Objective: To compare the two surgical procedures performed for the treatment of fissure in ano. Design: Clinical trial Setting: Surgical Unit-III, Sir Ganga Ram Hospital, Lahore. Subjects and Methods: Sixty female patients coming to the out door and emergency department of Sir Ganga Ram Hospital, were included in the study. Thirty patients had oper lateral internal sphincterotomy (LIS) and 30 had anal dilatation (AD). Results: LIS was associated with remarkably to incidence of post operative complications. The patients undergoing AD had more pain and bleeding per rectum in the postoperative period. Anal incontinence was seen in 59.6% of patients, prolapse of haemorrhoids in 40% and recurrence in 6,6%) operated for AD, while the corresponding figures for LIS were 6.6%, 10% & 0% respectively (p<0.05). Conclusion: LIS is a superior procedure to AD for the surgical treatment of fissure in ano. LIS should be adopted as a procedure of choice in uncomplicated fissure in ano.
Fourteen Thalassaemic, male and female patients, age ranging from 5 years to 20 years, under went splenectomy in our surgical unit after careful preparation. Non of them required more than one transfusion during the procedure. Respiratory and wound infection was the problem in 9 out of 14 patients. One bled through the abdominal drain site and managed with pressure dressing. No serious sepsis or mortality was observed in this series.
Aims and Objectives: The study aims at investigating the complications associated with splenectomy in thalassemic patients Study Design: It was a prospective clinical study. Materials and Method: Sixty Splenectomies were preformed electively after pre-operative preparation in Sir Ganga Ram Hospital, Lahore during the year Jan 2003 to Sep 2005. Results: Complications were categorized into per-operative, early post-operative and late complications. The frequency of per-operative complications was 3%, early post-operative complications were 10% and late complications were 1.6%. Interpretation and Conclusion: The rate of complications has decreased markedly as the patients are well prepared and improved post operative carp has also reduced the post-operative complications. With good perioperative management, splenectomy in children with massive splenomegaly is both safe and effective.
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