Common bile duct pathologies at Nawabshah

To determine the causes, prentation, management and outcome of Common Bile Duct [CBD] pathologies. Descriptive analytical study from January 1995 to December 2006. Surgical Unit-I, Nawabshah Medical College and Hospital, Nawabsheh. All patients who presented with CBD pathologies. Data of all the patients with CBD pathologies was collected and entered on a proforma, including their complaints, positive examination findings, investigation, diagnosis, procedure performed and its outcome. During the study period 45 patients presented with CBD pathology. Amongst them 14 were males and the rest females [31], with a mean age of 36.7 years. Around 67% patients had choledocholithiasis as the commonest cause. Exploration of the CBD with T-tube insertion was the commonest procedure, performed in 69% patients. About 4% patients had retained stones and 20% developed wound infection. Mean hospital stay was 13 days. Most common pathology involving the CBD was secondary stones; 95% patients had associated gall stones also

Prevalence of hepatitis 'B' and 'C' in surgical patients

To find out the prevalence of Hepatitis-B and C in our surgical patients. Prospective, descriptive study carried out from May to October, 2005. Surgical Unit I, Peoples Medical College Hospital, Nawabshah. Patients of either sex, more than 13 years of age undergoing surgery. All the patients in the study underwent screening for Hepatitis-B and Hepatitis-C The information of the patients was recorded on a prepared proforma, and analyzed. The prevalence of Hepatitis-B was found to be 8.6% [5.8-12.12] and Hepatitis-C 11.6% [8.3-15.6], whereas in 20.33% [16.0-25.1] cases both Hepatitis-B and C were present. The high prevalence of Hepatitis-B and C found by the study suggests a routine, rather mandatory screening of all patients proceeding for surgery