• Reconstruction of Acute Traumatic Defects around the Knee; our Experience with The Lateral Superior Genicular Flap
    Hatem Elsahar, Khaled Sadek, Waleed Elmoez Reda
  • Reconstruction of Fingertip Amputation: our Experience with the Hatchet Flap
    Khaled Sadek, Dawlat Emara, Hatem Elsahar, Waleed Elmoez Reda, Moamem Fayez Sarameejo
  • Treatment of Early Oesophageal Cancers: Current Consensus
    1Sameh A. A. Mikhail, 2Nader S. Zaki, 3Tamer M. Nabil
  • Accuracy of Orbital Volume Measurement by Computed Tomography
    Shaimaa Mostafa1, Waleed E Reda1, Hamed M Kadry1, Amr A Zaky1,Mohamed A Hussein1, Karim M Mousa2
  • Catheter Directed Thrombolysis for Initial Management of Acute Iliofemoral Deep Venous Thrombosis
    Abdulrahman Mohamed Salem1& Fouad S Fouad2
  • Outcome of Pouch Reduction Following Roux-en-Y Gastric Bypass
    Mohammed Matar, Fady Makram, Wadie Boshra
  • Outcomes of Laparoscopic Sleeve Gastrectomy and Mini-Gastric Bypass as a Revision Surgery after Failed Gastric Banding
    Mohammed Matar, Fady Makram, Gamal Fawzy
  • Comparative Study between Single Stage (Mini-bypass) Versus 2 Staged Operations (Sleeve Gastrectomy Followed by Mini-bypass) for Management of Super-obese Patients with BMI Over 60
    Mohamed Mahfouz, Ahmed Hussein Abdelhafez
  • Comparative Study between Duodeno-jejunal Bypass and Ileal Transposition (DJB &IT) in Management of Type II Diabetes Mellitus (DM) in Obese Patients with BMI 30-35
    Ahmed Hussein Abdelhafez, Mohamed Mahfouz
  • Fistula Plication versus Distal Revascularization with Interval Ligation (DRILL) in the management of Dialysis-Associated Steal Syndrome (DASS)
    Amr Saleh Elbahaey, Hossam Zaghloul Yousuf, Haitham A.Eldmarany
  • Endovascular Treatment of TASC D Lesions in the Femoro-popliteal Arterial Disease; Feasibility and Short-term Results
    Mohammed H. Eldessoki 1, Haitham A.Eldmarany 2, Ahmad Gamal1
  • Coverage of Penoscrotal Defects using Local Flaps
    Youssif Khachaba, Tarek Ashour, Laila Aboul Nasr, Sherif Zamer
  • Short Hospital Stay for Laparoscopic Cholecystectomy, Review of Indications and Outcomes of Day Care Surgey
    1Ahmed M.S.M Marzouk, 2Heba O.E Ali
  • Laparoscopic Cholecystectomy with Abdominoplasty: Description of a Technique
    1Sameh Mikhail, 2Khoweiled Abd ElHalim, 1Mohamed Hassan
  • Conventional vs Three Positions Marking Technique in Inverted-T Superior Pedicle Reduction Mammoplasty
    1Waleed AlBadry, MSc, MRCS; 1Raafat Gohar, MD; 1Ashraf El-Sebaie, MD; 2Mohamed Salah, MD; 1Mohamed Ashraf El Meleigy, MD

    • Short Hospital Stay for Laparoscopic Cholecystectomy, Review of Indications and Outcomes of Day Care Surgey

    1Ahmed M.S.M Marzouk, 2Heba O.E Ali
    1General Surgery;2Diagnostic Radiology Department,Faculty of Medicine, Cairo University

    Background: laparoscopic cholecystectomy is the recognized procedure for the treatment of gallbladder related illness. The expression "day surgery", includes admission for an elective surgical procedure and discharge in the same day of admission. Aim: The aim of this study is to assess the laparoscopic cholecystectomy as day case procedure with review of the inclusion indications and outcomes. Patients and Methods: A retrospective review from March 2015 to December 2016 of 114 patients who needed laparoscopic cholecystectomy, 62 of were randomly included as day surgery procedure per certain inclusion and exclusion criteria including American Society of Anathesiologists (ASA) classification, Body Mass Index(BMI), and co-existing morbidities. Analysis of operative time, total hospital stay, presence of comorbidities, post-operative discharge criteria and Post discharge follow up. Results: Among 114 cases presented with gall bladder disease, 62 cases had laparoscopic cholecystectomy on day surgery basis according to the inclusion criteria, 29 (46.8%) males and 33 (53.2%) females were included, Age was (23- 59, Mean 38.35 Years), BMI was (20.21 – 36.1, Mean 31.15 Kg/m2). 44 patients (71%) of the patients had no comorbidities, while 18 (29%) had controlled diabetes mellitus and/or hypertension. Hospital stay was (9-15, Mean 12 Hours), operative time was (32-140, Mean 64.5 minutes) post-operative start of oral intake was (230 – 490, Mean 290 minutes). In 4 patients (6.4%) single episode of vomiting was observed. All the patients were discharged with pain scale (0-2/10) using Wong-Baker FACES Pain Rating Scale. 17 patients (27.4%) needed pre-operative intramuscular NSAID injection, while in 33 patients (53.2%)) additional 3-4 hours post-operative Paracetamol infusion was needed, moreover in 12 patients (19.4%) Addition of tramadol injection were given. All the patients were discharged safely with was no reported case of conversion to open surgery, fever, vomiting or need for overnight stay. Conclusion: Laparoscopic cholecystectomy is a safe day care procedure based on good patients’ selection and adherence to proper perioperative surgical and anaesthetic management. Key Words: Laparoscopy – Cholecystectomy – Day care. 

    Full Text