ABSTRACT
Objective: To determine the frequency of Thyroid Cancer in solitary nodules of thyroid
Study design: A Retrospective descriptive study
Place and duration: The study was conducted from 1[st] January, 2000 to 31[st] May, 2010 at SOMH [Fauji Foundation Hospital] Karachi and from 1[st] July, 2010 to 31[st] December, 2013 at Al-Tibri Medical College and Hospital, Isra University, Karachi Campus
Methodology: One hundred and ninety consecutive cases of solitary thyroid nodule presented and operated were included in the study. Patients with multi-nodular goiters were not included in the study. Hemi thyroidectomy was done and if histopathology examination revealed carcinoma, then total thyroidectomy was followed. Results for frequency and percentages were calculated and analysed
Results: Out of Total 190 Cases, 61.58% were females and 38.42% were males. Important presenting symptoms were dysphagia [15.26%], palpitations [14.21%], rapid increase in size [13.68%], apart from the nodule [100%] in thyroid gland. Most of the cases were in 4[th] decade [35.26%], followed by 3[rd] decade [22.63%] of life. Most of the nodules were benign [91.57%] which included adenoma colloid goiter [42.94%] follicular adenoma [36.81%], simple cysts [18.40%]. Malignant nodules were 8.42%, which included papillary carcinoma [75%], follicular carcinoma [18.75%] and medullary carcinoma [6.25%]. No case of anaplastic carcinoma was found
Conclusion: Solitary thyroid nodules are mostly benign and malignant nodules are mostly well differentiated Carcinomas
ABSTRACT
A hydrocele is a fluid - filled sac surrounding a testis that results in the swelling of scrotum. They can develop due to inflammation or injury within the scrotum. This study aimed to evaluate the efficacy and adaptation of different surgical procedures in the repair of hydrocele.Comparative, Retrospective study .The study was conducted at Fauji Foundation Hospital Karachi, Al-Tibri Medical College, Karachi and Civil Hospital Karachi from January, 2000 to December, 2013. Patients with primary vaginal hydrocele registered during the period of thirteen years in the out patient department of surgery were selected. A total of 300 patients were assessed clinically, diagnostically and radiologically about the status of hydrocele before the surgical procedures and anesthetic opinion. The different surgical technique were carried out in different group of patients asJaboulay's technique in 70 patients, Lord's procedure in 70 patients, Aspiration and Sclerotherapy in 05 patients, Window operation technique in 05 patients and the Hydrocelectomy by supra pubic procedure were carried out in 150 patients out of total 300 registered patients. The data collected and analyzed statistically in SPSS version 19.00. The different procedures have been adopted surgically in patients with primary vaginal hydrocele. The results showed that among the different operative techniques adopted, the best procedure regarding hydrocelectomy is the supra pubic approach line of treatment. It showed better result and recovery with very minimum complications and side effects as compared to other surgical procedure. The data thus concluded that hydrocelectomy done via supra pubic approach in number of patients proved to be the best procedure because of having very little complications