ABSTRACT: AIM: to do lateral internal sphincterotomy tailored according to length of fissure in patients having hypertonic internal sphincter (IAS) by technique has advantages of open and closed methods. Clinical and anomanometric outcome will be assessed. PATIENTS AND METHODS: 70 patients and 70 controls were subjected to anorectal manometric study. All patients had hypertonic IAS compared with controls. Sphincterotomy was ... Read more

ABSTRACT _Aim: __To compare the therapeutic effectiveness of ultrasound guided needle as pi fat ion versus open __surgical drainage in treatment of liver abscess._ _Patient and Methods: __Between March 2003 and May 2006, 60 consecutive patients with liver __abscesses were treated with intravenous antibiotics and randomized in two groups: ultrasound guided __intermittent needle aspiration (18G disposable trocar needle); and open ... 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: to study different techniques in resection of carcinoma of lower esophagus and cardia with regards to techniques, complications, morbidity, mortality, and survival._ _Methods: from Feb. 2005 to Aug. 2006, this study included 33 patients with operable carcinoma of the lower esophagus or cardia as evident by clinical and investigatory tools including endoscopy and biopsy, patients were classified into: ... Read more

_ABSTRACT_ _BACKGROUND:__ Acute limb ischemia still represents an important dangerous situation in vascular surgery. Delayed presentation of acute ischemia usually leads to catastrophic outcome._ _PURPOSE:__ Late ischemia represented 20.4% of all cases of acute limb ischemia admitted to our hospital during one year period. We were aiming to evaluate such cases with acute prolonged limb ischemia identifying causes of delayed ... Read more

ABSTRACT BACKGROUND : Patients undergoing surgery with prolonged general anesthesia or a period of limited mobility postoperatively, or both, face a high risk of thromboembolism. Surgical procedure is considered as the third most common risk factor for thromboembolism after old age and obesity. AIM : To assess the value of enoxaparin in prophylaxis of venous thromboembolism and possible complications in ... Read more

Abstract Aim: a prospective study to compare different techniques in closing common bile duct after choledocho-lithotomy as T-tube drainage, intra-operative stenting, and primary closure with sphincterotomy as regard indications, operative time, hospital stay, complications, returns to work, coast, and feasibility. Methods: From April 2005 to May 2006, 52 patients suffering from common bile duct (CBD) stone were selected, and operated ... Read more

_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:__ In the period March 2005 to April 2006, a randomly selected sample of 210 patients with post cholecystectomy problems (122 females and 88 males) were collected from surgery department, and managed ... Read more

ABSTRACT Pancreatic pseudocyst is the commonest cystic lesion of the pancreas. When interference is indicated, open surgical therapy is the standard therapy with which other therapeutic modalities should be compared. Recently, endoscopic and laparoscopic approaches were reported for management of these cases. We aimed at exploring the minimally invasive techniques in treatment of pancreatic pseudocysts, namely endoscopic and laparoscopic, and ... Read more

_ABSTRACT_ _In this study, 70 cases of choledocholithiasis were included from general surgery department, Assuit university hospital and Kasr El-Eni university hospital and managed randomly by either approaches including conventional surgery, endoscopic approaches, and laparoscopic techniques._ _Ages of our patients were ranged from 20-60 years (mean 40 years), with slight female predominance (female to male = 1.6: 1), most of ... Read more