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  1. Book ; Online: Pediatric Surgery, Flowcharts and Clinical Algorithms

    Shehata, Sameh

    2019  

    Keywords Paediatric medicine
    Size 1 electronic resource (168 pages)
    Publisher IntechOpen
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT021050172
    ISBN 9781839628566 ; 1839628561
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: Respiratory symptoms and pulmonary function impairment among textile industry workers in Alexandria, Egypt.

    Elshaer, Noha / Foda, Nermin / Shehata, Sameh

    Journal of public health in Africa

    2023  Volume 14, Issue 10, Page(s) 2741

    Abstract: Occupational exposure to cotton dust is still an important cause of respiratory problems in textile workers particularly in less developed countries like Egypt. Evaluate respiratory symptoms and diseases, and pulmonary function pattern among Egyptian ... ...

    Abstract Occupational exposure to cotton dust is still an important cause of respiratory problems in textile workers particularly in less developed countries like Egypt. Evaluate respiratory symptoms and diseases, and pulmonary function pattern among Egyptian textile workers. Cross sectional comparative study was conducted from December 2019 to September 2020 in a textile factory in Egypt; 364 male workers (184 cotton dust exposed workers, and 180 unexposed workers) were included. Participants were subjected to an interviewing questionnaire, British Medical Research Council questionnaire, anthropometric measurements, pulmonary function tests, and byssinosis grading format. Descriptive and analytic statistics were conducted. Chronic cough, phlegm production, and shortness of breath grade I, II and III were more reported in cotton dust exposed workers than unexposed workers (P#x003C;0.01, P#x003C;0.01, and P=0.02, respectively). Prevalence of chronic bronchitis was significantly higher among cotton dust exposed workers (12%) than unexposed workers (3.9%) (P#x003C;0.01). The mean percent predicted values of lung function indices reflecting large-1irway function (VC, FVC, FEV
    Language English
    Publishing date 2023-10-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2574977-8
    ISSN 2038-9930 ; 2038-9922
    ISSN (online) 2038-9930
    ISSN 2038-9922
    DOI 10.4081/jphia.2023.2741
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transanal recto-anal anastomosis for treatment of rectal atresia: a review of 4 cases.

    Shehata, Sameh / ElSawaf, Mohamed / Kotb, Mostafa

    BMC pediatrics

    2023  Volume 23, Issue 1, Page(s) 46

    Abstract: Introduction: Rectal atresia is a rare subtype of anorectal malformations in which the patients are born with a normal anal canal but have complete atresia located few centimeters proximal to the dentate line. We present the transanal end-to-end ... ...

    Abstract Introduction: Rectal atresia is a rare subtype of anorectal malformations in which the patients are born with a normal anal canal but have complete atresia located few centimeters proximal to the dentate line. We present the transanal end-to-end rectoanal anastomosis as a surgical technique for the management of these patients, highlight the outcomes, and emphasize on some clinical tips.
    Methods: Four patients were diagnosed as having rectal atresia on clinical and radiological basis. All of them underwent single loop low sigmoid colostomy in the first 24 h. After 6 months, transanal end-to-end rectoanal anastomosis was performed followed by closure of the stoma 3 months later.
    Results: The 2 cases that are older than 3 years demonstrated normal continence and are clean between bowel movements, while the other two showed good anal tone and passing stools between 1-3 times daily, being dry in between.
    Conclusion: Transanal recto-anal anastomosis allows a safer route of anatomical reconstruction of the anorectum, therefore avoiding the potential complications associated with the other more invasive approaches.
    MeSH term(s) Humans ; Anal Canal/surgery ; Anorectal Malformations/surgery ; Rectum/surgery ; Rectum/abnormalities ; Intestinal Atresia/diagnosis ; Intestinal Atresia/surgery ; Anastomosis, Surgical
    Language English
    Publishing date 2023-01-28
    Publishing country England
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-023-03859-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Management of Intraabdominal Testis: A Survey of the World Federation of Associations of Pediatric Surgeons (WOFAPS) Practices.

    Shehata, Sameh / Hadziselimovic, Faruk / Khater, Doaa / Kotb, Mostafa

    Frontiers in pediatrics

    2022  Volume 10, Page(s) 928069

    Abstract: Background and objective: The optimal treatment protocol of intraabdominal testis is still a matter of debate and until now there are a lot of areas of controversy as regards this challenging subtype. The aim of this report is to document current ... ...

