was carried on 20 consecutive patients, which performed at the Plastic and Reconstructive Surgery Unit, of General Surgery Department, of Benha University Hospitals, and Department of Plastic and Reconstructive Surgery at Nasser Institute for Research and Treatment in the period from June 2020 to June 2021. Results: 20, consecutive, exclusively males, patients, aged from 3 to 57 years old (Mean 28 ± 12 SD years), had a “Free-Style, Perforator-Plus Flap” reconstructive surgery, to cover defects presented at lower Leg two-thirds (75% of cases), Tendo-Achilles (10%) and Ankle (15%) regions. Flap complications were encountered in 4 cases (20%): 2 cases (10%) had distal congestion, the other 2 cases had distal ischemia, which one of them developed full-thickness distal loss. The final recipient outcome “Defect Coverage” was achieved in all cases (100%). Conclusion: The Free-Style, Perforator-Plus Flap is reliable with relative efficiency, versatile, and has a modest rate of failure and need for secondary surgery. It capable to reconstruct small to relatively large, complex defects (exposed bone or hardware and chronic osteomyelitis) in the distal Leg two-thirds, Tendo-Achilles, and Ankle regions.
Benha Medical Journal
Background: To find out outcomes of the day-case MOCA in the management of great saphenous vein (... more Background: To find out outcomes of the day-case MOCA in the management of great saphenous vein (GSV) reflux. There is a rapid change in the management of great saphenous vein reflux in recent years. MOCA being minimal invasive instead of vein surgery, can be performed by percutaneous catheter ablation without incisions. Patients and methods: This prospective randomized controlled study was conducted on 78 cases (93 limbs); 63 cases with unilateral limb and 15 cases with bilateral limbs with GSV reflux. All patients were treated with MOCA using the Flebogrif catheter using duplex guidance without tumescent anesthesia. Follow-up period was for 6-months. Results: There was satisfactory results and marked improvement of patients' symptoms. Patients experienced significantly less postoperative pain at 1st 2 days (VAS: 1.9 ± 0.6). Patients were discharged within hours and returned back to work within few days. There were 1-week PO minor complications that disappeared by time except only 1 (3.3%) limb of DVT was treated conservatively. At 3-6 months there was residual varicosities only in 6 (6.6%) and treated by foam sclerotherapy. Conclusions: MOCA utilizing Flebogrif catheter and completion foam sclerotherapy are considered very promising interventions to treat GSV reflux; being less invasive, highly effective with good quality of life, less pain, satisfactory cosmoses and rapid return to work.
The Egyptian Journal of Surgery, 2021
Backgroundand purpose To evaluate technical success as a predictor of patency of infrapopliteal a... more Backgroundand purpose To evaluate technical success as a predictor of patency of infrapopliteal angioplasty in diabetic occlusive lesions. Patients and methods This prospective study included 134 cases (critical limb ischemia 100%) that underwent tibial percutaneous transluminal angioplasty. The end point of follow-up was major adverse clinical outcome of the treated segment, which was defined as healing or clinical failure, that is, need for subsequent intervention such as endovascular or surgical revascularization or amputation. Follow-up period was 12 months. Results All patients passed uneventful intervention course, and technical success was reported in 128 (95.5%) cases with minimal complications in ∼36 (26.9%) cases. There was a significant correlation between major adverse clinical outcome and major tissue loss, lesion occlusion, subintimal intervention, and complications (P=0.0001, 0.002, 0.001, and 0.002, respectively). Conclusion There are many predictors of patency after...
Zagazig University Medical Journal, 2020
The Egyptian Journal of Plastic and Reconstructive Surgery, 2021
Benha Journal of Applied Sciences, 2021
Background: Appendicitis is the most common abdominal surgical emergency. There is an approximate... more Background: Appendicitis is the most common abdominal surgical emergency. There is an approximately 6% to 8% lifetime risk of appendicitis. Appendicitis is primarily a disease of adolescents and young adults with a peak incidence in the second and third decades of life. H.pylori colonizes mainly stomach and duodenum but also, reported in other sites. Objective: This study was proposed for finding out if there is a relation between H.pylori infection and acute appenendicitis. Methods: The current study was prospectively conducted at Surgical Department of Benha University and Assiut General Hospital. The study conducted two hundreds patients were clinically, laboratory and radiologically diagnosed to have acute appendicitis. Results: Many authors studied the relationship between appendicitis and H.pylori but still this relation is controversial. This study was done to study if there is a relation between H.pylori infection and acute appendicitis. Two hundred patients with confirmed acute appendicitis were enrolled. Diagnosis of acute appendicitis was done based on clinical, laboratory and radiological data. Majority (63%) of those patients were males with mean age of all patients were 24.12 ± 9.50 years with range between 8 and 62 years. based on blood tests, 143 (71.5%) patients were seropositive while only 57 (28.5%) patients were seronegative. Also, H.pylori antigen in stool was positive in 88 (44%) patients and histopathology of the specimen revealed that only 10 (5%) patients were positive to H.pylori. Also, in the current study; 48.3% of those with seropositive H.pylori had suppurative appendicitis while 59.6% of those with seronegative H.pylori had catarrhal appendicitis. Based on the current we found that patients with seropositive H.pylori had more severe form of acute appendicitis. Till now, there is controversy about role of H.pylori in the pathogenesis of acute appendicitis. Based on the current study, it's recommended to perform such studies prospectively in multiple centers with large sample size. Conclusion: It seems that there is controversy about role of H.pylori in the pathogenesis of acute appendicitis. However seropositive patients are more likely to have perforated and gangrenous appendicitis and have more post-operative SSI.
