Diagnostic value of needle-localization biopsy in the management of non-palpable breast lesions

To determine the diagnostic accuracy of needle localization biopsy in the management of non-palpable breast lesions. This study was conducted over period of two and a half year at surgery unit-II of SMBBMU and Larkana Medical Center. Total 51 patients were included who had BIRADS IV and V lesions on mammogram and ultrasound. All underwent wire/needle localization under ultrasound and latter diagnostic biopsy. All the 51 patients were females. The positive result in terms of presence of diseased breast tissue was found in 92.15%. Needle localization biopsy has good diagnostic accuracy. The results can be improved by bringing improvement in the field of interventional radiology

Early laparoscopic chdecystectomy

To assess the clinical outcome of laparoscopic Cholecystectomy for management of acute cholecystitis and to evaluate its safety, frequency of complications. Observational study. Surgical Units II and III of Chandka Medical College Hospital Larkana. From 01.09.2003 up to 31.12. 2007. A total of 100 consecutive cases of, acute cholecystitis confirmed subsequently by abdominal ultrasound scanning, who were admitted for early laparoscopic Cholecystectomy. There was female preponderance with male to Female ratio of 1:4.5. Mean age was 45.75, SD 11.99, and most of patients were received with in 24 hours from the onset of symptoms. In 51 patients ultrasound reveals Edematous GB in 24 [24%], Empyma 8[8%], Contracted 10[10%], Perforated 5[5%] and Gangrenous GB in 4[4%] while 49[49%] have acute cholecystitis with cholelithiasis. The conversion rate was 6%; The minimum time taken during the procedure was 50 minutes. No mortality was reported in this series. Emergency / early Cholecystectomy is reliable and safe modality cost effective, and timely surgery with modern conception in the management of acute cholecystitis, because of accelerated recovery, negligible wound infection or related complication, and less postoperative pain. So Lap Chole should be preferred technique now days for the treatment of acute cholecystitis at our Institute

experience of laparoscopic cholecystectomy

To document our experience of laparoscopic cholecysectomy. A case series. This study was carried out at private sector medical complex at Larkana. Duration: From 1st December 2002 to 31st May 2004 for a period of 18 months. Two hundred consecutive cases, suffering from symptomatic cholelithiasis, were admitted for laparoscopic cholecystectomy. Their case record was retrieved and analyzed. There was female preponderance with male to female ratio of 1:4.5. Mean age was 48 years. Majority of patients suffered from chronic cholecystitis. The conversion rate was 5% due to acute cholecystitis with friable adhesions, elderly patients with phlegmon, obscure anatomy and stones in CBD not detected on ultrasound. The mean hospital stay was 36 hows. No mortality occured in this series. Laparoscopic cholecystectomy is an effective and safe modality of treatment for symptomatic gall stones in experienced h and s. This technique was found to have distinct advantages such as shorter hospital stay, lesser postoperative pain and good cosmetic results

Clinco pathological experience of gall bladder cancer in northern Sindh

Carcinoma gall bladder has a poor prognosis despite surgical resection of the tumour

-3 A prospective study was planned to evaluate carcinoma gall bladder according to its Clinicopathological presentation. Its frequency among gall bladder diseases was 5.21 percent with male to female ratio 1: 1.22. Average and median ages were 53.43 years and 55 years respectively. Peak age group was 5th decade. Three most common presenting complaints were right hypochondria! Pain [67.24 percent], vomiting [34.48 percent] and lump right hypochondrium [27.58 percent]. Most common macroscopic appearance was cauliflower like mass. Gall stones were associated with 39.65 percent cases. Most of the tumours were adenocarcinomas, majority in advanced histological grades. Glandular pattern was noticed in 27 cases and papillary pattern in 21 cases. Compared to developed countries our patients were more than a decade younger

Orbital neurofibromatosis in Sindhi patients from Pakistan

Although its dramatic appearance makes neurofibromatosis of the eyelid and orbit a widely recognized entity, its occurrence without accompanying changes in the other areas of the body is rare. In a recent study of 750 space-occupying lesions of the orbit in Pakistani patients, only nine [1.2%] had neurofibromas. We report neurofibromatosis confined to the eyelid and orbit in two Sindhi patients from Pakistan, a 22-year-old man and a 24-year-old woman. The attempts at surgical intervention proved dismally discouraging in both cases