Surgical treatment of carcinoma of the pancreas

1. To highlight the surgical treatment of carcinoma of the pancreas. 2. To discuss its various treatment modalities. DESIGN: Case study PERIOD: June 1994 to June 1996. SUBJECTS: A total of 30 patients [09 females [30%] and 21 males [70%]. Age ranged between 24 to 80 years [mean being 52 years]. SETTING: Allied Hospital Faisalabad DIAGNOSTIC CRITERIA: Ultrasound, CT scan, operative findings and biopsy. PATIENTS AND METHODS: Nineteen patients [63.33%] had cholecysto jejunostomy [C.J]. Nine patients [30.00%] had choledocho duodenostomy [CDD] and two patients [6.66%] had Hepatico jejunostomy [HJ]. All had prophylactic antecolic Gastro jejunostomy [GJ]. All were T3 or higher stage tumours. 1. None of the patients underwent curative resection. 2. All underwent various types of palliative surgical bypass. CONCLUSIONS: Palliative surgery for carcinoma pancreas has tow advantages; 1. It gives long term relief of symptoms. 2. Only surgical explorations offers potential for curative resection

Degloving injuries

Early identification of degloving injuries and to emphasize their management. DESIGN: Retrospective study. SETTING: Department of surgery Allied and DHQ Hospitals Faisalabad. PERIOD:May 1986 to April 1996. PATIENTS AND METHODS: 120 patients 96 males [80%] and 24 female ranging between 4 to 75 years mean 39.5 years. RESULTS AND CONCLUSIONS: The etiological factors were Road Traffic Accident in 56% [67 patients], rotatory machine accident in the remaining 44% [53 patients]. Degloving most commonly occurred in the lower limb 44% [53 patients], following by in the descending order Peno scrotal 20% [24 patients] upper limb 17.5% [21 patients] scalp 14.1% [17 patients] and miscellaneous group 4.16% [5 patients]. Associated skeletal fracture were seen in 7 patients 4 of which had multiple fracture