Management of Retroperitoneal haematoma

This study was conducted for the management of retroperitoneal haematomas. The main objectives of the study were to find out the frequency of different visceral injuries in cases of retroperitoneal haematoma due to trauma to abdomen and to find out the morbidity and mortality related to different zones in retroperitoneal haematoma in patients with abdominal trauma. Over one year, 45 patients of retroperitoneal injury were admitted through emergency. The entire Zone I abdominal injuries were explored. Selective Zone II patients underwent surgery while most of Zone III patients were managed conservatively. This shows that the depending upon the mode and Zone of the injuries, retroperitoneal haematomas can be managed conservatively

Primary repair vs colostomy in colonic injuries - a two year experience at Lahore general hospital and Mayo Hospital, Lahore

The object of the study was to compare the results of primary repair in colonic injury with colostomy. 200 patients were selected, 100 being allocated to each group.All patients underwent laprotomy mostly indicated by peritoneal irritation. Most of the injuries were of the transverse colon. 22 patients underwent into exteriorization of the repaired part. Right hemicolectomy and ileocolic anastomosis was done in 30 patients. A significant morbidity occurred from wound sepsis, abdominal abscess formation and postoperative pulmonary complications. 22 patients suffered from burst abdomen and 10 developed faecal fistulas. 4 patients died. Prolonged mean hospital stay and more incidences of postoperative complications occurred in colostomy group. This shows that primary repair of colonic injuries should be done in selected cases instead of colostomy in each case

Comparative study between bupivacaine infiltration in inguinal hernia and intravenous narcotic analgesia a multicenteric study

The object of the study was to assess the pain relief after Bupivacaine infiltration in the wound in the patients following hernioraphy and to compare it with patients who received narcotic analgesia. 400 patients were selected, 200 being allocated to each group. Pain was compared according to pain scale and mobility of the patients post operatively. After the first 6 hours patients who received Bupivacaine were mobilized earlier as compared to 2nd group. This shows that long acting local anesthesia can be used in a day care surgery