Frequency of necrotizing pancreatitis in patients of acute pancreatitis with raised CRP

Objective: To determine the frequency of necrotizing pancreatitis in patients of acute pancreatitis with raised C-reactive protein above 150 mg/l

Study Design: Descriptive study

Place and Duration of Study: This study was conducted over a period of 9-months [1[st] November 2010 to 30[th] July 2011] at surgical department of Combined Military Hospital and Military Hospital, Rawalpindi

Patients and Methods: Forty three patients from surgical outpatient department [OPD] at CMH, MH Rawalpindi fulfilling the inclusion criteria was selected and informed written consent taken. The diagnosis of pancreatitis was made by trainees and consultants clinically and with the aid of raised serum amylase level. After diagnosis serum CRP was measured on admission. CT-scan with IV contrast was carried out on 7[th] day of diagnosis and presence of pancreatic necrosis was noted

Results: Necrotizing pancreatitis was found in 3 out of 43 patients [7%]. CRP of all patients of necrotizing pancreatitis was greater than 150mg/l

Conclusion: A CRP level of greater than 150 mg/l is highly suggestive of acute necrotizing pancreatitis

Comparison of post circumcision complications and wound healing in infants by conventional open method and bone-cutter method

The objective of this study is to compare the frequency of post circumcision complications like bleeding and infection along with wound healing in infants by conventional open method and the bone-cutter method. Randomized controlled trial. Combined Military Hospital and Military Hospital Rawalpindi, from March 2009 to March 2010. A total of 400 patients were included in the study that underwent circumcision. Patients were randomly allotted to either group A in whom the circumcision was done with conventional open technique [n = 200] or to group B, in whom circumcision was done with bone-cutter [n = 200]. Patients were followed up in the surgical OPD after 5 days for assessment and earlier in case of any complication. Outcomes were measured by absence or presence of infection, post operative bleeding and cosmetic acceptance by the parents. Comparison between the two groups showed that the bleeding rate was 8% in group A and 7% in group B [p = 0.704]. Infection rate was 6% in group A and 5% in group B [p = 0.661]. Delayed wound healing was seen in 4% of circumcisions in group A as opposed to 2% in group B [p = 0.241]. Complication is a part of any surgical procedure. So is the case with circumcision however no significant difference was found between the two procedures in terms of bleeding, infection, trauma to the glans and the cosmetic outcome