Urinary incontinence among female patients attending a selected public hospital in Bangladesh

Background:Urinary incontinence is a frequent public health problem with negative social consequences, particularly for women. Women are much more susceptible to urinary incontinence than men. Female susceptibility is the result of anatomical, social, economic and cultural factors. Methods:A crosssectional study was conducted to find out the factors related to urinary incontinence, distribution of types of incontinence among female patients and their health care seeking behavior and socio-demographic characteristics among 121 adult female patients who attended the outpatient department of Gynae and Obstetrics department and Urology department of Dhaka Medical College and Hospital during the period of January to June 2016. Data werecollected through face to face interview.Results:The mean age of the respondents was 43.42 years and the mean monthly income of the respondents was 17409.09 taka. Little above nine-tenths (91.7%) of the respondents were Muslim and the majority of the respondents (47.9%) were living in pacca house. More than seven-tenths (73.6%) of the respondents were married and over 35% of the respondents were illiterate. Among the respondents about 42.1% of them had pressure type of incontinence, followed by mixed incontinence (27.3%). Over 65% had some complication during delivery and little above six-tenths (61.2%) had gynecological problems.Conclusions:Female urinary incontinence is a frequent and a major embarrassing healthcare problem in Bangladesh. Patients who had complications during labor, having multipara, recurrent UTI, gynecological problem such as uterine prolapse, urethral injury, had high percentage of urinary incontinence. Patients with urinary incontinence should be encouraged to seek treatment early as the problem can be treated.

Assessment of knowledge and practice of menstrual hygiene among the female nursing students in a selected private nursing college in Dhaka City

Background: Adolescent females are often uninformed and inexperienced on most health-related issues including menstruation. The problems of menstrual hygiene are inadequately acknowledged and has not received any proper attention as well. This study was aimed to assess the level of knowledge and practice of menstrual hygiene among the female nursing students in Bangladesh.Methods: A total of 106 female nursing students were selected from Grameen Caledonian College of nursing using purposive sampling technique.  A descriptive cross-sectional type of study was used. Data were collected directly using self-administered semi-structured questionnaire developed and was analysed using SPSS version 22.0.Results: In this study more than six-tenths (63.2%) of the respondents were 20 years and below and most of them (74.5%) were unmarried.  About 60.4% of them were currently running diploma in nursing and the rest (38.6%) were B.Sc. nursing students. About 72.6% of the respondent’s mothers had above HSC level of education and most of them (61.3%) were from nuclear family.  Little above half (51.9%) of the respondents mentioned that menstruation is the uterine bleeding and the majority (67.0%) of the respondents were surprised during their first menstruation. Most of the respondents source of information about menstruation before menarche was sister (95.3%), followed by friend (92.5%), mother (67.9%) and the rest mentioned the teacher (62.3%). About 76.5% of the respondents mentioned that their mode of disposal of absorbents was dustbin and most of them (68.9%) used water and soap to clean their genital area after menstruation.Conclusions: The study was concluded that more than half of the respondents had moderate level of knowledge and practice regarding the menstrual hygiene. Most of the (67.0%) of the respondents were surprised during their first menstruation and close to eight-tenths (79.2%) mentioned they had a regular usual menstrual cycle. There is need for more awareness regarding the information on good menstrual hygiene practices.

Nurses’ knowledge regarding nursing care and management of hypertensive patients in a selected hospital in Dhaka city

Background: Heart diseases, hypertension, diabetes, COPD and cancer are some of the major NCDs and account for more than three-fifths of a death in Bangladesh. This study was aimed to assess the level of nurses’ knowledge regarding nursing care and management of the hypertensive patients.Methods: This study utilized a descriptive cross-sectional study type and the data were collected using self-administered questionnaire. The respondents were informed about the purpose of the study to obtain their consent and they were given clear instructions on how to fill the questionnaires. All the data were analyzed using Statistical Package for Social Sciences (SPSS) version 22.Results: In this study slightly above 60.0% of the participants were female and 73% of them were Muslims. More than half (53.0%) of the respondents had B.Sc. in nursing and 51.3% of them had <10 years of service experience. About 70.4% of the respondents had attended a training on hypertension and 92.2% of them knows about normal blood pressure measurement. About 92.2% of the participants knows the causes of hypertension and 82.6% of the respondents mentioned that hypertension management aims to prevent morbidity and mortality and only 39.1% of them knows the recommended diet for people with hypertension.Conclusions: The finding reported that the nurses' knowledge regarding the management of hypertensive patients and knowledge on hypertension were very good. Developing knowledge among the nurses in relation to hypertension is the key factor to plan for comprehensive nursing care for better prognosis of the patient.

