Introduction: Placenta accreta (PA) is a major life-threating obstetrical burden associated with high morbidity and mortality. This study aims to evaluate the role of measuring myometrial thickness in prediction of placenta accreta in cases with placenta previa centeralis. Aim of the work: Evaluate the role of measuring myometrial thickness in prediction of placenta accreta in cases with placenta previa centeralis. Methods: This is a prospective study carried out at
Background; Pancreaticoduodenectomy (PD) is the commonest utilized standard surgery for both malignant and benign disorders in the pancreatic head. After the resection, pancreaticojejunostomy (PJ) is taken in to consideration as the most vital and problematic method. Methods; this prospective randomized controlled study had been performed in surgery department El Minia University and El Maadi military hospital including 80 patients in 2 groups indicated for PD (40 cases with duct to mucosa PJ (group 1) and 40 cases with invaginations PJ (group 2)) in the period between January 2018 and January 2021 after acceptance from the IRB and obtaining informed agreement from all cases including approval of protocol of treatment. Result; Nonsignificant changes among the study groups regarding the median hospitalization time, the median time to resume oral intakes and drain elimination. POPF happened in 9 (22.5%) cases in group 1 and 15(37.5%) cases in group 2. The POPF severity was detected more in group 1 with nonsignificant variances (Table 3). The in hospital mortalities in this work was 11 (13.75%) cases (8 (20%) cases in group 1 vs. 3 (7.5%) cases in group 2, Conclusion; Duct-to-mucosa method for anastomosis must possibly be the 1st choice. However, among cases who possess too small pancreatic duct, invaginations are mostly the securer and easier to perform procedure. Increased incidence of postoperative pancreatitis, steatorrhea and DM is observed in duct to mucosa PJ.
Aim of the study: Even though laparoscopic hepatectomy (LH) has proved to be both safe and effective in specialized centers; the restricted indications for resection in the case of benign liver lesions has resulted in poorly reported outcomes. Our aim was to describe the short and long-term results of LH to treat benign hepatic lesions, including quality of life (QoL) evaluation. Patients and Methods: Thirty-one LHs were performed between 2016 and 2018 in 30 patients. We evaluated QoL with the SF-36 test and a body image satisfaction questionnaire by personal interview before surgical treatment and at 1 month, 3 months, 6 months and 1 year after surgery. Results: Median age was 38 years (range 21-71) and the majority were females (68%). The most frequent etiology was hepatic adenoma in 16 patients (52%), followed by focal nodular hyperplasia (n = 4), cavernous hemangioma (n = 3), hepatic abscess (n = 3), cystadenoma (n = 5) and hepatolithiasis (n = 1). The majority of resections were minor (66%) and the conversion rate was 6.2%. Pathological examination confirmed negative margins in all patients. Postoperative mortality was nil, while morbidity was 6.2%. Median hospital stay was 4 days (range 1-32 days). In a median follow-up of 48 months (range 2-120), 2 patients experienced recurrence. QoL variables were similar between the preoperative and postoperative periods. Conclusion: LH should be considered the main therapeutic approach for treating selected patients with benign liver lesions who require surgical resection because it presented both null mortality and low morbidity, along with rare recurrence, a good quality of life and high esthetic satisfaction.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.