Colonic injuries; primary repair VS colostomy an experience at Mayo hospital

To determine the effectiveness of primary repair of colonic injuries and its comparison with the traditional colostomy or exteriorization. The study was performed in Mayo hospital Lahore. Of the initial 114 patients 63 patients with colonic injuries were selected and divided into 2 groups. After resuscitation these patients were operated. Both methods of treatment of colonic injuries were employed in different patients. Results were tabulated and a comparison of primary repair vs colostomy was done. Recovery of patients undergoing primary repair was comparable with those having colostomy done. Only one major complication of leak occurred in the primary repair group. Abdominal dehiscence occurred in the colostomy group. Average hospital stay of 9 days in the primary repair group was significant and far less, than 22 days in colostomy group. Under controlled circumstances primary repair of colonic injuries appears to be a good mode of treatment

Comparison of results of fine needle aspiration cytology [FNAC] with histopathology of lymph nodes

To evaluate usefulness of FNAC by comparing its results with histological methods. A retrospective study was carried out at Ghurki Trust Hospital, Lahore. Those patients were included in which both FNAC was done and histopathological diagnosis made after removing lymph node. 118 patients were finally studied The FNAC diagnosis and histopathological reports were compared. Out of 118 cases, 34 cases were diagnosed as malignant on histology. All ten cases of NHL were correctly diagnosed on FNAC. In 10 cases of Hodgkin's, 6 were correctly diagnosed by FNA, so there were 4 false negative cases of Hodgkin's disease. Out of 18 cases of metastatic carcinoma on FNAC, 12 cases were correctly diagnosed and 2 cases later turned malignant on repeat histology. There were therefore 4 false positive cases of metastatic carcinoma. It can be concluded from this study that FNAC is a useful diagnostic adjunct to conventional method of diagnosis i.e. surgery