    Abstract Background and objective: The optimal treatment protocol of intraabdominal testis is still a matter of debate and until now there are a lot of areas of controversy as regards this challenging subtype. The aim of this report is to document current practice patterns among surgeons from different continents through an online Redcap survey supervised the World Federation of the Association of Pediatric Surgeons (WOFAPS).
    Methods: A 16-question-survey related to the management of intraabdominal testis was created and administered
    Results: There were 436 WOFAPS members who participated in this study with a response rate of 29%, and the vast majority were pediatric surgeons. Only 13% tried to use hormone therapy aiming to induce testicular descent or to improve future fertility. The choices of various surgical techniques were noted. During laparoscopy, if vessels and cord structure were seen entering the ipsilateral internal inguinal ring, most respondents chose to explore the groin. On the other hand, should there was an absent or atrophic testis, the respondents were split on whether to perform a contralateral orchiopexy.
    Conclusion: This survey describes the current practices of a sample of pediatric surgeons and urologists in the management of intraabdominal testis. The use of hormonal treatment, timing of fixation and management in case of passing through vas and vessels through DIR were undisputable. However, management of low-lying and peeing testis together with the management of contralateral testis were still debatable.
    Language English
    Publishing date 2022-06-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2022.928069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Are online discussion forums useful platforms for paediatric surgeons to seek advice regarding patient management? A review of the queries posted on the world federation of association of pediatric surgeons facebook group (The Pediatric Surgeon's Lounge).

    Anand, Sachit / Sharma, Shilpa / Shehata, Sameh

    African journal of paediatric surgery : AJPS

    2022  Volume 19, Issue 4, Page(s) 209–212

    Abstract: Background: Social media platforms are popular places for discussing difficult cases amongst the surgeons. Paediatric Surgeon's Lounge (PSL) is a closed Facebook group for the interaction of paediatric surgeons from different parts of the world. We aim ... ...

    Abstract Background: Social media platforms are popular places for discussing difficult cases amongst the surgeons. Paediatric Surgeon's Lounge (PSL) is a closed Facebook group for the interaction of paediatric surgeons from different parts of the world. We aim to assess the safety and utility of the responses given by the members of the PSL group to the queries about the management of paediatric surgical cases.
    Methods: All posts on PSL between January and July 2021 were retrospectively screened to select the patient management-related queries. For each included query, all the responses were scrutinised for their utility and safety. The utility was categorised as helpful or not helpful, and the safety of these responses was categorised as safe or unsafe. A note was also made whether any unsafe response was rectified in the subsequent responses or not. The proportion of each response category was calculated.
    Results: Twenty-two queries with a total of 353 responses were assessed. The median (range) number of responses per query was 10 (2-45). The proportion of helpful, safe and rectified unsafe responses was 91.5% (307/353), 96.8% (342/353) and 36% (4/11), respectively.
    Conclusions: PSL is a safe and helpful platform for taking advice regarding the management of paediatric surgical cases.
    MeSH term(s) Child ; Humans ; Retrospective Studies ; Social Media ; Surgeons
    Language English
    Publishing date 2022-10-31
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2392865-7
    ISSN 0974-5998 ; 0974-5998
    ISSN (online) 0974-5998
    ISSN 0974-5998
    DOI 10.4103/ajps.ajps_140_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Congenital anterior urethrocutaneous fistula: A case report and review of literature.

    Hassan, Ahmed / Kotb, Mostafa / Shehata, Sameh

    Urology case reports

    2019  Volume 27, Page(s) 100983

    Abstract: Congenital anterior urethrocutaneous fistula is an extremely rare anomaly which may present in an isolated form or accompanying hypospadias or chordee. We describe an 8-month-old boy who presented to our outpatient clinic with a congenital anterior ... ...

    Abstract Congenital anterior urethrocutaneous fistula is an extremely rare anomaly which may present in an isolated form or accompanying hypospadias or chordee. We describe an 8-month-old boy who presented to our outpatient clinic with a congenital anterior urethrocutaneous fistula on the ventral aspect of the penile shaft. He underwent single stage tubularized incised plateurethroplasty with a dartos flap cover. Postoperatively, the patient recovered without any complications and is doing fine on the follow-up visits.
    Language English
    Publishing date 2019-07-31
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2745459-9
    ISSN 2214-4420
    ISSN 2214-4420
    DOI 10.1016/j.eucr.2019.100983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Thoracoscopic Repair of Neonatal Congenital Diaphragmatic Hernia: Minimizing Open Repair in a Low-Income Country.

    Kotb, Mostafa / Shehata, Sameh / Khairi, Ahmed / Mohamed Shehata, Sherif / Ghoneim, Tamer / Rabie, Aliaa

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2021  Volume 31, Issue 11, Page(s) 1341–1345

    Abstract: Aim: ...

