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Mohamed Taha El Shewy - One of the best experts on this subject based on the ideXlab platform.

  • Suture repair using the loop technique in cases of acute complete dislocation of the acromio-clavicular joint
    The Egyptian Orthopaedic Journal, 2012
    Co-Authors: Mohamed Taha El Shewy
    Abstract:

    Background Although acromio-clavicular joint dissociation is not a common injury, it may cause some limitations in activities. Types III, IV, and V need operative repair. In this study a simple technique has been advocated to reduce and maintain reduction of the acromio-clavicular joint using no. 5 Nonabsorbable Suture Material while the reSutured coraco-clavicular (CC) ligament heals. Patients and methods Twenty-one patients with types IV and V acromio-clavicular dissociation were included in this study. In all cases, the acromio-clavicular joint was reduced and maintained using no. 5 Nonabsorbable Suture Material passed as a loop under the coracoid process and through a tunnel drilled through the distal clavicle. The CC ligament was then reSutured. Results After a follow-up period of 6–9 years all patients resumed their preinjury level of activity with significant improvement in the UCLA, ASES, and Constant scores. Conclusion Results of this technique show a good outcome with no loss of reduction, except in a single case, during the long follow-up period. We could not prove that the good results were due to the healing of the CC ligament. The patients were able to resume their daily activities and contact sports without any noticeable deformity, feeling of weakness, pain, or limitation of range of motion (compared with the contralateral side). This technique does not involve the use of metallic implants, which would require another surgery to remove them, nor does it require the use of expensive synthetic grafts or a graft harvested from a distant donor site.

  • Suture repair using loop technique in cases of acute complete acromioclavicular joint dislocation
    Journal of Orthopaedics and Traumatology, 2011
    Co-Authors: Mohamed Taha El Shewy, Hatem El Azizi
    Abstract:

    Background Acromioclavicular joint dissociation may not be a common injury, yet it may cause limitations in activity. Types IV, V, and VI dissociations need operative repair. In this study, a simple technique is advocated to reduce and maintain reduction of the acromioclavicular joint using no. 5 Nonabsorbable Suture Material while the reSutured coracoclavicular (CC) ligament heals. Methods and methods Twenty-one patients (16 men and five women) with types IV and V acromioclavicular joint dissociation were studied. In all cases, acromioclavicular joint was reduced and reduction was maintained using no. 5 Nonabsorbable Suture Material passed as a loop under the knuckle of the coracoid process and through a tunnel drilled through the lateral third of the clavicle. The CC ligament was then reSutured. Results Patients were followed up over a period of 6–9 years. At the final follow-up, all patients had returned to their preinjury level of activity, with significant improvement in the University of California Los Angeles (UCLA), American Shoulder and Elbow Surgeons Shoulder (ASES), and the Constant scores. Conclusions This technique provided good results with no loss of reduction, except in a single case, during the long follow-up period. We could not prove that the good results are due to the healing of the CC ligament. However, patients were able to return to their daily activities and even contact sports without any noticeable deformity, feeling of weakness, pain, or limitation of range of motion (compared with the contralateral side). This technique does not involve the use of metallic implants, which require another surgery to remove them, the use of expensive synthetic graft, or a graft harvested from a distant donor site.

  • Suture repair using loop technique in cases of acute complete acromioclavicular joint dislocation
    Journal of Orthopaedics and Traumatology, 2011
    Co-Authors: Mohamed Taha El Shewy, Hatem El S Azizi
    Abstract:

    Background Acromioclavicular joint dissociation may not be a common injury, yet it may cause limitations in activity. Types IV, V, and VI dissociations need operative repair. In this study, a simple technique is advocated to reduce and maintain reduction of the acromioclavicular joint using no. 5 Nonabsorbable Suture Material while the reSutured coracoclavicular (CC) ligament heals.

Yu-ting Kuo - One of the best experts on this subject based on the ideXlab platform.

K. Habib - One of the best experts on this subject based on the ideXlab platform.

  • Uterus and extralevator abdominoperineal excision: a technique.
    Diseases of the colon and rectum, 2013
    Co-Authors: K. Habib
    Abstract:

    BACKGROUND Perineal hernia is well described after standard abdominoperineal excision of rectum. There appears to be an increasing incidence of perineal hernia following extralevator abdominoperineal excision of the rectum. Currently, there is no standard for the prevention of perineal wound herniation and its potential sequelae. Techniques have been described to prevent perineal hernia, including the use of mesh, muscle flaps, or simple layered closure. OBJECTIVE This technique describes the use of the uterus in postmenopausal women as a "natural packing Material" to prevent the small bowel from entering the lower pelvis, and subsequent perineal herniation. PROCEDURE The procedure involves retroverting the uterus and securing it to the bony pelvis with the use of Nonabsorbable Suture Material. This can be achieved via the abdominal route as well as the perineal wound. LIMITATIONS This procedure is only applicable in women with uterus in situ. Dyspareunia may be a side effect. Caution is advised in premenopausal women, because positional menstruation may be an issue. Subsequent hysteroscopy and hysterectomy may be difficult. Care should be taken to avoid damage to the presacral venous plexus and sacral nerves. CONCLUSION Uterine interposition is a practical, low-risk, inexpensive solution to this problem in a selected group of patients. It avoids the cost and complications of prosthetic mesh and myoplastic reconstruction procedures.

Ming-lun Chiu - One of the best experts on this subject based on the ideXlab platform.

Uğur Gürcün - One of the best experts on this subject based on the ideXlab platform.

  • Lipoma of the diaphragm: a rare presentation.
    The Annals of thoracic surgery, 2007
    Co-Authors: Serdar Sen, Berent Discigil, İýsmail Badak, Uğur Gürcün
    Abstract:

    Lipoma of the diaphragm is an extremely rare entity. A 67-year-old asymptomatic man who had a tumor located in the posterior region of the left hemi-diaphragm is presented. The tumor was removed through a left mini-thoracotomy. The diaphragm was reconstructed primarily by using Nonabsorbable Suture Material. The final pathologic examination revealed a mature lipoma. The patient remains without evidence of recurrence 60 months after the operation.