Emergency colon surgery: a pilot study

This study was performed to compare the respective outcomes of three different surgical methods in the management of emergency colonic resection and anastomosis: primary repair alone [Group I], primary repair with colostomy [Group II], and primary repair with omental wrapping [Group III]. Methods and Patients: 100 patients with emergency colonic resection were allocated randomly to the three groups according to the type of management. The study was performed during 1992-1996 in three different military hospitals in different regions in Jordan. Two patients were excluded because they did not finally undergo colectomy. Of the 98 patients who matched the criteria of our study, the following results were obtained: anastomosis leak occurred in three patients [two in Group I and one in Group II], there were five prolapsed colostomies [Group II], fourteen patients had wound infection [nine in Group I, three in Group II and two in Group III]. The mean time of hospital stay was 7.0, 7.1, and 6.9 days in the three groups respectively when there were no complications, and when the patients with complications were included, the hospital days were 15.3, 13.5, and 8.3 in the three groups respectively. Total hospital stay and complications were less in loop colostomy than primary repair alone. The fewest complications and the shortest hospital stays tended to be in Group III, primary repair with omental wrapping

Is tubal ligation a risk factor for menstrual disorders and increased risk of hysterectomy?

Menstrual disorders are a major health problem for women. Estrogen deficiency is a major risk factor in the pathogenesis of menstrual disorders. Recent evidence has indicated that tubal ligation may cause menstrual dysfunction and estrogen deficiency. This study examined the association between tubal ligation and post ligation menstrual disorders. 139 women who underwent tubal ligation between 1996-1998 in two Jordanian military hospitals [Prince ALI Hospital and the Q.A.M.H.] were studied. They were matched with a control group for parity and age distribution. All ligations were performed using the Pomeroy method. There was a small but not significant increase in menstrual dysfunction after tubal ligation. In the post ligation group, the incidence of disturbances was 38.8%. In the control group the rate was 34.5%. Only 6 patients [4.3%] of the post ligation group required hysterectomy. This is the same incidence found in the general population for this age group. The majority of patients developed no change with regard to menstrual dysfunction or the need for hysterectomy