South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Pregnancy Outcomes among Adolescents in Upper Egypt1912214310.21608/svuijm.2019.122143ENAbdel-Naser A.AliObstetrics &Gynecology Department, Faculty of Medicine, South Valley University, Qena, EgyptMostafa MKhodryObstetrics &Gynecology Department, Faculty of Medicine, South Valley University, Qena, EgyptHend Shrqawy M.HassanObstetrics &Gynecology Department, Faculty of Medicine, South Valley University, Qena, EgyptHazem H.AhmedObstetrics &Gynecology Department, Faculty of Medicine, South Valley University, Qena, EgyptJournal Article20190208Background: Teenage pregnancy is a social problem distributed worldwide, has many significant<br />implications on mother and her baby, specifically, in developing countries. The risk of adolescent<br />pregnancy and outcome remains a public health problem in both developed and undeveloped<br />countries, which leads to maternal and neonatal morbidity and mortality.<br />Patients and methods:<br />This is a prospective study that included 200 teenage pregnant mothers who admitted to normal<br />labor room for delivery or those who attended to outpatient obstetric clinic at Qena University<br />Hospital "between April 2019 to April 2020". Information about socio- demographic data, medical<br />history, reproductive history, current pregnancy and its complications and delivery and its outcomes<br />are btained. Clinical examinations, Laboratory and postoperative assessment of the mother for pospartum<br />hemorrhage was done, also assessment of newborns for Apgar score after 1 and 5 minutes<br />was done. Then follow up of mothers till the end of perperium and assess breast feeding.<br />Results: The results were analyzed using Chi-square(x2) test. P (predictive) value of <0.05 were<br />considered as a significant association between sociodemographic characteristics. Also there is<br />significant relationship between extended family and complications of pregnancy.<br />Conclusion: The study determined that the majority of the teenage pregnant mothers were illiterate,<br />housewives, moderate economic status, passive smokers, and without past medical diseases,<br />neglected the antenatal care. Risk of preeclampsia and low Apgar score were higher among teenage<br />pregnant mothers.<br />Recommendations: The study recommends that on pregnant teenager to have appropriate antenatal<br />care as well as social support to avoid medical problems during pregnancy.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Day 3 versus day 5 embryo freezing: which is better, A comparative study101612224610.21608/svuijm.2019.122246ENAbobakr M.MohamedObstetrics and Gynaecology Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptMohammad A.MohammadObstetrics and Gynaecology Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptMostafa M.KhodryObstetrics and Gynaecology Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptAhmed H.AbdellahObstetrics and Gynaecology Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptJournal Article20190208Background: Freezing of embryos and gametes is considered one of the corner stones of<br />ART. Its application increases both IVF safety and efficiency.<br />Aim and objectives: the aim of the present study is to compare cleaved embryo and<br />blastocyst freezing to determine the optimal time for embryo cryopreservation,<br />Subjects and methods: A randomized clinical trial, it was involved 300 cases of infertile<br />patients who will undergo ICSI cycles and embryo freezing at the assisted reproduction<br />unit, Qena University hospital, South Valley University, Egypt after complete infertility<br />evaluation. Population was divided into two groups: Group 1 (n =150), underwent embryo<br />freezing at day 3 then will undergo FET (Cleaved embryo). Group 2 (n =150), will<br />underwent embryo freezing at day 5 then will undergo FET (Blastocyst) The duration of<br />the study had been from 6 to 12 months,<br />Results: the results revealed that there is high significant difference between the studied<br />groups as regard Total number of survival more survival was observed in blastocyst<br />group, while there is no significant difference between the studied groups as regard<br />completed transfer.<br />Conclusion: The maintenance of embryo culture until day 5 may be a more sensible<br />approach for the correct identification of best quality embryos with the highest probability<br />of success for both transfer and freezing.