Background: There are versatile operative techniques for treating complete rectal prolapse. Every procedure has some advantages and disadvantages. Delorme’s procedure and abdominal rectopexy (Well’s procedure) have gained more popularity. But to determine which approach is better, it is needed to evaluate the functional outcome of both procedures. Objective: To compare the outcome of Delorme’s procedure and abdominal rectopexy to treat complete rectal prolapse. Methodology: A randomized control trial was conducted in 25 patients with complete rectal prolapse in the department of Surgery, RMCH. They were divided into two groups by randomization. Fifteen patients included in Group-I underwent Delorme’s procedure, and ten patients included in group-II underwent abdominal rectopexy (Well’s procedure). The outcome of both procedures was compared postoperatively. Results: In group-1, we have found uneventful outcomes of 10 (66.66%) patients, and hemorrhage, minor incontinence, and retention of urine were found in 2(13.3%), 1(6.66), and 4(26.66%) patients, respectively. In group-2 patients, 5(50%) patients recovered uneventfully, whereas hemorrhage, surgical site infection, retention of urine, bladder dysfunction, and constipation were found in 2(20%), 1(10%), 1(10%), 1(10%) and 2(20%) patients respectively. The mean operation time in group-I was 92.86 min and in Group 2 was 124.00 min with a p-value of 0.001. The average post-operative hospital stay after Delorme’s procedure was <4 days in 4 patients and 4-6 days in the rest 11 patients. But the hospital stay is a little lengthier in the case of abdominal rectopexy (Well’s procedure), where seven patients were discharged within 4-6 days, and three patients were discharged after the 5th day of operation. In group I, expenditure was <7000 taka in 10 (66.66%) patients, whereas in group-2 , the cost was 10000-15000 in 7(70%) patients with a p-value of 0.001. Conclusion: We can conclude that Delorme’s procedure is comparatively safer and cost-effective than Well’s procedure, considering different vital parameters. TAJ 2021; 34: No-1: 40-46
Parotid gland is the most common site for salivery gland neoplasm. Most of the parotid tumours are benign and are commonly pleomorphic adenoma. Parotid tumours usually present with painless slow growing lobulated masses but may be associated with pain and paresis of the facial nerve if it is malignant. However it is difficult to differentiate clinically between benign and low grade malignant tumours. We studied thirty (30) patients with parotid gland tumours during Jan/2012 to April/2016 in dept. of surgery, Rajshahi Medical College Hospital. Twenty eight (28) were pleomorphic adenoma and two (2) were mucoepidermoid carcinoma. Superficial parotidectomy done in twenty five (25) patients and total parotidectomy done in five (5) patients. In all patients facial nerve dissection and preservation were performed safely without the facilities of nerve stimulator. Two years post operative follow up was satisfactory with no residual effect. This study highlights some of the important aspects in the management of the parotid gland tumours.TAJ 2013; 26: 57-60
Background: Peptic ulcer perforation is a common surgical problem in Bangladesh. For Muslims, the whole of the Ramadan is a time of strictly fasting during day time. Globally near one billion Muslims fast during this month. So it is an opportunity to evaluate the relationship between Ramadan fasting and peptic ulcer perforation. Present study was designed to evaluate the effect of fasting, socioeconomic condition, smoking and inadequate treatment of PUD on peptic ulcer perforation.TAJ 2014; 27(1): 4-9
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