Effectiveness of non-mesh [shouldice] versus mesh [lichtenstein] repair in inguinal hernia

To evaluate the optimum method of repair for inguinal hernia with respect to low rate of recurrence, minimum postoperative pain and cost effectiveness. Retrospective and Comparative study. This study was conducted between 2004-2007 in the surgical department DHQ Hospital Karak from. Either 320 patients were randomly allotted to mesh or non-Mesh repair. They were followed up at the 1[st] week and then 1, 6,12,18,24 and 36[th] month. Clinical outcome that is, recurrence rate, quality of life, Post-oparative pain etc were noted. After 3 year, the recurrence rates were significantly different for the two types of repairs. The Shouldice is usually suited in primary and unilateral inguinal hernial repair in adult males. In addition, The Lichtenstein is best for bilateral and recurrent inguinal hernial repair in old patients [>60 Yrs] and in elective states of repair

Influence of oxidative stress in aging on antioxidant levels in healthy male and females

Specific objective of this study was to determine the oxidative stress and anti-oxidant level in aging among 30 to 62 years of healthy male and female of Peshawar City. Descriptive Study. This study was conducted in Jinnah Medical College, Peshawar with collaboration of Faculty of Pharmacy. Gomal University D.I. Khan from January 2013 to May 2014. Total 180 study. Subjects were examined and standardized according to essential parameter of age and sex with no history of any disease and were not talking any medicine with same Scioeconomic factor used for analysis. 90 male divide into three [03] Groups A,B,C and 90 female Subjects was also divide in 3 Groups A,B,C. Serum Ferric Reducing Antioxidant Power [FRAP] assay of Vitamin C, Vitamin E and Glutathione was determined and analyzed. Results were observed with the FRAP values of Vitamin C, E and Glutathione values which are summarized in the table in Show in Figure. Vitamin E, a Secondary antioxidant is very important for generation of other antioxidants. The decrease of value also indicate that define system is deceased during aging the GSH is an important for defense system of the body. Also decreased during aging, specially in old age after 40 years. It is important to use the supplement with diet to fulfill deficiency of their secondary antioxidant