Penile fractures experience at Mayo Hospital, Lahore

With prompt diagnosis and expedient surgical management, Outcomes remain excellent and complications are minimal. In our setup general surgeons deal with the penile fractures. This Study presents a total number of thirteen cases presented to our emergency in last two years [from June 2004 To June 2006]. We managed to pass Foley catheter in all. Circumscribing degloving incision was made in all and corpora were repaired. Four had co existing urethral injuries which were repaired primarily

Liver trauma management: an experience and future directions

Trauma is the leading cause of death in young adults. In Pakistan gunshot injuries, penetrating assault injuries and blunt trauma from road traffic accident are amongst the leading causes compared to UK where blunt trauma from road traffic accident and assault predominate. The liver is the largest solid abdominal organ with a relatively fixed position, which makes it prone to injury being the second most commonly injured organ in blunt or penetrating abdominal trauma. Damage to liver range from sub capsular haematoma to complete avulsion of vascular pedicle. A prospective review of 69 patients who presented between 2002- 2005 in three surgical units. There were 57 [82%] males and 12[18%] females, age ranging from 15-65years were included in this review. There were 33 patients with gunshot wounds, 14 with penetrating wounds, and 18 with blunt trauma. 25 patients had isolated liver injuries and 44 had associated other visceral injuries. The majority of patients were treated with hepatoraphy / debridement except 9 patients who required peri-hepatic packing. Nine patients died. Six patients who were haemodynamically stable were treated conservatively. We advocate use of Ultrasound and CT scan in assessment and non operative management of solid organ injuries in selective patients