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Outcome of Total laparoscopic hysterectomy in Qena University Hospital172212224810.21608/svuijm.2019.122248ENHazem H.AhmedDepartment of Obstetrics & Gynecology, Qena Faculty of Medicine, South Valley University, Qena, EgyptSayed A.TahaDepartment of Obstetrics & Gynecology, Qena Faculty of Medicine, South Valley University, Qena, EgyptMostafa M.KhodryDepartment of Obstetrics & Gynecology, Qena Faculty of Medicine, South Valley University, Qena, EgyptAhmed D.Abdel-LateifDepartment of Obstetrics & Gynecology, Qena Faculty of Medicine, South Valley University, Qena, EgyptJournal Article20190208Background: Worldwide hysterectomy is the most commonly performed major gynecological<br />surgical procedure. Benign diseases are responsible for more than 70% of the indications for<br />hysterectomy include menstrual disorders, myomas, pelvic pain, and uterine prolapse.<br />Objectives: to determine outcomes of total laparoscopic hysterectomy in Qena University Hospital<br />as regard of operative time, hospital stay and complications.<br />Patients and Methods: This was a descriptive observational clinical study. It was conducted on 50<br />cases in the period between April 2016 to march 2019 (3 years). Patients with different<br />indications for hysterectomy were recruited from the outpatient clinic of department of obstetrics<br />and gynecology, Qena University hospital, South Valley University, Egypt after complete<br />evaluation.<br />Results: it was clear that (40%) heavy menstrual bleeding/ fibroid; (50%) had endometrial<br />hyperplasia and (10%) had other diagnosis. Regarding operative time distribution, our results<br />showed that (70%) had operative time <90 min; (28%) were 90-120 min and (2%) were >120<br />min.In our study there were no operative complications. Regarding estimated blood loss, (24%) had<br />estimated blood loss <120 ml, (22%) had estimated blood loss 170 ml and (54%) had estimated<br />blood loss >170 ml. Regarding post-operative complications , our results showed that that (4%)<br />had fever more than 38 degree after the first 24h, (4%) had reactionary hemorrhage (vaginal or<br />internal) and (2%) had wound infection. In our study, it was obvious that the conversion to<br />laparotomy was (0%). post-operative pain was recognized by VAS. (70%) of the study group had<br />mild, (26%) had moderate, and (4%) had severe post-operative pain. Regarding the hospital stay<br />distribution of the study group, it was found that (90%) stayed <48h, (6%) stayed 48-72 hrs and<br />(4%) stayed >72 hrs.<br />Conclusion: Total laparoscopic hysterectomy is safe and feasible method for gynecological<br />diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower<br />post-operative complications, less postoperative pain, shorter hospital stay and faster return to<br />activity.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Outcome of use and non- use of indwelling Foley's catheter during cesarean section in Qena University Hospital : Randomized controlled trial233012225810.21608/svuijm.2019.122258ENEman R.Abd El RazekObstetrics & Gynecology Department, Faculty of Medicine, South Valley University, Qena, EgyptSayed A.TahaObstetrics & Gynecology Department, Faculty of Medicine, South Valley University, Qena, EgyptMahmoud I.Al-RashidiObstetrics&Gynecology Department, Faculty of Medicine, Al- Azhar University, Assiut branch, EgyptMohmmad A.MohmmadObstetrics&Gynecology Department, Faculty of Medicine, Al- Azhar University, Assiut branch, EgyptJournal Article20190208Background: A prospective randomized study was used to effect of urinary bladder catheterization<br />on UTI, time of first-void discomfort, time of ambulation, hospital stay, and urinary retention in<br />women undergoing cesarean section.<br />Objectives: The aim of study was to assess the feasibility and outcome of cesarean section without<br />Foley's Catheter.<br />Patients and Methods: This Study included 100womens who had the Foley's catheter inserted just<br />before cesarean section and 100womens who had not use Foley's catheter during section in<br />Obstetric and Gynacology department in Qena University Hospital. Prospective method were used<br />to assess patient discomfort with the first postoperative void after , time of ambulation , time<br />hospital stay and need for cathetherization.<br />Result: This study included 200 patients 100 patient with urinary catheter and 100 without urinary<br />catheter mean age of the studied group 25.8±5.5, mean gestational age 37.9 ±1.1 weeks, mean for<br />No. of C.S 1.08±.7, mean duration of C.S 48.5 ±5 minutes. 