Tissue repair for inguinal hernia: should they be deleted from literature?

This is a pilot study to evaluate the status of herniorrhaphy procedures in the modern day surgery. Mar 1995 to Mar 2005 Military hospitals Descriptive and Analytical All entitled patients were included in this study and only those non-entitled patients were included who came for regular follow up. All the patients were booked at first admission and their record was maintained. They were subjected to herniorrhaphy by a modified Bassini's procedure. They were called for follow up at 3 months, 6 months then annually for 2 years. A total of 210 patients were operated for inguinal hernia by tissue repair over the period of study. Out of these 164 patients were operated by pure tissue repair, of which 148 were followed up completely and were included in the study. The average age was 50.16 +/- 19.12 years. The mean operation time was 20 +/- 5.84 minutes. Mean Hospital stay was 3 +/- 0.6 days. Recurrence was noted in 1 [0.68%] patient in a follow up period of 2 +/- 0.46 years. Tissue repairs hold good even today in the deserving patients and should be undertaken without hesitation where necessary. We should not hesitate in deciding for easier and cheaper alternatives when available

Primary non-hodgkin's lymphoma of vagina associated with pregnancy

We report a case of non-Hodgkin's lymphoma [NHL] in 23 years old, 36 weeks pregnant female, who presented with a swelling in the vagina. Biopsy of the lesion led to profuse haemorrhage and emergency caesarean-section along with bilateral ligation of internal iliac arteries were required. Recovery was smooth and she was discharged from the hospital on the 5th postoperative day. Histopathology revealed non-Hodgkin's lymphoma, diffuse large B cell type [DLBCL]. Further treatment by medical oncologist led to complete resolution of the tumour at three months

Injuries and fatalities resulting from the 2005 south Asia earthquake. A hospital experience

The South Asia quake struck South Asia with its epicentre in Pakistan on 8[th] October 2005, originating from a previously recognized fault line but of unsuspecting magnitude of death and destruction. The Earthquake measured 7.6 on the Richter scale and caused massive loss of life and extensive damage to property never seen before in the history of Pakistan. Earthquake related admissions and deaths to one of the two major tertiary care hospitals receiving casualties from the quake zone from 8[th] October 2005 through 1[st] November 2005 were analysed. All medical data from the hospital records was reviewed for quake related injuries and information about pattern of injuries received and treatment administered. A total of 3128 earthquake related admissions were recorded in the hospital with 39 in-hospital deaths. Admission rates were approximately 2:1 by gender, males affected more. Earthquake related injuries are varied and multifactorial. Comprehensive surveillance and a well developed plan for all Medicare setups need to be in place and when actively rehearsed, can help lead to better management preparedness

Massive splenic hydatid cyst

Hydatid disease can involve any organ of the body and a high suspicion of this disease is justified in endemic regions. A case of massive splenic hydatid cyst with hepatic hydatidosis presented with 5 years history of abdominal distension with discomfort is reported. Clinically she had massive splenomegaly with hepatomegaly. Laboratory and radiological findings were diagnostic of hydatid disease of the liver and spleen. Peroperatively huge [35 x 20 cm] splenic hydatid cyst with two liver cysts was seen. Splenectomy was performed and hepatic lesions were subjected to endocystectomy with capsulorrhaphy

Follicular carcinoma thyroid in pendred syndrome

Pendred syndrome is a rare inherited disorder of bilateral sensorineural deafness with goitre. Presence of follicular carcinoma thyroid makes it even rarer. A case of a young girl is described with the features of Pendred syndrome and euthyroid state. Follicular carcinoma of thyroid was detected on histopathology requiring re-tailoring of the management

Management of vascular trauma

To characterize the vascular injuries, their management and the results. Design: Descriptive study. Place and Duration of Study: Department of General Surgery, Combined Military Hospital, Kharian Cantonment, between October 2000 and October 2003. Subjects and Cases of vascular injuries received at the hospital amongst the total of 3134 trauma patients were evaluated. Thirty six cases with 41 vascular lesions were evaluated, excluding the three primary amputations. Vascular injuries were then characterized by age, gender, site, mechanism, associated injuries, need and type of surgery. Penetrating trauma accounted for 94.4% of all vascular admissions. Five% of the vascular injuries developed complications. Surgical intervention was required in all cases [100%]. Reverse saphenous vein graft was used in 82.9%. The injured veins were mostly ligated except one, which was managed by saphenous vein graft. The average time lapsed between injury and intervention of patients ranged between 2 to 18 hours. No mortality or secondary haemorrhage was documented. Vascular trauma represents a small percentage of all trauma admissions. It has a high morbidity and most require surgical intervention. The operative intervention rates are higher in patients with vascular injuries than in the general trauma population but with prompt surgery, the chances of limb salvage increases and the overall complication rate reduces