ABSTRACT
Objective: To determine the frequency and pattern of cutaneous diseases among peacekeepers at a tertiary care hospital in United Nations and African Mission in Darfur, Sudan
Methods: This descriptive study was conducted at dermatology outpatient department of United Nations peacekeeping mission [UNAMID] level III Hospital at Darfur, Sudan from March 2014 to Feb 2015.Peacekeepers of both gender reporting to dermatology OPD were registered after informed consent. Patients' demographic profile, nature of duty, disease diagnosis and duration of illness were noted. The data was managed and analyzed using SPSS-17
Results: A total of 542 peacekeepers of the age ranging from 20-60 years were analyzed. Eczema was the most common disease [38.7%], followed by fungal infections [22.5%] and acne [10.7%]. 47.6% of patients had the disease before deployment in mission area and 52.4% developed after reaching in mission area
Conclusion: Eczema, dermatophytosis and acne were the commonest skin problems among peacekeeper. Almost half of these had dermatological problems before deployment
ABSTRACT
To compare the operative time, blood loss, postoperative pain and length of hospitalization between open [OC] and laparoscopic cholecystectomy [LC] in Liver cirrhotic patients with Child -Pugh class A and B. Randomised Control Trial [RCT]. This study was conducted at Surgical department, Holy Family Hospital, Rawalpindi from Jan 2010 to Dec 2011. A total of 142 patients having Liver cirrhosis secondary to Hepatitis A and Hepatitis B, who presented in OPD and ER with signs and symptoms of gall stones were randomly allocated into two groups for open [OC] and laproscopic cholecystectomy [LC]. All of them were either in Child-Pugh class A or B. Data on the above two groups [LC and OC] was collected and analyzed for operative time, blood loss and length of hospitalization after operation. The mean blood loss in LC group was 61.33+39.64 ml vs 90.84+29.88 ml in OC group, Mean operation time was 50.49+18.26 min in LC group vs 59.22+15.66 in OC group which is statistically significant [p<.05]. In LC group, the mean hospital stay was 1.8+.97 days, while in OC group is 2.4+.91 days which is also statistically significant. LC [laparoscopic cholecystectomy] is a safe and effective approach for the treatment of symptomatic cholelithiasis in patients with mild cirrhosis with less blood loss, less postoperative pain, shorter operative time and decreased hospital stay
ABSTRACT
To determine if intraoperative instillation of bupivacaine into gall bladder fossa would decrease early postoperative pain after laparoscopic cholecystectomy, Double-blind, randomized, controlled trial. Surgical Unit-l, Holy Family Hospital, Rawalpindi and Surgical Unit-1, Benazir Bhutto Hospital, Two year study. Fifty patients underwent laparoscopic cholecystectomy group-A. They were compared with a control group of fifty patients who had laparoscopic cholecystectomy but did not receive bupivacaine Group-B. Instillation of 10 ml of 0.5% bupivacaine into gall bladder fossa intra operatively after removal of gall bladder. Visual analogue scale [VAS] pain scores assessed 3 times post operatively, at 1, 6 and 24 hours, using similar peroperative and postoperative analgesics in both groups. Mean VAS pain scores [range 0 [no pain] to 10 [severe pain]] at 1 hour and at 6 hours after surgery were 6.5 and 4.2 respectively, in the bupivacaine group [Group-A] compared with 6.2 and 4.5 respectively, in the control group [Group-B] [p =.085 and 0.078,sd=.919 and.495]. VAS scores at 24 hours postoperatively did not differ between the two groups [2.4 VS 2.5][p=.282,sd=.636]. Instillation of bupivacaine into gall bladder fossa has no effect on post operative pain control in elective laparoscopic cholecystectomy