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  1. Article ; Online: The 4th S-ECCO IBD Masterclass, Barcelona, February 19, 2015.

    Zmora, O

    Techniques in coloproctology

    2015  Volume 19, Issue 8, Page(s) 495–496

    MeSH term(s) Congresses as Topic ; Digestive System Surgical Procedures/methods ; Humans ; Inflammatory Bowel Diseases/surgery ; Spain
    Language English
    Publishing date 2015-08
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-015-1331-4
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  2. Article ; Online: The 3rd S-ECCO IBD Masterclass, Copenhagen, February 19-20, 2014.

    Zmora, O

    Techniques in coloproctology

    2014  Volume 18, Issue 8, Page(s) 769–770

    MeSH term(s) Congresses as Topic ; Denmark ; Disease Management ; Humans ; Inflammatory Bowel Diseases/therapy
    Language English
    Publishing date 2014-08
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-014-1185-1
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  3. Article ; Online: Antibiotic Treatment Has No Influence on Anal Fistula Formation and Recurrent Perianal Abscess After Incision and Drainage of Cryptogenic Perianal Abscess: A Randomized Single-Blind Prospective Study.

    Nasasra, Ahmad / Hershkovitz, Yehuda / Ashkenazi, Itamar / Hammerschlag, Jonathan / Zmora, Oded / Jeroukhimov, Igor

    Diseases of the colon and rectum

    2024  

    Abstract: Background: Anal fistula commonly appears after incision and drainage of perianal abscess. Theoretically, fistula develops as a consequence of infection process. Antibiotic treatment was suggested to decrease the possibility of fistula development.: ... ...

    Abstract Background: Anal fistula commonly appears after incision and drainage of perianal abscess. Theoretically, fistula develops as a consequence of infection process. Antibiotic treatment was suggested to decrease the possibility of fistula development.
    Objective: We hypothesized that antibiotic treatment has no influence on development of anal fistula after surgical treatment of perianal abscess.
    Design: A single blind randomized prospective study.
    Setting and patients: Patients with primary cryptogenic abscess were eligible to participate. Patients were divided in two groups. Patients in Group I received amoxicillin 875mg/clavulanic acid 125mg during 7 days after surgery and Group II patients received no antibiotics. Study database included demographics, clinical and laboratory data.
    Main outcome measures: Patients were examined in our outpatient clinic 2 weeks, four months and 1 year after surgery and telephone questionnaire performed 6 month after surgery. Primary Outcome was formation of anal fistula. Secondary Outcome was recurrent perianal abscess.
    Results: Overall 98 patients completed the study. Groups were not different on inclusion. Anal fistula was diagnosed in 16 (16.3%) patients in Group I (treatment group) and 10 (10.2%) patients in the Group II (control group) (p = 0.67). Nine patients (9.2%) developed recurrent perianal abscess, 4 in the treatment group, and 5 in the control group (p = 0.73).
    Limitations: Relatively small number of patients treated in single Medical Center.
    Conclusion: Antibiotic therapy has no influence on anal fistula or recurrent perianal abscess formation after incision and drainage of perianal abscess. See Video Abstract.
    Language English
    Publishing date 2024-05-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000003334
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  4. Article: Rare Pediatric Cecal Anomalies: A Lesson in Pediatric Surgery.

    Zmora, Osnat / Indursky, Atara / Klin, Baruch / Mendlovic, Sonia

    The Israel Medical Association journal : IMAJ

    2022  Volume 24, Issue 10, Page(s) 634–637

    Abstract: Background: Rare incidence cases are part of the routine work of pediatric surgeons. Cecal anomalies in children are an example of such cases. Objectives: To describe the presentation, workup, management and outcome of rare cecal anomalies in children ... ...

