• Yield of Adipose-derived Stromal Cells as the Influence of Body Mass Index in Middle Age Group of Egyptian Patients
    Ahmed A. Noreldin*; MD, Rama A. Ali*; MD, Ahmed M. Kenawy*; MD, LobnaY.Ghanem**; MD, Abeya A. Lotfy** ;MD, Ahmed S. Ismail***; Msc.
  • Ligation only versus disconnection ligation in laparoscopic inguinal hernia repair, does it make a difference?
    Tamer A Wafa, PhD, MRCS, Abdelrahman Elshafey, PhD, Mostafa El-Ayoty, PhD, Mohamed Elzohiri, PhD
  • Ultrasound Guided Saline Enema Reduction of Intussusception: Retrospective Analysis, Single Center Experience
    Tamer A Wafa, PhD, MRCS, Abdelrahman Elshafey, PhD, Sherif Abdelmaksoud, PhD, Hesham Sheir, PhD, MRCS, Mohamed El-Ghazaly, PhD
  • Extra-capsular Dissection Versus Superficial Parotidectomy for Clinically Benign Parotid Tumors
    Shaban .M. Abdelmageed and Shawki Sharouda
  • Target Vessel Revascularization of Diabetic Foot According to Angiosomes
    1Adel A. Sied, 2Mohammed A. Rizk, 2Sherif M. Abdel Aziz
  • A Prospective Study Comparing the Effect of Rivaroxaban vs. Enoxaparin Given as a Prophylaxis for Deep Venous Thrombosis in Patients Undergoing Bariatric Surgery
    Reda Saad Mohamed Ezz, Mohamed Abd El Monem Rizk, Medhat Mohamed Helmy Khalil, Ahmed Heshmat Soliman Ahmed
  • Laparoscopic Sleeve Gastrectomy as a Surgical Modality in Management of Pediatric Obesity
    Tamer M. Nabil1 M.D, Ahmed H. Khalil2 M.D, MRCS, Mohamed M. Elbarbary3 M.D
  • The effect ofiliac angioplasty - as a single level correction in patients with multilevelarterialdisease–onimprovingthepatien
    Mohamed Abd El-Monem Abd El-Salam Rizk, MD, Mohamed Ismail Mohamed Ismail, MD, Ramez Mounir Wahba , MD
  • A prospective Randomized Study Comparing the use of Plain PTA Balloon Catheters for Primary Balloon Angioplasty (PBA) Versus Hydrostatic Dilatation to prepare the Cephalic Vein Prior to Creation of Radio-cephalic Arteriovenous for Dialysis
    Mohamed Abd El-Monem Abd El-Salam Rizk1, MD, Mohamed Ismail mohamed Ismail1, Ramez Mounir Wahba1,Waleed Anwar Abd El-Mohsen2
  • Implication of Bariatric Surgery on NAFLD in Obese Patients
    Ahmed Sobhy Abbass Ahmed Elsobky
  • Endovenous Therapy in Chronic Venous Insufficiency of the Lower Limbs Due To Iliocaval Obstruction
    1Yasser M. Salama M.Sc. MRCS, 2Mostafa S. Mahmoud MD
  • Femoro Popliteal Bypass Vs Angioplasty in TASC D Lesion in Endovascular ERA. Is It Time to Change the TASC Recommendations?
    Tarek Ahmed Abd El- Azim, Mostafa Soliman Mahmoud, Mohamed Ismail Mohamed,Ahmad Refaat ELGendi*
  • Comparison between Four different Techniques of Laparoscopic Abdominal Port Entry
    Ahmed Serag Emara, Gad Mohamed Behairy, Amr H Afifi
  • Comparison between Four different Techniques of Laparoscopic Abdominal Port Entry

    Ahmed Serag Emara, Gad Mohamed Behairy, Amr H Afifi
    Department of General Surgery, Faculty of Medicine Ain Shams University

    Background: Creation of the pneumoperitoneum is the first and most critical step of a laparoscopic procedure because that access is associated with injuries to the gastrointestinal tract and major blood vessels and at least 50% of these major complications occurs prior to commencement of the intended surgery. This complication rate has remained the same during the past 25 years. Objective: To focus on the safety of the most used methods of entry into the peritoneal cavity in laparoscopic surgery with particular attention to patients submitted to previous surgery without comorbidities. Patients and Methods: Types of studies: prospective study. This study was conducted at Ain Shams university Hospital and El-Minia University Hospital in the duration from January 2018 till July 2018. The studied cases were divided in four groups of ten patients each comparing between different techniques of laparoscopic port entry in the abdominal wall: Group (A): open technique Group (B): visiport technique. Group (C): veress needle technique Group (D): closed entry technique. Results: We compared between different techniques of laparoscopic entry (Open-entry technique, Veress Needle entry, Direct-vision entry, closed entry technique). Our study reported no events of failed entry in different groups of laparoscopic port entry techniques. Conclusion: Overall, there is insufficient evidence to recommend one laparoscopic entry technique over another. More studies are required with larger sample size to determine the safer technique of laparoscopic port entry in the abdominal wall.