ABSTRACT
Objective: To determine the current preoperative informed consent practice in cases undergoing surgical procedures
Study Design: Observational / descriptive study
Place and Duration of Study: This study was conducted at the Surgery Department of PMC Hospital and PUMHS Nawabshah Sindh from Jan-2014 to April-2015
Materials and Methods: Following informed consent, 165 cases were incorporated in this study. Cases were randomly selected with suitable sampling technique and their surgical procedure was done electively, whereas those cases, which were treated conservatively and not capable of answering because of unconsciousness, eclampsia and shock, were not included in this study. Data was recorded on preplanned proforma concerning demographic information of cases, their knowledge regarding surgery carried out on them and the extent of data supplied them regarding risk, advantages of surgical procedure and other treatment choices
Results: Twenty nine [15%] cases were of age group of 20-35 yrs, whereas 104[53.88%] were of age group of 36- 50 yrs. Well-versed consent was obtained from the cases by surgeon in 63[32.64%] cases, by inhabitants in 105[54.40%], house officers in 10[5.18%] and by nurses in 15[7.77%] cases. This was ensured from the records of patients. When/ the patients were inquired, weather they completely grasped the data given to them, 86[44.55%] declared "yes" whereas 107[55.44%] did not grasp the data offered to them
Conclusion: Our study concluded that the majority of our contributors were conscious regarding the surgery done on them however they were provided little facts about risk, complications and advantages of the surgery
ABSTRACT
Objective: The objective of this study was to find out the diagnosis of diagnostic laparoscopy in patients having chronic abdominal pain
Study Design: Descriptive / cross sectional study
Place and Duration of Study: This study was conducted at the Surgery Department of PMC hospital and PUMHS Nawabshah from February 2014 to March 2015
Materials and Methods: All the undiagnosed cases of chronic abdominal pain [by conventional methods and investigations such as clinical examination, urine examination, US abdomen etc], abdominal pain more than 3 months, cases age more than 18 years either gender and clinically diagnosed as chronic were selected in this study, while all the cases with known cause of pain, Acute inflammatory disease, cases having acute intestinal obstruction, coagulation abnormalities, critical illness, severe/decompensated cardiopulmonary failure and medically unfit for anaesthesia and surgery were not selected in this study. Diagnostic laparoscopy was performed in all selected cases and findings were entered in proforma
Results: Total 45 patients underwent diagnostic laparoscopy majority of the young patients was found. Female were found in the majority 60% as compare to males 40%. 13 [28.88%] patients had pain in right iliac fossa, 08 [17.78%] patients had hypogastrium pain, 10 [22.22%] cases were found with whole abdominal pain, 10 [22.22%] patients had pain in left iliac fossa and 04 [8.89%] patients were noted with pain at right hypochondrium. According to laparoscopy findings, appendicitis and adhesions were most common 14[31.11%] and 10[22.22%] respectively, following by Abdominal tuberculosis, Hernia, Mesenteric lymphadenopathy, Ovarian cyst and Dense adhesions + Thickened gall bladder wall with percentage of 06[13.33], 03[6.67%], 02[4.44%], 04[8.89%] and 02[4.44%] respectively, while 04[8.88%] cases were noted without any disease
Conclusion: Diagnostic laparoscopy in good tool for diagnosis of chronic abdominal pain, according to the assessment the commonest basis of chronic recurrent abdominal pain in this study was appendicitis followed by abdominal tuberculosis and adhesions
ABSTRACT
To identify the pattern of early wound complications after modified radical mastectomy with axillary clearance and to determine the risk factors predisposing to these complications. Descriptive case series. Surgical Unit II, Peoples University of Medical and Health Sciences Nawabshah, from January 2008 to December 2010. One hundred and fifty patients were included in this study who underwent Patey's modified radical mastectomy with axillary clearance These patients were followed up for one month postoperatively in OPD. Age of the patients was between 30-80 years. Seroma formation was the most common complication seen in 50 [33.3%] patients, wound infection in 15 [10%] and flap necrosis in 4 [2.6%] cases. More than 1000 ml discharge in drain was noted in 30 patients. Wound infection found more in patients with prolonged operation time [>150 minutes] and in those with seroma formation. Seroma formation was the most common complication as well predictive factor for wound infection and flap necrosis