Outcome karydakis procedure for pilonidal sinus

To analyze the Outcome of karydakis procedure for pilonidal sinus. Prospective interventional Lahore General Hospital, Lahore from January 2001 to December 2004. Patients with chronic pilonidal sinus and Karydakis procedure was adopted. Total No of 60 patients underwent excision and asymetrical primary closure. Six patients required intravenous analgesia minor wound infection was present in twelve patients [20%]. Forty eight [80%] patients were able to resume normal household activities with in two weeks while full outdoor activities were possible in two to three weeks in nearly 100% of cases conversion to open methods was zero with recurrence rate 5% [3 Cases] patients acceptability was 90% [54 Cases]

Restless leg syndrome

Restless leg syndrome [RLS] is a very common medical condition that is under recognized and often misdiagnosed and maltreated in general practice in Pakistan. It is a very distressing condition for patients and often attributed to nutritional deficiencies or labeled as simple cramps. Its cure is rarely possible. In this article the authors intend to discuss the diagnosis and management of this condition

Minilaprotomy cholecystectomy with mini clip applicator a useful alternative to laparoscopic cholcystectomy

To analyze outcome of after LC [Laparoscopic Cholecystectomy] and MC [Minilaparotomy Cholecystectomy] for symptomatic Gall Stones. Randomised prospective study. Lahore General hospital Lahore from January 2003 to December 2004. Study comprised of two groups [A and B] of 320 people with 160 patient in each group. Group A was offered LC and Group BMC outcome data looked at operative time, rate of conversion to conventional cholecystectomy, operative complication, post of stay, wound infection and patient satisfaction. A total number of 320 patients underwent cholecystectomy with 160 in each LC and MC group. There were 280 [77%] females and 40[33%] males. Median operating time was 60 and 40 minutes for LC and MC, while conversion to conventional cholecystectomy was 12.5% in LC group and 6% in MC group. There was 3% minor bile duct injury in LC and 0% in LC group. There was 6% of wound infection in LC group and 9.3% in MC group while median hospital stay was 1 day for LC and 2 days for MC group while patient satisfaction was 90% for LC and 80% for MC group. MC [Minilaparotomy Cholecystectomy] is a safe and feasible technique in which minimal invasiveness of LC [laparoscopic cholecystectomy] is preserved, so advocating MC for those patients who do not need to return to work early and who are also concerned with cosmetic result

Grid: a location dependent intensity modulated radiotherapy for bulky tumors

Grid radiation therapy, using the megavoltage X-ray beam, has been proven to be an effective method for management of large and bulky malignant tumors. This treatment modality is also known as Specially Fractionated Radiation Therapy [SFRT]. In this treatment technique a grid block converted the open radiation field into a series of pencil beams. Dosimetric characteristics of an external beam grid radiation field have been investigated using experimental and Monte Carlo simulation technique. Dose distributions [%DD as well as the beam profiles] of a grid radiation field have been determined using experimental and Monte Carlo simulation technique, for 6- and 18 MV X-ray beams from a Varian Clinics 2100C/D. The measurements were performed using LiF TLD and film in Solid Water phantom Material. Moreover, the MCNP Monte Carlo code was utilized to calculate the dose distribution in the grid radiation field in the same phantom material. The results of the experimental data were compared to the theoretical values, to validate this technique. Upon the agreement between the two techniques, dose distributions can be calculated for the grid field with different patterns and sizes of holes, in order to find an optimal design of the grid block. The results of dose profiles for 6 MV X-ray beams obtained with the Monte Carlo simulation technique was in good agreement with the measured data. In addition, the 3D dose distribution of the grid field generated by the Monte Carlo simulation gave more detailed information about the dose pattern of the grid. The grid block can be used as a boost for treatment of bulky tumors. The Monte Carlo simulation technique can be utilized to optimize the pattern, size and spacing between the holes, for optimal clinical results

Blood lead levels in preschool children in Rawalpindi

Blood lead levels were determined in preschool children residing in Urban areas of Rawalpindi city. Of 92 [50 males and 42 females] children aged one to 5 years were included in the study. Blood lead levels ranged from 7 ug/dl to 34 ug/dI [mean 18.8 ug/dI]. The mean lead levels were slightly higher in males [20.3 ug/dI] than in females [17.2 ug/dl] and over 90% children had lead levels above the acceptable limit of 10 ug/dl. Use of leaded petrol, contaminated surma, leaded paints and pica in children are common in our country and may lead to increased lead levels and appropriate measures should be taken to control this trend