Various surgical options in the management of Basal cell carcinoma in Nishtar Hospital, Multan

To describe the prevalence, mode of presentation and various surgical options of reconstruction in the management of basal cell carcinoma [BCC] with a local perspective. Setting:-Nishtar Hospital, Multan. One year [October 2002 to September 2003]. 60 patients Descriptive study. Out of sixty cases, 50 [83%] were male and 10 [17%] were female. Out of [60 cases 26 [20 male, 6 female] 43.3% were farmer, 16 [all male] 26.6% wee construction workers, 10 [8 male, 2 female] 16.6% were unemployed and 8 [all female] 13.3% were household. No patient presented before 5 years after the development of the lesion. 34 [30 male, 4 female] 56.6% for the last 6-10 years, 20[16 male, 4 female] 33.3% for the last 11-15 years, 2 [all male] 3.3% for 16-20 years and 4 [2 male, 2 female] 6.6% had lesions for>20 years. Delay in presentation has an overall negative effect on the outcome. A simple excisional biopsy technique ensure margins clearance and give surgeon more freedom for reconstruction

comparative study between conventional open and mini cholecystectomy in the treatment of gall stone disease regarding postoperative pain, and hospital stay

To compare the conventional open and mini-cholecystectomy. This comparative, cross-sectional study was conducted in Nishtar Hospital, Muhan during the period of 6 months October 1998 to March 1999. A total Of 50 patients were include in the study. Among 50 patients of gall stone, .8 [16%] were male and 42[84%] were female. As regards age, 16 [32%] were of<40 years, 14 [28%] between 41-50 years and remaining 20 [40%] were of>50 years Out of 50 patients, 32 [64%] patients presenting with pain right hypochondrium, in 14 [28%] patients presenting complaint was pain epigastrium. In 25 patients of group A, who were treated conventional open cholecystectomy, the average hospital stay was 8.66 days with shortest stay of 6 days and longest stay of 10 days Out of 25 patients [16 [64%] patients were discharged after 8[th] day while 4 [16%] patients were discharged after patients were discharged after 6 days In the 25 patients of group-B who were treated by mirncholecystectomy, the mean hospital stay was 3.33 days with shortest of 2 days and longest of 5 days. Eight [32%] patients were discharged on 2[nd] postoperative day, while 14 [56%] were discharged on the 3[rd] postoperative day. Mini-cholecystectomy is associated with less patients discomfort and decreased incidence of postoperative complications

Role of F.N.A.C USG and scintigraphy in the evaluation of solitary thyroid nodule

Diseases of thyroid gland are perhaps the commonest endocrine disorders. Solitary thyroid nodule is a common clinical entity encountered. So its evaluation by different investigation is very important. Purpose of study was to find out the most appropriate investigation in the evaluation of solitary thyroid nodules. Surgical unit, Nishtar Hospital, Multan. Two years, from March 2002- March 2004. Fifty patients. In this study, it was found that the sensitivity and specificity of Fine needle aspiration cytology to malignancy was 80% and 93.3% respectively. So it was concluded that Fine needle aspiration cytology was the most sensitive and specific investigation in evaluation of solitary thyroid nodule to differentiate between benign and malignant nodules. It was found to be extremely safe, in expensive and relatively accurate in the evaluation of solitary thyroid nodule. In this study, it was found that thyroid ultrasound couldn't differentiate benign from malignant nodules. Thyroid scan had excellent sensitivity but very low specificity. But it couldn't differentiate benign from malignant nodules