ABSTRACT
Objectives: To evaluate results of laparoscopic total extra peritoneal repair for inguinal hernia in terms of complications. Setting: Surgical Unit 3, Allied Hospital, Faisalabad. Period: From March 2013 to February 2016. Study Design: Simple Descriptive Study
Patients and Methods: 114 patients over the age of 30 years underwent TEP repair for unilateral reducible inguinal hernia. Complications assessed included pain score assessment, analgesia requirement, time taken to return to normal activity and complications like intraperitoneal injury, conversion to open procedure, seroma and hematoma formation and surgical site infection
Results: Out of the 114 patients, 6 [5.26%] needed TEP converted to open and none suffered from serious complication during the procedure. 8 [7.01%] developed postoperative hematoma, 7 [6.14%] developed seroma and 5 [4.38%] developed surgical site infection. Postoperative pain assessment at 8 hours after surgery showed 42[36.8%] patients required extra analgesia while 13[11.4%] patients required extra analgesia 24 hours after surgery
ABSTRACT
Introduction: Diabetic ulcer is a very common entity encountered in the general surgical practice. The problem needs keen interest and meticulous wound care for its management to prevent serious complications of these infected and gangrenous ulcers
Objective: The objective of the study was to compare the efficacy of honey dressing and oxoferin [tetrachlorodecaoxide] dressing in the management of infected wounds in diabetic amputated limbs
Study design: Randomized clinical trial
Setting: Surgical Unit-IV of Districted head quarter hospital Faisalabad
Subjects and Methods: The total sample size comprises of 98 patients were divided into two groups A and B. Group A was treated with honey dressing while group B was treated With oxoferin [tetrachlorodecaoxide] dressing. Area of the wounds to be dressed was measured in two largest dimensions and noted in cm. Sterile gauzes soaked in commercially available tube packed honey and oxoferin [tetrachlorodecaoxide] solution were applied over the wounds. Outcome of the both methods were assessed by measuring of the size of the wound at presentation and then after one week
Results: Significant decrease in wound size in oxoferin group was in 24 patients [49%] and in honey group was in 11 patients [22.4%]
Conclusion: Although the clinical experience detailed in this study showed better results to oxoferin as compare to honey dressing, more quality randomised controlled trials are needed to provide evidence to encourage the use of honey in wound care