ABSTRACT
Objective: To evaluate the outcome of subinguinal cremasteric disruption and venous ligation for the treatment of varicocele with regard to improvement in semen parameters, recurrence, hydrocele formation and testicular atrophy. Methods: The clinical study was carried out from December 2011 to June 2019. Fifty-nine patients were included in the study. Varicocele repair was done as a day case surgery under local anesthesia using cremasteric disruption and venous ligation technique. The treatment outcomes studied were improvement in semen parameters and complications like recurrence, hydrocele formation and testicular atrophy. Results: Seventy-four varicocelectomies were done in fifty-nine patients. Semen parameters improved in those nineteen patients who had abnormal semen parameters before surgery and nine out of these nineteen (47.36%) got their semen count normal after varicocele repair. There were five recurrences (6.75%). No hydrocele formation or testicular atrophy occurred during one year of follow up. Conclusion: Day case varicocelectomy by subinguinal cremasteric disruption and venous ligation is a simple, economical choice with minimal morbidity and comparable outcomes.
ABSTRACT
Background: Dyslipidemia is one of the modifiable risk factors of coronary heart disease
Objective: to determine the pattern of dyslipidemia in young patients with dyslipidemia
Methodology: a total of 120 patients, 20 to 40 years of age of either gender with acute Myocardial Infarction were included in this cross sectional study, from 1[st] January to 30[th] August 2015. Patients with history of ischemic heart disease, chronic renal failure, hypothyroidism, diabetes mellitus, and were hypertensive and on statin therapy were excluded. Venous blood sample was taken and sent to laboratory for analysis of following parameter serum total cholesterol level, serum triglycerides level, low density lipoprotein [LDL] and high density lipoprotein [HDL]. This data entered was and analyzed and using SPSS version 16
Results: mean age was 34.13 +/- 4.57 years. Out of these 120 patients, 80.83% were males and 19.17% were females with male to female ratio of 4.22:1. Dyslipidemia was present in 73 [60.83%] patients while 47 [39.17%] has shown normal lipid profile. Among total patients hypertriglyceridemia was present [45%] followed by hypercholesterolemia [36.67%], raised LDL [25.83%] and low HDL [10.83%]
Conclusion: this study concluded that there is a high frequency of dyslipidemia in young patients presenting with acute myocardial infarction