Knowledge and awareness on disaster management among medical professionals of a selected public and private medical college hospital

Background: Disaster causes widespread destruction, disrupting people’s lives and causing human suffering with communities finding it difficult to cope. When the disaster occurs, human beings may not have the power to stop it from occurring, nevertheless they may have the power and ability to adapt or minimize the impact of the disaster on their lives. This study was aimed to assess the level of knowledge and awareness on disaster management among medical professionals.Methods: A cross-sectional study was conducted among the medical professionals from two selected medical college hospitals in Dhaka city of Bangladesh from January to April 2017. A total of 120 samples were selected purposively using two stages sampling technique. The data was collected using self-administered semi-structured questionnaire and was analysed using SPSS 20.0 version.Results: In this study half 60 (50.0%) of the study participants were in the age group 20-30 years and about 77.5% of the study participants were Muslims. About 64.2% of the study participants had less than 11 years of professional experience. Only 10 (8.3%) of the study participants had attended training on disaster management. About 30.0% of the study participants had good level of knowledge and only 49.2% had high level of awareness.Conclusions: The findings revealed that most of the study participants had not attended any training on disaster management. It also reported that the majority of the study participants had poor level of knowledge. Evacuation exercises need to be done for the entire hospital at least twice a year.

Action taken in managing dental health of children due to mother's oral health literacy level

Background@#The index of dental care needs of children from year to year tend to increase as shown in the results of the National Basic Health Research (Riskesdas). Children are individuals who still need the involvement of parents, especially mothers, in determining the attitudes and actions they will take to manage their dental health.@*Methods@#This study is a cross-sectional research in which a total of 108 women of childbearing age were randomly selected. An assessment was carried out on the actions taken by the mother in managing her child’s dental health using the HU-DBI instrument (Hiroshima University Dental Behavioral Inventory), and Health Literacy in Dentistry (HeLD), to see the relationship with the level of dental health literacy they have.@*Results@#There was a significant difference in the aspect of understanding, in different decision making (p=0.044) between the group of mothers who had a low HeLD score (3.52±0.77) and the group of mothers who had a high HeLD score (3.70±0.46).@*Conclusion@#The results showed that the aspects of understanding, ability to receive-treat-translate dental health information, and literacy level would lead to different actions in managing children’s dental health.

Visual outcome after phacoemulsification with lens implant in diabetic and non-diabetic patients; a comparative study

Objective: To compare the visual outcomes of phacoemulsification surgery with intraocular lens [IOL] in persons with and without diabetes at end of follow-up

Methods: This was a comparative, cross sectional, observational study with Non-probability, purposive sampling. After approval from "Research Ethical Committee of Isra Post-graduate Institute of Ophthalmology Karachi, 92 patients with cataract in one eye were selected. Patients were divided into two groups. Group A consisted of 48 diabetics and group B consisted of 44 non- diabetics with or without diabetes in the age group >/= 30 years were included. Patients with small Pupil, Pseudo exfoliation Syndrome, Diabetic Retinopathy, and positive history of Uveitis, Glaucoma, and Macular Degeneration were excluded. Data analysis was performed by SPSS Version 20.0

Results: Best Corrected Visual Acuity [BCVA] in diabetic patients improved from 0.813 +/- 0.181 Log MAR pre operatively to 0.183 +/- 0.143 after the period of six months post-operatively. Corresponding results in non-diabetics were 0.66 +/- 0.31 and 0.08 +/- 0.092 Log Mar [P value = 0.001]. If WHO criteria was considered, 87.5% diabetics and 92% non-diabetics achieved normal vision [Log Mar 0 to 0.5; >/= 6/12,] on the first postoperative day. Remaining 12.5% diabetics and 8% non-diabetics achieved moderate vision [0.6 to 1 Log MAR] on first post-operative day improving to normal vision within a week

Conclusion: Visual outcomes in diabetics after phacoemulsification with intra ocular lens implant is almost as good as that in non-diabetic patient if the diabetics have no retinopathy and have good glycemic control

Association of genotypes with viral load and biochemical markers in HCV-infected Sindhi patients

