Various surgical options in the management of basal cell carcinoma in Nishtar hospital, Multan

To describe the prevalence, mode of presentation and various surgical options of reconstruction in the management of basal cell carcinoma [BCC] with a local perspective. The present descriptive study was conducted at Nishtar Hospital, Multan from 2006 to 2009. A separate file was maintained for each patient. A thorough history and full physical examination was conducted, relevant investigations were carried out. All this was recorded in data collection for and data analysed to find frequencies and percentages using SPSS-10. Out of sixty cases, 50 [83%] were male and 10 [17%] were female. Majority of the patients presented to us above the age of 45 years and the incidence of BCC increases with the age. The male to female ratio was 5:1. Out of 60 cases 26 [20 male, 6 female] 43.3% were farmer, 16 [all male] 26.6% wee construction workers, 10 [8 male, 2 female] 16.6% were unemployed and 8 [all female] 13.3% were household. No patient presented before 5 years after the development of the lesion. 34 [30 male, 4 female] 56.6% for the last 6-10 years, 20 [16 male, 4 female] 33.3% for the last 11-15 years, 2 [all male] 3.3% for 16-20 years and 4 [2 male, 2 female] 6.6% had lesions for> 20 years. All the lesions encountered in present study occurred on exposed head and neck region as. Most of the patients had the nodular pigmented type of BCC and majority of them were male. None of them have Gorlin's syndrome. Delay in presentation has an overall negative effect on the outcome. A simple excisional biopsy technique ensure margins clearance and give surgeon more freedom for reconstruction

Duration between perforation and operation affecting the prognosis duodenal ulcer perforation

To describe the effect of perforation-operation interval on the prognosis of perforated duodenal ulcer. This descriptive study was conducted in surgical units of Nishtar Hospital, Multan during the period of two year from January 2004 to December 2005. There were 100 patients in study. All patients were divided into three groups according to perforation operation interval. In 58% of patients surgery was performed after 24 hours. Overall mortality of 16% in 50 patients was observed who underwent surgery. Mortality occurred only in group-B and C. Increased interval between perforation and operation increases stay in hospital. Number of complications in patients presenting with delay were much more than in patients presenting early. Morbidity rises with delay. Patients with perforated duodenal ulcers should he operated on as soon as possible. Simple closure of perforation is simple and safe with relativity low mortality and short stay in hospital