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1.
Medical Forum Monthly. 2011; 22 (2): 10-13
in English | IMEMR | ID: emr-146373

ABSTRACT

To compare the primary repair with colostomy in colonic injuries at tertiary care hospital in terms of morbidity and hospital stay. Quasi experimental study. This study was conducted in the Department of Surgery, Unit II BVH Bahawalpur from 27-01-2010 to 31-8-2010. A total of sixty patients fulfilling the inclusion criteria were selected for this study. Patients were randomly allocated in two groups. Group A [Primary Repair] and Group B [Colostomy], 30 patients in each group. Follow up in group A patients was done twice after 2 weeks and after one month. The follow up in group B was done for multiple times. Initially the visit was advised after every two weeks until the patient was called back for colostomy closure. The mean age in group A was 28.9 +/- 8.1 years and in group B was 30.1 +/- 14.0 years. The mean hospital stay in group A was 8.9 +/- 3.65 days and in group B was 11.0 +/- 4.7 days. At two weeks follow up, in group A, there was one [3.3%] patient of abscess, one [3.3%] of suture repair leak, one [3.3%] patient of sepsis and 2 [6.7%] patients of wound infection. In group B, there were 2 [6.7%] patients of abscess, one [3.3%] patient of suture repair leak, 3 [10%] patients of sepsis and 4 [13.3%] patients of wound infection. This is concluded from our study that primary repair was safe and effective treatment modality in the management of colonic injuries as compared to colostomy


Subject(s)
Humans , Male , Female , Wounds, Penetrating , Colostomy , Tertiary Care Centers , Length of Stay , Follow-Up Studies
2.
Professional Medical Journal-Quarterly [The]. 2011; 18 (3): 386-389
in English | IMEMR | ID: emr-113349

ABSTRACT

Goiter is a common problem in southern Punjab and thyroid surgery is frequently performed in surgical units of BVH Bahawalpur. Fine Needle Aspiration Cytology is the investigation of choice in detection of carcinoma thyroid. It is simple and quick to perform and can be readily repeated. The aim of the study was to find out the diagnostic accuracy of FNAC in thyroid nodules. Cross sectional study. June 2009 to November 2009. Department of Surgery, BVH Bahawalpur. Fifty patients of goiter of age ranging from 16 to 60 years, irrespective of gender, presenting with a thyroid nodule and undergoing surgery were included in the study at Department of Surgery, BVH Bahawalpur. Information of each patient was collected on a structural Performa and then analyzed on SPSS to assess the sensitivity and specificity of the FNAC. The sensitivity and specificity of FNAC was 72.2% and 97.8% respectively. FNAC should be performed in all cases of thyroid nodules because of its high sensitivity and specificity to diagnose the benign as well as the malignant lesions of thyroid

3.
Professional Medical Journal-Quarterly [The]. 2010; 17 (4): 679-685
in English | IMEMR | ID: emr-118020

ABSTRACT

To estimate maternal mortality ratio [MMR], obstetrical causes and determinants of maternal mortality. A descriptive study. The study was conducted in Obstetrics and Gynaecology Department at Bahawal Victoria Hospital, affiliated with Quaid-e-Azam Medical College, Bahawalpur. This was a 3 years study conducted from January 2006 to December 2008. All direct and indirect maternal deaths during pregnancy, labor and perpeurium were included. The patients who expired after arrival were analyzed on specially designed performa from their hospital records and questions asking from their attendants. The reason for admission, condition at arrival, cause of death and possible factors responsible for death were identified. The other information including age, parity, booking status, gestational age and relevant features of index pregnancy, along with the distance from hospital was recorded on Performa and analyzed by SPSS version 11. There were a total of 21501 deliveries and 19462 live births with 2039 peri-natal moralities. Total 133 maternal deaths occurred during last 3 consecutive years revealed MMR 683 per 100000 live births. Majority of the women who died were un-booked [91%]. The highest maternal mortality age group was 20-30 years in which 54.2% deaths were observed. Out of 133 maternal deaths, 21% were primigravida. Obstetrical hemorrhage [44.4%] was the most frequent cause followed by hypertensive disorders [21.8%] and sepsis [15%]. There were 33.8% of patients who were brought at compromised stage and 52.6% brought critical, only 13.5% died were stable at the time of arrival at hospital. Obstetrical haemorrhage was the leading cause of maternal deaths. This dreadful cause is preventable and manageable if steps are taken in time during antenatal period for risk detection and in postnatal period. Community awareness, training of traditional birth attendants to recognize the severity of disease and importance of being in time and improving referral can reduce the maternal deaths


Subject(s)
Humans , Female , Pregnancy Complications , Uterine Hemorrhage/mortality , Prenatal Care , Postnatal Care , Severity of Illness Index , Cause of Death , Live Birth
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