Short-term outcome of early laparoscopic cholecystectomy

Background:Laparoscopic cholecystectomy is being used in increasing frequency for cholecystectomy

Objective:To evaluate the short-term outcome of early laparoscopic cholecystectomy in terms of length of hospital stay, complications and patient satisfaction

Methodology: After approval of the institute's research evaluation committee, this cross sectional study was conducted at the department of General and laparoscopic surgery, Hayatabad Medical Complex, Peshawar from 1 January to 31 December 2015. Clinical features, operative findings and postoperative outcome was recorded in terms of length of stay [LOS], complications and overall patient satisfaction. The data was entered and analyzed by using SPSS version 20

Results: Mean age was 48.31 years +/- 10.86 with 13 [24.1%] males and 41 [75.9%] females. The overall no to low satisfaction rate was 13[24.07%], while 7[12.96%] patients remained neutral. The rest of the 34[63%] patients rated their satisfaction as high or adequate. Significantly associated complications to open cholecystectomy included development of postoperative pyrexia [p = 0.006], wound infection [p < 0.001], and seroma formation [p < 0.001]. The distributions of median satisfaction scores were statistically significantly different for the two groups of procedures [p < 0.001]

Conclusion: laparoscopic cholecystectomy is a safe and effective choice for patients of gallstone disease with significantly shorter length of stay and higher overall satisfaction rates

Inguinal hernia; mesh repair recurrence

To find out the frequency of recurrence in inguinal hernia mesh repair in Surgical Unit, Khalifa Gulnawaz Teaching Hospital Bannu / DHQ, Bannu. 60 consecutive cases of inguinal hernia [direct/ indirect] of either side, in this study were repaired by Lichtenstein's repair. The study was conducted from January, 2010 to October, 2010 with an initial follow up of one year. Cases above 76 yrs were excluded from the study. The procedure of choice for inguinal hernia repair is tension free mesh repair

Colorectal carcinoma; frequency of common histological types in patients below 40 years of age presenting to tertiary care hospital

Colorectal cancer is the second commonest cause of death in the world. Its incidence in young patients is on rise. To determine the common types of colorectal carcinoma in patients below 40 years of age presenting to tertiary care level hospital. Study Descriptive study It was carried out at Surgical Department, KTH, Peshawar January 2007 to January 2008. Total of 50 patients younger than forty years of age with colorectal cancer were included in study for the determination of histologic types. There were 66% males and 34% were females. The commonest affected age group was 31-35 years old having 46% cases. On history 86% patients complained of altered bowel habits and on clinical examination anemia was present in 72% patients. Left and right sided tumors were found in 70% and 30% patients respectively. Adenocarcinoma was the commonest type found in 94% cases followed by lymphoma [4%]. The incidence in young age group [