99% of patients have no bladder injury<br />while 1% have bladder injury.99%of patients complaining of urine retention .mean time of retention<br />4.8 minutes .mean for post voiding volume 18.02 cc. 4%of patient complaining of voiding<br />difficulty.6.5% of patients complaining of dysuria . urine analysis before C.S(pus cell) 4.2 ±1.43<br />Urine analysis after 1 week 33.3 ±5.8Uncatheterized patients had a shorter hospital stay.<br />Conclusion: Routine use of indwelling urinary catheter in cesarean section patient with a stable<br />hemodynamic condition is not necessary.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Short Term Outcomes of Lichtenstein Hernioplasty Versus Desarda Technique in Repair of Inguinal Hernia313712226110.21608/svuijm.2019.122261ENAya M.SelimGeneral Surgery Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptMohamed K.ElamaryGeneral Surgery Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptMohamed Y.AhmedGeneral Surgery Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptMohammed A.OmarGeneral Surgery Department, Qena Faculty of Medicine, South Valley University, Qena, EgyptJournal Article20190308Background: The Desarda repair technique of inguinal hernia repair introduced in 2001 is still not<br />considered standard tissue based hernia repair technique. We compared the tissue based Desarda technique<br />with standard Lichtenstein repair in treatment of primary inguinal hernia.<br />Objectives: The aim of this study was to compare the short term outcomes of Desarda technique versus<br />Lichtenstein hernioplasty in inguinal hernia repair.<br />Patients and methods: A total of 81 participants (41 in the Lichtenstein arm and 40 in the Desarda arm)<br />were enrolled into this single centre double-blind randomised controlled trial. The outcome measures were<br />evaluated at 1–2 h, 3, 7 and 14 days. The primary outcomes measured were recurrence and chronic pain. In<br />addition to early and late complications, foreign body sensation, and return to everyday activity which<br />examined and evaluated in hospital after surgery.<br />Results: During one year follow up, no recurrence was detected in each group . Chronic groin pain was<br />experienced by 5.6% and 4.2% of patients from Desarda and Lichtenstein groups respectively (P = 0.68).<br />There was no significant statistical difference in mean postoperative VAS scores for pain at the five time<br />points between the two study groups. There was significantly shorter operating time and earlier return to<br />normal gait in favor of Desarda repair. Foreign body sensation was not different between the two groups..<br />Conclusions: Successful inguinal hernia treatment without mesh implantation can be achieved using<br />Desarda repair, as it is effective as the standard Lichtenstein procedure. Shorter operating time, early return<br />to normal gait and lower cost (no mesh) are potential benefits of Desarda repair. The suitability of Desarda<br />repair for patients found to have thin, weak or divided external oblique aponeurosis intraoperatively needs<br />further evaluation.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Oncoplastic Breast Surgery in Early Breast Cancer384212226910.21608/svuijm.2019.122269ENAhmed T.AbdelazizGeneral Surgery Department, Faculty of Medicine, South Valley University-Qena, EgyptMahmoud A.MahmoudGeneral Surgery Department, Faculty of Medicine, South Valley University-Qena, EgyptAsmaa G.RizkGeneral Surgery Department, Faculty of Medicine, South Valley University-Qena, EgyptMohammed A.NegmGeneral Surgery Department, Faculty of Medicine, South Valley University-Qena, EgyptJournal Article20190108Oncoplastic medical procedure consolidates plastic careful systems with sound careful oncologic<br />standards. The objective is to totally extract the malignant growth, with wide careful edges while<br />keeping up or improving cosmesis. For huge, inadequately characterized, or ominously arranged<br />tumors, standard lumpectomies may prompt unsuitable restorative outcomes notwithstanding<br />close or included resection edges. Comparable issues may happen for littler tumors in little<br />bosoms. Joining of the two careful orders evades or limits poor restorative outcomes after wide<br />extraction. It builds the quantity of ladies who can be treated with breast‐conserving medical<br />procedure by permitting bigger bosom extractions with progressively satisfactory corrective<br />outcomes. Oncoplastic medical procedure requires a multidisciplinary approach and exhaustive<br />preoperative arranging. It is totally important to enroll the participation and coordination of<br />careful oncology, plastic medical procedure, radiology, pathology, restorative oncology, and<br />radiation oncology. Oncoplastic medical procedure requires a way of thinking that the presence<br />of the bosom after tumor extraction is significant.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Study the role of cervical Cerclage for women with twin pregnancies434912227010.21608/svuijm.2019.122270ENAhmad H.AbdellaahObstetrics & Gynecology Department-Faculty of Medicine-South Valley University, Qena,
