000			05127namaa22004451i 4500
003			EG-GICUC
005			20260303104303.0
008			260221s2025 ua a|||frm||| 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a617.553
092			_a617.553 _221
097			_aM.Sc
099			_aCai01.11.14.M.Sc.2025.Fa.E
100	0		_aFatima Abdelhamid Youssef, _epreparation.
245	1	0	_aEfficacy of reinforcement of staple line by glue vs non-reinforcement on leakage post laparoscopic sleeve gastrectomy for obese patients / _cby Fatima Abdelhamid Youssef ; Supervised Prof. Dr. Ahmed Hussein Khalil, Dr. Amir Kamal, Dr. Mohamed Fathy ElShal.
246	1	5	_aدراسة توضح بالمقارنة مدى تأثير تقوية حواف المعدة المُكممة بالصمغ على حدوث التسريب من خلالها
264		0	_c2025.
300			_a83 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (M.Sc)-Cairo University, 2025.
504			_aBibliography: pages 69-83.
520		3	_aBackground: Sleeve gastrectomy is a widely performed bariatric procedure, but postoperative staple line leakage remains a significant complication, leading to increased morbidity and healthcare costs. Various techniques have been explored to reinforce the staple line, yet an optimal solution remains elusive. nebulized cyanoacrylate glue , a novel surgical adhesive, has shown promise in preliminary studies for its ability to enhance tissue sealing and reduce complications. Objectives: This study aims to evaluate the effectiveness of nebulized cyanoacrylate glue in reinforcing the staple line during sleeve gastrectomy and its impact on reducing postoperative leakage rates. Additionally, it seeks to assess its influence on operative time, length of hospital stay, and overall postoperative complications. Methods: A prospective Randomized Controlled Clinical Trial was conducted involving 70 patients undergoing sleeve gastrectomy. Participants were divided into two equal groups: one without staple line reinforcement and the other utilizing nebulized cyanoacrylate glue in reinforcement of staple line. Data were collected on intraoperative parameters, postoperative leakage rates, hospital stay duration, and other complications. Statistical analysis was performed to compare outcomes between the two groups. Results: The nebulized cyanoacrylate glue group demonstrated a statistically no significant reduction in postoperative staple line leakage rates compared to the Non reinforcement group. The findings suggest that the choice between two methods does not significantly impact the incidence of leakage. Conclusion: No statistically difference in post-operative leakage rate between the glue-reinforced and non-reinforced groups. Both groups have similar outcomes in terms of bleeding, hospital stay duration, and readmission rates. These findings suggest that glue reinforcement of staple line does not provide a significant advantage in preventing staple line leakage over non-reinforcement.
520		3	_aتعد جراحة تكميم المعدة من اقصر عمليات السمنه انتشارا. المضاعفات ما بعد عمليات السمنة ومنها جراحة تكميم المعدة تؤثر بشكل كبير على صحة المريض وكذلك عبئا على المنظومة الصحية. وسائل مختلفة تم اقتراحها لتقوية حواف المعدة المكممة لتقليل التسريب ما بعد الجراحة ولكن ما زالت هذه الوسائل تحت الدراسة حتى يتم الوصول لحل مناسب لتقليل التسريب. يعتبر الصمغ الجراحى من احدى هذه الوسائل التى يتم دراستها الان بعد ما اظهر فاعليته على بعض الجروح. وتهدف هذه الدراسة الى معرفة مدى تأثير الضمغ الجراحى على تقليل حالات المعدة المقننة وتوضح مدى تأثيره على تقليل نسبة التسريب بعد عمليات التكميم
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		7	_aGastrectomy
650		7	_aتكميم المعدة
653		1	_aSleeve gastrectomy postoperative leakage _astaple line reinforcement _anebulized cyanoacrylate glue _abariatric surgery _acomplication _aتكميم المعدة _aتقوية حواف المعدة
700	0		_aAhmed Hussein Khalil _ethesis advisor.
700	0		_aAmir Kamal _ethesis advisor.
700	0		_aMohamed Fathy ElShal _ethesis advisor.
900			_b01-01-2025 _cAhmed Hussein Khalil _cAmir Kamal _cMohamed Fathy ElShal _UCairo University _FFaculty of Medicine _DDepartment of General Surgery
905			_aShimaa _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c178628