Abstract The presented study had two objectives. The first was to examine distributions of Hepatitis C Virus (HCV) genotypes in Sindh, Pakistan, where HCV is prevalent. The other was to explore clinically relevant relationships between the genotypes, viral load (measured by real-time polymerase chain reaction assays) and biochemical markers. For this, 1471 HCV-infected patients in six cities in Sindh were recruited and sampled. HCV genotype distributions varied among the cities, but genotype 3a was most prevalent, followed by 3b, 1a and 1b (detected in 51.5, 22.7. 9.25 and 3.2% of the cases, respectively). No type-specific sequences were detected in serum samples from 189 (12.8%) of the 1471 patients. Frequencies of low (<200,000 IU/mL serum), intermediate (200,000-600,000 IU/mL serum) and high (>600,000 IU/mL serum) viral loads were respectively 45.4, 16.5 and 38.1% for patients infected with genotype 3, and 16.9, 36.9 and 46.2%, respectively, for patients with other genotypes. Infection with genotype 1a was associated with significantly higher (p < 0.005) alanine aminotransferase, aspartate aminotransferase and alkaline phosphatase titers than infection with genotype 3a. The results will help in the formulation of treatment strategies.

effect of two weeks preoperative finasteride therapy in reducing prostate vascularity

Objective: To determine the effect of two weeks preoperative finasteride therapy in reducing prostate vascularity in terms of mean microvessel density [MVD] and expression of VEGF in prostate urothelium among patients of BPH by comparing with controls. Study Design: Randomized controlled trial. Place and Duration of Study: Shifa International Hospital, Islamabad, from January 2013 to January 2014

Methodology: A total of 80 patients of Benign Prostatic Hyperplasia [BPH] planned for Trans-Urethral Resection of Prostate [TURP] having prostate size of more than 40 grams on trans-abdominal ultrasonography was randomized into two groups, each group having 40 patients. The finasteride group [Group A] was prescribed oral 5 mg of finasteride daily for 2 weeks before surgery. The control group [Group B] did not receive any agent. After 2 weeks, TURP was performed and prostate samples were sent for histopathological determination of MVD and expression of VEGF

Results: The mean age of patients was 66.21 +/- 10.08 years, ranging from 48 to 86 years. The mean prostate gland size was comparable in both groups [55 +/- 10.7 vs. 58.1 +/- 10.8 grams, p=0.21]. Mean MVD in finasteride group [20.25 +/- 10.3] was significantly lower as compared to control group [48.9 +/- 22.6, p < 0.001]. Similarly expression of VEGF was also significantly lower in finasteride group [30%] as compared to control group [65%] [p= 0.0017]. Mean MVD had a significant weak correlation with the size of prostate gland on Pearson correlation test [2-tailed] with r = 0.222

Conclusion: Finasteride reduces microvessel density and hence prostate vascularity with only 2-week therapy and the mean MVD is clearly correlated with size of prostate

Use of follicular output rate to predict intracytoplasmic sperm injection outcome

Background: The measurement of follicular output rate [FORT] has been proposed as a good indicator for evaluating follicular response to the exogenous recombinant folliclestimulating hormone [rFSH]. This places FORT as a promising qualitative marker for ovarian function. The objective of the study was to determine FORT as a predictor of oocyte competence, embryo quality and clinical pregnancy after intracytoplasmic sperm injection [ICSI]

Materials and Methods: This prospective study was carried out on a group of infer- tile females [n=282] at Islamabad Clinic Serving Infertile Couples, Islamabad, Pakistan, from June 2010 till August 2013. Downregulated females were stimulated in injection gonadotropins and on ovulation induction day, pre-ovulatory follicle count [PFC] was determined using transvaginal ultrasound scan [TVUS], and FORT was determined as a ratio of PFC to antral follicle count [AFC]×100. Group I consisted of females with a negative pregnancy test, while group II had a positive pregnancy test that was confirmed with the appearance of fetal cardiac activity. Linear regression analyses of categorical variables of clinical pregnancy along with other independent variables, including FORT, were performed using SPSS version 15.0

Results: Pregnancy occurred in 101/282 women who were tested, recording a clinical pregnancy rate of about 35.8%. FORT values were higher in group II as compared to group I females [P=0.0001]. In multiple regression analysis, 97.7, 87.1, 78.2, and 83.4% variations were explained based on the number of retrieved oocytes per patients, number of metaphase II oocytes retrieved, number of fertilized oocytes, and number of cleaved embryos, respectively, indicating FORT as an independent predictor

Conclusion: FORT is a predictor of oocyte competence in terms of a number of retrieved, mature and fertilized oocytes. It also gives information about the number of cleaved embryos and clinical pregnancy rate

