ABSTRACT
Acute appendicitis is the most common abdominal surgical emergency despite advances in radiographic imaging and diagnostic laboratory investigations; the diagnosis of acute appendicitis remains challenge. To evaluate the C-reactive protein in patients with acute appendicitis. This cross sectional descriptive study of six months study was conducted at Liaquat University Hospital Hyderabad. All the patients with acute appendicitis were admitted in the ward and were further evaluated for C-reactive protein. The data was analyzed in SPSS 16 and the frequency and percentage was calculated. One hundred subjects with acute appendicitis were recruited and studies. The mean age +/-SD of the patients was 27.83 +/-07.52 in overall population while it was 29.73 +/-06.64 and 25.84 +/- 04.92 in male and female subjects with acute appendicitis. The CRP was raised in 60% patients. The distribution of age in relation to gender and CRP was statisitically significant [p= 0.01 and <0.01] whereas the CRP was also observed as statistically significant in context to gender and histopathology [p= 0.02 and 0.03] respectively. The mean +/- SD of CRP was 7.53 +/-1.52 in overall population while it was 6.84 +/- 1.64 and 8.65 +/-1.53 in male and female patients with raised CRP. The CRP was elevated in patients with acute appendicitis
Subject(s)
Humans , Male , Female , Appendicitis , Acute Disease , Cross-Sectional StudiesABSTRACT
Parasitic infections lead to burden of morbidity and mortality in developing countries. Surgeons practicing in the tropics are familiar with the parasitic disorders. Objectives:To determine the role of surgery in parasitic infestations of Echinococcus granulosus and Ascaris lumbricoides. Design: Cross sectional case series study. Period: Two years. Setting: Liaquat University Hospital Hyderabad. Patients and methods: All the patients with Echinococcus granulosus and Ascaris lumbricoides were admitted in the ward and were observed for different manifestations and surgical procedures aimed to cure the echinococcosis and ascariasis infestation. The data was analyzed in SPSS 16 and the frequency and percentage was calculated. Results: During two years study period, total sixty cases of parasitic infestations [50 cases of Echinococcus granulosis and 10 cases of Ascaris Lumbricoides] were detected at Liaquat University Hospital Hyderabad / Jamshoro. The hydatid cysts was more common in the age group of 30-39 years while the mean age +/- SD in overall patients with Echinococcus granulosis infestation was 38.74+/-7.84 whereas it was 35.87+/-8.64 and 40.43+/-6.73 in male and female population respectively. The Ascaris Lumbricoides was more common in the age group of 15-20 years while the mean age +/- SD in overall patients with Ascaris lumbricoides infestation was 16.62+/-5.21 whereas it was 15.42+/-7.31 and 16.43+/-5.41 in male and female population respectively. Among 47 surgically treated cases of echinococcus, the approach used were cyst evacuation and tube drainage in 40 patients, total cystopericystectomy in 04 patients and laparoscopically in 03 subjects accordingly. Seven [70%] cases of intestinal obstruction due to ascariasis underwent surgical intervention like external milking of the obstructing bolus of worms from the ileum into colon in 03 patients, intestinal resection and end to end anastomosis in 01 case and enterotomy and manual extraction of worms in 03 subjects accordingly. Conclusions: Hydatid disease and Ascaris lumbricoides may cause fatal complications and surgical intervention has been the valuable option.
ABSTRACT
Objective: The objective of this study is to evaluate the outcome of the surgical management including the surgical techniques [ligation and stripping, phlebectomy] and recurrence of varicose veins. Study design: Observational study. Setting: Study was conducted at the unit of general surgical of Liaquat University Hospital. Study period: One year from February 2011 to February 2012
Materials and methods: This study was contains 40 patients of varicose veins who were undergone surgery. The routine investigations were done. The patients underwent suitable treatment based on their clinical and investigational profile. The post operative course was noted. Further the patients were followed up and final outcome evaluated
Results: From all of 40 cases females were more found in this study as compare to men and mostly patients were found in the age group of 41 to 60 and the second most common age group was 21-40. From the postoperative complications wound infection was noted in the majority of the cases 17.5%. 2 patient had recurrence of varicose veins i.e. 5.0%
Conclusions: Varicose vein surgery is safe, acceptable and cost effective as a day case or ambulatory surgical procedure. Preoperative selection of the patients is mandatory to achieve optimal results. Surgical techniques, [ligation and stripping, phlebectomy] has given good results at our Hospital
ABSTRACT
Objective: Acute appendicitis is one of the commonest surgical emergency. There are different scoring systems in use to diagnose the appendicitis. Aim of this study was to document the diagnostic accuracy by application of Alvarado Scoring System in clinical practice for acute appendicitis. Design: Descriptive case series. Setting: Surgical Unit-II, Liaquat University Hospital Hyderabad, Sindh - Pakistan; from January 2003 to September 2004
Methods: All the patients with suspected appendicitis were admitted in the ward. A profroma was designed and relevant findings were documented. These were observed regarding the increase or decrease in severity of symptoms and hence the change in the initial score according to Alvarado Scoring System was documented at the time of admission. Decision regarding surgical intervention was made on the basis of change in the score
Results: A total of 227 patients with clinical features suggesting acute appendicitis was admitted in the ward. Among them, 150 [66.07%] were males and 77 [33.92%] were females. Age ranged from 10-62 years. Main symptoms at presentation included pain in right iliac fossa 67.8%, fever 66.9% and nausea and vomiting 49.7%. Thirty two patients were received with Alvarado Score of 1-4 and three out of them required surgery. Thirty five patients were in the score of 5, twenty three out of them required surgery. One hundred sixty patients were in the score of 6 and above, all of them required surgery. Out of 185 patients who underwent surgery, 178 patients had appendicitis. The negative appendicectomy rate was 3.78%
Conclusion: It is concluded that according to Alvarado the patients with score up to 4 probably do not require surgery and among the patients with score up to 5, most of them need surgery while the patients with the score of 6 and above will require surgery