ABSTRACT
Objective: To evaluate the effectiveness of rectal non-steroidal anti-inflammatory drugs [NSAIDs] using diclofenac in preventing pancreatitis following ERCP
Methodology: It was a randomized, double blinded, placebo controlled study carried out at Surgical Unit-l, Holy Family Hospital, Rawalpindi from May 2013 to April 2014. A total of 108 patients were included and randomly assigned in each of study and placebo groups. Group I patients received 100 mg of diclofenac per rectally while group II patients received a glycerine suppository per rectally [placebo] before the start of ERCP. Post ERCP pancreatitis [PEP] was diagnosed by clinical evaluation and raised serum amylase levels after four hours of the procedure in both groups [study vs control]
Results: Out of 108 patients 32 were males and 76 were females. Mean age was 46.09 +/- 12.31 in group I, while it was 42.93 +/- 14.69 in Group II. Mean serum amylase level, 4 hours after ERCP, was 184.70 +/- 36.34 in the diclofenac group, while it was 388.20 +/- 57.27 IU/L in the control group. Thirty one patients were diagnosed with Post ERCP pancreatitis, out of which nine patients belonged to the study group and twenty two were of the control group [P = 0.000]
Conclusion: Per-rectal administration of diclofenac suppository prior to ERCP results in significant reduction in the frequency of ERCP induced pancreatitis
ABSTRACT
Experience with Laparosopic assisted Right Hemicolectomy is presented. Prospective study. Surgical Unit-I, Holy Family Hospital, Rawalpindi, Pakistan. 2010 to 2014. 20 patients underwent laparosopic assisted right hemicolectomy. Duration of operation, postoperative pain, duration of post-operative analgesia, and frequency of surgical site infection and length of hospital stay were noted. There were 13 male and 7 female patients with the age range of 25-70 years [45 +/- 11years]. Eleven [11] patients were suffering from carcinoma colon wheras nine [09] were suffering from Tuberculosis. Mean operative time was about 92 minutes. Only four opiod injections were required as post-operative analgesia. Oral intake was started after 24 hours. The mean length of hospital stay was 5.5 days with no case of surgical site infection. Laparoscopic assisted right hemicolectomy is a safe and viable option in our setup
ABSTRACT
Objectives of this study were to assess the presentation and management of mandibular fractures. This retrospective study was carried out in the Department of Oral and Maxillofacial Surgery, Abbasi Shaheed Hospital Karachi. Sample size was 263. Male: female ratio 15:1. Audit period was from Jan 2010 to Dec 2012. The road traffic accident was leading cause 80%, while fall 7%, assault represented 7%, fire arm injuries 5% and sports injuries were 1%. Site distribution of mandibular fractures 11.78% occurred in the condyle, 19.39% at angle of jaw. In 23.95% or the body, 27.96% parasymphysis, 8.36% Symphysis, 2.28% ramus and in 6.0% dento-alveolar areas were involved. Different treatment modalities were used for the proper reduction and fixation of the fracture. Majority of the patients were treated with open reduction with miniplates fixation. It was concluded that majority of patients belonged to 2nd decade of life with male predominance, parasymphysis and body were the commonest sites of mandibular fractures and road traffic accident was the leading cause of trauma in the studied subjects
Subject(s)
Humans , Male , Female , Retrospective Studies , Accidents, Traffic , Disease Management , MandibleABSTRACT
Modified radical neck dissection type III is considered as relatively safe procedure for management of metastatic cervical lymphadenopathy, with low complication rate. This Descriptive study was conducted to evaluate complications of modified radial neck dissection type III from April 2007 to March 2010 at Department of ENT-Head and Neck Surgery Civil Hospital, Karachi. The surgical record of 115 patients of oral squamous cell carcinoma who underwent Modified Radical Neck Dissection type III was evaluated for frequencies and pattern of complications. Out of 115 patients, age of the patients was ranging from 26 to 66 years [std Dev: +/- 10.62]. 80% of patients were male and 20% of patients were female and male and female ratio was 4:1. The overall complications were 48.7%. Marginal mandibular nerve palsy [15.7%] and seroma [12.2%] were frequent complications. Although complications may occur despite the best efforts to prevent them, proper preoperative planning, early recognition of perioperative complications, and prompt, effective management can minimize the impact of complications that may occur
ABSTRACT
Objectives: To determine the frequency of various malignant tumors of maxilla and to determine the various clinical features of these pathologies at the time of presentation
Study design: A descriptive, Cross sectional study
