Objective: To find out the frequency of recurrence in inguinal hernia mesh repair in Surgical Unit, Khalifa GulnawazTeaching Hospital Bannu / DHQ, Bannu. Material & Methods: 60 consecutive cases of inguinal hernia (direct/ indirect) of either side, inthis study were repaired by Lichtenstein's repair. The study was conducted from January, 2010 to October, 2010 with an initial follow up ofone year. Cases above 76 yrs were excluded from the study. Conclusions: The procedure of choice for inguinal hernia repair is tensionfree mesh repair.
Objective: Colorectal cancer is the second commonest cause of death in the world. Its incidence in young patients is on rise. Objective: To determine the common types of colorectal carcinoma in patients below 40 years of age presenting to tertiary care level hospital. Study Design: Descriptive study Setting: It was carried out at Surgical Department, KTH, Peshawar Period: January 2007 to January 2008. Materials and methods: Total of 50 patients younger than forty years of age with colorectal cancer were included in study for the determination of histologic types. Results: There were 66% males and 34% were females. The commonest affected age group was 31-35 years old having 46% cases. On history 86% patients complained of altered bowel habits and on clinical examination anemia was present in 72% patients. Left and right sided tumors were found in 70% and 30% patients respectively. Adenocarcinoma was the commonest type found in 94% cases followed by lymphoma (4%). Conclusions: The incidence in young age group (≤ 39 years) was highest There was slight male preponderance. Adenocarcinoma was the commonest tumor.
Objective: The objective of this study is to know the frequency of methicillin resistant Staphylococcus aureus and its antibioticsensitivity in diabetic foot infections in our setup. Design: Cross sectional descriptive study. Setting: Surgical Department, Khyber TeachingHospital, Peshawar. Period: January 2008 to January 2010. Materials and Methods: A total of 84 patients, including 64 males and 20 females.Patient's identity, age, gender and the bacterial isolate on culture and sensitivity report were noted on a standardized proforma and analyzed onSPSS version 16.0. Patients of 18 years and both gender with type I & II Diabetes mellitus, diabetic foot ulcers of Wagner Classification SystemGrade 1 to 5 of 3 weeks duration, with infection and with no evidence of healing were enrolled in the study. Results: The overall mean age ofpatients was 60.8 years + 6.5SD with 9.2 + 0.5% HbA1c level. Frequency of methicillin resistant Staphylococcus aureus was 28.57%. Methicillinsensitive Staphylococcal aureus (51.19%), Pseudomonas aeruginosa (48.80%) and Escherichia coli (46.42%) were the common organismcultured. Methicillin resistant Staphylococcus aureus showed 100% sensitivity to Vancomicin, Linezolid, Meropenem, Imepenem andPipracillin/tazobactam. Conclusions: There is an alarming trend of increase in methicillin resistant Staphylococcus aureus because ofindiscriminate use of antibiotics in our set up which should be discouraged and a detailed knowledge of bacterial susceptibility to antimicrobialagents is necessary.
Objective: To assess the post operative wound complication after opencholecystectomy for uncomplicated Cholelithiasis. Design: Cross sectional descriptive. Setting:Surgical unit of Khyber Teaching Hospital Peshawar Pakistan. Patients: 223 patients underwentelective open cholecystectomy January 2011 to July 2012. Results: 90% patients had normalhealing (grade 0 or I) ,7.5% had minor complications (grade II or III), 2.5% patients had majorcomplication (grade IV or V) recorded during hospital stay. On follow-up in out-patientdepartment 81%patients found to have normal healing (grade 0 or I), 15% patients had minorcomplications (grade II or III) and 4% patients had major complications (grade IV or V). There wasan increase noted in wound grades during follow up for surgical site infections as compared totheir record during hospital stay. Conclusions: Southampton wound scoring system is a usefultool for detection of surgical site infection and standardization. Auditing of surgical site infectionby Southampton wound scoring will help the patient, surgical team and sterilization protocol tobe improved.
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