Prevalence and diagnostic of head and neck cancer in Pakistan

Head and Neck [HN] cancer is the most frequently identified cancer across the globe and is considered as 8-10 % of all cancers in Southeast Asia. The social and cultural habits are the main cause of the remarkable increase in HN cancer in Pakistan. HN cancers are more prevalent in men as compared to women. The HN cancer in Pakistan is mainly attributed to discrete demographic profile, risk elements, eating patterns and family history. The foremost factors of risk are linked with cigarette smoking, alcoholic drinks and tobacco chewing like paan, gutka, etc. The actual burden of HN cancer in Pakistan is 18.74% of all new cancer cases recorded during 2004 -2014. The data is collected from HN cancer patients who are diagnosed from September 2011 till May 2012 in the Institute of Nuclear medicine and Oncology, Lahore Pakistan. In order to diagnose risk factors of HN cancer, the Logistic Regression [LR] and Linear Discriminant Analysis [LDA] are used as analytical tools. The findings of using these both tools concluded that gender, age, occupation, socioeconomic status, family history, chewing habits, smoking habit, worked in the chemical or dust place, alcohol use are main causes for HN cancer. The main aim of this study is to develop the awareness about HN cancer, its causes and early diagnosis

Visual outcome of laser treatment in diabetic macular edema: Study from an urban diabetes care center

Objective: To determine the visual outcome of laser treatment in clinically significant macular edema

Methods:This interventional and qausi experimental study was carried out at Diabetic Association of Pakistan [DAP] during January 2011 and December 2012. Approval was taken from Research Ethical Committee of Isra Postgraduate Institute of Ophthalmology. Records of 925 eyes of 464 patients with "Clinical Significant macular edema" [CSME], treated with laser photocoagulation were analyzed. Bestcorrected visual acuity [BCVA] at the time of presentation and at the last follow up, minimum of one year and maximum of 45 months was recorded and compared. SPSS version 20.0 was used to analyze the data

Results:Diabetic retinopathy was found in 20.3% [1777] of 8742 diabetic attending DAP Hospital" amongst whom 39.6% [705] had Sight threatening diabetic retinopathy. Laser was advised in 96.4% [680] individuals, accepted by 70.5% [480] individuals. Amongst 960 eyes of 480 patients who accepted laser, 925 eyes had clinically significant macular edema and 35 eyes had PDR who are not included in this study. Amongst 925 eyes with CSME, Grid laser was done in 913 eyes [99%] and focal laser was done in 12 eyes [1%]. After a follow up of 12 to 45 months, it was found that best corrected visual acuity had declined in 2.4% [22] eyes, stabilized in 67% [619] eyes and improved in 30.7% [284] eyes. One line improvement on Snellen's chart was fond in 21.3% [197] eyes, 2 lines in 8% [74] eyes, 3 lines in 1.2% [12] eyes and 4 lines in one [0.1%] eye with p-value of 0.000

Conclusion:Laser therapy is an effective treatment in stabilizing/improving the vision in diabetic macular edema particularly at those centers where only Argon Laser is available and OCF, FFA facilities do not exist

Frequency of GERD in COPD patients

Objectives: To determine the frequency of GERD in COPD patients. Study Design: Cross-sectional study. Place and duration of study: Department of Pulmonology, DHQ Hospital, Faisalabad from 1/03/2014 to 31/08/2015

Methodology: 95 patients of COPD [All patients with established diagnosis of COPD according to operational definition, Age > 40 years, Either Gender, FEV1/FVC <0.7 with >20 pack-year history of smoking]

Results: In our study, out of 95 cases of COPD, 38.95% [n=37] were between 40-60 years of age, while 61.05% [n=58] had >60 years of age, common age was 58.37+8.36 years, 90.5% [n=86] were male and 9.5% [n=9] were females. Frequency of GERD in COPD patients was recorded in 43.16 % [n=41]

Conclusion: it was concluded that the frequency of GERD is high among patients with COPD. So, it is recommended that every patient who present with COPD, should be sort out for GERD. However, it is also required that every setup should have their surveillance in order to know the frequency of the problem

New markers in sepsis

Sepsis is a complex disease associated with high morbidity and mortality. Early diagnosis, administration of appropriate antimicrobial therapy and source control are the cornerstones of treatment. The use of biomarkers to guide management of sepsis has been extensively investigated and is well described in the literature. However no single biomarker has been validated for the diagnosis of sepsis, prognostication or to guide antimicrobial prescribing. So their role in clinical practice is still unclear. An approach that integrates data from various combinations of biomarkers with the clinical information available at the bedside shows promise but requires further evaluation

assessment of knowledge, attitude and practices [KAP] towards diabetes and diabetic retinopathy in a suburban town of Karachi

