Screening for hepatitis B and C in surgical patients

Screening for hepatitis in pre-operative assessment of patients is not the usual practice. The aim of this study was to evaluate the frequency of hepatitis B and C disease in patients coming to hospital for elective surgery. Design: Descriptive study. Place and Duration: Study was conducted at Ziauddin Medical University Hospital between January 2001 to December 2002. Patients And All patients admitted electively for surgical procedure were screened for Hepatitis B and C before surgery. Latex method was first applied for immediate results and later reconfirmation by the ELISA technique in seropositive patients. In our study a total of 411 patients were screened for hepatitis. There were 179 males and 232 females. Out of 46 seropositive males, 27 were hepatitis B positive and 19 were hepatitis C positive and out of 28 seropositive females, 9 were hepatitis B and 19 were hepatitis C positive. Frequency of hepatitis B and C is high in elective surgical patients

Management of total urinary incontinence in females a two years experience

A prospective study of 7 cases in Urology Department at Sir Ganga Ram Hospital Lahore was carried out from September 1994 to September 1996. All patients presented with urinary incontinence [100%]. One patient [14.3%] was having associated pain Left Lumber Region and one [14.3%] pain Left Iliac fossa. The age varied from 14 to 40 years, with mean age of 28 years. Six patients [85.7%] were having ureterovaginal fistulae and one [14.3%] a vesicovaginal fistula. One [14.3%] of the ureterovaginal fistulae was result of a congenital opening of one of the double ureters in the vagina. One [14.3%] resulted from involvement of ureter in a growth. Four [57.1%] of the ureterovaginal fistulae and one [14.3%] vesicovaginal Fistula were result of some obstetrical surgery. In all the cases of the ureterovaginal fistulae, the ureters were implanted in urinary bladder with D.J. Stent, while vesicovaginal fistula was repaired with delayed absorbable vicryl 2/0. The results were 100%