ABSTRACT
Laparoscopic Cholecystectomy [LC] is the gold standard treatment for symptomatic Gall Stones. The identification of factors that reliably predict the likely need to convert LC to open procedure would decrease the incidence of intraoperative complications and help in patient counseling about LC before surgery. Between 2001 and 2006, 300 elective Laparoscopic cholecystectomies were performed from a total of 470 elective cholecystectomies. The change in conversion rate between 2001 to 2003 and 2004 to 2006 was analysed. Factors predictive of higher risk for conversion were also identified. Twelve LCs [4.0%] required conversion. History of acute attack for more than 72hrs was a strong predictor of conversion even if patient has minimal signs and symptoms. The conversion rate from 2001 to 2006 was only slightly changed i.e.; it has decreased for last 3 years. The conversion rate over the late 6 years had decreased with no incidence of intraoperative complications. Age >/= 50 years, male patients and acute cholecystitis are the major predictors of conversion
ABSTRACT
This study was conducted to compare eclamptic cases presenting at Lady Willingdon Hospital in 1978 and then in 1998. Out of 7673 patients delivered, 132 cases of eclampsia treated in 1978 were reviewed retrospectively. 9,650 women were delivered in 1998 and 97 cases of eclampsia treated were collected prospectively. It was noted that incidence of eclampsia fell almost 50% from 17/1,000 deliveries in 1978 to 10/ 1,000 deliveries in 1998. There was also a changing trend observed. In 1970's most eclamptic patients were unbooked while recently a lot of patients presenting with eclamptic fits were booked cases under care of general practitioners getting treatment for hypertension. Maternal death from eclampsia occurred in 12.1% of cases in 1978 but fell to 6.1% in 1998. Perinatal mortality rate - did not improve much. It was 432.6 / 1,000 cases of eclampsia in 1978 and 330 / 1,000 in 1998