000			04584namaa22004571i 4500
003			EG-GICUC
005			20260311114439.0
008			260302s2025 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
092			_a617 _221
097			_aPh.D
099			_aCai01.11.14.Ph.D.2025.Ma.E
100	0		_aMahmoud Adel Abu Alwafa, _epreparation.
245	1	0	_aEvaluation of mesh perineoplasty in cases of perineal descent syndrome with preoperative assessment of the size of the perineal body : _bA prospective cohort study / _cby Mahmoud Adel Abu Alwafa ; Supervised Prof. Dr. Ali Ahmed Shafik, Dr. Mohamed Yehia Ahmed, Dr. Osama Refaie Mohamed, Dr. Mohamed Tamer Mohamed.
246	1	5	_aتقييم رأب العجان بشبكه في حالات متلازمة هبوط العجان مع تقييم حجم الجسم العجان قبل العمليه : _bدراسه مستقبليه
264		0	_c2025.
300			_a113 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_a Thesis (Ph.D)-Cairo University, 2025.
504			_aBibliography: pages 95 -113.
520		3	_aBackground: While Current surgeries target rectocele and intussusception in patients with obstructed defecation syndrome (ODS), excessive perineal descent may contribute to surgical failure. This study evaluated the effectiveness of mesh perineoplasty, a procedure designed to reinforce the perineum, in patients with ODS and abnormal PD. Methods: Twenty-nine patients (20 females, 9 males; mean age 43.17 ± 10.7 years) with ODS and PD were assessed preoperatively using the Cleveland Constipation Score (CCS), perineometer, anorectal manometry, and MRI defecography. All underwent mesh perineoplasty and were followed up for 6 months. Results: Significant improvements were noted postoperatively. The CCS decreased from 18.0 ± 3.21 to 12.69 ± 4.65 (P < 0.001), intrarectal pressure increased from 34.34 ± 6.03 mmHg to 41.17 ± 5.85 mmHg (P < 0.001), and mean perineal descent improved from 2.29 ± 0.55 cm to 1.74 ± 0.51 cm (P < 0.001). However, 9 patients (31%) reported persistent symptoms. All had rectal intussusception, and all symptomatic females had uterine prolapse with greater descent. They also exhibited smaller perineal body dimensions, greater PD, and were older than the improved group (mean age 55.67 vs. 37.55 years; P < 0.001). Conclusion: Mesh perineoplasty is a promising procedure for patients with ODS and excessive PD. However, factors intussusception, uterine prolapse, older age, and smaller perineal body dimensions may predict poorer outcomes, stressing the need for personalized surgical planning.
520		3	_a متلازمة التبرز الانسدادي هي نوع من الإمساك يتميز ببراز مجزأ، والحاجة إلى الإجهاد عند التبرز، والشعور بعدم اكتمال البراز. يمكن ملاحظة سقوط العجان في 75% إلى 84% من مرضى متلازمة التبرز الانسدادي. لقد افترضنا أن المرض قد يكون مسؤولاً عن فشل معظم العمليات. الهدف من دراستنا هو تقييم النتائج السريرية والمورفولوجية والوظيفية الأولية قصيرة المدى لإجراء جراحي جديد، الدعم العجاني المستعرض (رأب العجان الشبكي) لتصحيح الحالة المرضية لدى مجموعة مختارة من المرضى.
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		0	_aGeneral Surgery
650		0	_aالجراحة العامة
653		1	_aObstructed Defecation Syndrome _aPerineal Descent _a Mesh Perineoplasty _aIntussusception _aRectocele _aUterine Prolapse _aسقوط العجان _a انغلاق المستقيم
700	0		_a Ali Ahmed Shafik _ethesis advisor.
700	0		_aMohamed Yehia Ahmed _ethesis advisor.
700	0		_aOsama Refaie Mohamed _ethesis advisor.
700	0		_aMohamed Tamer Mohamed _ethesis advisor.
900			_b01-01-2025 _cAli Ahmed Shafik _cMohamed Yehia Ahmed _cOsama Refaie Mohamed _cMohamed Tamer Mohamed _UCairo University _FFaculty of Medicine _DDepartment of General Surgery
905			_aShimaa _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c178810