To assess the Knowledge, Attitude and Practices [KAP] towards diabetes and diabetic retinopathy in the general population of Bin Qasim Town [BQ], Karachi. An observational, cross-sectional study was approved by Research Ethical Committee of Al-Ibrahim Eye Hospital. It included every third household by stratified sampling in each Union Council of [BQ] Town, in the months of May to July 2013. The interview Questionnaire included 43 questions, of qualitative and quantitative aspects, which were awarded 56 scoring points. SPSS version 20.0 was used to analyze the data. Six hundred ninety two adults one from each household were interviewed. Of the total respondents, 271 [39.2%] had diabetes. Lowest mean knowledge score [5.28 +/- 6.09] was seen in illiterate respondents. Male's Mean Knowledge score [7.61 +/- 6.600] was better than female's [5.46 +/- 6.21] with P <0.001. Over all mean score of Attitudes towards diabetes was 5.43 +/- 2.57. It was higher [6.62 +/- 2.03] in diabetic respondents as compared with non-diabetic respondents [4.70 +/- 2.59] with p < 0.000. In Practice module majority of the respondents [69.9%] did not exercise, 49% took high caloric snacks between meals and 87% ate outside home once a month, 56.8% diabetics visited ophthalmologist for routine eye examination; but only 9.2% asked for retinal examination. Lack of knowledge of diabetes was found in the surveyed community, more marked in females, illiterate and the individuals not having diabetes

Ileostomy stoma wound; purse-string closure

The objective of the study was to compare the frequency of infection in stoma site skin wound closure done by purse string suture and linear suturing techniques. Randomized control trial. Surgical Unit-I, Allied Hospital, Punjab Medical College, Faisalabad. From 1st Jan, 2014 to 31st March, 2015 [15 Months]. Total number of sixty patients of both sexes with benign disease were included using non-probability consecutive sampling technique after approval from hospital ethics committee. All patients were admitted through OPD and a written informed consent was taken. They were divided into two groups [30 each]. The two techniques of ileostomy stoma wound closure used were linear closure and purse-string closure. Data was analyzed using SPSS v10. Chi-square test was used to compare the outcome [wound infection] in both groups. P-value less than 0.05 was taken as significant. Comparison of infection in stoma site skin wound closure done by purse string suture and linear suturing techniques was done which shows presence of infection in 36.67%[n=11] in Linear closure and 10%[n=3] in Purse-string closure group while remaining 63.33% [n=19] and 90%[n=27] respectively case had no infection, p value was calculated as 0.01 which shows a significant difference. The frequency of infection in stoma site skin wound closure done by purse-string suturing technique is significantly less than linear suturing technique

Effect of two triangular flap designs for removal of impacted third molar on maximal mouth opening

The aim of this study was to compare the effect of marginal flap and paramarginal flap designs on maximum mouth opening following surgical removal of impacted mandibular third molars. This comparative study consisted of sixty patients which were divided into two groups of thirty each and was carried out at Oral and Maxillofacial Department, Lahore Medical and Dental College, Lahore from June 2012 to October 2013. Maximum mouth opening was recorded preoperatively. A marginal flap was used in one randomly chosen half of the patient's sample, and a paramarginal flap was used in the other half. The effect of these flaps on maximum mouth opening was studied postoperatively. No significant difference was found between marginal and paramarginal flaps on maximum mouth opening at second and seventh days after surgical removal of impacted mandibular third molar [P>0.05]. Therefore, the decision to use a marginal flap or a paramarginal flap may be based on surgeon's preference

Retinal screening acceptance, laser treatment uptake and follow-up response in diabetics requiring laser therapy in an Urban Diabetes Care Centre

Objective: To determine the acceptance of retinal screening, Laser uptake and subsequent follow-up in diabetic patients attending the Diabetes Centre of Diabetic Association of Pakistan [DAP], Karachi

Study Design: Observational case series

Place and Duration of Study: Diabetic Centre of Diabetic Association of Pakistan [DAP], Karachi, from January 2011 to December 2012

Methodology: All the diabetic patients were screened for Diabetic Retinopathy [DR] with non-Mydriatic Fundus Camera [NMFC]. Patients with DR were examined by the ophthalmologist using fundus lens and slit lamp. DR was graded for severity on the basis of modified Airlie House Classification. Patients with Sight Threatening Diabetic Retinopathy [STDR] were advised Laser treatment. Each patient was followed-up for at least 6 months. The records of patients recommended Laser were retrieved, and called for re-examination

