RESUMEN
To determine the efficacy of primary closure of wound after fistulectomy in anal fis-tulae patients as a method of successful treatment to reduce the time of healing and hospital stay with special reference to recurrence and continence. Descriptive, retrospective study from 1995 to 2005. Sindh Government Qatar Hospital Orangi Town Karachi and author's private clinic, Medlyn Hospital Block H North Nazimabad Karachi. 300 patients who presented with low anal fistula [Park's classification I and II] during the above-mentioned period. The data of all 300 patients were analyzed as regards to presentation, treatment, and the outcome. A total of 300 patients with low fistula in ano were treated by primary closure. The postoperative complications were minimal and managed conservatively. The mean length of follow-up was 3 years. Recurrence took place in 3% patients. The average recovery time was 12 days. Similarly return to work is also early 14 days. Three patients were incontinent to flatus while 1 was incontinent to faeces and flatus for the first six months. It is observed that following fistulectomy and primary closure of low fistula in ano, sound healing can be achieved in over 97% of cases with amazingly early return to work
RESUMEN
Abdominoplasty known more commonly as a "tummy tuck" is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. Mesh repair of incisional hernias along with fat reduction of abdominal wall is still a procedure not very frequently done in our country. A study was conducted in Sindh Govt. Qatar Hospital during the period of three years [2000 to 2003] to evaluate the outcome of this procedure and complications. Total of 56 patients were operated, most of them were females [47] and many [23] have recurrent incisional hernias of abdominal wall. The overall results were satisfactory with uneventful recovery in 95% and low rate of complications which is .5%. And mesh rejection seen only in 1 patient
RESUMEN
Lichtenstein's repair using polypropylene [proline] mesh for inguinal hernia is now well established method of dealing inguinal hernia with minimal postoperative complications. We have used mersilene mesh instead of proline mesh in this study. One mersilene mesh of 30x30 cm was used in 12 patients, thereby decreasing the overall expenses of the patient. A prospective study of 100 patients with inguinal hernia, who underwent mesh repair was carried out at Sindh Govt. Qatar Hospital Orangi Town Karachi, from February 1995 to June 1998. We present our results of Lichtenstein repair with mersilene mesh