study of wormian bones in dried human skulls

Objectives: This study aims to highlight the presence of these bones at the skull sutures to avoid errors in misdiagnosing skull fractures

Methods: The present study was carried out on 75 adult dried human skulls taken from the Anatomy department, King Edward Medical University, Lahore. The presence of these bones at the coronal, sagittal, lambdoid sutures, anterior, posterior, anterolateral and posterolateral fontanelle was observed. Photography was done

Results: In our study, 65.3% of skulls showed the presence of wormian bones. 40% of skull had wormian bones on both side of the skull. The lambdoid suture showed the maximum incidence of these bones [58.6%] followed by asterion [34.6%]. The incidence of these bones at the other sutures was very small. No wormian bone was observed at the bregma in our study

Conclusion: Our study has reported a 65.3% incidence of wormian bones in our population. The knowledge of the presence of wormian bones in the skull sutures may be useful in clinical practice to the Radiologists, Neurosurgeons and in forensic medicine

Long period vs short period drain placement in incisional hernia repair

Objectives: to assess the benefit of the long period drain placement after incisional Hernia repair and abdominoplasty for reducing the seroma complications

Methods: a total of 100 patients were included in this study which had been performed at services institute of medical sciences Lahore between January 2013 to December 2014. In these patients mesh repair of incisional hernia and abdominoplasty had been performed for their incisional Hernia and hanging abdomen. This patient had been divided into two groups, group [1] include 50 patients in which the drain had been left for 3 to 4 days, group[2] include 50 patients in which the drain had been left for 7 to 15 days

Results: we found that in the group [1], 20 [40%] patients had develop seroma collections and 8 [21.33%] patients had developed wound infection with this seroma and 5 [13.33%] patients developed hematoma collections. In group [2] we found that only 3 [9.33%] patients developed seroma collection and 1 [4%] patients developed wound infection with this seroma

Conclusion: there was significant difference in the incidence of seroma formation or surgical wound infection between the two groups. So we can place drain for long period to prevent seroma formation