    Abstract Background: Rare incidence cases are part of the routine work of pediatric surgeons. Cecal anomalies in children are an example of such cases. Objectives: To describe the presentation, workup, management and outcome of rare cecal anomalies in children and to analyze the skills needed for their successful treatment.
    Methods: A retrospective chart review was conducted of all cases of cecal anomalies managed by the pediatric surgical service at a tertiary hospital from June 2017 to January 2020. Data regarding demographics, clinical presentation, radiological studies, surgical treatment, pathology, complications, and outcome were collected.
    Results: Five cases of cecal anomalies were encountered over a period of 32 months, including a cecal volvulus, cecal duplication, cecal intussusception, and two cecal masses (one ulcerated lipoma and one polyp). All patients, except the patient with cecal duplication, presented acutely and were managed surgically. Long-term follow-up of 17-24 months was unremarkable in all cases.
    Conclusions: A wide knowledge base, careful judgment, and creativity enable pediatric surgeons to successfully treat rare conditions such as rare cecal anomalies. These skills should be part of the education of pediatric surgery trainees.
    MeSH term(s) Humans ; Child ; Retrospective Studies ; Cecal Diseases/diagnosis ; Cecal Diseases/surgery ; Cecal Diseases/etiology ; Cecum/surgery ; Cecum/abnormalities ; Cecum/pathology ; Intestinal Volvulus/complications ; Intestinal Volvulus/epidemiology ; Intestinal Volvulus/surgery ; Intussusception/diagnosis ; Intussusception/etiology ; Intussusception/surgery
    Language English
    Publishing date 2022-10-30
    Publishing country Israel
    Document type Journal Article
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
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  5. Article: Sexually dimorphic anthropometric measurements in patients with hypospadias and cryptorchidism.

    Uchitel, Yoav / Zmora, Osnat / Beberashvili, Ilya / Rachmiel, Marianna / Visma, Yakaterina / Neheman, Amos

    Anthropologischer Anzeiger; Bericht uber die biologisch-anthropologische Literatur

    2023  

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-04-17
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 396-7
    ISSN 0003-5548
    ISSN 0003-5548
    DOI 10.1127/anthranz/2023/1614
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  6. Article ; Online: Prenatal detection of gastrointestinal bubbles since early pregnancy: Clues to correct diagnosis.

    Zmora, Osnat / Beloosesky, Ron / Khatib, Nizar / Ginsberg, Yuval / Gover, Ayala / Bronshtein, Moshe

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 162, Issue 1, Page(s) 273–277

    Abstract: Objective: To characterize gastrointestinal bubbles detected since early pregnancy and to describe corresponding diagnoses.: Method: A retrospective cohort review of all cases in which gastrointestinal bubbles were detected starting in early prenatal ...

    Abstract Objective: To characterize gastrointestinal bubbles detected since early pregnancy and to describe corresponding diagnoses.
    Method: A retrospective cohort review of all cases in which gastrointestinal bubbles were detected starting in early prenatal transvaginal scans at 14-17 weeks of gestation between the years 2007 and 2021. Sonographic features and data regarding associated anomalies, genetic abnormalities, and pregnancy outcome were evaluated.
    Results: Bubbles were detected in 23 of 27 073 early scans and a total of 31 394 scans. Diagnosis was available in 22 cases. Transient bubbles were detected in 10 cases and represented normal peristalsis. Fixed double bubble was detected in nine cases. Double-walled double bubbles represented duodenal duplications (three cases) and esophageal duplications (two cases). Simple cysts represented duodenal atresia (three cases) and a pancreatic cyst (one case). A triple bubble represented duodenal obstruction from Ladd bands in one case. Quadribubble was detected in two cases and represented jejunal atresia.
    Conclusion: Prenatal detection of gastrointestinal bubbles can accurately diagnose physiological versus pathological upper gastrointestinal conditions. Transient bubbles are physiological. Fixed double bubbles might represent either duodenal atresia or esophageal/duodenal duplications when a double wall is demonstrated. Three or four bubbles might represent more distal intrinsic or extrinsic obstruction.
    MeSH term(s) Female ; Pregnancy ; Humans ; Retrospective Studies ; Ultrasonography, Prenatal ; Duodenal Obstruction/diagnostic imaging ; Duodenal Obstruction/genetics ; Pregnancy Outcome ; Prenatal Diagnosis
    Language English
    Publishing date 2023-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14666
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  7. Article: [13-YEAR-OLD GIRL WITH PHEOCHROMOCYTOMA PRESENTING WITH SECONDARY NOCTURNAL ENURESIS].

    Shopen, Libby / Zmora, Osnat / Barash, Galia / Bahat, Hilla

    Harefuah

    2021  Volume 160, Issue 12, Page(s) 818–821

    Abstract: Introduction: Pheochromocytoma is a rare, catecholamine secreting tumor arising from chromaffin cells of the adrenal medulla and it is responsible for 0.5-2% of pediatric hypertension cases. We hereby present a case of a 13-year-old girl with obesity, ... ...

