ABSTRACT
Objective: In this study our main goal is to evaluate thedemographic profile and operative findings after conventionalsurgery in rectal cancer patients.Method: This quasi experimental study was carried out at Thedepartment of General Surgery and Colorectal unit ofBangabandhu Sheikh Mujib Medical University (BSMMU),Dhaka and Somorita Hospital, Dhaka from July 2005 to June2007 where patients who having carcinoma involving themiddle and lower third of the rectum were evaluated. Duringthe study patients were divided into two groups: Group A:Patients undergone total mesorectal excision (TME) and GroupB: Patients undergone conventional operative method. Allpatients were operated under general anesthesia, placed inLloyd- Davies position.Result: In the study, most of the patients belong to 21 - 30years age group and 46.7% patients of Group-A and 56.6% ofGroup-B were males. The rest 52.8% of Group-A and 43.4% ofGroup-B were females. Sexual function preoperatively wellmaintained in 50 (94.3%) patients of group A and 51 (96.2%)patients of group B. Also, local recurrence rate in Group A ratewas 5.7% and in group B was 20.8%.Conclusion: We can conclude that, for management of rectalcancer conventional surgery has some limitation which canaffect the patient’s recovery and health condition. Further studyis needed for better outcome.
ABSTRACT
Background: This have a look at evaluated the position oflaparoscopic surgical procedure is the early control of acutegallbladder disease among a hundred and twenty patients inShaheed Suhrawardy Medical College Hospital and PrivateClinics of Dhaka City.Methods: Information of all emergency admissions for acutegallbladder diseases from March 2014 to June 2016 wasidentified and additional data from the hospital facts becomereviewed retrospectively.Results: Hundred and twenty students are gallbladder disease(87 patients presented with acute biliary pain and 33 patientspresented with acute cholecystitis). The conversion rate turnedinto better throughout early laparoscopic surgical treatment foracute calculous cholecystitis than in operations for acute biliarycolic. In sufferers with acute calculous cholecystitis theconversion charge turned into extensively lower in operationswithin 48 hour of admission than when surgical procedurebecome not on time past 48 h or ultimately carried outelectively.Conclusion: Laparoscopic cholecystectomy for acutegallbladder diseases should be performed well and givepositive feedback after the surgery.