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Functional luminal imaging probe (FLIP) in adjustment of anal canal resistance in treatment of anal incontinence / Ahmed Sayed Khalifa Mohamed ; Supervised Ahmed Farag Ahmed Farag , Mohamed Khaled Said , Abdrabbou Nagdy Abdelfattah Mashhour

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Ahmed Sayed Khalifa Mohamed , 2017Description: 85 P. : facsimiles ; 25cmOther title:
  • استخدام مجس التصوير التجويفى الوظيفى فى تعديل مقاومة قناة الشرج فى علاج السلس البرازى [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery Summary: Aim: of the study: This study aimed to adjust the anal canal resistance in surgical management of incontinence (intraoperatively) through the application of Endo-FLIP and based on the concept of the flow equation to improve the outcome and to correlate subjective and objective parameters of the fecal incontinence to allow prediction of outcomes. Methods: A registry based prospective, consecutive study was performed from January 2015 to January 2017. Forty four incontinent patients treated by different surgical procedures were included. During the procedure the Endo-FLIP was applied to adjust the anal canal dimensions (ACL and ACD) so the ACR could be adjusted based on the flow equation. Anal canal dimensions (length and diameter) and resistance were assessed perioperative with application of EndoFLIP system and the flow equation calculator. The clinical severity of the disease and outcome after surgical procedures were assessed (by both cleveland clinic incontinence scoring and Farag{u2019}s grading systems) and correlated to the physiologic parameters. Results: Anal canal length (ACL), anal canal diameter (ACD) and anal canal resistance (ACR) had significant correlations to the degree of incontinence (P<0.001). ACL, ACD and ACR showed statistical significant change with primary repair and gluteus maximus transposition operations. Also, ACL and ACR were increased significantly with dynamic plication P=0.024, 0.015 respectively
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.14.Ph.D.2017.Ah.F (Browse shelf(Opens below)) Not for loan 01010110074868000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.14.Ph.D.2017.Ah.F (Browse shelf(Opens below)) 74868.CD Not for loan 01020110074868000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery

Aim: of the study: This study aimed to adjust the anal canal resistance in surgical management of incontinence (intraoperatively) through the application of Endo-FLIP and based on the concept of the flow equation to improve the outcome and to correlate subjective and objective parameters of the fecal incontinence to allow prediction of outcomes. Methods: A registry based prospective, consecutive study was performed from January 2015 to January 2017. Forty four incontinent patients treated by different surgical procedures were included. During the procedure the Endo-FLIP was applied to adjust the anal canal dimensions (ACL and ACD) so the ACR could be adjusted based on the flow equation. Anal canal dimensions (length and diameter) and resistance were assessed perioperative with application of EndoFLIP system and the flow equation calculator. The clinical severity of the disease and outcome after surgical procedures were assessed (by both cleveland clinic incontinence scoring and Farag{u2019}s grading systems) and correlated to the physiologic parameters. Results: Anal canal length (ACL), anal canal diameter (ACD) and anal canal resistance (ACR) had significant correlations to the degree of incontinence (P<0.001). ACL, ACD and ACR showed statistical significant change with primary repair and gluteus maximus transposition operations. Also, ACL and ACR were increased significantly with dynamic plication P=0.024, 0.015 respectively

Issued also as CD

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