    Abstract Introduction: Pheochromocytoma is a rare, catecholamine secreting tumor arising from chromaffin cells of the adrenal medulla and it is responsible for 0.5-2% of pediatric hypertension cases. We hereby present a case of a 13-year-old girl with obesity, excessive hypertension, prediabetes and secondary nocturnal enuresis, who was eventually diagnosed with pheochromocytoma. Most symptoms significantly improved after treating the tumor. We suggest that this diagnosis should be considered in pediatric patients presenting with similar symptoms.
    MeSH term(s) Adolescent ; Adrenal Gland Neoplasms/complications ; Adrenal Gland Neoplasms/diagnosis ; Child ; Female ; Humans ; Hypertension/diagnosis ; Hypertension/etiology ; Nocturnal Enuresis/diagnosis ; Nocturnal Enuresis/etiology ; Pheochromocytoma/complications ; Pheochromocytoma/diagnosis
    Language Hebrew
    Publishing date 2021-12-27
    Publishing country Israel
    Document type Case Reports ; Journal Article
    ZDB-ID 953872-0
    ISSN 0017-7768
    ISSN 0017-7768
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  8. Article: Trephine Minimally Invasive Procedure for Pilonidal Sinus.

    Zoarets, Itay / Nevo, Yehonatan / Schwartz, Chaya / Cordoba, Moti / Shapira, Udi / Gutman, Motti / Zmora, Oded

    The Israel Medical Association journal : IMAJ

    2022  Volume 24, Issue 2, Page(s) 96–100

    Abstract: Background: Pilonidal sinus is a chronic, inflammatory condition. Controversy exists regarding the best surgical management for pilonidal sinus, including the extent of excision and type of closure of the surgical wound.: Objectives: To assess the ... ...

    Abstract Background: Pilonidal sinus is a chronic, inflammatory condition. Controversy exists regarding the best surgical management for pilonidal sinus, including the extent of excision and type of closure of the surgical wound.
    Objectives: To assess the short- and long-term outcomes and success rate of the trephine procedure for the treatment of pilonidal sinus.
    Methods: A retrospective observational cohort study was conducted at a single center. Patients who underwent trephine procedure between 2011 and 2015 were included. Data collection included medical records review and a telephone interview to establish long-term follow-up.
    Results: A total of 169 patients underwent the trephine technique for the repair of pilonidal sinus. Follow-up included 113 patients, median age 20 years. Initial postoperative period, 35.6% recalled no pain and 58.6% reported a mild to moderate pain. Postoperative complications included local infection (7.5%) and mild bleeding (15.1%). On early postoperative follow-up, 47.1% recalled no impairment in quality of life, and 25%, 21.2 %, and 6.7% had mild, moderate and sever disturbance respectively. The median time to return to work or school was 10 days. At a median follow-up of 29 months (IQR 19-40), recurrence rate was 45.1% (51/113), and 38 (33.9%) of the patients underwent another surgical procedure Overweight, smoking, and family history were associated with higher recurrence rate.
    Conclusions: The trephines technique has a significant long-term recurrence rate. Short-term advantages include low morbidity, enhanced recovery, and minimal to mild postoperative impairment to quality of life. The trephine procedure may be justified as a first treatment of pilonidal disease.
    MeSH term(s) Adult ; Cohort Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Minimally Invasive Surgical Procedures/methods ; Pilonidal Sinus/surgery ; Postoperative Complications/epidemiology ; Quality of Life ; Recurrence ; Retrospective Studies ; Risk Factors ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2022-02-20
    Publishing country Israel
    Document type Journal Article ; Observational Study
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
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  9. Article: Clinical Presentation of Acute Cholecystitis during the COVID-19 Outbreak.

    Hershkovitz, Yehuda / Zmora, Oded / Nativ, Hilli / Ashkenazi, Itamar / Hammerschlag, Jonathan / Jeroukhimov, Igor

    The Israel Medical Association journal : IMAJ

    2022  Volume 24, Issue 5, Page(s) 306–309

    Abstract: Background: The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on healthcare systems worldwide. The fear of seeking medical attention to avoid the possibility of being infected may have altered the course of some diseases.: ... ...

    Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on healthcare systems worldwide. The fear of seeking medical attention to avoid the possibility of being infected may have altered the course of some diseases.
    Objectives: To describe our experience with the management of patients with acute cholecystitis during the pandemic at our medical center.
    Methods: We compared patients treated for acute cholecystitis between 1 March and 31 August 2020 (Group I) to patients admitted with the same diagnosis during the same months in 2019 (Group II). We evaluated demographics, presenting symptoms, laboratory and imaging findings at presentation, the disease's clinical course, management, and outcome.
    Results: Group I consisted of 101 patients and group II included 94 patients. No differences were noted for age (66 years, IQR 48-78 vs. 66 years, IQR 47-76; P = 0.50) and sex (57.4% vs. 51.1% females; P = 0.39) between the two groups. The delay between symptom onset and hospital admission was longer for Group I patients (3 days, IQR 2-7 vs. 2 days, IQR 1-3; P = 0.002). Moderate to severe disease was more commonly encountered in Group I (59.4% vs. 37.2%, P = 0.003). Group I patients more often failed conservative management (36% vs. 6%, P = 0.001) and had a higher conversion rate to open surgery (15.4% vs. 0%, P = 0.025).
    Conclusions: Patients presenting with acute cholecystitis during the COVID-19 pandemic more often presented late to the emergency department and more showed adverse outcomes.
    MeSH term(s) Aged ; COVID-19 ; Cholecystitis, Acute/diagnosis ; Cholecystitis, Acute/epidemiology ; Cholecystitis, Acute/therapy ; Disease Outbreaks ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Retrospective Studies
    Language English
    Publishing date 2022-04-30
    Publishing country Israel
    Document type Journal Article
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
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  10. Article ; Online: Chronic pain following totally extra-peritoneal inguinal hernia repair: a randomized clinical trial comparing glue and absorbable tackers.

    Jeroukhimov, Igor / Dykman, Daniel / Hershkovitz, Yehuda / Poluksht, Natan / Nesterenko, Vladimir / Yehuda, Amir Ben / Stephansky, Albert / Zmora, Oded

    Langenbeck's archives of surgery

    2023  Volume 408, Issue 1, Page(s) 190

    Abstract: Purpose: Chronic pain following inguinal hernia repair occurs in up to 20% of patients. The underlying mechanism probably involves sensory nerve damage and abnormal healing that might be influenced by the materials chosen for mesh fixation. The main ... ...

    Abstract Purpose: Chronic pain following inguinal hernia repair occurs in up to 20% of patients. The underlying mechanism probably involves sensory nerve damage and abnormal healing that might be influenced by the materials chosen for mesh fixation. The main objective of this study was to compare glue and absorbable tackers on the rate of chronic pain after surgery in patients undergoing totally extraperitoneal inguinal hernia repair (TEP).
    Methods: Patients undergoing (TEP) inguinal hernia repair were enrolled in a single-blind randomized clinical trial and were randomized for mesh fixation with glue (LIQUIBAND FIX 8 Neopharm) or absorbable tackers (SECURE STRAP Johnson & Johnson). Pain was assessed using a validated 4-point verbal-rank scale (none, mild, moderate, and severe) at 1 week, 1 month, 6 months, and 1 year postoperatively. Chronic pain was defined as pain persisting beyond 3 months.
    Results: Two hundred and eight patients were analyzed. The groups were similar in age, gender, and hernia side. Chronic pain of any intensity was reported in 31.7% (66/208) after 6 months and in 13% (29/208) after 12 months. No differences in postoperative pain were observed between the two forms of mesh fixation. Still, when only those with severe pain were considered, mesh fixation with glue resulted in less pain compared to fixation by tackers (log-rank p = 0.025). At 1 year, 4 symptomatic recurrent hernias were identified in patients whose mesh was fixated with absorbable tackers.
    Conclusions: Patients who underwent TEP inguinal hernia repair with mesh fixated by glue suffered from less pain.
    MeSH term(s) Humans ; Chronic Pain/etiology ; Hernia, Inguinal/surgery ; Treatment Outcome ; Single-Blind Method ; Peritoneum ; Pain, Postoperative/etiology ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Surgical Mesh/adverse effects ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Recurrence
    Language English
    Publishing date 2023-05-12
    Publishing country Germany
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-023-02932-2
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