EgyptMahmuod I.AlrashedyObstetrics & Gynecology Department, Faculty of Medicine-Al-Azhar University, Assiut,
EgyptMustafa M.KhodaryObstetrics & Gynecology Department-Faculty of Medicine-South Valley University, Qena,
EgyptSoad I. HusseinAliResident of Obstetric and Gynecology -Qena General Hospital, Qena, EgyptJournal Article20190108Background: The role of first-trimester history-indicated cerclage among women with a twin<br />pregnancy and a history of preterm birth have not been evaluated.<br />Objectives; to evaluate the value of cervical cerclage in twin pregnancies as regard of<br />Pregnancy outcome<br />Patients and methods:<br />This is a prospective cohort study was performed in Obstetrics and Gynecology Department Qena<br />University Hospital, during a period from 1 march 2019 to 1 march 2020". Information about<br />demographic data, medical history, reproductive history, current pregnancy and its complications<br />and delivery and its outcomes are obtained.Clinical examinations, laboratory and ultrasonic<br />assessment of studied group.<br />Result:98 pregnant women involved in the study andgestational age at delivery of the studied group < br />show that 11(11.2%) their gestational age at delivery was ranged between 12-<28 weeks and<br />25(25.5%) their gestational Age at delivery was ranged between 28-<37 weeksand 62(63.3%) their<br />gestational age at delivery was ranged between 37-40 weeks.<br />Neonatal deaths of studiedgroupwere17(9.77%)of total number (174) of newborns of studiedgroup < br />Conclusion: History-indicated cervical cerclage performed in women with a twin gestation and a<br />history of preterm birth appeared to have an overall positive effect on maternal and neonatal<br />outcomes, as evidenced by significantly reduced rates of PPROM, preterm delivery and neonatal<br />morbidity and mortality.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Complement Levels and Risk of Organ Involvement in Patients with Systemic Lupus Erythematosus505612227410.21608/svuijm.2019.122274ENEsam M.Abu Al-FadlRheumatology Department, Faculty of Medicine, Sohag University, Sohag, EgyptAhmed R.RadwanRheumatology Department, Faculty of Medicine, Sohag University, Sohag, EgyptAbdallah E.M.AliClinical Pathology Department, Faculty of Medicine, South Valley University, Qena, EgyptAbeer H.MasoudRheumatology Department, Faculty of Medicine, Sohag University, Sohag, EgyptJournal Article20190208Objectives: to estimate the effect of complement level changes on clinical manifestations, visceral damage and<br />mortality in our patients with SLE.<br />Patients and method(s): A cross sectional study including 50 patients attending to South Valley University<br />Hospitals have been included in the study for assessment of complement levels in patients with SLE and<br />correlating complement levels with renal, neuropsychiatric, cardiac and hematological manifestations of SLE.<br />Result(s): The most common organ system involved was the musculoskeletal system, with arthritis in 76% of<br />the cases. This was followed by cutaneous manifestations (72%), then lupus nephritis (62%), CNS lupus (44%),<br />hematological (30%) and lastly CVS (12%). Non of our cases showed liver impairment. Around two thirds of<br />patients with renal involvement had consumed complement, compared to only 26% among those with no renal<br />involvement; with a significant difference. It also shows that there is no significant difference between<br />hypertension and complement level. Over 72% of patients with CNS involvement had consumed complement,<br />compared to only 32% among those with no CNS involvement; with a significant difference. There is no<br />significant relation between blood disorders, arthritis, mucocutaneous in lupus patients and complement<br />consumption.<br />Conclusion: Our study suggested that complement consumption was strongly associated with lupus nephritis<br />and to a lesser extent; CNS lupus, but not with other organ involvement in SLE patients.