International Journal of Science and Research (IJSR), Jan 5, 2017
Objective: The study was focused to assess the outcome of the Mass closure in all midline laparot... more Objective: The study was focused to assess the outcome of the Mass closure in all midline laparotomy procedure regardless of the underlying condition and to understand the outcome. Materials and methods: A prospective study was carried out on 100 patients at a Rural Hospital undergoing midline laparotomy and the closure of abdomen was performed by a non absorbable polypropylene (Prolene) suture material, in a continuous Mass closure technique followed by the rate of incidence of development of complications like surgical site infection, wound dehiscence (partial or complete) and incisional hernia were assessed and correlated with the patient related factors. Results: Surgical site infection was the most common complication encountered, followed by incisional hernia and wound dehiscence. Hypoproteienemia was significantly associated with the incidence of complications. Surgical site infection has a strongly significant association, with the incidence of development of incisional hernia as well as wound dehiscence. Conclusion: Continuous mass closure is the ideal technique for the closure of the abdomen with a non-absorbable polypropylene suture material, in the absence of patient confounding factors like hypoproteinemia and surgical site infection.
We present a case of recurrent hydatid cyst liver in a 32-year-old female. Previous surgery was p... more We present a case of recurrent hydatid cyst liver in a 32-year-old female. Previous surgery was performed 8 years ago elsewhere. Pre-operative assessment at presentation revealed a 110 x 105 mm hydatid cyst in the right lobe of the liver. On exploration, a 5 mm fistulous communication was found between the hydatid cyst and the gallbladder. Patient was subjected to endocystectomy (partial cystectomy), cholecystectomy and closure of the fistula followed by obliteration of the cavity with omentum. Postoperative recovery was uneventful.
Objective: To compare the hemodynamic stability with cisatracurium and atracurium in patients wit... more Objective: To compare the hemodynamic stability with cisatracurium and atracurium in patients with low ejection fraction undergoing coronary artery bypass grafting. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Anesthesiology, Army Cardiac Center, Lahore, from Jan 2018 to Nov 2018. Methodology: A total of 80 adult patients were recruited or invited to participate in this study. Further the cohort was divided in to two groups with respect to their treatment by draw method. Group I contained a total of 40 patients, which were given Cisatracurium 0.2mg/kg at induction of anesthesia. The group II patients constitute the same number but the treatment medication given was 0.5mg/kg Atracurium at induction. Results: Before anesthesia induction, pulse rate was 84.10 ± 5.54 bpm and 83.01 ± 5.72 bpm in group A and B, respectively (p=0.385). At 4 minutes after anesthesia induction, pulse rate was 83.05 ± 5.58 bpm and 86.37 ± 6.62 bpm in group A and B, res...
Pakistan Armed Forces Medical Journal, Dec 20, 2023
Objective: To determine the dose of Protamine required for reversal of Heparin effect in Coronary... more Objective: To determine the dose of Protamine required for reversal of Heparin effect in Coronary Artery Bypass Grafting (CABG).
Objective: Interrupted inferior vena cava (IVC) is a well-recognized but a rare congenital anomal... more Objective: Interrupted inferior vena cava (IVC) is a well-recognized but a rare congenital anomaly due to absence of hepatic portion of the IVC and can therefore pose problems while undertaking cardiac catheterization in these particular patients. We are sharing our experience of cardiac catheterization in patients with interrupted IVC. Study Design: Retrospective descriptive study. Place and Duration of Study: Armed Forces Institute of Cardiology/National institute of heart diseases (AFIC/ NIHD) Rawalpindi, from Jan 2017 to Dec 2018. Methodology: This retrospective descriptive study was done at the Paediatric cardiology department of the Armed Forces Institute of Cardiology/National institute of heart diseases (AFIC/NIHD) Rawalpindi and comprised of 34 consecutive cases with interrupted IVC, who underwent cardiac catheterization procedure from January 2017 to December 2018. Results: Total of 34 consecutive patients with interrupted IVC underwent cardiac catheterization procedure (2...
Journal of the College of Physicians and Surgeons Pakistan Jcpsp, Dec 1, 2009
Objective: To determine the outcome of treatment in terms of infection and recurrence using open ... more Objective: To determine the outcome of treatment in terms of infection and recurrence using open extraperitoneal mesh repair technique.
Journal of Ayub Medical College, Abbottabad : JAMC
We present two cases of retroperitoneal masses with different presentations and outcomes. The fir... more We present two cases of retroperitoneal masses with different presentations and outcomes. The first case was a 22 years old primigravida lady who underwent emergency caesarean section for preterm premature rupture of membranes with breach. On the operating table, a large retroperitoneal mass was identified and the biopsy confirmed Burkitt's lymphoma. Post operative chemotherapy did not have a favourable result and the patient had a fatal outcome. The other case was a 15 years old boy who had a progressively increasing retroperitoneal mass. Exploratory laparotomy revealed a hard, fixed, unresectable tumour extending into the mesentery of the small gut, biopsies were taken which showed tuberculosis. Post operative antituberculosis treatment had a marked response and the tumour disappeared after 6 months.
Objective: To assess the local wound complications in complicated/ high risk laparotomies in term... more Objective: To assess the local wound complications in complicated/ high risk laparotomies in terms of wound dehiscence and incisional hernia formation with a modified technique of midline abdominal wound closure.
A new born baby boy presented with birth asphyxia and respiratory distress. He went into cardiac ... more A new born baby boy presented with birth asphyxia and respiratory distress. He went into cardiac arrest twice but was resuscitated. On detailed evaluation, he had low set ears and micrognathia with glossoptosis consistent with features of Pierre Robin sequence. ...
