Background: Incisional hernia is a common health problem and its method of repair [open or laparoscopic] is still under debate. Aim of the work: To evaluate the technique and results of the laparoscopic and the open abdominal incisional hernia repair. Patients and methods: This is a retrospective study conducted on 40 patients with abdominal incisional hernia, admitted to general surgery department of Al-Azhar University Hospital [Damietta]. All records were reviewed for patient demographics, preoperative evaluation, operative and postoperative data. The complications were reviewed and compared between groups. These complications included ileus, cellulitis, flap necrosis, infection, hematoma, seroma, cyst, recurrence and other injuries. Results: The open group had a shorter operative time than the laparoscopic group [85.3±13.21 vs 110.0±10.04 minutes, respectively]. However, time to oral intake [hours] and the duration of hospital stay [days] were significantly shorter in the laparoscopic when compared to the open group [9.20±1.2, 1.92±0.69 vs 20.0±2.4 and 2.70±0.68 respectively]. Postoperative complications showed no significant difference between groups. Conclusion:The laparoscopic repair of incisional hernia is a safe and effective alternative to the open repair with a shorter hospital stay, early oral feeding and a lower rate of complications.
Background: Endovenous thermal techniques, such as endovenous laser ablation [EVLA], are the recommended treatment for varicose veins. Non-thermal techniques such as Mechanochemical ablation [MOCA] have potential benefits.
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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