• Subcutaneous Drain Versus Abdominal Binder with Percutaneous Aspiration in Repair of abdominal ventral hernia using polypropylene Mesh: A Comparative Study in 60 Egyptian Patients
    Ahmed Abd Al Aziz, MD1, Nader Sh. Zaki, MD2,Karim G. Moustafa, MD3, M. Fathy Elshaal
  • 3D Dynamic Ano-rectal Ultra-sonography (Echodefecography) vs. Conventional Defecography in Assessment of Obstructed Defecation.
    Abdrabou N Mashhour, Haitham S.E. Omar, Ramy S. Abdelkader.
  • 3D Dynamic Ano-rectal Ultra-sonography (Echodefecography) vs. Magnetic Resonance Defecography in Assessment of Obstructed Defecation
    Hany MS Mikhail, Mohamed M Raslan, Mohamed Y Elbarmelgi, Ramy S. Abdelkader
  • Outcome of anal Fistula Plug as a Sphincter-saving Technique in Management of Complex Ano-rectal Fistula
    Adel Morad Abdallah (M.D.)
  • Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair without Mesh Fixation
    Ahmed S.M. Omar, MD
  • Single HCC with Compensated Liver: Best Surgical Strategy
    H. Said1, Ahmed Khalil1, Ahmed Fathy Hilal2
  • Effect of Laparoscopic Sleeve Gastrectomy in Treatment of Type II Diabetes Mellitus
    Ragai S. Hanna1, George Abdelfady Nashed2, Gamal A Makhlouf 3, Nahed A Makhlouf 4, Manal El Sayed Abdelmooty 5
  • The Effectiveness of Combined Wound and Intraperitoneal Local Anesthesia as Pain Relief in Laparoscopic Cholecystectomy: Prospective Case Control Study
    Ragai S. Hanna1 , George Abdelfady Nashed2,Ashraf, A Helmy 3, Gamal A Makhlouf4, Emad Z.K. Said5, Abdelraouf MS Abdelraouf 6
  • Prospective Study Evaluating Intraoperative and Postoperative Parathyroid Hormone Assay versus Serum Calcium Monitoring to Predict Hypocalcemia after Total Thyroidectomy
    Ramy Mikhael Nageeb1, *, MD, and Shaban M. Abdel Mageed2, *, MD
  • Clipping versus Transection in Endoscopic Thoracic Sympathectomy (ETS) as Regards Postoperative Compensatory Sweating (CS)
    Shawki M.K Sharouda1*; Ramy Mikhael Nageeb2*; MD and Shaban M. Abdel Mageed1*, MD
  • Management of Umbilical Pilonidal Sinus: Complete Umbilical Excision and Immediate Reconstruction
    Sherif Abdel Halim MD, MRCS, Hanna Habib MD, Hossam Elsadek MD
  • Transanal Colonic Pull-through Procedure with Delayed Colo-anal Anastomosis in Complex Colorectal Conditions (Initial Experience)
    Ahmed Morad, MD; Wael A Jumuah, MD; Hanna Habib, MD
  • A Comparative Study between Oncoplastic Breast Surgery and Standard Conservative Surgery: Margin status and Patient Satisfaction among Egyptian Females
    Yasser El Ghamrini, MD. Karim Sabry Abdel Samee, MD, MRCS(Ed), Wael Abdel Aziem Gumuah, MD.
  • Outcome of Harmonic Scalpel Hemorrhoidectomy in Comparison with Bipolar Diathermy
    Anas Mashal MD; Abdallah Magdy MD,FRCS
  • The Effect of TAPP Technique for Hernia Repair with or without Mesh Fixation
    Anas Mashal MD, *Abdallah Abdelwahed MD;**Hady Saleh Abou-Ashour, MD,MRCS

    • Transanal Colonic Pull-through Procedure with Delayed Colo-anal Anastomosis in Complex Colorectal Conditions (Initial Experience)

    Ahmed Morad, MD; Wael A Jumuah, MD; Hanna Habib, MD
    Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Background: Transanal colonic pull-through with delayed colo-anal anastomosis (DCA) is an old surgical technique that comes back again in the last decade to avoid permanent colostomy in challenging complex colorectal conditions. In this study, we assess the feasibility, effectiveness and complications related to the procedure. Methods: A prospective study was conducted from September 2014 to December 2016 including 10 patients with complex colorectal conditions (6 patients had rectal cancer, 3 had massive complete rectal prolapse and one had recurrent infected rectovaginal fistula) underwent transanal colonic pull-through with DCA operation to review its feasibility and effectiveness in these situations and assessing its related morbidities and mortality. Results: The procedure is completed with success in 8 (80%) patients. Tow (20%) patients underwent abdominoperineal resection with permanent colostomy. Two (20%) patients suffered a perineal abscess, 1 (10%) patient suffered a pelvic abscess and 1 (10%) suffered an anastomotic suture line infection. No postoperative mortality recorded. Conclusion: Colonic transanal pull-through with delayed colo-anal anastomosis is a feasible and effective procedure, and could be considered a salvage procedure to avoid colostomy either temporary or permanent types in complex colorectal conditions. Key words: Colonic pull-through. Delayed colo-anal anastomosis. Rectovaginal fistula. Massive rectal prolapse. Low anterior resection.

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