Tamer Ashraf Wafa

34 statements · 2 topics

Aerodigestive / ENT · guest expert Colorectal / ARM & Hirschsprung · guest expert Inguinal Hernia · guest expert

Featured statements

Suction should be continuously applied, to prevent blood from entering the airway.
quote · Aerodigestive / ENT
The opening should be widened, just enough to admit the suitable tube.
quote · Aerodigestive / ENT
The sac is opened to check for a sliding fallopian tube in female inguinal hernia repair.
clinical · Inguinal Hernia
The coverings are peeled off the sac until the extraperitoneal fat is reached.
clinical · Inguinal Hernia

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Tamer's statements about Aerodigestive / ENT 19 statements

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Pediatric Tracheostomy in a 7 year old child Dr. Tamer Ashraf Wafa

Statement In a 7-year-old child, a 2-centimeter transverse incision is placed midway between the cricoid cartilage and the suprasternal notch for tracheostomy. Open
Statement If the anterior jugular vein is encountered during tracheostomy dissection, it is coagulated and cut. Open
Statement The deep cervical fascia is split in a vertical fashion during pediatric tracheostomy. Open
Statement The thyroid isthmus can be cauterized and divided, or retracted downwards during tracheostomy. Open
Quotation In children, the third and fourth rings are the best level. Open
Statement In children, the third and fourth tracheal rings are the best level for tracheostomy opening. Open
Statement Two non-absorbable stay sutures are placed on both sides of the tracheostomy opening and left in place for post-operative reinsertion of the tube if needed. Open
Statement The side of the tracheal incision is cauterized with bipolar diathermy to minimize bleeding. Open
Statement The trachea is sharply incised vertically for tracheostomy. Open
Statement Suction should be continuously applied during tracheal incision to prevent blood from entering the airway. Open
Quotation Suction should be continuously applied, to prevent blood from entering the airway. Open
Statement Pulling the stay sutures laterally helps opening the tracheal lumen during tube insertion. Open
Quotation The opening should be widened, just enough to admit the suitable tube. Open
Statement The tracheostomy opening should be widened just enough to admit the suitable tube. Open
Statement The endotracheal tube is pulled back to the level of the tracheostomy opening before inserting the tracheostomy tube. Open
Statement After tracheostomy tube insertion, the ventilator is connected and air entry is checked on both lungs. Open
Statement The angles of the tracheostomy wound are approximated using absorbable sutures. Open
Statement The neck is flexed and the tracheostomy tube is tied tightly around it for secure fixation. Open
Statement The stay sutures are taped to the chest with clear labeling not to remove them. Open
Tamer's statements about Inguinal Hernia 15 statements

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Female Neonatal Inguinal Hernia Repair Dr. Tamer Ashraf Wafa

Statement Incision is placed in the lower abdominal crease for female neonatal inguinal hernia repair. Open
Statement Subcutaneous tissue and Scarpa's fascia are bluntly dissected in this approach. Open
Statement Palpating the hernial sac helps in its location and grasping. Open
Quotation Palpating the hernial sac helps in its location and grasping. Open
Statement The sac and its coverings are bluntly dissected and exteriorized. Open
Statement The coverings are peeled off the sac until the extraperitoneal fat is reached. Open
Statement The sac is opened to check for a sliding fallopian tube in female inguinal hernia repair. Open
Quotation The sac is open to check for a sliding thalope and tube. Open
Statement The round ligament is identified during female inguinal hernia dissection. Open
Quotation The round ligament is clearly seen. No tube is found. Open
Statement In this case, no fallopian tube was found in the hernial sac. Open
Statement The sac is twisted and transfixed at the proper neck using 4-0 absorbable suture. Open
Statement The external inguinal ring is closed using one or two absorbable stitches. Open
Statement Scarpa's fascia is closed by inverted absorbable sutures. Open
Statement The skin is closed by subcuticular sutures in this technique. Open