Aim: To examine the clinical characteristics of patients with acute appendicitis Study design: A cross-sectional study Place and Duration: This study was conducted at Liaquat University Hospital Jamshoro / Hyderabad from March 2021 to March 2022. Methodology: Presentstudy included 118 patients who went through emergency appendectomy for acute appendicitis. The study evaluated the patient's clinical profile who presented with acute appendicitis. A detailed history was taken, a clinical examination was performed, and tests such as a complete blood test and ultrasonography were performed. Patients of either gender, above 10 years of age, and with clinical diagnoses of acute appendicitis were incorporated in the study. Patients having an appendicular mass or right ureteric/renal colic were excluded from the study. Results: In the current study themean age of patients was 27.56 ± 9.8 years. Out of 118 patients, 71 (60.1%) were males, and 47 (39.83%) were females. We observed thepredominance of malesin the current study. Majority of the patients presented with complaints of right iliac fossa pain (98.3%) and migration of pain (67.8%). Nausea and anorexia were present in 86.4% of cases, and vomiting was present in 84.7% of cases.Tenderness was observed in right iliac fossa in all patients while Dunphy sign (59.3%), guarding (63.5%), rebound tenderness (69.4%), rigidity (5.9%), Psoas sign (45.7%), Rovsing sign (35.5%)and Obturator sign (21.1%). Conclusion: Males are more likely to have acute appendicitis than females between 10 and 30 years of age. The most common signs and symptoms were discomforts, anorexia, nausea/vomiting, and abdominal pain. Tenderness, guarding, and rebound tenderness were the most prevalent symptoms.
Objective: To determine the frequency of intra-abdominal solid visceral injuries in adults presenting with blunt abdominal trauma (BAT) at a public sector tertiary care hospital in KarachiMethods: The current descriptive cross-sectional study was carried out at Department of Surgery Abbasi Shaheed Hospital during March 2016 to September 2016 after acquiring ethical approval from Hospital Committee. Total 165 patients were recruited into the study using non-probability consecutive sampling technique. Trauma was managed according to Advance Trauma Life Support (ATLS) guidelines. Laboratory and imaging investigation were done to make diagnosis and manage patients. Patients' characteristics including demographic details such as age, gender and clinical features were recorded on pre-designed profroma.Results: Out of 165 recruited patients, 133 (80.6%) were males and 32 (19.4%) were female. Average age of study participants was 35.77 ± 13.95 years. Most of the cases occurred in patients having a low socioeconomic status (n=78, 47.3%). In a majority of the cases, mode of injury was road traffic accidents (n=92, 55.7%). 50(30.30%) patients got injury due to fall from height and 23(13.93%) cases occurred due to assault. The most common injured organ was kidney (n=60, 36.36%) followed by liver (n=57, 34.54%), spleen (n=47, 28.48%) and pancreas (n=34, 20.61%).Conclusion: Careful attention to physical findings and proper sequencing of diagnostic tests is helpful in the appropriate decision making which may prevent associated morbidity and mortality in accordance with Advance Trauma Life Support (ATLS) guidelines.
Objective: Laparoscopic cholecystectomy (LC) has recognized itself as the ‘gold standard’ treatment of gallstone disease, but it can, sometimes, be related with considerable complication leads to mortality and morbidity. Therefore, this study was intended to assess the frequency of many sources of bleeding in patients underwent laparoscopic cholecystectomy. Methodology: This was a cross sectional study conducted in the Department of Surgery, Bhitai Dental and Medical College Hospital by using consecutive sampling technique. The duration of study was about one year from Feb 2021 to Dec 2021. A total of 163 patients of age between 30 to 55 years of both genders of diagnosed cholecystitis with cholelithiasis, disease duration of >6 weeks identified by patient’s history were included in the study. To assess the effect modification, age, gender, duration of disease, and amount of bleeding and operative time were stratified followed by application of chi-square with a p value < 0.05 considered as significant. Results: The study results showed that out of 163 cases of laparoscopic cholecystectomy, 141(87%) were females and 22(13%) were males with their mean age were 38.99±10.96 years. Bleeding in laparoscopic cholecystectomy from gallbladder bed was reported in 128(79%) cases followed by cystic artery in 28(17%) cases. There were78(80.4%) cases reported bleeding from gallbladder bed in < 40 years of age and 50(75.75%) cases reported in >40 years of age although with an insignificant association between them (p=0.477). 109(77.3%) cases reported bleeding from gallbladder bed in female and 19(86.3%) cases reported in males with an insignificant association between them (p=0.336). Conclusion: This study concluded that the most frequent bleeding site was the gallbladder bed followed by cystic artery in laparoscopic cholecystectomy. Furthermore, bleeding from gallbladder bed was common in females and < 40 years of age although there was an insignificant association observed with respect to age and gender.
The aim of this study is to determine the frequency and risk factors for hepatitis B surface antigen (HBsAg) and anti-hepatitis C virus (Anti-HCV) in a preoperative screening of patients admitted at the surgical unit of Al
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