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1.
Professional Medical Journal-Quarterly [The]. 2014; 21 (1): 5-9
in English | IMEMR | ID: emr-138652

ABSTRACT

To compare the operative time, blood loss, postoperative pain and length of hospitalization between open [OC] and laparoscopic cholecystectomy [LC] in Liver cirrhotic patients with Child -Pugh class A and B. Randomised Control Trial [RCT]. This study was conducted at Surgical department, Holy Family Hospital, Rawalpindi from Jan 2010 to Dec 2011. A total of 142 patients having Liver cirrhosis secondary to Hepatitis A and Hepatitis B, who presented in OPD and ER with signs and symptoms of gall stones were randomly allocated into two groups for open [OC] and laproscopic cholecystectomy [LC]. All of them were either in Child-Pugh class A or B. Data on the above two groups [LC and OC] was collected and analyzed for operative time, blood loss and length of hospitalization after operation. The mean blood loss in LC group was 61.33+39.64 ml vs 90.84+29.88 ml in OC group, Mean operation time was 50.49+18.26 min in LC group vs 59.22+15.66 in OC group which is statistically significant [p<.05]. In LC group, the mean hospital stay was 1.8+.97 days, while in OC group is 2.4+.91 days which is also statistically significant. LC [laparoscopic cholecystectomy] is a safe and effective approach for the treatment of symptomatic cholelithiasis in patients with mild cirrhosis with less blood loss, less postoperative pain, shorter operative time and decreased hospital stay

2.
PAFMJ-Pakistan Armed Forces Medical Journal. 2012; 62 (1): 63-67
in English | IMEMR | ID: emr-165315

ABSTRACT

To take the feedback of the students regarding the process of PBL, and of the faculty about student's performance. Descriptive study. The department of Medical education, Rawalpindi Medical College from 2007 till June 2008. The study was carried out in the first year class of 270 students at Rawalpindi Medical College. The Basic Sciences teaching was augmented by problem-based learning and integrated approach. Students of first academic year were allocated randomly to 20 batches each comprising 12-13 students. One facilitator was randomly allocated to each batch. Basic science faculty was made to participate actively in problem based learning along with clinical experts. The completed program was evaluated based on structured questionnaires. The response of students towards PBL as teaching strategy, was encouraging. Quantitative analysis showed that the mean score of the student's performance was 14.74 [SD +/- 3.255] out of 20. Most of the students [78.6%] agreed that the problem based learning facilitated their learning process whereas 6.5% disagreed and 14.9% did not comment. The study showed that it is possible to adopt problem based learning in the undergraduate medical course under a conventional curriculum

3.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2009; 19 (6): 354-358
in English | IMEMR | ID: emr-103438

ABSTRACT

To determine advantages and disadvantages of postoperative nasogastric intubation after small bowel anastomosis. Quasi experimental. Surgical Unit-1, Holy Family Hospital, Rawalpindi, from December 2003 to December 2006. A total of 112 patients, undergoing small bowel anastomosis were equally divided in group I and II with and without postoperative nasogastric intubation respectively. Variables compared were number of patients having episodes of vomiting, change in abdominal girth, the time for onset of bowel sounds, time to begin per oral fluids, length of hospitalization and postoperative complications. In group-I, nasogastric tube was removed on an average after 3.1 days. Average postoperative nasogastric output was 357, 154 and 64 ml/day for day 1, 2 and 3 respectively. There was no statistically significant difference between two groups in abdominal girth before and after operation, frequency of vomiting, time taken for onset of bowel sounds and start of oral sips after operation, frequency of wound infection, anastomotic leak and mortality [p>0.05]. Length of postoperative hospital stay and frequency of postoperative respiratory complications were more in group-l as compared to group-II [p<0.05]. Nasogastric decompression does not provide added advantage after small bowel anastomosis


Subject(s)
Humans , Male , Female , Intestine, Small/surgery , Anastomosis, Surgical , Postoperative Period
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