Factors influencing the outcome of surgical management of lower limb ischemia

The objective of this study is to determine factors influencing the outcome of surgical management of lower limb ischemia. It was a cross-sectional analytical study conducted in surgical Unit 4, services hospital, Lahore from 18[th] September to 17[th] March 2007. Fifty patients of lower limb ischemia were included in the study. Appropriate surgical procedure was performed after complete pre-operative evaluation. Risk factors identified and clinical variables were statistically evaluated. Time is single most important factor in acute and in chronic ischemia. Diabetes mellitus, hypertension hyperlipidemia, smoking are factors which influence outcome

Comparison of two suturing techniques: interrupted mass closure and continuous with polypropylene in laparotomy wound

Wound dehiscence is an acute wound failure. It commonly presents about one week after surgery and may be preceded by a serosanguinuous discharge. Wound dehiscence is an important cause of postoperative morbidity and mortality. To compare the early postoperative complications of closure of laparotomy wound by interrupted mass closure and continuous mass closure techniques. Sixty patients were included in this study and divided in two groups; group A and group B. Closure of laparotomy wound with monofilament polyprophylene No.1 suture by interrupted mass closure technique for group A and continuous mass closure technique with same suture material in group B was done. In group A, 2 patients developed wound infection and 1 patient was found with wound dehiscence, while in group B, 3 patients suffered wound infection and 2 patients developed wound dehiscence. The closure of laparotomy wound by interrupted mass closure technique with polypropylene No.1 is better closure technique with low rate of wound infection and wound dehiscence as compared to continuous suturing technique with same suture material

Comparison of two surgical techniques: simple ligation and ligation with invagination of appendicular stump in appendicectomy for acute appendicitis

Appendicitis is an important differential diagnosis in patients with right lower quadrant pain. Acute appendicitis is the common emergency encountered round the globe. It is the cause of an acute surgical abdomen, and it remains one of the most challengeing diagnoses in the emergency department. Appendicectomy is the accepted therapy for acute appendicitis. To compare the technique of simple ligation and ligation with burial of the stump during appendicectomy for acute appendicits. Eighty cases of acute appendicitis were analysed for this study. They were randomly allocated to the two surgical procedures such as simple ligation [group I] and ligation with invagination [Group II] of appendicular stump in appendicectomy. The clinical variables were statistically evaluated. The frequency of postoperative ileus was more in group II [22.5%, and 5%] during first 48 and 72 hours respectively as compared to group I, p<0.05]. Postoperative wound infection was noticed in 15% patients in group I and 22.5% patients in group II [p>0.05]. Simple ligation of stump during appendicectomy is a better and safe procedure as compare to the invagination of stump because there is less incidence of postoperative complications such as postoperative paralytic ileus and wound infection