    Abstract Aim:
    MeSH term(s) Hernias, Diaphragmatic, Congenital/surgery ; Humans ; Infant, Newborn ; Prospective Studies ; Retrospective Studies ; Thoracoscopy ; Treatment Outcome
    Language English
    Publishing date 2021-09-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2021.0210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Cystourethroscopy versus contrast studies in urogenital sinus and cloacal anomalies in children.

    Ashour, Khaled / Shehata, Sameh / Osheba, Ahmed

    Journal of pediatric surgery

    2018  Volume 53, Issue 2, Page(s) 313–315

    Abstract: Background: Cloacal malformation is a spectrum of diseases affecting females, resulting in abnormal confluence of the urinary system, genital system, and/or gastrointestinal system. Proper reconstruction depends mainly on accurate preoperative ... ...

    Abstract Background: Cloacal malformation is a spectrum of diseases affecting females, resulting in abnormal confluence of the urinary system, genital system, and/or gastrointestinal system. Proper reconstruction depends mainly on accurate preoperative illustration of the abnormal anatomy. Among the various modalities to delineate the urogenital sinus and the distances to confluence, lies the radiological contrast study, as well as the preoperative diagnostic cystourethroscopy.
    Aim of the study: The aim of this study was to compare the accuracy of the contrast study and diagnostic cystourethroscopy in the demonstration of the exact changes in anatomy resulting from urogenital sinus / cloacal abnormalities.
    Methods: Sixteen girls with median age 21 (11-27) months were studied. They included 4 girls with complete cloacal anomalies and 12 girls with persistent urogenital sinus secondary to congenital adrenal hyperplasia (CAH). Contrast studies and diagnostic cystourethroscopy were applied to all cases. Accuracy of both methods in delineating the abnormal anatomy was evaluated by comparison against intraoperative findings. Data are presented as median (range) or %.
    Results: Contrast studies accurately delineated the abnormal anatomy in 12 (75%), cases with 50% and 85% accuracy in cases of cloacal anomalies and persistent urogenital sinus, respectively. Cystourethroscopy was overall accurate in 15 cases (94%), with accuracy of 75% in cloacal anomalies and 100% in persistent urogenital sinus.
    Conclusion: Although the presented series is small, it suggests that cystourethroscopy is superior to contrast studies in preoperative illustration of the abnormal anatomy in cases of cloacal malformations. These findings warrant confirmation in larger series.
    Type of study: Diagnostic study.
    Level of evidence: II.
    MeSH term(s) Child, Preschool ; Cloaca/abnormalities ; Cloaca/diagnostic imaging ; Cloaca/surgery ; Cystoscopy ; Female ; Humans ; Infant ; Preoperative Care/methods ; Prospective Studies ; Radiography ; Urogenital Abnormalities/diagnostic imaging ; Urogenital Abnormalities/surgery
    Language English
    Publishing date 2018-02
    Publishing country United States
    Document type Clinical Trial ; Comparative Study ; Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2017.11.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Surgical resection and outcome of malignant ovarian germ cell tumors in children-a national multicentric study compared to international results.

    Elgendy, Ahmed / Mostafa, Mahmoud / Salem, Mohamed Abouelmagd / Ali, Amany / Khairi, Ahmed / Shehata, Sameh

    Pediatric surgery international

    2020  Volume 36, Issue 9, Page(s) 1067–1075

    Abstract: Purpose: To evaluate the outcome of pediatric malignant ovarian germ cell tumors treated by three tertiary Egyptian institutions, and to compare our national experience to internationally published data.: Methods: This is a retrospective analysis of ... ...

