• Misplacement of Central Venous Catheters, Abnormal Presentations, Abnormal Sites and Their Possible and Available Solutions
    Amr Abdulbaky, Ahmed Elmahrouky
  • Endovascular Aortic Revascularization As A First Line of Treatment of Complex Aorto-Iliac Occlusive Disease in Patients with Co-Morbidities Precluding Open Surgery
    AmrAbdulbaky, Ahmed Elmahrouky, Ahmed Sayed, Ahmed Gamal
  • Is Obesity A Restricting Factor for Abdominally Based Free Flaps in Breast Reconstruction?
    Ashrf Abo-Elftooh Khalil, Ahmed F. AboRady, Ahmed Nawwar, Ahmed Ragab Morsi
  • Clinical and Experimental Evaluation of Delayed Lipomodelling after Breast Cancer Surgeries
    Khaled E. Soliman M.D, Medhat M. Anwar M.D, Yasser S. Ahmed M.D, Samy E. Ibrahim M.D, Moustafa M. Abd El-Baki M.D, Mohamed H. Sultan M.Sc.
  • Evaluation of the Endovascular salvage outcome for dysfunctional arteriovenous fistula according to the site of the lesion
    Hisham Mostafa (MD)1 , Usama Lotfi (MD, MRCS)1 , Ahmed Abdulrahman (MSc) 2
  • Management of Catheter Related Fibrin Sheath by Balloon Disruption
    Mohamed El-Maadawy, MD, Ahmed Gamal, MD & Usama Lotfi, MD
  • Combined Therapy of Mixed Hemangiomas with Systemic BetaBlockers and Pulsed Dye Laser
    Mahmoud S. Elbasiouny
  • Midterm Outcomes of Endovascular Treatment of TransAtlantic InterSociety Consensus Class C &D Aortoiliac Occlusion
    Ahmed El-Marakby¹, Ahmed Faragaly¹
  • The Predictors of Success and Effectiveness of Tibial Angioplasty in Patients with Critical Limb Ischemia
    Hossam Elmahdy, M.D, Walied Eldaly, M.D, Baker Ghoneim, M.D
  • A Randomized Controlled Trial Comparing Harmonic Scalpel and Electrocautery Dissection in Modified Radical Mastectomy
    Dina Hany1,*, MD, Wafi Fouad2,*, MD and Ramy Mikhael Nageeb1,*, MD
  • A Comparative Study of Hand Sewn Small Intestinal Anastomosis; End to End Versus Side to Side Anastomosis
    Dina Hany1,*, MD, Wafi Fouad2,*, MD and Ramy Mikhael Nageeb1,*, MD
  • The Study of Survivin Expression by Immunohistochemistry in Gastric Carcinoma
    Khaled E. Soliman1 , Noha M. Ragab2 , Omar Shebl Zahra3
  • Advantages of Ultrasound Guided Aspiration of Breast Abscess in Comparison To Incision and Drainage
    1Emad Abdellatif Daoud1M.D and 2Dahlia M. Dalam, M.D
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    Mohamed Riad and Basem M. Sieda
  • Knots Versus Endoclips for Stump Closure In Laparoscopic Appendectomy
    Ahmed Mahmoud Hussein1MD; Nader Makram Milad1MD; Mohammed Diaa Sarhan 1 MD; Ahmed Shaddad Abdel Wahed2 M.Sc.
  • Endoscopic Assisted Management of Orbital Floor and Infra-orbital Rim Fractures
    1Gamal El Zaiady, 2Rasha Abdelkader, 2Sameh El Noamani
  • Upper Body Contouring after Massive Weight Loss
    Ahmed A. Nawar, Rasha Abdelkader, Fady M. Yacoub
  • Pre and Postoperative Assessment of Anal Sphincters Integrity in Fistula in Ano by 3D Endo-anal Ultrasound
    Abdrabou N. Mashhour MD
  • Vascular Injuries Analysis by the Oldest Vascular Center in Cairo, A City that Doesn’t Sleep
    1Amr Saleh Elbahaey, 2Ahmed Aly Radwan
  • Clinical and Experimental Evaluation of Delayed Lipomodelling after Breast Cancer Surgeries

    Khaled E. Soliman M.D, Medhat M. Anwar M.D, Yasser S. Ahmed M.D, Samy E. Ibrahim M.D, Moustafa M. Abd El-Baki M.D, Mohamed H. Sultan M.Sc.
    Experimental and Clinical Surgery Department, Medical Research Institute, University of Alexandria, Alexandria, Egypt

    Background: The sequelae of conservative treatment of breast cancer are difficult to treat. Lipomodelling offers a new treatment option, consisting of transferring to the deformed breast, fatty tissue that has been meticulously harvested and prepared. We evaluated the efficacy, complications and esthetic outcomes of lipomodelling after breast cancer surgeries and the oncological safety on experimental level. Material and Methods: The study included 50 female patients undergoing delayed lipomodelling after breast cancer surgery using the Coleman technique. Patients, after mastectomy or breast conservative surgery with tissue defect and/or deformities, will undergo delayed lipomodelling at least 6 months after completion of radiotherapy. Experimental study on Balb C white female mice, included lipofilling after mastectomy of induced breast cancer. Results: Sixty five sessions were carried out on 50 patients from September 2013 to June 2015.The mean of total amount of pure fat injected was 179.31 ± 99.17 ml for all sessions. The mean follow up duration was 15.38 ± 5.37 months. Complications were minimal; mainly fat necrosis after 15 sessions. Local recurrence occurred in one case. Patients’ and doctor satisfaction were evaluated and esthetic outcomes were assessed by the BCCT.core (Breast Cancer Conservation Treatment. cosmetic results) software program. On experimental pre-clinical study, no local recurrence occurred in Balb C mice in all lipofilling specimens excised after mastectomy for breast cancer. Conclusion: Lipomodelling of the breast is safe, simple, cheap and feasible technique with low rate of complications and does not affect the radiological follow up after breast cancer surgery. Keywords: Breast cancer, Lipomodelling, Local recurrence, Coleman’s technique.