Objectives: To evaluate the effectiveness of LMWH prophylaxis for DVT in high risk patients after general surgery. Study design: Randomized controlled study. Setting: Surgical Unit-IV, District Head Quarters Hospital, Faisalabad. Period: From March 2009 to August 2009. Patients and Methods: Sixty patients in the LMWH group were given perioperative enoxaparin (Clexane) as prophylaxis while compression stockings were used in another control group comprised of 60 patients. At 5th postoperative day, Doppler study was performed to detect DVT in both groups. Categorical data were analyzed for significance using Chi square test through SPSS. Results: There were significant difference in age factor, history of DVT, Medical factor, surgical trauma factor and interpretation on the basis of points. However, there is non significant difference between LMWH group and control group for chemoprophylasis. Conclusions: LMWH administration is effective for the prevention of venous thromboembolism in high risk patients and its practice should be the standard of care in the practice of surgery.
Objectives: To evaluate the long-term impact of ilioinguinal neurectomy on the incidence of postoperative neuralgia and paraesthesia following the tension free Lichtenstein`s hernia repair. Study design: Case Descriptive Study. Place and duration of study: DHQ Hospital, Faisalabad (January 2003 - January 2005). Patients and methods: A total of 200 patients having unilateral inguinal hernia were included in the study. After a detailed history, patients were subjected to standard Lichtenstein inguinal hernioplasty. All patients underwent elective ilioinguinal neurectomy at the time of hernioplasty. Postoperative pain and paraesthesia were recorded and categorized on a mild, moderate or severe scale. Patients were followed 1 month, 6month and 1 year postoperatively. Results: The incidence of chronic pain was 9% at 1 month & 6% at 6 months and 1 year postoperatively. None of the patients developed severe persistent pain in inguinal region. The incidence of post operative paraesthesia showed a continuous decli ne. It was 32% at 1 month, 24% at 6 month and 19% at 1 year of follow up. The paraesthesia was never severe or bothersome at the end of the follow up period. Conclusion:Routine ilioinguinal neurectomy significantly reduces the chronic post-hernioplasty inguinal pain. Moreover it is safe to perform & well tolerated by the patients.
Objectives: To evaluate patients with SPNSD who underwent Karydakis Flap procedure with reference to operative time, drain removal time, hospital stay, complications and recurrence rate. Study Design: Prospective study. Setting: Surgical Department of Allied Hospital, Faisalabad. Period: September 2009 to January 2018. Material & Methods: A total of 117 patients underwent Karydakis Flap procedure. Data was collected according to the above said parameters .Patients were followed up for 12 months. Results: The operative time was 35.5 minutes. Average Hospital stay was 2 days. Drain removed at median of 8 days.17 patients (14%) developed seroma. Wound Infection occurred in 5 patients (4%). Wound burst opened in 1 patient (0.8%).No recurrence was noted (0%) in any patient during a follow up of 1 year. Conclusion: Karydakis Flap procedure is a relatively simple and easy technique with minimal chances of recurrence.
Introduction: Exploratory laparotomy is a common procedure performed at the surgical floor, mainly in emergency. The need for exploration ranges from cases of abdominal trauma to those of preexisting abdominal ailments. Wound dehiscence, either partial or complete does occur after laparotomy and a number of studies have been performed to find out its frequency after laparotomy and to pin point the factors responsible for this complication. This study is designed to find out the frequency of wound dehiscence after exploratory laparotomy. Also it will compare frequency of wound dehiscence in trauma cases verses cases of abdominal pathology. O b j e c t i v e s : (1) To work out frequency of wound dehiscence after exploratory laparotomy. (2) To know the differential frequency of wound dehiscence after acute abdominal trauma compared with those having preceding underlying pathology and were explored. S t u d y D e s i g n : It was a prospective observational study. Settings: Surgical units Allied Hospital, Faisalabad department of surgery. S a m p l e Size: 200 patients operated in emergency and elective lists for abdominal exploration. S a m p l i n g t e c h n i q u e : Non probability (convenience). E x c l u s i o n criteria: (1) Children less than 10 years (2) Sub costal incision (3) Pfennensteil incision (4) Morrison's' incision (5) Grid iron incision and; (6) Incisions to explore the kidney were excluded. (7) Those patients who expired in emergency just after exploration. Inclusion criteria: All patients above 10 years opened by midline laparotomy incision. R e s u l t s : Out of 200 patients, 20 got wound dehiscence. It included 7 from Group I and 13 from Group 2. C o n c l u s i o n : Improved surgical technique, early arrival in hospital and control of infection can bring the incidence of wound dehiscence after exploratory laparotomy down to a level comparable to international figures.
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.