ABSTRACT
Objective: To evaluate the results of partial cystectomy and omentoplasty in the management of hepatic hydatid disease
Study design: Descriptive case series
Place and Duration of study: Department of Surgery, Hayatabad Medical Complex Peshawar, from March 2011 to February 2015
Methodology: The study included patients diagnosed to have hydatid cyst involving right lobe of liver using ultrasound and CT scan abdomen. Patients having hydatid cyst in the left lobe of liver or other viscera were excluded. Postoperatively complications like bile leak were noted
Results: Partial cystectomy and omentoplasty for hepatic hydatid disease produced satisfactory results with minimum complications and short hospital stay
Conclusion: A total of 26 patients with liver hydatid cyst underwent partial cystectomy and omentoplasty. Male to Female ratio was 2.7:1. Mean age of the patients was 44.51 year. The operating time was from 45-90 minutes. Postoperatively 02 [7.7%] patients had bile leak, 03 [11.5%] had wound infection and 01 [3.8%] patient developed recurrent hydatid cyst in the liver. The average hospital stay was 5.4 days. There was no postoperative mortality
ABSTRACT
Objective: to assess the optimal timing of intervention and post-operative morbidity for acute calculous
Cholecystitis
Study design: cross sectional study
Place and Duration of study: surgical unit Hayatabad Medical Complex Peshawar, from February 2015 to January 2016
Methodology: a total of 110 patients having age range of 20-55 year were included. Patients having common bile duct stones, clinically jaundiced and associated co morbid diseases, were excluded. Patients were divided into two groups having 55 patients in each group. Group A patients underwent early laparoscopic / open cholecystectomy within 72 hours of presentation while group B patients had delayed laparoscopic / open cholecystectomy after 72 hours of presentation. In both the groups laparoscopic cholecystectomy was attempted initially but in difficult cases decision was made to convert to open procedure. Postoperative morbidity of both groups was compared
Results: mean age of the study population was 40.5+2.5 year. Male to female ratio was 1: 8.2. Biliary leak occurred in 1.8% patients in group A and 5.5% in group B. Common bile duct injuries occurred in 1.8% versus 3.6% patients and conversion rate was 3.6% against 12.7% in group A and group B respectively. Hospital stay in group A patients was 2.5 days as compared to 4.5 days in group B. Overall complication rate was 7.2% and 29.1% for groups A and B
Conclusion: early laparoscopic cholecystectomy within 72 hours significantly decreased the conversion rate, postoperative morbidity and the length of hospital stay