In patients with advanced colon cancer at risk for peritoneal recurrence, the proactive surgical approach plus HIPEC seems to achieve good locoregional control preventing peritoneal spread thus improving outcome without increasing morbidity. These advantages merit investigation in a multicentric randomized trial.
Objective: To analyze diagnostic and surgical outcomes in patients with extremely large ovarian cysts treated by laparoscopic surgery. Methods: A total of 120 cases of large adnexal masses and suspected for malignancy were treated laparoscopically at the at general surgery department of Liaquat University of Medical & Health Sciences. Under endotracheal anesthesia, all surgeries were performed using nasogastric tubes in the stomach. An incision of approximately 1.5 centimeter was made at the supraumbilical or umbilical region and peritoneal cavity was approached. The intra-abdominal approach in all cases was cautiously standardized. The resection of the adnexal mass was performed as per routine method. Results: 12 females were premenopausal and 8 were postmenopausal. 12 women presented with the signs of urinary retention, urinary urgency and abdominal pain. Incidental sonography detected cysts in 8 patients which were asymptomatic. The average volume of the resected cystic fluid was 3000ml (range 900 to 9000 ml). The specimens of frozen section were obtained within the surgical procedure in all patients except 2 patients having para-ovarian cysts. The histopathology presented mucinous benign cystadenoma. There was no blood loss and related other complications reported in all operations. Conclusion: Laparoscopic management of large ovarian cyst observed to a effective, feasible and less complicated surgical option. However accurate selection and diagnosis of the patients, the any ovarian cyst size can be treated easily via laparoscopic surgery.
Objective: To examine the overall diagnostic and the surgical outcomes among lactating females of breast abscesses who were treated using minimally invasive procedures. Methods: This descriptive case series study was conducted during the seven months from May 2019 to November 2019. At the general surgery department of Liaquat University of Medical & Health Sciences, Jamshoro, treated 60 lactating female patients with probable breast abscesses, with an age of more than 18 years. Percutaneous drainage insertion and ultrasound guided fine needle aspiration (FNA) were used in the treatment of breast abscesses in a minimally invasive manner. Ultrasound-guided fine needle aspiration was performed during drainage installation, followed by the insertion percutaneously of the ordinary drainage catheter through a prick incision. Data was collected by study proforma and SPSS version 20 was used for the analysis of data. Results: Average age of the females was 40 years. Clinical inflammation like puerperal mastitis was in 24(40%) patients, non-puerperal mastitis was in 27(45%) of the cases and other inflammation like as folliculinids and infected seroma were in 9(15%) patients. Fibrocystic variation was seen in 58 percent of the participants. 67 percent of non-puerperal mastitis patients had fibrocystic variations, 17 percent of puerperal mastitis patients had fibrocystic variations, and 56 percent of the other patients with other inflammatory forms had fibrocystic variations. Early problems occurred in 12 of every 60 patients (20%) whose are treated using minimally invasive procedures. Conclusion: As per study conclusion, fine needle aspiration (FNA) as per ultrasound guidance minimally invasive therapy combined with antibiotic treatment was observed to be the effective treatment approach for breast abscesses, and it is also a feasible and safe in terms of less post-operative recovery duration, complications, and hospital stay. Keywords: lactating mothers, Abscess, breast, surgery
ABSTRACT... Objectives:To determine the frequency of appendicular mass (tumour) and abscess at tertiary care teaching hospital. Study Design: Cross sectional descriptive study. Period: One year. Setting: Department of Surgery at Liaquat University Hospital Hyderabad / Jamshoro, a tertiary care teaching hospital. Patients and Methods: All the patients presented with pain in right iliac fossa were recruited for the study. The detail history was taken; clinical examination was done, while all the baseline and specific investigations were advised accordingly to explore the appendicular lump / abscess whereas the data was saved and analyzed in SPSS version 16 and the consideration for significance was p-value ≤0.05. Results: During one year study period total fifty patients were presented as appendicular mass and abscess, seventy percent appendicular mass presented with fever and 60% presented with vomiting. Regarding appendicular abscess 90% presented with fever and 30% presented with vomiting. The appendicular mass and appendicular abscess was identified in 32 (64%) and 18 (36%) cases with male population predominance. Out of thirty two patients of appendicular mass were managed surgically i.e. 16 cases were underwent for surgery immediately whereas rest of the 16 subjects were managed by Oschner Scherren regime and later date appendicectomy was performed. All 18 cases of appendicular abscess were managed by antibiotics drainage and these cases of appendicular abscess were nominated for interval appendicectomy 6-8 weeks later due to recurrent appendicitis. Conclusion: The appendicular mass and appendicular abscess are common disorders and the management tools varies accordingly from early appendectomy, conservative conventional management to interval appendectomy while the extraperitoneal drainage and interval appendectomy are useful tool for patients with appendicular abscess. Key words:Appendicular abscess, Appendicular abscess, Appendectomy, Ultrasound drainage and Mass in right iliac fossa. Article Citation: Yousfani ZA. Laghari AA, Atta J, Khurram MS, Bano R, Durrani J, Shah SZA. Appendicular mass and abscess; frequency at tertiary care teaching hospital.
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