Background: This study aimed to evaluate concurrent transurethral resection of the prostate (TURP) and laparoscopic totally extraperitoneal (TEP) inguinal hernia repair with determination of outcomes as combined versus separate procedures in the era of COVID 19. Materials and Methods: This prospective randomized control study was conducted at Theodor Bilharz Research Institute hospital from 2021 to 2022. It included 52 patients with co-existing uncomplicated unilateral or bilateral primary inguinal hernia and significant benign prostatic hypertrophy were operated in the same sitting in group A while in separate sessions in group B. The following outcomes were compared: duration of the surgery, conversion to open surgery (TURP or TEP), intraoperative and post-operative complications, duration of hospital stay, recurrence, patient satisfaction and pain scores, time taken to resume normal activity and cost of the treatment. Results: This study included 52 patients with a mean age of 53 years (range of 45–80 years). The average time taken for the surgery was 126 min in group A while in group B was 140 min with no conversion to open prostatectomy or open hernia repair. The mean post-operative stay was 1.2 days in group A while in group B was 4.8 days.
The purpose of the current study is to conduct a systematic review of the literature on techniques and functional outcome of arthroscopic lateral ankle ligament repair in chronic ankle instability. Methods: A systematic search of MEDLINE, EMBASE, and Cochrane Library databases was performed during August 2019. Included studies were evaluated with regard to level of evidence (LOE) and quality of evidence (QOE) using the Coleman Methodology Score. Thirteen studies from a total of 506 studies were included, a single level I study and one level II four level III, six level IV and one level V study according to established criteria. The QOE in all studies was of poor or fair quality. Preoperative American Orthopedic Foot and Ankle Society (AOFAS) showed an improvement from average score (range, 41.2 to 69.9) to average postoperative score (range, 89.2 to 98), the average improvement in AOFAS score (range, 22.8-54.2) at a mean follow-up for 18.6 months. Seven studies used Karlsson -Peterson (K-P) scores, with an average postoperative scores (range, 76.2 to 93.6) at a mean follow-up of 19.2 months. The comparative studies showed similar clinical outcomes between arthroscopic and open procedures. All studies reported a mean complication rate of 11.7% with patients treated with arthroscopic repair.
Background: In Biliary enteric anastomosis procedures, hepatico-jejunostomies are a crucial step. Depending on the situation, the hepatico-jejunostomy operation procedure varies depending on the surgical school, and can be continuous or interrupted. Patients and Methods: A prospective comparative randomized study included 100 Patients complaining of malignant pancreatic tumour (65%), iatrogenic bile duct injury (20%), multiple common bile duct stones (10%) and liver transplantation of cirrhotic patients (5%) underwent hepatico-jejunostomy anastomosis to review a multi-center experience of hepatico-jejunostomy anastomosis in Theodor Bilharz Research Institute and Faculty of Medicine of Cairo University with regard to the types of anastomosis performed, early and late complications, and long-term patency and outcomes. Results: According to the type of suturing technique, hepatico-jejunostomy anastomosis patients are sub grouped into posterior interrupted sutures group A and posterior parachuting sutures group B. A significant direct correlation of leakage in group A with obstructive jaundice (r = 0.327 and p value = 0.02), CBD diameter (r = 0.408 and p value = 0.001), and Duct wall thickness (r = 0.408 and p value = 0.001) While there were inverse correlations with pre-operative stent (r = -0.375 and p value = 0.01).
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