ABSTRACT
Objectives: The purpose of this study is to share our surgical experience of duodenal injuries management and to evaluate outcome of different surgical procedures
Study Design: case series
Place and Duration of Study: Surgical emergency Allied hospital Faisalabad from 01 June 2012 to 31 may 2014
Methods: All patients with traumatic duodenal injuries were included. Data included patient's profile, date of admission, mechanism of injury, grade of duodenal injury, type of procedure, and outcome
Results: Total number of cases in period under study was 29. There were 26 [89.7%] male and 3 [10.3%] female and mean age of 27.8 years. 62% cases were due to blunt abdominal trauma commonly road traffic accident and 38% penetrating injuries predominantly firearm injuries. Second part of duodenum was found to be the most commonly injured site in 55.17% case and grade II injuries accounted for 65.52% of total injuries. The most common operative procedure performed was Primary repair. Postoperatively 10.34% cases developed duodenal fistula, and the overall morbidity was found to be 34.48% and mortality 31%
Conclusion: It is concluded that blunt trauma abdomen is common cause of duodenal injury in our setup. Most injuries can be managed by primary repair. Early diagnosis and surgical intervention is most important factor for good results
ABSTRACT
Objective: The purpose of this study was to evaluate the relationship of breast cancer with parity and breastfeeding in local settings since no such studies have been carried out previously. The results of such study can provide data for comparison from other parts of country and international research
Study Design: Observational study
Place and Duration: Department of Surgery Allied Hospital Faisalabad between October 2013 and October 2014
Methods: A sample of 500 breast cancer patients diagnosed clinically and histopathologically was included in the study after informed consent. Patients were interviewed using a questionnaire. We observed the variables of age, parity, menstrual history and months of breastfeeding for each child. Analysis was done using SPSS version 12. 0
Results: In present study, 500 patients of breast cancer were included with age ranging from 28 years to 80 years. Most common age group was 40 to 50 years. 91.8% females with breast cancer were multiparous and all 91.8% females gave history of breastfeeding their children. 48% of the females breastfed for more than 5 years, 40% of them for 1to5 years and 3.8% of them for less than 1 year. Only 8.2% females who were either unmarried or had no issues did not breastfeed at all
Conclusion: In our local settings, multiparity and breastfeeding do not alter the risk of breast cancer and thus other risk factors must be studied