Epidermoid inclusion cyst of the perineum- a rare case report in a 50 years old male

A 50 year old male presented with a history of mid line painless swelling in the perineum for last 4 years. The patient's only concern was a perineal swelling which was gradually increasing in size. Clinical examination mimics subcutaneous lipoma with soft lobulated surface with positive slip sign. The base line investigations were within normal limits. Complete surgical excision of the cyst performed. Histopathology confirmed epidermal inclusion cyst with no evidence of malignancy. Patient discharged on next day. The follow-up visits were un-remarkable. Perineal epidermal inclusion cyst is a rare entity and only few cases have been reported

Transurethral resection of prostate versus open prostatectomy

A study on 150 cases of benign prostatic hypertrophy was carried out from January, 1990 to December, 1992 at the Urology Department of Liaquat Medical College, Jamshoro to compare the results of two operative procedures viz. TURP [75 cases] and open prostatectomy [75 cases]. The ages of the patients ranged from 50 to 100 years with maximum incidence [86.67%] between 50 to 70 years. Ninety five [63.33%] cases presented with urinary retention. Secondary haemorrhage seen in 10 [13.33%] cases of TURP and 15 [20%] cases of open prostatectomy and transient incontinence in 12% cases in TURP and 22.67% cases in open prostatectomy were the most common complications encountered. Wound infection [28%] and urinary leakage [6.67%] were only seen in open procedures. The average hospital stay with TURP was 8.3 days as compared to 22.4 days in open prostatectomy

Transurethral resection versus open prostatectomy

A study of 150 cases of enlarged prostate has been carried out from January 1990 to December 1992 at the Urology Department of Liaquat Medical College Jamshoro. Age range was 50 to 100 years, 86.6% of patients presented between 50 to 70 years. Majority of them presented with retained catheter. Seventy five patients underwent TURP and the same number of patients underwent open prostatectomy. Comparison has been made regarding complications and hospital stay between the two procedures. Secondary haemorrhage seen in 13.3% [10 cases] in TURP and 20% [15 cases] in open prostatectomy and transient incontinence 12.05% [9 cases] in TURP and 22.7% [17 cases] in open prostatectomy were the common complications found in both procedures. Wound infection 28.0% [21 cases] and urinary leakage 6.7% [5 cases] were the complications seen only in open procedures. The average hospital stay with TURP was 8.3 days as compared to open prostatectomy 22.4 days

Pattern of acute intestinal obstruction

A prospective study was conducted to determine the pattern of acute intestinal obstruction in patients who were admitted and treated in Surgical Unit I Liaquat Medical College Hospital [L.M.C.H] Jamshoro from October 1993 to September 1994. During this period a total of 656 patients were admitted in our unit, of these 103 patients [15.70%] had acute intestinal obstruction. External hernias were found to be the commonest cause of acute intestinal obstruction followed by post operative adhesions. The other common causes included congenital bands, strictures and volvulous. Ileocaecal tuberculosis still remains an important cause

Post BCG vaccination tuberculous axillary abscess total excision V/s incision and drainage

In 80 patients with axillary abscess following BCG vaccination, a prospective study was carried out to determine the results of surgical treatment by either total excision or incision and drainage. Six months anti-tuberculous chemotherapy was administered to patients in both groups. Four [10%] out of forty patients who underwent simple incision and drainage required re-operation for residual glands with persistant sinus. While all 40 cases who underwent total excision had no postoperative problem