Place and duration: Joint Study of ENT - Head and Neck Surgery and Maxillofacial Department Isra University Hospital Hyderabad. 02 years from 1[st] January 2011 to 31[st] December 2012
Methodology: Fourteen patients were selected from Out Patient department [OPD] of E.N.T. and Maxillofacial department. Demographic data like age, and sex, clinical presentation like nasal obstruction, epistaxis, cheek swelling, displacement of eye ball and bulging of hard palate were recorded on purposely designed proforma. Biopsy was taken from all patients through endoscope
Results: Out of 14 patients, nine patients [64.3%] were male and five patients [35.7%] were female. Eight patients were diagnosed as squamous cell carcinoma which comprised [57.2%] followed by sarcoma [35.7%] and B-cell lymphoma [7.1%]. Nasal obstruction and epistaxis were most common complaint i.e. 85.7% followed by anosmia, midfacial swelling and altered check sensation 71.4% respectively. 42.8% patients were suffered from exophthalmos and 35.7% were found bulging of hard palate
Conclusion: Among the malignant tumors of maxilla, commonest is Squamous cell carcinoma but other rare entities like sarcomas and lymphomas are not uncommon in our experience
ABSTRACT
Cemento-ossifying Fibroma [COF] is an osteogenic benign neoplasm affecting the jaws and other craniofacial bones. It commonly presents as a progressively slow growing pathology, which can sometimes attain an enormous size, causing facial deformity. A case of a huge cemento-ossifying fibroma, appearing as a mandibular dumbbell tumour in a male patient is documented, which caused massive bone destruction and deformity. It was surgically removed by performing en bloc resection of mandible avoiding the splitting of lower lip incision technique, thereby maintaining his normal facial appearance
Subject(s)
Humans , Male , Bone Neoplasms , Fibroma, Ossifying/pathology , Mandibular Neoplasms , Surgery, OralABSTRACT
The objective of our study was to identify the different histological patterns of Oral Squamous cell carcinoma [OSCC] in relevance to demographic variables and to evaluate histological patterns according to various clinical presentations at the joint department of Oral Surgery, Karachi Medical and Dental College and Abbasi Shaheed Hospital Karachi. This descriptive study was conducted from December 2005 to November 2006 at Oral Surgery Department of Karachi Medical and Dental College and Abbasi Shaheed Hospital Karachi. A total of 60 cases presenting with OSCC were included in this study. Their demographic details, habit profile, clinical information of lesion were recorded on a proforma. All the patients underwent biopsy and their histological information was also noted on the same proforma. This study included 60 patients of OSCC. Fifty eight percent of patients were from age group between 41 -60 years. Approximately 63.3% males and 36.7% females were affected and male to female ratio was 1.7: 1. Approximately 48.3% of lesions involved alveolus. Nearly 86.7% of patients were indulged in habits of tobacco chewing. Clinical appearance of lesion showed that 66.7% of lesions were ulcerative type and histologically 48.3% were well-differentiated OSCC. Majority of patients were indulged in habit of tobacco chewing, Ulcerative type was the dominant clinical presentation whereas histologically well-differentiated OSCC was the most common presentation. Infiltration was a consistent finding in all cases
Subject(s)
Humans , Female , Male , Carcinoma, Squamous Cell/diagnosis , Mouth Neoplasms/pathology , Mouth Neoplasms/etiology , Tobacco, Smokeless/adverse effectsABSTRACT
The purpose of the Study is to identify the frequency pattern and causes of orbital injuries. The study was conducted at the Department of Oral and Maxillofacial Surgery, Abbasi Shaheed Hospital Karachi over a period of one year from February 2004 to January 2005. A convenience sample of all patients presenting with orbital trauma were included. A 6-item questionnaire with various variables was used to record the parameters. The parameters including age, gender, referral source, cause of injury, site of injury and imaging methods were evaluated. All injuries were assessed and recorded by a single observer. Total study sample was 100 subjects. Male preponderance with male: female ratio of 6:1 approximately, 86%males and 14% females, the mean age of the sample was 29 year. The most common cause of injury was recorded as road traffic accidents 57% followed by assault 19% and fall accounted for 15%. The most common site involved right orbit and the most common site of orbital fracture was inferior orbital rim followed by orbital floor fracture. This study demonstrated that the most common cause of orbital injury was road traffic accidents and inferior orbital rim was involved most frequently