Benha Medical Journal
Background: Hypospadias is a common congenital anomaly, affecting approximately 1 of 300 live mal... more Background: Hypospadias is a common congenital anomaly, affecting approximately 1 of 300 live male births making hypospadias the second most common birth defect in boys after cryptorchidism. There are more than 100 techniques for urethral reconstruction among these techniques the tubularized incised urethral plate (TIP) which was proposed by Snodgrass and has been the most popular technique for the repair of primary hypospadias. The aim of this work is to assess preputioplasty with Snodgrass technique in cases of distal hypospadias without severe chordea in comparison to correction of hypospadias with circumcision in Snodgrass technique regarding to the results and the outcome. Methods: This is a prospective randomized study that included 40 children with distal hypospadias. Our patients were randomized into two groups. Group 1: (20 patients) underwemt Snodgrass technique with preputioplasty .Group 2: (20 patients) underwent Snodgrass technique with circumcision. Results: In the present study, 18 (90%) of parents in group 1 was satisfied from surgery outcomes and 2(10%) weren"t satisfied. the incidence of early complications was 8 (40%) of cases in group 1 while in group 2, was 5 (25%). The incidence of late complications was 4 (20%) cases in group 1 in group 2, was 6 (30%). Conclusion: Preputioplasty with Snodgrass urethroplasty does not increase the urethroplasty complication rate. In addition, we think that it adds an important cosmetic benefit,that is the normal appearance of penis compared with circumcision.
The Egyptian Journal of Plastic and Reconstructive Surgery, Jul 1, 2021
ABSTRACTBackground: Reconstruction of the lower leg and ankle soft tissue defects is not that the... more ABSTRACTBackground: Reconstruction of the lower leg and ankle soft tissue defects is not that the convenient task, due to the unique anatomy and its variation. Aim of Study: Evaluation efficacy of the Free-Style, Perforator-Plus flap concepts in the reconstruction of the soft tissue defects at lower two-thirds leg, tendo-Achilles and ankle regions.Method: A Prospective (Case Series) Study, was carried on 20 consecutive patients, which performed at the Plastic and Reconstructive Surgery Unit, of General Surgery Department, of Benha University Hospitals, and Department of Plastic and Reconstructive Surgery at Nasser Institute for Research and Treatment in the period from June 2020 to June 2021. Results: 20, consecutive, exclusively males, patients, aged from 3 to 57 years old (Mean 28 ± 12 SD years), had a “Free-Style, Perforator-Plus Flap” reconstructive surgery, to cover defects presented at lower Leg two-thirds (75% of cases), Tendo-Achilles (10%) and Ankle (15%) regions. Flap complications were encountered in 4 cases (20%): 2 cases (10%) had distal congestion, the other 2 cases had distal ischemia, which one of them developed full-thickness distal loss. The final recipient outcome “Defect Coverage” was achieved in all cases (100%). Conclusion: The Free-Style, Perforator-Plus Flap is reliable with relative efficiency, versatile, and has a modest rate of failure and need for secondary surgery. It capable to reconstruct small to relatively large, complex defects (exposed bone or hardware and chronic osteomyelitis) in the distal Leg two-thirds, Tendo-Achilles, and Ankle regions.
Benha Medical Journal
Background: To find out outcomes of the day-case MOCA in the management of great saphenous vein (... more Background: To find out outcomes of the day-case MOCA in the management of great saphenous vein (GSV) reflux. There is a rapid change in the management of great saphenous vein reflux in recent years. MOCA being minimal invasive instead of vein surgery, can be performed by percutaneous catheter ablation without incisions. Patients and methods: This prospective randomized controlled study was conducted on 78 cases (93 limbs); 63 cases with unilateral limb and 15 cases with bilateral limbs with GSV reflux. All patients were treated with MOCA using the Flebogrif catheter using duplex guidance without tumescent anesthesia. Follow-up period was for 6-months. Results: There was satisfactory results and marked improvement of patients' symptoms. Patients experienced significantly less postoperative pain at 1st 2 days (VAS: 1.9 ± 0.6). Patients were discharged within hours and returned back to work within few days. There were 1-week PO minor complications that disappeared by time except only 1 (3.3%) limb of DVT was treated conservatively. At 3-6 months there was residual varicosities only in 6 (6.6%) and treated by foam sclerotherapy. Conclusions: MOCA utilizing Flebogrif catheter and completion foam sclerotherapy are considered very promising interventions to treat GSV reflux; being less invasive, highly effective with good quality of life, less pain, satisfactory cosmoses and rapid return to work.
The Egyptian Journal of Surgery, 2021
Backgroundand purpose To evaluate technical success as a predictor of patency of infrapopliteal a... more Backgroundand purpose To evaluate technical success as a predictor of patency of infrapopliteal angioplasty in diabetic occlusive lesions. Patients and methods This prospective study included 134 cases (critical limb ischemia 100%) that underwent tibial percutaneous transluminal angioplasty. The end point of follow-up was major adverse clinical outcome of the treated segment, which was defined as healing or clinical failure, that is, need for subsequent intervention such as endovascular or surgical revascularization or amputation. Follow-up period was 12 months. Results All patients passed uneventful intervention course, and technical success was reported in 128 (95.5%) cases with minimal complications in ∼36 (26.9%) cases. There was a significant correlation between major adverse clinical outcome and major tissue loss, lesion occlusion, subintimal intervention, and complications (P=0.0001, 0.002, 0.001, and 0.002, respectively). Conclusion There are many predictors of patency after...
Zagazig University Medical Journal, 2020
The Egyptian Journal of Plastic and Reconstructive Surgery, 2021