Objective: This study is done to assess the frequency of asymptomatic spontaneous bacterial peritonitis in chronic liver disease patients with first presentation of ascites. Design: Case control study. Place & duration of study: This study was carried out on patients attending Medical special ward Services hospital & PTCL medical center Lahore from June 2002 to October 2003. Patients & method: One hundred & fifty chronic liver disease patients with first presentation of ascites were screened for presence of asymptomatic spontaneous bacterial peritonitis. Results: 9.3 % of patients in this study had asymptomatic spontaneous bacterial peritonitis. Conclusion: Asymptomatic spontaneous bacterial peritonitis can be present in first presentation of ascites in chronic liver disease patients. It is suggested that this condition should be actively sought in all chronic liver disease patients who develop ascites for the first time. Further studies should be done to assess for prognostic implications of treating such cases.
Objective: To compare the frequency of recurrence after surgical excision versus aspiration and injection of Steroids of wrist ganglion
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Department of General Surgery at Combined Military Hospital, Kohat Pakistan, from Sep 2018 to Aug 2019.
Methodology: Seventy patients reported to the Outpatient Department, Combined Military Hospital, Kohat Pakistan, with complaints of ganglion and wanted treatment. Patients were randomly allocated into two Study Groups 1 and 2, by lottery method. Group-1 was treated by aspiration of the cyst contents followed by Steroid injection, while Group-2 was by excisionof the ganglion surgically under a local anaesthetic agent. The patient was followed up after three months to look for recurrence in both groups.
Results: The frequency of recurrence was 34.29% in Group-1 and 5.71% in Group-2, (p-value was less than 0.001).
Conclusion: Surgical excision results in lesser recurrence when compared with simple aspiration and Steroid injection for ganglion of the wrist.
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