Results: Retinal screening was accepted by all of the 8368 registered diabetics attending DAP Centre. On fundus photography, 21.2% [1777] individuals were found to have DR. Seven hundred and five [39.5%] patients were found to have STDR. Laser was advised to 96.4% [680] of STDR patients; amongst whom 70.5% [480] accepted Laser treatment. Out of 480 patients who had Laser treatment, 21.2% [107] turned out for follow-up after 6 months

Conclusion: Acceptance of retinal screening and Laser application was good; but follow-up was suboptional

Etiological factors and patterns of presentation of radicular cyst :a study

Radicular cysts are the most common odontogenic cysts of inflammatory origin affecting the human jaws. Radicular cysts are usually asymptomatic but can result in slow growth tumefaction and involve many adjacent sound teeth endangering their vitality and prognosis. The objectives of this study were to enumerate and evaluate the etiological factors and the pattern of presentation of radicular cysts in a tertiary care centre in Pakistan. A total of 58 patients were included in this case series study after taking history, clinical examination, radiological findings, aspiration test and histological diagnosis of lesion by biopsy report. It was carried out at the Oral and Maxillofacial Surgery Department, Lahore Medical and Dental College, Lahore from April 2012 to August 2014. The patients in the study included 30 male [51.72%] and 28 female [48.28%]. Most cases were diagnosed in the second decade of life [50.00%] which declined in the later age groups. The most affected region was the anterior maxilla [65.52%, n=38], followed by anterior mandible [18.96%, n=11]. The main etiological factor was dental trauma followed by unrestored nonvital carious teeth. Radicular cyst is the most commonly occurring odontogenic cyst which affects the maxillofacial skeleton with varying frequency. A proper early screening of dental trauma can significantly reduce the incidence of some of these cystic lesions. In addition, patient education with regards to improved oral health and regular dental check ups is important for reducing the caries prevalence in the population

Relation of breast cancer with parity and breastfeeding

Objective: The purpose of this study was to evaluate the relationship of breast cancer with parity and breastfeeding in local settings since no such studies have been carried out previously. The results of such study can provide data for comparison from other parts of country and international research

Study Design: Observational study

Place and Duration: Department of Surgery Allied Hospital Faisalabad between October 2013 and October 2014

Methods: A sample of 500 breast cancer patients diagnosed clinically and histopathologically was included in the study after informed consent. Patients were interviewed using a questionnaire. We observed the variables of age, parity, menstrual history and months of breastfeeding for each child. Analysis was done using SPSS version 12. 0

Results: In present study, 500 patients of breast cancer were included with age ranging from 28 years to 80 years. Most common age group was 40 to 50 years. 91.8% females with breast cancer were multiparous and all 91.8% females gave history of breastfeeding their children. 48% of the females breastfed for more than 5 years, 40% of them for 1to5 years and 3.8% of them for less than 1 year. Only 8.2% females who were either unmarried or had no issues did not breastfeed at all

Conclusion: In our local settings, multiparity and breastfeeding do not alter the risk of breast cancer and thus other risk factors must be studied

Comparison of excision and primary closure [primary closure] versus modified Limberg flap [modified limberg flap] repair in the treatment of sacrococcygeal pilonidal sinus disease [sacrococcygeal pilonidal sinus disease]

Objective: To compare excision with primary closure and excision with modified limberg flap repair in the treatment of sacrococcygeal pilonidal sinus disease

Design: Quasi experimental study. Setting and duration of study: Surgical Unit-I at Allied Hospital, PMC, Faisalabad, from April 2011 to July 2012

Methods: A total of 60 patients with sacrococcygeal pilonidal sinus disease, 30 underwent Excision with primary closure, and 30 had Excision of sinus with modified limberg flap repair

Results: Though modified limberg flap group was associated with comparatively longer operative time [48.57 vs 32.57 minutes] and longer hospital stay [5.90 vs 4.17 days]. However, post op analgesic requirement in either groups was comparable [33.3% vs 40%]. There was a significant difference in recurrence rate in both groups [20% vs 3.3%]

Conclusion: For the surgical treatment of sacrococcygeal pilonidal sinus disease, modified limberg flap repair is a better technique due to less chances of recurrences, in maiaging sacrococcygeal pilonidal sinus disease