ABSTRACT
To evaluate the role of surgical drains in near total thyroidectomy. It was a Randomized clinical trial conducted at department of surgery, DHQ teaching Hospital, Dera Ghazi Khan from Jun 2012 to May 2013. Patients were randomized into two groups by lottery method. Group A were those in which drains were placed and Group B patient were operated and no drains were placed. Inclusion criteria included all patients presenting for near total thyroidectomy for benign diseases. Those with massive goiters or nodules larger than 6 cm were excluded. 40patients were enrolled in the study. Complications, length of hospital stay, and overall cost were evaluated. In the Group B [no drain group], there was 03 days mean hospital stay with no increase in postoperative complications like swelling. While Group A [drain group] mean hospital stay was 06 days. Thyroid surgery without the use of a drain decreases the length of hospital stay, with no increase in patient morbidity. The overall cost is significantly reduced
ABSTRACT
To determine the frequency of bacterial in patients presenting with Cholelithiasis. Descriptive case-series study. This study was carried out in the Surgical Unit Nishtar Hospital, Multan from October 2007 to September 2008. All adults patients aged 20 years and above who were admitted with a provisional diagnosis of cholelithiasis, over a period of one year were entered into the study. The study included 100 patients between the ages of 20 and 60 years. The 100 patients who presented with cholelithiasis underwent operation and bile was taken for culture and sensitivity. There were 88 women [88%] and 12 [12%] were men. Age was ranging from 20 to 60 years [mean 44.4 years]. 56 [56%] were operated laparoscopically while in 44 [44%] open cholecystectomy was done. Out of 100 bile culture 16 [16%] were positive while in 84[84%] cases no growth cultured. Most of the microorganisms were sensitive to ceufoxime axetil and ceftrioxaone