International Journal of Science and Research (IJSR), Jan 5, 2017
Objective: The study was focused to assess the outcome of the Mass closure in all midline laparot... more Objective: The study was focused to assess the outcome of the Mass closure in all midline laparotomy procedure regardless of the underlying condition and to understand the outcome. Materials and methods: A prospective study was carried out on 100 patients at a Rural Hospital undergoing midline laparotomy and the closure of abdomen was performed by a non absorbable polypropylene (Prolene) suture material, in a continuous Mass closure technique followed by the rate of incidence of development of complications like surgical site infection, wound dehiscence (partial or complete) and incisional hernia were assessed and correlated with the patient related factors. Results: Surgical site infection was the most common complication encountered, followed by incisional hernia and wound dehiscence. Hypoproteienemia was significantly associated with the incidence of complications. Surgical site infection has a strongly significant association, with the incidence of development of incisional hernia as well as wound dehiscence. Conclusion: Continuous mass closure is the ideal technique for the closure of the abdomen with a non-absorbable polypropylene suture material, in the absence of patient confounding factors like hypoproteinemia and surgical site infection.
We present a case of recurrent hydatid cyst liver in a 32-year-old female. Previous surgery was p... more We present a case of recurrent hydatid cyst liver in a 32-year-old female. Previous surgery was performed 8 years ago elsewhere. Pre-operative assessment at presentation revealed a 110 x 105 mm hydatid cyst in the right lobe of the liver. On exploration, a 5 mm fistulous communication was found between the hydatid cyst and the gallbladder. Patient was subjected to endocystectomy (partial cystectomy), cholecystectomy and closure of the fistula followed by obliteration of the cavity with omentum. Postoperative recovery was uneventful.
Objective: To compare the hemodynamic stability with cisatracurium and atracurium in patients wit... more Objective: To compare the hemodynamic stability with cisatracurium and atracurium in patients with low ejection fraction undergoing coronary artery bypass grafting. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Anesthesiology, Army Cardiac Center, Lahore, from Jan 2018 to Nov 2018. Methodology: A total of 80 adult patients were recruited or invited to participate in this study. Further the cohort was divided in to two groups with respect to their treatment by draw method. Group I contained a total of 40 patients, which were given Cisatracurium 0.2mg/kg at induction of anesthesia. The group II patients constitute the same number but the treatment medication given was 0.5mg/kg Atracurium at induction. Results: Before anesthesia induction, pulse rate was 84.10 ± 5.54 bpm and 83.01 ± 5.72 bpm in group A and B, respectively (p=0.385). At 4 minutes after anesthesia induction, pulse rate was 83.05 ± 5.58 bpm and 86.37 ± 6.62 bpm in group A and B, res...
Pakistan Armed Forces Medical Journal, Dec 20, 2023
Objective: To determine the dose of Protamine required for reversal of Heparin effect in Coronary... more Objective: To determine the dose of Protamine required for reversal of Heparin effect in Coronary Artery Bypass Grafting (CABG).
Objective: Interrupted inferior vena cava (IVC) is a well-recognized but a rare congenital anomal... more Objective: Interrupted inferior vena cava (IVC) is a well-recognized but a rare congenital anomaly due to absence of hepatic portion of the IVC and can therefore pose problems while undertaking cardiac catheterization in these particular patients. We are sharing our experience of cardiac catheterization in patients with interrupted IVC. Study Design: Retrospective descriptive study. Place and Duration of Study: Armed Forces Institute of Cardiology/National institute of heart diseases (AFIC/ NIHD) Rawalpindi, from Jan 2017 to Dec 2018. Methodology: This retrospective descriptive study was done at the Paediatric cardiology department of the Armed Forces Institute of Cardiology/National institute of heart diseases (AFIC/NIHD) Rawalpindi and comprised of 34 consecutive cases with interrupted IVC, who underwent cardiac catheterization procedure from January 2017 to December 2018. Results: Total of 34 consecutive patients with interrupted IVC underwent cardiac catheterization procedure (2...
Journal of the College of Physicians and Surgeons Pakistan Jcpsp, Dec 1, 2009
Objective: To determine the outcome of treatment in terms of infection and recurrence using open ... more Objective: To determine the outcome of treatment in terms of infection and recurrence using open extraperitoneal mesh repair technique.
Journal of Ayub Medical College, Abbottabad : JAMC
We present two cases of retroperitoneal masses with different presentations and outcomes. The fir... more We present two cases of retroperitoneal masses with different presentations and outcomes. The first case was a 22 years old primigravida lady who underwent emergency caesarean section for preterm premature rupture of membranes with breach. On the operating table, a large retroperitoneal mass was identified and the biopsy confirmed Burkitt's lymphoma. Post operative chemotherapy did not have a favourable result and the patient had a fatal outcome. The other case was a 15 years old boy who had a progressively increasing retroperitoneal mass. Exploratory laparotomy revealed a hard, fixed, unresectable tumour extending into the mesentery of the small gut, biopsies were taken which showed tuberculosis. Post operative antituberculosis treatment had a marked response and the tumour disappeared after 6 months.
Objective: To assess the local wound complications in complicated/ high risk laparotomies in term... more Objective: To assess the local wound complications in complicated/ high risk laparotomies in terms of wound dehiscence and incisional hernia formation with a modified technique of midline abdominal wound closure.
A new born baby boy presented with birth asphyxia and respiratory distress. He went into cardiac ... more A new born baby boy presented with birth asphyxia and respiratory distress. He went into cardiac arrest twice but was resuscitated. On detailed evaluation, he had low set ears and micrognathia with glossoptosis consistent with features of Pierre Robin sequence. ...
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