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701Clinical assessment of neonatal complications in infants born to diabetic mothers in Qena Governorate576312227710.21608/svuijm.2019.122277ENKhaled A.AbdelbaseerPediatrics Department, Qena Faculty of Medicine South Valley University, Qena, EgyptHeba M.QubaisyPediatrics Department, Qena Faculty of Medicine South Valley University, Qena, EgyptMona M.AboalabassPediatrics Department, Qena Faculty of Medicine South Valley University, Qena, EgyptJournal Article20190108Back ground: Diabetes is one of the commonest and important metabolic disorders that affect the<br />health of pregnant women and infant. About 3-10% of all pregnancies complicated by diabetes<br />mellitus. There are two types of diabetes that occur in pregnancy, first is gestational diabetes that<br />first diagnosed during pregnancy and pre-gestational diabetes which starts before pregnancy.<br />Adverse outcome are not confined to pre-gestational diabetes alone. Maternal and infant morbidity<br />and mortality are also high amongst gestational diabetes.<br />Objective: To detect relative frequency of various neonatal complications in infants born to<br />diabetic mothers at Qena University Hospital and other hospitals inside Qena Governorate.<br />Patients and methods: This is a cohort prospective study of neonates admitted at NICU<br />department or attended the outpatient clinic of nursery of Qena University Hospital and other<br />hospital inside Qena Governorate between April 2018 to March 2019.<br />Results: In this cohort prospective study that included all patients who were either admitted at<br />NICU department or attended the outpatients clinic of nursery at Qena University Hospital and<br />other hospitals inside Qena Governorate between April 2018 to March 2019. Clinical evaluation<br />were done on 220 cases during the period of the study. The age of the patients ranged with a mean<br />andSD1.2 + .7days, 164 infants have complications in our study with different presentations as<br />difficult breathing (54.5%), cyanosis(16.8%), jitterness(14.5%), yellowish discoloration(16.8%).<br />The relative frequency of complications were, respiratory(54.5%), metabolic(39.5%),<br />cardiac(16.8%), jaundice(16.8%), macrosomia(12.3%), skeletal(9.5%), hematological(8.6%) and<br />neurological(5%).<br />Conclusion: Bothmaternal diabetes ,gestational and pre-gestational diabetes mellitus lead to<br />complications in infants born to those mothers. Respiratory complications were the most common<br />complications among the cases. Cardiac, macrosomia and neurological complications were higher<br />in pre-gestational diabetes than gestational diabetes.South Valley University, Faculty of MedicineSVU-International Journal of Medical Sciences2735-427X2220190701RDW for Discrimination between Iron Deficiency Anemia and Beta Thalassemia Trait among cohort of Egyptian children in Upper Egypt646812227910.21608/svuijm.2019.122279ENMaha E.MohammedPediatrics Department, Faculty of Medicine South Valley University, Qena, EgyptAhmed El-AbdAhmedPediatrics Department, Faculty of Medicine South Valley University, Qena, EgyptMohammed H.HassanDepartment of Medical Biochemistry and Molecular Biology, Qena Faculty of Medicine, South Valley Uni0000-0003-2698-9438Nagwan I.RashwanPediatrics Department, Faculty of Medicine South Valley University, Qena, EgyptJournal Article20190108Background: Iron deficiency anemia (IDA) and beta thalassemia trait (β-TT) are most common causes<br />of microcytic hypochromic anemia. When the diagnosis of iron deficiency anemia and thalassemia<br />minor, is based only on hematological parameters and erythrocyte morphology, It is necessary to carry<br />out the gold standard tests to differentiate between these two types of anemia, once the therapeutic<br />conduct is distinct for each case.<br />Objective: This study aims to validate the red blood cell distribution width (RDW) for discrimination<br />and differentiation between iron deficiency anaemia from beta thalassemia trait in Qena University<br />Hospital.<br />Patients and method(s): This study is a prospective descriptive hospital based study included 30<br />patients (13 male and 17 female) who presented with microcytic hypochromic anemia by CBC not<br />responding to iron therapy and suspected as β-TT at pediatric outpatient clinic of Qena University<br />Hospital and their ages ranging from 1 year to 10.5 years from January 2018 until December 2018.<br />Result(s):This study is a prospective descriptive hospital based study included 30 patients with age of<br />the patients ranges from 1 to 10.5 years .The data showed insignificant increase of red cell distribution<br />width of RBCs among the studied cases of BTT group (18.06±3.51) compared to IDA group < br />(18.76±2.77)withp value < 0.584.<br />Conclusion:Our study concluded that RDW adds useful but limited information in discrimination between<br />β-TT and IDA. So, iron profile and HbA2arestill the gold standard for differentiation between β-TT and<br />IDA.