Background Cardiothoracic surgeons are facing a big challenge in their surgical practice in the era of the COVID-19 pandemic. The attitude towards performing surgery is influenced by the pandemic. Setting special recommendations for safe cardiothoracic surgery is of extreme importance. Methods This was an observational cross-sectional survey that included 77 Egyptian cardiothoracic surgeons. The survey consisted of a self-administered constructed questionnaire with six sections, and was delivered as a Google Forms questionnaire ( https://www.google.com/forms/about ) that was sent to individuals via social networks and email. Results More than 80% of Egyptian cardiothoracic surgeons believe they and their patients are at risk. Out of all participants, none had actually been infected with COVID-19 but 26% had encountered a positive COVID-19 person in their surgical team. Although 51% were testing patients before surgery, they reported 9 confirmed cases postoperatively. Computed tomography was the most recommended investigation prior to surgery (by 69%). Most had postponed elective surgeries and only one-third of all surgeons recommended performing elective surgeries cautiously with pretesting for COVID-19 and maximizing protective measures, while more than 40% recommended not performing high-risk elective surgeries. Conclusion We are committed to the safety of our patients, ourselves, our staff, and our families. Planning for the new phase of reopening, whether total reopening or step-by-step reopening, should carefully consider how we should utilize our resources, respect social distancing, and prevent exposure to untested patients or health workers who might turn out to be an undetected positive case.

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Context Middle lobe syndrome (MLS) is a special clinical and radiographic condition that is commonly misdiagnosed in the routine pediatric clinical workup. Delay in the diagnosis may cause irreversible damage of the middle lobe with poor response to medical treatment and may indicate its surgical resection. Aims To evaluate the clinical presentations, diagnostic lines, and surgical management of right MLS in children. Settings and design This is a retrospective descriptive study that involved the records of 26 patients diagnosed as having MLS and referred for surgical resection of middle lobe in the period between March 2012 and May 2019. Patients and methods We reviewed the hospital data of the selected patients in a retrospective manner regarding age, sex, symptoms, duration of these symptoms and the underlying etiology, the findings of chest radiograph, computed tomography, sputum culture, and pathology used for diagnosis. Fiberoptic or rigid bronchoscopy was performed before surgery for diagnostic and/or therapeutic purposes. Standard right middle lobectomy was done in all cases, and postoperative follow-up of clinical symptom improvement and complications was done. Statistical analysis used Graphical representation of the numerical data is present in the form using bar charts. Results We studied 18 (69.2%) females and eight (30.8%) males, with a mean age of 8.09±2.9 years. Clinical findings were cough in 76.9% of patients, expectoration in 38.5%, intermittent hemoptysis in 11.5%, chest pain in 19.2%, dyspnea in 34.6%, and 30.7% presented with recurrent or prolonged fever. The mean duration of symptoms was 27.4±16.7 months. Asthma is the most frequent underlying illness (23%). Bronchiectasis of the middle lobe was the most common radiologic (50%) and pathologic finding (42.3%). Tuberculosis was the final pathology in one patient and hydatid cyst was the cause in other one. Surgical resection of the middle lobe was done without reported mortality and with only few minor complications. Conclusion Lobectomy of the right middle lobe is a good choice for management of children with MLS who did not respond to medical treatment with low rate of complications.

Background / Study Objective: to asses and present our short and intermediate outcome i early repair of Esophageal Atresia with TracheΟ-Esophageal Fistula Patients: 24 patients diagnosed as EA with TEF treated at our hospital (Zagazig University Hospital, collected over a period of 4 years from Jan 2012 tell October 2016 Objectives: is to evaluate the short and long outcome of surgical repair of TracheΟesophageal fistula Methods: From Jan 2012 tell October 2016, All cases diagnosed as EA with TEF treated at our hospital where included in this study. The follow up period was 2 year in average, age, sex, weight at birth, associated anomalies, surgical approach, postoperative complications and outcome. Results: 24 newborns (16 males and 8 females) with EA/TEF were treated at our hospital with an average weight 2.1 kg (700 g to 3200 g). Aged from birth to 3 days. At the time of admission 1 (4.16 %) had aspiration pneumonia. Early esΟphago-esophageal anastΟmosis was decided for all cases Conclusion: Factors contributing to mortality included prematurity, low birth weight, presence of associated serious anomalies, and delay in diagnosis or aspiration pneumonia.