• A Prospective Study for Evaluation of Efficacy of Ligation of the Intersphincteric Fistula Tract (Lift) for Treatment of Patints with Fistula-In-Ano
    Mustafa Biomy and Eslam M. Ibrahim
  • A Comparison of Laparoscopic and Open Repair of Perforated Duodenal Ulcer Using Omental Patch: A Prospective Randomized Controlled Trial
    Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
  • The Value of Preoperative Ultrasound In Predicting Technical Difficulties During Laparoscopic Cholecystectomy
    Ahmed Mahmoud Hussein1 M.D.; Ahmed Abd Alaziz Mohammad1 M.D.; Ahmed Mohammed Ahmed Nasser2 M.Sc.
  • Iliofemoral Venous Stenting for Patients with Chronic Post-thrombotic Venous Occlusive Disease
    Sherif Essam Eldin Tawfik, MD; Abdelrahman Mohamed Salem, MD
  • Peroneal Artery Angioplasty As a Single Runoff Vessel for Foot Revascularization in Patients with Critical Limb Ischemia
    Abdelrahman Mohammed, MD, Ahmed Kamal Gabr, MD, Sherif Essam Eldin Tawfik, MD
  • Fat Harvesting from the Excised Dermolipectomy Flaps for Fat Augmentation in Various Individuals
    Ashraf Elsebaie MD, Ahmed Abdelsalam Hafiz MD, Ahmed Maher MD, Rasha Abdelkader MD
  • Evelauation of the use of Gastrisailtm Gastric Positioning Device during Laparoscopic Sleeve Gastrectomy, Early Experince
    Ahmed M.S.M Marzouk, Haitham S. Omar
  • Feasibility of Round Block Mammoplasty As a Single Technique For Different Quadrants T1,T2 Malignant Breast Lesions. Fayoum University Hospital experience. A study of 25 patients.
    Hany F. Habashy
  • Laparoscopic Cholecystectomy following ERCP in One Day: A Retrospective Study
    Maged Rihan, MD, MRCS
  • Sleeve Gastrectomy with Hiatus Hernia Repair in 25 Egyptian Morbid Obese : Short Term Results
    Karim Sabry (MD, MRCS) , Wael A Jumuah (MD) ,Yasser El Ghamrini (MD)
  • Polypropylene Suture Fixation versus Fibrin Glue in Lichtenstein Inguinal Hernia Repair: A Prospective Randomized Study
    Ahmed Shoka, MD, MRCS, Fady Makram, MD, FACS, Mohamed Matar, MD, FACS.
  • Effect of Two Bariatric Procedures on Macro- and Micronutrient Levels Inspite of Multivitamin Supplementation
    Mohammed Matar,1 MD, FACS, Ahmed Shoka,1 MD, MRCS, Heba Nader,2 MD
  • Complicated Acute Cholecystitis; Protocol of Management
    Mokhtar Abd Elrahman Bahbah, MD; Ehab M Oraby, MD.
  • Motor Bike Accident is a Main Cause of Maxillofacial Fractures Presenting to Cairo University Hospitals: A Retrospective Study
    Youssif Khachaba, Waleed Reda, Ahmed Abd El Salam, Ahmed Samy Saad Hussein, Nadeen Mohamed El Essawy, Ashraf El Sebaie
  • Early Results of Arterioarterial Prosthetic Loop As a Bail Out Procedure in End Stage Renal Disease Patients With Multi-Access Failure
    Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • The Role of Carbon Dioxide As a Safe Contrast Agent in Endovascular Treatment of Chronic Lower Limb Ischemia in Patients with Renal Impairment or Iodinated Contrast Allergy
    Mahmoud Hamda MS, Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
  • Plastibell Versus Bone Cutting Techniques in Neonatal and Infantile Circumcision: A Retrospective Study and Review of Outcomes
    Ahmed M.S.M. Marzouk
  • Modalities of Pre-Operative Marking Techniques for Breast Reduction & Mastopexy
    1Waleed AlBadry, MSc, MRCS;1Raafat Gohar, MD; 1Ashraf El-Sebaie; 2Mohamed Salah, MD;1Mohamed Ashraf El Meleigy, MD

    • Evelauation of the use of Gastrisailtm Gastric Positioning Device during Laparoscopic Sleeve Gastrectomy, Early Experince

    Ahmed M.S.M Marzouk, Haitham S. Omar
    Department of General Surgery, Faculty of Medicine, Cairo University

    Aim: Laparoscopic sleeve gastrectomy (LSG) has markedly evolved for the management of morbid obesity; The dissection complications is the main concern. GastrisailTM is a recently released gastric positioning system technology aiming to facilitate better control of potential surgical complications. In this work, we evaluate the GastrisailTM positioning system use, with its impact on the early surgical outcome. Methods: Retrospective comparative study of GastrisailTM Gastric positioning system comparing its use in 20 patients against 20 patients had sleeve gastrectomy without its use with assessment of the effectiveness and impact on the operative and early postoperative outcomes. Results: Patients’ characteristics in (Group A) 16 (80%) were females and 4 (20%) were males, age was (Mean 33.75/ SD 6.48), BMI (Mean 43/ SD 3.97), while in (Group B) 13 (65%) were females, and 7 (35%) were males, age (Mean 37.35/ SD 4.36), BMI (Mean 44.19/ SD 4.06), Mean operative time was 140 Min. and 162.6 Min. Mean gastric dissection in both groups was 24.9 and 37.3Min., mean gastric stapling time was 32.2 and 37.4 Min respectively. Number of ports used was 4 ports in 14 patients (70%) and 5 ports in 6 patients (30%) for (group A), 5 in 18 patients (90%) and 6 in 2 patients (10%) in (Group B), number of needed stapling reloads (60 mm) was 5 in 11patients (55%), 6 in 8 patients (40%), 7 in one patient (5%) (group A), and 5 in 4 patients (20%), 6 r in 13 patients (65%) and 7 in 3 patient (15%) in (group B). Intraoperative bleeding from solid organ injury in 2 cases in (Group A) and 5 cases in (Group B) (P value < 0.01). Conclusion: Despite the added cost of the use of GastrisailTM Gastric positioning system, the early outcomes push the use of such device to ensure safer surgery. However, larger randomized studies are required. 

    Full Text