For the treatment of the Cystic Echinococcosis (CE) different surgical and non-surgical approaches are present. Laparoscopy has replaced the conventional open surgeries that were highly used in the past. This chronic liver infection is caused by the cestode. This disease is increasing the mortality and morbidity cases. Objective: To evaluate the treatment efficacy and complications in patients experienced during the postoperative period. The recurrence rate of the laparoscopic treatment was also calculated. Methods: A total of 24 patients visited the Islam Medical College Sialkot from June 2019 to March 2021 were included in the study. The patients were pre-treated with the albendazole (10mg/kg) for almost one week. Then the Palanivelu hydrated system was used for the laparoscopic partial peri cystectomy. Postoperative complication was classified on the basis of the Clavien-Dindo classification system. Results: The calculated mean age of the 24 patients that participated in the study was 34 ± 15.6 years. The included patient’s age was between 17-76 years. Out of 24, 17 were males and other 7 were females. The 21 patients belonged to the hilly areas. The 19 patients reported the complaint of abdomen pain. While cyst at the right side of the liver was observed in the 90% cases. Abdominal pain and cyst formation were the most common symptoms and pathology reported in the patients. The 10.4±3.1 was the calculated mean size of the cyst. The calculated mean operative time was 80.8±19.8 (60-20) minutes. According to WHO grading of cyst the 4 patients were included in the group with unilocular cyst, while the 7 patients were included in the CE1 hydatid group. Conclusions: The study proved that the laparoscopic treatment is an effective treatment for the hepatic CE. This treatment has reduced the risks of recurrences, mortality and conversion in the treated patients.
Aim: To assess the prevalence of osteomyelitis of the foot in patients with non-healing diabetic foot ulcers, the diagnostic accuracy of tests and the results of conservative treatment. Methods: Prospective data from 180 diabetic patients (selected by consecutive sampling) who presented to the Surgical and Orthopaedic department with non-healing diabetic foot ulcers were assessed and selected for the study. All subjects had plain x-rays, physical and general examination, and complete blood count done. The results were analyzed using SPSS v. 21.0. Results: Of 180 patients with non-healing diabetic foot ulcers assessed and treated in the out-patient department, 105 (58.3%) had osteomyelitis based on positive clinical picture, laboratory data, and imaging tests. 105 patients whom tested positive for osteomyelitis initially received conservative treatment. Twenty-five patients (13.8%) faced the tragic fate of amputation, which was not prevented by conservative treatment, the rest were positive and did not require amputation. Conclusions: We conclude that conservative treatment gives positive results in most cases. It is recommended that patients at risk of osteomyelitis be assessed on an outpatient basis so that the disease can be diagnosed at an early stage and thus help reduce the frequency of amputations. Keywords: diabetic foot ulceration, osteomyelitis, frequency of amputations.
Objective: To evaluate the outcomes of surgical excision vs aspiration combined with intralesional triamcinolone acetonide injection in the treatment of dorsal wrist ganglion (DWG). Methods: A total of 60 patients with diagnosis of DWG from January-2020 to December-2020 from Islam Teaching Hospital Sialkot were recruited for this comparative study. Two groups of patients were formed based on the kind of therapy they received. Aspiration and Triamcinolone acetate (triamcinolone acetate) injections were used in Group A. Treatment in Group B was comprised of aspiration followed by surgical excision. Follow-up was done at one, three, six, and twelve months after therapy ended. The absence of the cyst on the patient's last visit was considered proof of a successful therapy. Treatment was deemed ineffective if recurrence occurred. Results: Among 60 patients, 37 (61.7%) were female and 23 (38.3%) were males. The most common presenting symptom was swelling found in 60 (100%) patients, followed by pain/discomfort in 48 (80%) patients. Recurrence occurred in 5 (16.7%) patients in group B and in 4 (13.3%) patients in group A. The 1-year success rate was 86.7% in group A and 83.3% in group B (p-value 0.71). Conclusion: Aspiration followed by triamcinolone acetone injection is a good alternative to surgical excision in DWG patients. Keywords: Aspiration, Surgical excision, Dorsal wrist ganglion.
Introduction: Typhoid enteric perforation is a communal acute emergency of abdomen in our hospital settings. Maximum patients in Pakistan come from rural zones and have a serious illness when presented in the laten final stages. Objective: To govern the importance of an ileostomy in cases of late presentation with enteric perforation. Study Design: A retrospective study. Place and Duration: In the surgical Department of Islam Medical College and Teaching Hospital Sialkot for one year duration from July 2020 to July 2021. Methods: 52 total patients of typhoid enteric perforation were included in our department. 5 to 32 years was the age range of patients with an average age of 16 years. Most of these patients have complaints of fever, abdominal pain, abdominal distension and vomiting Results: 52 patients with late presentation of typhoid perforation were alienated into 2 groups. All cases of group A underwent laparotomy and perforation exteriorization was done as loop ileostomy. In group A, when exteriorization was performed as the first procedure, fecal fistula was later developed in 12 cases. Ten of these cases had to be re-examined and the second perforation was found to be close to the original one. The mortality was observed in three cases. Conclusion: In a relatively normal-looking intestine, restoration of the margin, closure of the two layers of perforation, and ileostomy near the perforation are safer in the case of late onset of typhoid fever enteric perforation. Keywords: typhoid perforation, double-layer closure and ileostomy
Objective: The purpose of this study was to assess the efficiency of non-operative management of acute non-complicated appendicitis in terms of cost effectiveness, as well as related morbidity and mortality. Study Design: A prospective observational research. Place and duration: In the Surgical Unit of Islam Medical College and Teaching Hospital Sialkot for one-year duration from January 2021 to December 2021. Methodology: The study included 110 patients with early acute non-complicated appendicitis who were identified by clinical history, physical, and laboratory testing. 110 patients were given intravenous antibiotics for two days, followed by oral antibiotics for seven days. A proforma was used to collect the data. Several morbidities were recognized and tracked in patients. Results: There were 72 men and 38 women, with an average age of 20 years. Right iliac fossa pain, nausea, vomiting, and anorexia were the most frequent symptoms, whereas fever, tachycardia, and rebound tenderness in the right iliac fossa were the most common signs. Patients were randomly assigned to one of two groups. After an uneventful stay of 2 to 4 days. Patients in Group 1 (36.4 percent) who were treated conservatively had no problems and were discharged after a hospital stay of 2 to 4 days. Within four months, 5 patients (12.5%) and three patients (3%) experienced recurrence within six months. They had appendicectomies done in the traditional way. Wound infection was the sole postoperative complication in one patient (5%). Their hospital stay lasted anywhere from three to six days. Two (2.9%) patients with perforated/gangrenous appendix with appendicolith was found in Group-2 patients who had standard appendicectomy. Wound infection occurred in 4 individuals (5.7 percent), pelvic collection in 3 (4.3 percent), and subsequently small intestinal obstruction (adhesive) in two patients (2.8 percent). Their hospital stay lasted anywhere from four to nine days. Conclusion: Patients who were treated conservatively with antibiotics had minor discomfort and required fewer analgesics. Although surgery-related morbidity, death, and costs were averted, the recurrence rate was not insignificant. Keywords: Acute appendicitis, Conservative management, Recurrence
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.