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Teadching-Assistant - مدرس مساعد الجراحة العامة وجراحة وزراعة الكبد والبنكرياس والقنوات المرارية

Faculty of medicine

Address: سوهاج - شارع الترعة المردومة - خلف المستشفى الجامعى


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Impact of aberrant left hepatic artery ligation on the outcome of liver transplantation
The preservation of a graft’s aberrant left hepatic artery (LHA) during liver transplantation (LT) ensures optimal vascularization of the left liver but can also be considered a risk factor for hepatic artery thrombosis (HAT). In contrast, ligation of an aberrant LHA may lead to hepatic ischemia with the potential risk of graft dysfunction and biliary complications. The aim of this ... Read more

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study
Background Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. Methods This is a multicenter, international prospective ... Read more

2018 | Keywords Graft Steatosis,
BACKGROUND: Steatotic grafts are more susceptible to ischaemia-reperfusion injury than are normal grafts. Therefore, using steatotic grafts for liver transplantation (LT) is associated with high primary dysfunction and decreased survival rates. The aim of this study is to evaluate the impact of graft steatosis on post-LT outcomes. METHODS: A retrospective cohort analysis of 271 LT recipients from 2005 to 2016 ... Read more

Does Histopathology Predict the Outcome of Fatty Liver Resection and Transplantation?
Hepatic steatosis is widely considered as substantial risk factor for postoperative complications after major hepatectomy and liver transplantation. Nonetheless, studies have been inconsistent regarding the extent of steatosis pertinent to aggravation of liver injury. Furthermore, a significant number of studies failed to show any link between hepatic steatosis and worse postoperative outcome. The confusion is further nourished by the conflicting ... Read more

Review on Liver Steatosis and its Impact on Liver Transplantation
The lack of available organs for liver transplantation (LT) associated with the increased death rates among patients on the waiting lists for LT has triggered the use of so-called extended criteria donor (ECD) grafts. Among the wide range of these ECD livers, hepatic steatosis is one of the most frequent disorders, which is mostly related to an increasing prevalence of ... Read more

2016 | Keywords emergency abdominal surgery,
Mortality of emergency abdominal surgery in high-, middle and low-income countries
Background: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI). Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing ... Read more

Fast track program in liver resection: a PRISMAcompliant systematic review and meta-analysis
Background: FT program (FT) is a multimodal approach used to enhance postoperative rehabilitation and accelerate recovery. It was 1st described in open heart surgery, then modified and applied successfully in colorectal surgery. FT program was described in liver resection for the 1st time in 2008. Although the program has become widely accepted, it has not yet been considered the standard ... Read more

Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resourcepoor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally. Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified ... Read more

2015 | Keywords staged hepatectomy, ALPPS,
ALPPS Procedure for Extended Liver Resections: A Single Centre Experience and a Systematic Review
Aim To report a single-centre experience with the novel Associating Liver Partition and Portal vein ligation for Staged hepatectomy (ALPPS) technique and systematically review the related literature. Methods Since January 2013, patients with extended primary or secondary liver tumors whose future liver remnant (FLR) was considered too small to allow hepatic resection were prospectively assessed for the ALPPS procedure. A ... Read more

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