• Evaluation of the Assessment Tools to Predict Axillary Status Postneoadjuvant Chemotherapy in Locally Advanced Breast Cancer
    Hisham Khalifa MD1, Ahmed Touny MD1 , Ihab Saad1 , Ahmed Abd elmaabood2 , Iman Hussein3 , Sherif Maamoon1
  • A comparative Study of 3 cm and 6 cm Pre-pyloric Starting Point for Sleeve Gastrectomy as Regard Post-operative Weight Loss and Vomiting
    Mohamed Abd El-Moneim El-Masry(MD); Muhammad El Marzouky (MD); Yehia Fayez (Msc)
  • Ultrasonographic Assessment of Internal anal Sphincter Integritypost Open and Stapling Approaches for Haemorrhoids
    Ahmed M.S.M. Marzouk MD, Hany M.S. Mikhail MD, Abdrabou N Mashhour MD, Emad Fathi MSC
  • Short Term Results of Revisional Laparoscopic Bariatric Surgery after Open Vertical Banded Gastroplasty (VBG): Sleeve Versus Bypass
    Mohamed Abd El-Moneim El-Masry(MD); Hussein Oukasha(MD)
  • Percutaneous Retrieval of Migrated Central Venous Catheters
    Mohamed El-Maadawy, MD & Amr Abdelraheem, MD.
  • The Use of Tetracycline Sclerotherapy as an Option in Management of The Refractory Postmastectomy Seroma
    Mohamed I Abdelaziz, MD, Salah S. Soliman,MD, Hany F Habashy
  • A Comparative Prospective Randomized Study between Laparoendoscopic Single Site Heller Myotomy with Dor Fundoplication and Multiple Port Laparoscopic Myotomy with Toupet Fundoplication for Treatment of Achalasia
    Wael L. Tobar, A Ayad MD, A Morad* MD
  • Pneumatic Compression versus Pulsed Ultrasound for Venous Leg Ulcer Treatment
    Haidy N. Ashem MD. and Mohamed Yehia MD.
  • Surgery for the Malignant Residual Cervical Stump.
    Ahmed Touny MD, Amr Selim. MD
  • Idiopathic Granulomatous Mastitis: Is a Challenging Disease
    Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD
  • Perforator Flaps for the Reconstruction of Axillary Defects: Different Designs and Applications
    Ahmed Ali Ebrahiem Ali, M.Sc.
  • Minimally Invasive Non-Dissecting Technique Otoplasty for Prominent (Bat) Ears Deformity
    Amr Ibrahim Fouad (MD), Ashraf AbolFottoh (M), Sameh El Noamany Mohamed Hazem (MD)
  • Short-term Outcomes of Infrapopliteal Angioplasty for Critical Lower Limb Ischemia
    Ahmed Samir Hosny.M.D.MRCS (Ed); Mohamed El Maadawy. M.D
  • Role of Laparoscopy in Management of Intra-abdominal Tumors
    Waheed Yousry Gareer MD, Mohamed El-Sayed Safa MD, Amr Seliem MD

    • A Comparative Prospective Randomized Study between Laparoendoscopic Single Site Heller Myotomy with Dor Fundoplication and Multiple Port Laparoscopic Myotomy with Toupet Fundoplication for Treatment of Achalasia

    Wael L. Tobar, A Ayad MD, A Morad* MD
    Department of Surgery, Kasr El Aini, Cairo University Department of Internal Medicine, Kasr El Aini, Cairo University

    One of the newest minimally invasive surgical techniques, is single-port laparoscopic Heller myotomy, for the treatment of achalasia, which has the potential to provide better cosmetic outcomes ,in addition to less wound pain and decreased recovery time.The objective of this study was to compare single port laparoscopic myotomy with the traditional multiple port myotomy for achalasia. patients were randomly prospectively divided into two groups.Group (A) with 8 patients, had a single site laparoendoscopic myotomy with anterior Dor fudoplication, and group (B) 8 patients undergone traditional laparoscopy with posterior toupet fundoplication. Laparoscopic surgery was performed in all cases with no need for conversion .The study included 11 females (68.7%) and 5 males (31.3%), ages of the patients ranged from 38-67 years. The operative time for the patients in group (A) was 152 minutes range(125-166 min),while in group (B) was 98 minutes range(88-122 min).We had a single perforation of the oesophagus in group A which was detected intraoperatively and primarily closed with no postoperative leakage, also we had a single case of wound infection in group B patients which resolved conservatively. Laparoscopic Heller myotomy safely relieves symptoms of dysphagia. Confinement is short and satisfaction is very high with the single port myotomy. Relief of esophageal obstruction is paramount whether single or traditional multiple port myotomy. Key words:Laparoendoscopic single site myotomy,Heller’s myotomy, achalasia. 

    Full Text