    Abstract Purpose: To evaluate the outcome of pediatric malignant ovarian germ cell tumors treated by three tertiary Egyptian institutions, and to compare our national experience to internationally published data.
    Methods: This is a retrospective analysis of all patients presenting between September 2014 and September 2019. Management protocol was Children's Oncology Group (COG) in all participating centers. Overall survival (OS), event-free survival (EFS) and univariate prognostic factors were estimated by Kaplan-Meier and log-rank test. Additionally, a review of various practices that reported survival outcome was conducted.
    Main results: Thirty-seven patients were included with a median age of 10.5 years (1-18 years). Thirty-five patients had unilateral salpingo-oophorectomy. Mixed germ cell and yolk sac tumors represented 75.7% of patients. There were 7 (19%), 14 (37.8%), 12 (32.4%) and 4 (10.8%) stage I, II, III and IV, respectively. Seven patients were low risk (LR), 26 intermediate risk (IR) and 4 high risk (HR). Platinum-based chemotherapy was administered as per risk stratification. Follow-up to March 2020 revealed that five patients had relapsed. There were no statistical significances of pathological types and patients' age regarding OS (p value 0.392 and 0.281, respectively) and EFS (p value 0.420 and 0.437, respectively). Three-year OS was 84%: 100% for stages I and II, and 62% for stages III and IV (p = 0.003); 100% for LR, 89% for IR, and 24% for HR (p < 0.001). Three-year EFS was 87%: 96% for stages I and II, and 71% for stages III and IV (p = 0.025); 100% for LR, 92% for IR, and 26% for HR (p < 0.001).
    Conclusion: Surgical resection combined with chemotherapy achieves excellent outcome for such tumors in both, present study and previous reports. On the basis of our results, COG staging and risk stratification were significantly correlated with prognosis, whereas tumor pathology and age had no significant impact. Prognostic factors are controversial among studies, and further research is still required.
    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Disease-Free Survival ; Egypt/epidemiology ; Female ; Humans ; Infant ; Neoplasm Staging ; Neoplasms, Germ Cell and Embryonal/diagnosis ; Neoplasms, Germ Cell and Embryonal/mortality ; Neoplasms, Germ Cell and Embryonal/surgery ; Ovarian Neoplasms/diagnosis ; Ovarian Neoplasms/mortality ; Ovarian Neoplasms/surgery ; Ovariectomy/methods ; Prognosis ; Retrospective Studies ; Survival Rate/trends ; Treatment Outcome
    Language English
    Publishing date 2020-07-17
    Publishing country Germany
    Document type Comparative Study ; Journal Article ; Multicenter Study
    ZDB-ID 632773-4
    ISSN 1437-9813 ; 0179-0358
    ISSN (online) 1437-9813
    ISSN 0179-0358
    DOI 10.1007/s00383-020-04716-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Management strategy and outcomes of sacrococcygeal teratoma - an Egyptian multicenter experience.

    Elgendy, Ahmed / AbouZeid, Amr Abdelhamid / El-Debeiky, Mohamed / Mostafa, Mahmoud / Takrouney, Mohammed Hamada / Abouheba, Mohamed / Khairi, Ahmed / Shehata, Sameh / Shehata, Sherif M

    World journal of surgical oncology

    2023  Volume 21, Issue 1, Page(s) 294

    Abstract: Objectives: Nationwide criteria regarding patients with sacrococcygeal teratoma (SCT) are still lacking in Egypt. We aimed to present a multicenter study regarding the management and outcomes of this tumor to evaluate our national treatment strategy.: ...

    Abstract Objectives: Nationwide criteria regarding patients with sacrococcygeal teratoma (SCT) are still lacking in Egypt. We aimed to present a multicenter study regarding the management and outcomes of this tumor to evaluate our national treatment strategy.
    Methods: A retrospective analysis including all patients with SCT who were managed at four major Egyptian centers between 2013 and 2023. Clinical data, surgical approaches, and short- and long-term outcomes were discussed.
    Results: The study included 95 patients (74 were females). Antenatal diagnosis was reported in 25% of patients. Seventy-one patients (74.7%) were classified as Altman type I/II. Surgery was performed via a perineal approach in 75 patients, whereas the remaining 20 underwent a combined abdominoperineal approach. Vertical elliptical incision with midline closure was conducted in 51.5% of patients, followed by classic or modified chevron incisions. Benign mature teratoma was detected in 82% of patients. At a median follow-up of 57 months, eight patients (8.5%) had relapsed. The 5-year overall survival (OS) and event-free survival (EFS) of all patients were 94% and 91%, respectively. In the after-care monitoring, 19 patients (20%) had urinary or bowel dysfunctions. Nine of them were managed using medications. Clean intermittent catheterization was practiced in another five patients. The remaining five underwent further surgical interventions.
    Conclusion: Favorable outcomes were achieved in our country during the last decade. Diverse perineal incisions were performed for resection, and vertical elliptical with midline closure was the commonest. During follow-up, 20% of patients developed urological or bowel dysfunctions that required medical and surgical treatment modalities to improve their quality of life.
    MeSH term(s) Pregnancy ; Humans ; Female ; Male ; Egypt/epidemiology ; Quality of Life ; Retrospective Studies ; Teratoma/surgery ; Spinal Neoplasms ; Surgical Wound
    Language English
    Publishing date 2023-09-18
    Publishing country England
    Document type Multicenter Study ; Journal Article
    ZDB-ID 2118383-1
    ISSN 1477-7819 ; 1477-7819
    ISSN (online) 1477-7819
    ISSN 1477-7819
    DOI 10.1186/s12957-023-03180-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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