• Local Treatment of Diabetic Foot Ulcers by Hyperoil™: An Unexpected Outcome
    Ahmed Salah Arafa *, Ahmed yehia , Alaa fiad
  • Evaluation of the Effect of Pulsed Electromagnetic Field Therapy in the Treatment of Chronic Wounds
    1Magdy Salah El-Din Hussain, 1Hisham Wefky Anwar, 2Mostafa Mahmoud El Nakib, 1Amr Essam Mosaad*
  • Sandwich Vacuum Bogota versus Conventional Bogota Bag as Temporary Abdominal Closure (TAC) Techniques
    Doaa Ahmed Mansour M.D., FRCS Eng
  • Bleomycin Sclerotherapy for Management of Cervicofacial and Axillary Lymphatic Malformations in Children
    Moutaz Ragab1,Mohamed Hamed Abouelfadl1, Mahmoud M. Marei 1
  • Efficacy and Safety of Systemic Beta Blockers for the Treatment of Infantile Hemangioma
    Moutaz Ragab, Mahmoud M. Marei ,Mohamed Hamed Abouelfadl
  • Comparison between Mass Ligation of Testicular Vessels versus Testicular Artery Sparing during Laparoscopic Bilateral Varicocelectomy
    Wadie Boshra MD, MRCS, Mohammed Attia Elsayed MD, Ahmed S. M. Omar MD.
  • Study of Splenic Injury in Belharzail Hepatic Fibrosis Patients Subjected To Blunt Abdominal Trauma
    Mahmoud Alhussinia, M. Ashraf Balbaab, Ahmed Tarek Awada, Tamer Abdelbakia
  • Choledochal Cysts in Adults: The Clinicopathological Features and Surgical Outcomes in a Single Institute.
    Ahmed El-Gendi1, Mohamed El-Shafei2, Essam Bedewy3
  • Banded Versus Non-Banded Sleeve Gastrectomy “Comparative Study”
    Elsobky A, MD
  • Ultrasound guided sclerotherapy injection of subulcer venous plexus for treatment of chronic venous ulcer
    Ahmed Sawaby1, Islam Atta2, Amr El Abd3,Mohsen Ahmed Abdelmohsen4
  • Impact of Roux-en-Y gastric bypass and sleeve gastrectomy on three common co-morbidities in morbidly obese Egyptian patients: A randomized comparative study
    Ayman M. A. Osman1 MD, MRCS (Eng); Hytham H. Mohey1 M.Sc.; Ahmed M. Ghobashy1 MD
  • Is transfer of surgically risk necrotizing enterocolitis to tertiary center is important from the start?
    Nezar A. Abo Halawa1*, Ahmed El-Abd Ahmed2, Sawsan A. Elkhateeb3, Galal H. Galal3
  • Delayed Primary Closure of Exomphalos Major in a Limited Resource Area
    Nezar A. Abo Halawa1*, Mohamed Yousef Batikhe2
  • Bilateral Thoracoscopic Sympathectomy for Primary Palmar Hyperhidrosis, Which Level: T3 or T4?
    Wadie Boshra MD, MRCS, Abdallah Hamed Ibrahim Khalil MD, Fawzy Salah Fawzy MD, MRCS
  • Comparative study between Tunneled central venous catheter and Infraclavicular Arterio-arterial Prosthetic loop as an access for Hemodialysis in End stage renal disease (ESRD)
    Hussein Ali Mustafa Abdel-Motaleb, Mohammed Ahmed Mohammed Ismail, Islam Mohamed Nabil Atta & Ahmed Mohammed Ahmed Abdel-Rahim*
  • Significance of Metastatic Positive Lateral Group of Lymph Nodes in Patients Undergoing Axillary Dissection for Breast Carcinoma
    Reem Mohamed Ali Abd El Reheem El Masry1, Sameh Abd Allah Maaty2, Anwar A. El Shenawy3, Fawzy Salah Fawzy2

    • Delayed Primary Closure of Exomphalos Major in a Limited Resource Area

    Nezar A. Abo Halawa1*, Mohamed Yousef Batikhe2
    1Pediatric Surgery Unit, General Surgery Department, Qena Faculty of Medicine, South Valley University; 2Pediatric Surgery Unit, General Surgery Department, Sohag Faculty of Medicine, Sohag University

    Background: An omphalocele is a congenital abdominal wall defect consisting of eviscerated abdominal contents within sac composed of a three-layered. However the objective of treatment is tissue closure, there is no agreement exists on the ideal treatment of giant omphalocele. The most popular two strategies now are staged surgical closure and delayed primary closure. Delayed primary closure is associated with more early full feeding, shorter hospital stay and a lower occurrence of sepsis. Objective: evaluate outcomes of delayed primary closure of exomphalos major in limited resource area using topical povidone-iodine. Methods: A prospective study was conducted in the pediatric surgery unit, South Valley university hospital and Sohag university hospital between Jun 2015 to December. A total of 17 neonates with omphalocele were managed by delayed non-operative by painting the sac with betadine and saline. Results: 70.1 % were diagnosed with associated anomalies mostly pulmonary hypoplasia, followed by cardiac anomalies,. There are two cases with prolonged hospital stay 89 & 125 days as they developed sepsis and persistent pneumonia. In addition, two patients were treated for line sepsis.. At present,7 patients have undergone delayed repair (primary fascial closure) at a median age of 12 months (range, 5- 18 months), 4 remain with their original ventral hernia( one of them had progressively diminished in size and 2 has been lost to follow-up . Mean period for epithelization is 2.9 months (2.4- 4.1 months). We had seven cases (41.2%) were diagnosed prenatally. In two cases the sac burst, one during delivery and the other during the transport. Conclusions: Delayed primary closure of exomphalos major after repeated dressing by povidone-iodine is a safe and good option especially in our limited resource locality with restricted availability of silo and poor bad compliance patient. It enhances rapid epithelization with the advantage of twice then once weekly dressing. It decreases the handling of babies with diminished doctor and nursing asset usage. Also, it can be used even by unskilled parents without the nursing direction Key words: omphalocele, delayed primary closure, topical povidone-iodine.

    Full Text