Emad Hokkam

Suez Canal University

Aim Squamous cell carcinoma (SCC) of the lip is a common oral malignancy. Lymph node metastasis occurs lately in the natural history of the disease but it is associated with poor outcome. Sentinel lymph node biopsy (SLNB) is an option that determines the potentially affected lymph nodes especially in clinically negative-node patients. The study aim...

Introduction Surgical oncology was born in excessive radicalism, but modern oncological surgery has become organ sparing and restorative. On this track, surgery for low rectal cancer is shifting from the abdominoperineal resection to the sphinctersparing procedure. The new technique eliminates the need for permanent stoma and should provide cure ra...

INTRODUCTION: The aim of this study is to evaluate our local experience with pediatric and adolescent vascular trauma. METHODS: A retrospective study of the surgical management of non-iatrogenic peripheral arterial trauma in pediatric and adolescent patients. Each patient record was studied including the original demographic data, clinical presenta...

Introduction Pancreatic cancer is a devastating malignancy with nearly as many deaths as newly diagnosed cases each year. The 5-year survival rate is reported in the range between only 15 and 25% in most series. Accurate staging of patients with pancreatic cancer is crucial to clarify whether meaningful resection is indeed possible. Staging laparos...

Background: For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However; there is recent trend to shift towards a more conservative approach. This work aimed to assess the non-operative management in the treatment of acute uncomplicated appendicitis. Methods: One hundred and sixteen patients...

Background: Missed nodal metastases during resection for colon cancer or missed occult metastases during pathological examination leads to down staging of the disease and increase the recurrence rate. The sentinel lymph node is a technique used to properly detect nodal metastases hence improving staging accuracy with subsequent proper application o...

Background Although Wilms’ tumor (WT) is ranked first among primary childhood’s renal neoplasm, controversy still exists regarding the best approach for its management. The study aimed at evaluating the role of initial surgery in treatment of stage II and III pediatric WT as a part of the short administration schedule as in National Wilms’ Tumor St...

Background: Treatment options for Wilms' tumour (WT) are costly and it affects the country's health budget and resources if adopted and implemented at the national level especially in developing countries with low or resource-challenged settings. Aim: The objective of this study is to evaluate the role and effectiveness of primary surgery in the...

The repair of the recurrent hernia is a daunting task because of already weakened tissues and distorted anatomy. Open posterior preperitoneal approach gives results far superior to those of the anterior approach. Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair is an evolving technique associated with advantages of a minimall...

BACKGROUND: Modern civilization and the sharp rise in living standards have led to dramatic changes in trauma pattern in Saudi Arabia. This study aimed to describe the different patterns of injuries of patients attending the Emergency Department of Jazan General Hospital (JGH) in the southwest corner of Saudi Arabia. METHODS: A total number of 1 05...

Background: Post mastectomy pain syndrome (PMPS) is a type of neurogenic pain that persists for a long period after surgery for breast cancer. The present study aims to find out the prevalence of this syndrome and investigate its contributing risk factors. Methods: A descriptive cross-sectional study was carried out among 167womenoperated for breas...

Introduction. Early laparoscopic cholecystectomy is usually associated with reduced hospital stay, sick leave, and health care expenditures. Early diagnosis and treatment of acute cholecystitis reduce both mortality and morbidity and the accurate diagnosis requires specific diagnostic criteria of clinical data and imaging studies. Objectives. To co...

Background: Thyroid gland diseases constitute the second most common endocrine disease following diabetes mellitus. Thyroidectomy is one of the most common frequent operations including bilateral subtotal thyroidectomy and total thyroidectomy. The aim of this study was to review and assess the complications with outcomes following total versus subt...

CITATIONS 3 READS 120 9 authors, including: Some of the authors of this publication are also working on these related projects: the role of negative pressure therapy in complex covering of vascular reconstruction View project Scientific Hypothesis as a source of innovation and discovery View project Abstract Background

Background: Colorectal carcinoma is the second leading cause of cancer-related deaths. Health related quality of life is now becoming one of the important outcome measures for cancer patients. The study aimed to assess the quality of life for patients with colorectal carcinoma in the post-operative period.

Background: The abdomen is one of the most frequent sites for lymphoma in children. The role of surgery has been limited to intra-abdominal resectable tumours or as a diagnostic procedure in case of disseminated disease. Laparotomy without total excision of the tumour does not improve survival; moreover, it may cause complications and delays initia...

Aim: Squamous cell carcinoma (SCC) of the lip is a common oral malignancy. Lymph node metastasis occurs lately in the natural history of the disease but it is associated with poor outcome. Sentinel lymph node biopsy (SLNB) is an option that determines the potentially affected lymph nodes especially in clinically negative-node patients. The study ai...

