_Abstract_ _Purpose:_ This prospective study was undertaken to study and evaluate different techniques used in management of post cholecystectomy problems namely surgery, endoscopy, and percutaneous manipulation. _Patients & Methods:_ A randomly selected sample of 210 patients with post cholecystectomy problems (122 females and 88 males) were collected from surgery department, and managed accordingly using surgery (40 attempts), endoscopy (207 attempts), ... Read more

ABSTRACT _Aim:_ to evaluate safety and efficacy of harmonic scalpel in closure/division of the cystic duct and artery, and bladder dissection in laparoscopic cholecystectomy as a single working instrument, with the use of two working trocars technique, compared with regular laparoscopic clip/cautery, three trocars technique. _Method:_ A prospective study included 160 patients with symptomatic gall stone disease were randomly assigned ... Read more

ABSTRACT _Background: _Laparoscopic distal pancreatectomy (LDP) has been shown to be an effective surgical option for benign lesions in the body and tail of the pancreas. However, its advantages and disadvantages have not been well characterized. In this study, we compared the outcomes of LDP and open pancreatectomy performed in our clinic. _Materials and Methods:_ Peri- and postoperative outcomes were ... Read more

ABSTRACT _AIM:_ to evaluate safety and efficacy of harmonic scalpel in closure/division of the cystic duct and artery, and bladder dissection in laparoscopic cholecystectomy as a single working instrument, with the use of two working trocars technique, compared with regular laparoscopic clip/cautery, three trocars technique. _METHOD: _A prospective study included 160 patients with symptomatic gall stone disease were randomly assigned ... Read more

Change is a part of surgery and change is never easy to accept. At the dawn of surgery, excellence was associated with big incisions, hence the dictum: big surgeon – big incision. In 1987, Philippe Mouret performed the first laparoscopic cholecystectomy. The Anglo-Saxon world called it the "second French revolution": Minimally invasive surgery was born representing one of the greatest ... Read more

*- What is NOTES *- Indications of NOTES *- The use of NOTES in surgical practice *- Difficulties of NOTES *- Progress of NOTES *- Future implications of NOTES Read more

Abstract _Aim:_ a prospective study to compare PG versus PJ after PD in Assuit. _Methods:_ From July 2006 to Jan. 2008, 30 patients were included, and randomized into PG, and PJ groups, then followed up. _Results:_ PD resection followed PG in 16 patients (53.3%), and PJ in 14 patients (46.6%). no difference observed as regard patient characteristics, pre-operative, and intra-operative ... Read more

_Abstract_ _Purpose:_ A prospective study to evaluate post cholecystectomy problem management. _Patients & Methods:_ From Mars 2005 - April 2007, 210 patients were managed using endoscopy, percutaneous approaches, and surgery. _Results:_ Endoscopy was therapeutic in 183 cases {stones (81), stricture (55), leakage (35)}, and only diagnostic in 24. Percutaneous approaches were done in 34 cases as diagnostic in 19 cases, ... Read more

ABSTRACT _AIM:__ is to emphasize inguinal mega hernia management with resection of the cord. _ _A case of 60 years blind male patient presented to the casualty department at 20 December 2008, complaining of two weeks history of complicated inguinal hernia, diagnosed to be giant, neglected, strangulated, Lt. sided complete oblique inguinal hernia, enterocele, with patches of scrotal skin gangrene ... Read more

ABSTRACT _Aim:_ to evaluate safety and efficacy of harmonic scalpel in closure/division of the cystic duct and artery, and bladder dissection in laparoscopic cholecystectomy as a single working instrument, with the use of two working trocars, compared with clip/cautery, three trocars technique. _Method:_ A prospective study included 160 patients with symptomatic gall stone disease were randomly assigned for laparoscopic cholecystectomy ... Read more