Oncoplastic breast surgery (OPS) is a new strategy for expanding breast-conserving surgical options, lowering mastectomies rates, and preventing deformities. OPS is based on the use of plastic surgical reconstruction after breast cancer removal. The study aims to assess volume displacement oncoplastic procedures for early primary breast cancer in terms of recurrence and cosmoses. A case series study was done on 20 patients with early breast cancer who underwent oncoplastic volume displacementtechniques in the period from March 2019 to March 2021 in Kafrelsheikh University Hospital, Egypt. OPS techniques included were Racquet, Benelli, Batwing and Grisotti technique. The study concluded that OPS are oncologically safe (100%) with no recurrence and a better aesthetic outcome (90%).Keywords: Mastectomy, Breast Cancer, Plastic, Oncoplastic.

The objective of this prospective randomized study was to compare outcome and complications between LGCP and LSG.Patients and methods: This study was performed on 40 patients randomly categorized into 2 groups through a computer randomization program. Group P included 20 patients who underwent LGCP. This group was compared to 20 patients who underwent LSG. (Group S). The mean length of follow up was 65.1±15.7 and 63.9±15.6 months (P = 0.810).Results: Mean operative time was 117±17.9 in group P and 111±17.3 minutes in group S (P = 0.31). Mean hospitalization time was 4.85±1.81 and 3.55±1.32 days (p = 0.013). Mean time for return to normal activity was19.2±3.69 and 18.9±4.29 days (p = 0. 0.81). There was no surgery related mortality. One at each group (5 %) needed conversion to open surgery. Eleven patients (55.0 %) in Group P and 5 patients (25.0 %) in the Group S had minor complications (p 0.02). One patient (5 %) in Group P had port-site bleeding. In Group S gastric leak occurred in 1 patient. She was treated by re-stapling the leak site and placing an abdominal drain. One patient in the group S required readmission during the first 30 days after surgery, for subphrenic abscess that was treated conservatively. (p: 0.41). During late follow-up, there were 3 surgical interventions, laparoscopic cholecystectomy was done for cholelithiasis in one patient from each group and hernioplasty for umbilical port hernia was done to the other Group P patient. Loss of feeling of hunger at 6, 12 and 60 months postoperatively showed significant differences. The patients in Group S had a greater BMI loss and PEWL after surgery compared with those in Group P. No weight loss failure was observed in any patient of the two groups. After 12 months follow-up, the major comorbidities improved markedly in both groups, and there was no significant difference between the two groups. The mean patient satisfaction score for was 8.75±1.35 versus 9.04±1 (p = 0.51). Conclusion:LGCP is feasible and safe when applied to morbidly obese patients, but compared with LSG it is inferior to LSG as a restrictive procedure for weight loss, despite its less cost and simpler procedure.

Background & aim: Many operative methods have been described for treatment of pilonidal sinus, however, no one is completely satisfactory. The Aim of this study was to compare modified Limberg flap transposition versus Karydakis flap reconstruction in patients with sacrococcygeal pilonidal disease.Methods: A prospective randomized study was conducted on 40 patients with denovo sacrococcygeal pilonidal diseases at General Surgery Department in Tanta University Hospitals throughout the period from June 2013 to June 2014. The patients were randomly divided into two groups: Group "A" (The patients subjected to modified Limberg flap transposition) and Group "B" (The patients subjected to Karydakis flap reconstruction). This study Compares results of wound infection, wound disruption, wound haematoma, duration of surgery, time of hospital stay and recurrence rate.Results: The majority of our patients were males(85%), drivers(48%),with no significant difference between the two groups regarding duration of surgery or hospital stay. 5% of the patients in group "A" developed wound infection versus 25% in group "B" while no patient in group "A" developed wound disruption versus 20% in group "B". No patient in group "A" had recurrent disease versus 15% in group "B" and this difference was statistically significant. Conclusion:Modified Limberg flap had a superiority over Karydakis flap in the ability to excise all tracts if extensive pilonidal sinus, low incidence of wound infection, and wound disruption, shorter hospital stay with no recurrence. We recommend the use of modified Limberg flap in the treatment of pilonidal sinus disease.

Background and aim: Total thyroidectomy has been the treatment of choice for patients with malignant thyroid disease. However, the efficacy and safety of this procedure for patients with benign disease is still a matter of debate. The aim of this study was to evaluate safety and efficacy of total thyroidectomy in treatment of bilateral benign thyroid disease.Methods: A total of 60 patients underwent total thyroidectomy between January 2013 and May 2014 at General Surgery Department in Tanta University Hospital. Patients with thyroid cancer or suspicion of thyroid malignancy were excluded. Type of benign disease, cancer incidence (histopathological surprise), complication rates, and local recurrence rate in the follow-up period were evaluated.Results: Diagnoses before surgery were; Euthyroid multinodular goitre (n = 42, 70%), Graves disease (n = 11, 18.2%), toxic multinodular goitre (n = 5, 8.3%), and recurrent goitre (n = 2, 3.4%). Temporary unilateral recurrent laryngeal nerve palsy occurred in one patient (1.7%). We observed no temporary or permanent bilateral recurrent laryngeal nerve injury. Temporary hypocalcemia occurred in 5 patients (8.3%) with no permanent hypocalcemia. Postoperative seroma occurred in one patient (1.7%). There was no postoperative hemorrhage, infection or mortality. During the follow-up period, we observed no disease recurrence.Conclusion: Total thyroidectomy is safe and is associated with a low incidence of disabilities, recurrent laryngeal nerve palsy and hypoparathyroidism. Furthermore, it seems to be the optimal procedure, when surgery is indicated, for Graves disease and multinodular goitre, as total thyroidectomy has the advantages of immediate and permanent cure and no recurrences. It also eliminates the requirement of completion thyroidectomy for incidentally diagnosed thyroid carcinoma.

Objectives: To determine the incidence of seroma formation after breast cancer surgery, and its association with common risk factors.Method: The correlational study was conducted at the General Surgery department of Kafrelsheikh University Hospital, Egypt, from March 2020 to March 2022 and comprised patients having breast cancer stage I, II or III, as per the Tumour- Node-Metastasis classification, who were scheduled to undergo modified radical mastectomy, breast conserving surgery or reconstructive surgery. Baseline, intraoperative and postoperative data was collected on a proforma. Data was analysed using SPSS 22.Results: Of the 50 female patients with mean age 45±5.20 (range: 20-70 years), 30(60%) were in the elderly group aged >45 years, while 20(40%) were aged <45years. Overall, 12(24%) cases developed seroma; 9(30%) in the elderly group. There were 24(48%) cases of modified radical mastectomy, and 8(33.3%) had seroma. Electrocautery was used for breast dissection in 30(60%) cases, and, among them, seroma developed in 10(33.3%) patients.Conclusion: Age, body weight, afflicted breast side, site, and size of breast mass were not found to be significant predictors of seroma formation following breast cancer surgery.Keywords: Seroma, Breast neoplasms, Neoadjuvant therapy, Electrocoagulation, Wound healing, Lymph nodes, Obesity.