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Outcomes of Unibody Bifurcated Endograft and Aortobifemoral Bypass for Aortoiliac Occlusive Disease
Baker Ghoneim,Mohamed Elsherif,Mohamed Elsharkawi,Yogesh Acharya,Niamh Hynes,Wael Tawfick,Sherif Sultan 대한혈관외과학회 2020 Vascular Specialist International Vol.36 No.4
Purpose: We compared the outcomes between the total endovascular approach usinga unibody bifurcated aortoiliac endograft and the gold standard aortobifemoralbypass (ABF) surgery for the management of extensive aortoiliac occlusive disease(AIOD). Materials and Methods: This retrospective observational study compared the outcomesof endovascular technique with unibody bifurcated endograft (UBE) usingthe Endologix AFX unibody stent-graft and a standard surgical approach (ABF) inthe management of AIOD based on patient records in Western Vascular Institute,Galway University Hospital, National University of Ireland. Procedural details andoutcomes were documented to compare both groups. Results: From January 2002 to December 2018, 67 patients underwent AIOD (20UBE and 47 ABF). Both the ABF and UBE groups showed 100% immediate clinicaland technical successes without 30-day mortality. There were no statisticaldifferences in the overall survival and sustained clinical improvement betweenthe bypass and the UBE groups; however, statistically significant differences wereobserved in 3-year freedom from re-intervention and amputation-free survival. Furthermore, the mean length of the intensive care unit (ICU) stay was significantlylower in the UBE group than that in the ABF group (0.75 days vs. 3.1 days,P=0.001). Conclusion: Total endovascular reconstruction of AIOD is an alternative to invasivebypass procedures, with a shorter ICU stay.
( Yahya Al Abed ),( Mohammed Elsherif ),( John Firth ),( Rudi Borgstein ),( Fiona Myint ) 대한내과학회 2012 The Korean Journal of Internal Medicine Vol.27 No.3
There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.
( Mohammad Kamal Abdelnasser ),( Mohamed Eslam Elsherif ),( Hatem Bakr ),( Mohamed Mahran ),( Moustafa H. M. Othman ),( Yaser Khalifa ) 대한슬관절학회 2019 대한슬관절학회지 Vol.31 No.1
Purpose: Outcomes following total knee arthroplasty (TKA), whether clinical, radiological or survival analysis, have been well-studied. Still, there are some concerns about patient satisfaction with the outcome of the surgery and factors that might contribute to a suboptimal result. This study aims to determine if there is correlation between primary TKA malalignment and early patient-reported outcome measures (PROMs). Materials and methods: Sixty patients, who had primary TKA and a minimum of 2 years of follow up, were recruited for a detailed clinical and radiological examination. Knee alignment was measured in the coronal, sagittal and axial planes. Normal and the outlier measurements of the patients’ knees were defined and the clinical results (PROMs) compared to see if there was a statistically significant difference. Results: Correlation between postoperative limb malalignment in the coronal and the sagittal planes and PROMs was not significant. Conversely, there was significant negative correlation between all types of malrotation and PROMs. Conclusions: Although malalignment has been linked to inferior outcome and implant survival, our results showed that coronal and sagittal limb malalignment has no significant effect on early PROMs. However, all types of component rotational malalignment significantly worsen early PROMs.
Hamdy Abdelmawla Aboutaleb,Eid Abdel-Rasoul Elsherif,Mohammed Kamal Omar,Tarek Mohammed Abdelbaky 대한남성과학회 2014 The World Journal of Men's Health Vol.32 No.1
Purpose: We aimed to evaluate the efficacy of using testicular biopsy histopathology as an indicator of the success of loupe-assisted subinguinal varicocelectomy in non-obstructive azoospermia (NOA) patients.Materials and Methods: In a 2-year period, a prospective study was carried at Minoufiya University Hospital on 20 NOA patients with clinical bilateral varicoceles. These patients underwent loupe-assisted subinguinal varicocelectomy with simultaneous testicular biopsy. All patients were evaluated by determining their hormonal profile and performing semen analyses and scrotal Doppler and transrectal ultrasonography. Two semen analyses showing azoospermia were performed before the surgery and two semen analyses were received at 3 and 6 months post-operatively for follow-up.Results: The mean age was 29.9±6.7 years, and the mean follow-up duration was 17.3±8.3 months. We noted the restoration of spermatogenesis in six men (30% of all patients). Testicular biopsy results were as follows: hypospermatogenesis in 7 patients, maturation arrest in 3, and Sertoli cell-only syndrome in 10. The improvement in the sperm counts of these patients ranged from 3 million to 15 million/mL. Sperms were recovered in the hypospermatogenesis (6 patients, 85.5%) patients only, but other patients with testicular biopsy results of Sertoli cell-only or maturation arrest did not show any improvement in their semen parameters. Conclusions: Testicular biopsy results showed that hypospermatogenesis patients have a better chance of improvement in their semen analysis after varicocelectomy in contrast to NOA patients with Sertoli cell-only syndrome or maturation arrest.