Early morbidity of open tension free mesh repair of inguinal hernia

To determine the early morbidity of open tension free mesh repair of inguinal hernia. Descriptive case series. Department of Surgery Abbasi Shaheed hospital Karachi, from September 2007 to July 2009. Patients with ingiunal hernia were selected for the study. Open tension free repair was done using polypropylene mesh. After surgery, wound infection, seroma, hematoma, testicular atrophy and early recurrence were noted. This study included 180 patients diagnosed with inguinal hernia. All the study subjects were males. Their mean age was 48.38 +/- 15.59 year [range 22 - 76 year]. Superficial wound infection occurred in 6 [3.3%] patients and numbness in 3 [1.7%] patients. The open tension-free repair of inguinal hernias using propylene mesh was a safe approach with overall early morbidity of only 5%

Epidemiologic triad of dog bite [a study of 81 cases]

Dog bite accounts for a significant number of traumatic injuries, which often needs medical treatment .Although agent, host and environment characteristics of dog bite have been well documented internationally but it is not done in Pakistan. A study was planed to find Agent, host and environment characteristics of dog bite in local population.The study setting was Emergency Department of Abbasi Shaheed Hospital. Patients were enrolled in July 2004,on a Performa designed to get different features of epidemiologic triad. Performa contain features of agents [type of animal, nature of attack and vaccination status of animal]host features [Age .gender, body part involved in bite and vaccination] environmental features [Time of bite and site of accident].Performa was filled by Doctors after interviewing each patient individually. Total 81 cases were registered in this study. Male were dominating with 80% [66] cases .Children and adolescent were the main target 65% [53] of the dog bite victims were less than 15 year of age .Mostly lower limbs were involved in the accident and it accounted for 68 % [55] cases.The highest frequency of dog bite were reported from Orangi town 31 % [25], a thickly populated area belonging to very low socioeconomic group