RESUMO
To study the outcome of Stapled haemorrhoidectomy in 3rd degree hemorrhoids. 50 patients, who underwent stapled hemorrhoidectomy, were included in this study. The study took place at Surgical Unit-I, Civil Hospital, Karachi, from January 2009 to December 2010. Prospective interventional study. Stapled hemorrhoidectomy [SH] was performed in 3rd degree haemorrhoids in 50 patients. 3 patients had minimum pain and only 1 patient had persistent pain and one patient had post-operative minor bleeding which was managed conservatively. SH is an effective surgical procedure for the treatment of 3rd degree haemorrhoids. There is strong evidence that SH results in less postoperative pain than other procedures as well as earlier mobility. In our experience, SH is the treatment of choice for third degree hemorrhoids in hospitalized patients
RESUMO
Objective: to document frequency of Hepatitis B and C in patients undergoing elective surgery
Design: descriptive case series
Setting: surgical Unit II Civil Hospital Karachi, from June 2005 to May 2006
Methods: all patients undergoing elective surgery were screened for Hepatitis B and C by enzyme immunoassay [EIA]. Risk factors for hepatitis B and C virus infections were also recorded
Results: out of 496 screened patients, HBsAg was found positive in 25 [5.0%] patients. Out of 25 HBsAg positive patients 14 [56%] were females and 11 [44%] were males. Anti-HCV was reported positive in 60 [12.0%] patients in which 38 [63.3%] were females and 22 [36.6%] were males. Overall 19.7% subjects had been vaccinated against HBV
Conclusion: we conclude that the high prevalence of hepatitis B and C in pre-operative patients is present in our population