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Abstract I would like to express my utmost grtitude and to recor d my appreciation to the noble character and gentle behaviour of ?HO’ESSOR. DR. ABD EL MEGID EL SHENAWY, Prof. of General Surger y, Ain Sharna University. I am greatly indepted to him for his choice of this interesting subject of study and for his kind support, supervi:>ion, help and ccntinuous guidance. I also wish to express my deep gratitude to DR. MOHAMED ABD EL MOEI!Il, Lecturer of General Surgery, Ain Shams University, for his faithful supervision continous encouragement, and valuable suggestions, his scientific spirit und enthusi1i<m have been my motives t o accr;r.,»lish thiACKNOWLEDGEMENT I would like to express my utmost grtitude and to recor d my appreciation to the noble character and gentle behaviour of ?HO’ESSOR. DR. ABD EL MEGID EL SHENAWY, Prof. of General Surger y, Ain Sharna University. I am greatly indepted to him for his choice of this interesting subject of study and for his kind support, supervi:>ion, help and ccntinuous guidance. I also wish to express my deep gratitude to DR. MOHAMED ABD EL MOEI!Il, Lecturer of General Surgery, Ain Shams University, for his faithful supervision continous encouragement, and valuable suggestions, his scientific spirit und enthusi1i<m have been my motives t o accr;r.,»lish this work. |