Introduction Bile duct injury is a serious complication of cholecystectomy. To fulfill the criteria for a critical view of safety requires Calot's triangle to be cleared free of fat and fibrous tissue. Rouviere's sulcus is a 2–5-cm sulcus running to the right of the liver hilum anterior to the caudate lobe. Aim Our aim is to study critical view of safety and Rouviere's sulcus as extrahepatic landmarks and their benefits in avoiding common bile duct injury. Patients and methods From January 2015 to December 2018 (35 months), in New Damietta University Hospital, 300 patients with calculous cholecystitis undergoing laparoscopic cholecystectomy were included in this study. Results Rouviere's sulcus was present in 293 (97.7%) patients: open type was found in 175 (58.3%) patients, whereas closed type was found in 118 (39.3%) of patients. The sulcus was not present in seven (2.3%) of patients. A critical view of safety was inspected in all patients (100%). There was conversion to open cholecystectomy in two (0.7%) patients owing to severe adhesions which cannot be dissected laparoscopically. No mortality was recorded in the follow-up period. Conclusion Rouviere's sulcus and critical view of safety technique are very helpful extrahepatic landmarks to avoid common bile duct injury and perform safe laparoscopic cholecystectomy.

Information from 23 different treatment centers, for a total of 10,989 cases of laryngeal cancer, has been assembled. It has been possible, so far, to present only a preliminary survey and initial analysis of the material collected; however, despite its imperfections, this study has highlighted some features which are worthy of comment: There are marked geographic differences in the relative frequencies of supraglottic versus glottic cancer. The low incidence of lymph node metastases in glottic cancer has been abundantly confirmed. The bulk of treatment results from different centers are essentially comparable in that the crude five‐year survival rates for all glottic and for all supraglottic cases were not strongly correlated with the type of primary therapy used. There has been no improvement in crude or actuarial survival rates in the period under review (1955–1971). No statement as to quality of survival is possible at the present time, but it is hoped that subsequent information will shed some light on this topic.

Article informationBackground: Patients with diabetes foot wounds had a 2.5-fold higher risk of passing away than diabetic patients without foot wounds did. the development of a diabetic foot wounds is associated with a 5% mortality in the first 12 months and a 42% mortality within 5 years. Aim of the work:The purpose of our study was to evaluate the combination of vacuum assisted closure therapy and platelet rich plasma for management of diabetic foot wound.Patients and methods: This prospective study was conducted at New Damietta University Hospital and National Institute of Diabetic and Endocrinology at Cairo. This study was conducted on 30 patients diagnosed as diabetic foot wound and aim to evaluate the combination of Vacuum assisted closure therapy for two sections par week for two weeks and many patients need three weeks for complete granulation phase and Platelet Rich Plasma injected into wound two sections par week for two weeks for epithelization the wound.Results: Regarding size, depth and discharge of wound on VAC size at baseline was 106.58 cm², depth of 10.7 mm and no discharge was observed. After 7 days, size was 100.58, depth was 7.03 mm and discharge were 172. In day 14, size decreased to 91.52 cm², depth was 3.87 mm and discharge reached 128.67. At day 21 Size was 92.57 cm², depth was 2 mm and discharge were 80. Conclusion:Negative pressure wound therapy is a promising technique gaining rapid popularity in DFU management all over the world.Faster wound healing and shorter hospital stays are observed, with few or no problems. Consequently, it is effective in treating diabetic foot ulcers. PRP therapy is a method for increase the epithelized area of Diabetic Foot Ulcers faster and comfortable for patient compered to standard treatment in this time.

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In most of classic surgical training programs, we have taught how to perform surgery, but we have not taught how to live as a surgeon. Surgeons share many personality characteristics with high achievers, and these characters lend themselves toward negative emotions and burnout. However, surgeons are also in a unique position to take advantages of on many aspects of happiness that they touch upon every day in their pursuit of helping people to feel better. As a group, surgeons need to be aware of and minimize the possible negative aspects of surgery-related inherent nature threatens. They must also be aware of happiness as a reality and explore all aspects of happiness in their professional and personal lives. Here, we tried to explore the potential stressors and their effects among the field of surgery. Finally, the coping strategies are addressed to make a clear view for application in the daily surgical practice. The value of this review to shed light in a dark-area in our surgical community. We hope that, it will present the topic in the heart of surgical teachers.  Conclusion: Surgery related stressors are diverse and have significant risks. However, although we are aware by harmful effects of stressors, the coping strategies not gain the same value and actually did not taught explicitly during residential surgery training. This article presents a light in the dark about the harmful effects of stress on both physicians and their patients aiming to improve the coping strategies. It is also a voice to consider and include coping strategies in surgical curricula.