Mohamed Elanwar

East Kent Hospitals University NHS Foundation Trust

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Mohamed A Nasr

King Fahd Hospital of the University

Paraskevi Xanthopoulou

East Kent Hospitals University NHS Foundation Trust

Motasim Alzyadi

East Kent Hospitals University NHS Foundation Trust

Anastasios Lavaris

University College London

Hosam Fathy Ali

Cairo University

Nickolaos Kopsacheilis

East Kent Hospitals University NHS Foundation Trust

Hysam Abdelmohty

Mansoura University

Raafat Abdel Latif Anany

Zagazig University

Ashraf Fawzy

Johns Hopkins University

Y.K.E. Ibrahim

Ahmadu Bello University

Cooperative Institutions

East Kent Hospitals University NHS Foundation Trust

National and Kapodistrian University of Athens

King Fahd Hospital of the University

Athens Eye Hospital

Eye Center

401 General Military Hospital of Athens

University General Hospital Attikon

University of Thessaly

University College London

Moorfields Eye Hospital

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Mechanical mitral valve prosthesis: Should the INR be above 2 when aspirin is added to the oral anticoagulant?

Journal of the Egyptian Society of Cardio-Thoracic Surgery (2017)

Ashraf Fawzy Hosam Fathy Ali Mohamed Elanwar

Our aim is to avoid thrombo-embolic and bleeding events in mechanical mitral valve prostheses and find a solution for the difficult adjustment of the INR with the given Vitamin K Antagonists/Oral anticoagulants (VKA) by adding small dose of Aspirin (75 or 81 mg/day)to the oral anticoagulants. We revised the data of 183 patients who had been submitted for mechanical mitral valve replacement between January 2007 and January 2011 and followed for 2–3 years post operative. All of them had been replaced with St.Jude prostheses. 104 of them received Aspirin with the VKA, referred to as group A; group B patients (79 patients) received only VKA. We followed both groups clinically, by coagulation profile and by echocardiography for 2–3 years to assess the INR and the state of the valve in response to the added Aspirin to the VKA. In the cases receiving Aspirin added to the oral anticoagulants we found less incidence of malfunctioning valves, less thrombo-embolism and less bleeding events. There were lower doses of oral anticoagulants taken, lower figures of INR in group A than in group B. Aspirin added to oral anticoagulants post MVR had the advantages of being safe, convenient and reliable with no need to frequently adjust the oral anticoagulants doses or fear of thrombo-embolic events.

Oral anticoagulant

10.1016/j.jescts.2017.06.001

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Urgent surgical repair is pivotal in the management of major airway injury due to blunt trauma

The Cardiothoracic Surgeon (2020)

Hysam Abdelmohty Mohamed Elanwar Basem Abdelgawad

Abstract Background Blunt traumatic airway injury is a life-threatening injury in which urgent management is pivotal and this would come through improving our clinical management and diagnostic tools. Our objective was to emphasize the importance of early referral and urgent surgical repair of major airway injury. Results Records of 42 patients with major airway injury out of 17,520 registered thoracic trauma cases were reviewed over the past 15 years. Twenty-eight cases documented to have major tracheobronchial injuries due to blunt trauma underwent surgical repair either urgent (21 cases) or late (7 cases). The age ranged from 8 to 43 years old with a mean age of 22.3 ± 0.8. The most common presenting symptom was shortness of breath in 22 (78.6%) cases and the most frequent sign was subcutaneous emphysema which was seen in 22 (78.6%) cases. The postoperative morbidity and mortality rates were significantly higher in the delayed repair group ( p value < 0.001). Conclusion The urgent surgical repair is the treatment of choice for major airway injury which is facilitated by early recognition and referral. It is pivotal to avoid respiratory and systemic complications and related mortality.

Blunt trauma

10.1186/s43057-020-00031-2

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Α Novel Sutureless Pterygium Excision Surgery Using Human-Derived Dehydrated Amniotic Membrane

Cureus (2022)

Paraskevi Xanthopoulou Mohamed Elanwar Motasim Alzyadi Anastasios Lavaris Nickolaos Kopsacheilis

There are many surgical techniques available for the management of pterygium. Excision with limbal conjunctival autograft is currently the most popular surgical procedure and has been shown to have low recurrence rate and fewer complications. The fixation of limbal conjunctival autograft is performed with either sutures or fibrin glue. The use of sutures results in longer operating time and intense postoperative irritation and epiphora. We describe a new technique for pterygium excision using a human amniotic membrane-derived dry matrix (Omnigen®; Nottingham, UK: Nu-Vision Biotherapies). The use of Omnigen instead of conjunctival autograft in pterygium surgery is a new promising technique and results in shorter operation time, easier graft fixation, reduction in complications, and less postoperative discomfort. This is a simple technique for pterygium surgery with dry amniotic membrane matrix and without the need for anchoring limbal sutures or an assistant holding the graft whilst it is glued in place.

Pterygium

Amnion

10.7759/cureus.23839

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Role of Nanofat Injection Before Hair Transplant in Cicatricial Alopecia

Zagazig University Medical Journal (2025)

Raafat Abdel Latif Anany Y.K.E. Ibrahim Mohamed A Nasr Mohamed Elanwar

Hair transplantation

10.21608/zumj.2025.344465.3738

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