• 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

    • 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.
    Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Background: The two main goals (locoregional control and cosmetic results) usually don’t meet together in standard conservative breast surgery. This opens the third way in which plastic techniques were integrated with oncological procedures and termed oncoplastic breast surgery. Objective: The study aimed to assess the oncological safety of oncoplastic surgery especially the margin status and its impact on patient satisfaction. Patients and Methods: We prospectively conduct this study on 70 female patients with breast cancer, Those were partitioned into 2 equal groups: group A (35patients) who underwent standard conservative, group B (35patients) who underwent oncoplastic surgery. Results: The mean margin width was 16.2±7.6 mm (1.0 – 33.0 mm) in oncoplastic group versus 9.7±7.4mm (ranges 0.0–24mm) in standard group, p-value <0.001. Only one patient (2%) reported distortion in the treated breast in the oncoplastic group versus 7 patients (20%) in standard group. Nearly 94% in the oncoplastic group said that if they could choose again they will consider the same procedure versus 16 patients (45.7%) in standard group. Conclusion: Most likely, oncoplastic surgery open the way for challenging tumors in troublesome areas, Permitting us to have a broad resections, accordingly, adding more oncological safety without compromising the restorative results. Keywords: Oncoplastic surgery, wide margins, local recurrence, oncological safety, patient satisfaction.

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