Abstract Background Many new tools for management of impalpable testes have emerged during the last few years, yet, not many studies have compared them to the traditional ways of managing this problem. This work aims to reiterate the importance of the physical examination under general anesthesia prior to the surgical procedure in order to decide t...

Background: Many new tools for management of impalpable testes have emerged during the last few years, yet, not many studies have compared them to the traditional ways of managing this problem. This work aims to reiterate the importance of the physical examination under general anesthesia prior to the surgical procedure in order to decide the best...

Background: The construction of colostomy is associated with decreased physical and psychological well-being as well as decreased quality of life. Cecostomy is the creation of an opening in the cecum to provide colonic decompression. Objective: This work was conducted to evaluate the efficacy of tube cecostomy as an alternative to colostomy in t...

Laparoscopic cholecystectomy is the main method of treatment of symptomatic gallstones. Routine drainage after laparoscopic cholecystectomy is an issue of considerable debate. Therefore, a controlled randomised trial was designed to assess the value of drains in elective laparoscopic cholecystectomy. During a two-year period (From April 2008 to Jan...

Varicose vein surgery is characterized by high recurrence rate of 60% after 5 years of follow-up observation, and this is a disappointing finding, both for the patient and surgeon. To identify the possible causes and patterns of recurrent varicose veins. 92 patients with recurrent varicose veins were enrolled in this study. Full detailed history, e...

The study was designed to compare the effect of intraincisional vs intraperitoneal infiltration of levobupivacaine 0.25% on post-operative pain in laparoscopic cholecystectomy. This randomised controlled study was carried out on 189 patients who underwent laparoscopic cholecystectomy. Group 1 was the control group and did not receive either intrape...

Many topical agents have been used for promotion of healing of chronic venous ulcers. One such agent that has been tried is phenytoin. The effect of phenytoin on cutaneous healing has been suggested. This study was designed to evaluate the efficacy of topical phenytoin in healing of venous ulcerations. One hundred and four patients with chronic ven...

Chronic abdominal pain is a difficult complaint. It leads to evident suffering and disability, both physically and psychologically. Many diagnostic and therapeutic procedures have been described in literature, but with little proof or evidence of success. Laparoscopy is one of the modalities that could be of benefit in such cases. We aim to evaluat...

Tranexamic acid can reduce bleeding in patients undergoing elective surgery. We assessed the effects of early administration of a short course of tranexamic acid on death, vascular occlusive events, and the receipt of blood transfusion in trauma patients. This randomised controlled trial was undertaken in 274 hospitals in 40 countries. 20 211 adult...

Background: To compare the effectiveness of local glyceryl trinitrate (GTN) versus internal sphincterotomy in the management of chronic anal fissure. Methods: Eighty patients with chronic anal fissure were enrolled in the study. They were divided into two groups; group (1) included 40 patients treated with topical GTN 0.2% on liposomal base applied...

The current study aims to identify risk factors for diabetic foot ulcer and their impact on the outcome of the disease. Three hundred diabetic patients were enrolled in the study. One hundred eighty subjects with diabetic foot ulcer and 120 diabetic controls without foot lesions. All expected risk factors were studied in all patients and after a fo...

Aim: Seroma is the most common complication occurring after breast surgery. Its management usually involves repeated aspiration and drain insertion. Tetracycline sclerotherapy appeared successful for treating many chronic fluid collections e.g. pleural effusions, hydrocele, liver cysts, renal cysts….etc. The present study aimed to evaluate the effi...

Aim: The term ultra short is not clearly defined in ultrashort-segment Hirschsprung's disease. The limited extent of the ultrashort-segment Hirschsprung's disease allows for the treatment with extended sphincteromyectomy. This procedure could be diagnostic and therapeutic one. The study was designed to evaluate the role of posterior myectomy in chi...

Aim: To compare the effectiveness of local glyceryl trinitrate (GTN) versus internal sphincterotomy in the management chronic anal fissure. Methods: Eighty patients with chronic anal fissure were enrolled in the study. They were divided into two groups; group (1) included 40 patients treated with topical GTN 0.2% on liposomal base applied to the an...

Aim: The appropriate time for laparoscopic cholecystectomy (LC) following endoscopic retrograde cholangiopancreaticography (ERCP) in patients with obstructive choledolithiasis is controversial. We aim to compare early versus delayed LC after ERCP in patients with calcular obstructive jaundice as regards conversion rate, postoperative morbidity and...

Aim: To evaluate the value of ilioinguinal neurectomy in controlling pain after elective inguinal hernia repair. Methods: Fifty two male patients with unilateral primary inguinal hernia were enrolled in this comparative cross sectional study. They were randomly allocated to one of two groups (study and control). All patients in both groups were sub...