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

Post-BCG axillary abscess: results of excision vs simple drainage

A prospective study was carried out in 80 patients with axillary abscess following BCG vaccination to compare the results of surgical excision versus incision and drainage, together with six months anti-tuberculous chemotherapy in both groups. Four [10%] out of 40 patients who underwent simple incision and drainage required re-operation for residual lymph glands and/or persistent sinuses. On the other hand all 40 cases who underwent total excision had no postoperative problem

Breast cancer: epidemiological, pathological and clinical presentation

Out of the 100 patients studied breast cancer was seen in 99 females, mostly [63%] in the age growth of 31-50 years, and one male. A lump was palpable in all women with involvement of left breast in 56% cases. Majority of the women [90.90%] were married, parous [84.84%] and had breast fed [80.80%] their children. Awareness regarding breast cancer is increasing as is evident by the earlier presentation i.e. in stage-I [35%] and stage-II [44%]. On histopathology invasive duct cell carcinoma [72%] was the commonest type of breast cancer seen in this study

Gastro-intestinal perforation - frequency, presentation and management

This study includes 165 [105 males, 60 females] cases of Gastro-intestinal perforation who presented as acute surgical emergency at Liaquat Medical College Hospital, Hyderabad from January, 1992 to December, 1993. Their age ranged from 1-70 years and majority [61%] were from areas of Sindh. One hundred and twenty two [74%] patients had pathological and 43 [20%] had traumatic perforations. Of the pathological perforations, 90 [74%] had typhoid perforation, 15 [12%], perforated appendix and 7[6%] perforated peptic ulcer. Wound infection occurred in 36 [55%] patients Mortality rate was 10%