Clinical presentation and diagnosis of colorectal cancer

Fifty-six patients with colorectal carcinoma were managed during the period January 1995 to July 1996 at Hayat Shaheed Teaching Hospital, Peshawar. The male to female ratio was 1.24:1 with a mean age of 45.64 years. A Large number of patients [28.57%] were in the younger age group i.e.

Volvulus of the Sigmoid colon: pathogenesis and review of treatment

One hundred and ten patients [108 males and 2 females] with pelvic colon volvlus seen over a 4-year period [1973-1977] in the NWFP are presented. Emergency surgery was performed in 105 patients. Resection and primary anastomosis was employed in the first 12, nine of whom had nongangrenous and three gangrenous colons. The mortality in this group was six patients [50%]. Resection and double barrelled colostomy was employed in 70 patients [6] nonganrenous and 3 gangrenous colon] four [5.7%] of whom died. Hartmans procedure was used in 32 patients with gangrene involving the upper rectum as well as the pelvic colon. The mortality in this last group was patients [8.7%]. On the basis of these results, resection and double barreled colostomy and the Hartmam's operation are recomended as the procedure of choice in the emergency surgery of pelvic colon volvulus. Pathogens is discussed and a new concept is suggested to explain the high incidence of this condition during Ramazan and in the winter months

Repair of large incisional hernias with marlex meshpersonal experience

A case has been made to encourage surgeons in Pakistan to make use of synthetic mesh for repair of large incisional rather than to attempt futile repeated attempts at repair of large incisional hernias. The use of polypropylene [Marlex] mesh has been encouraging in the present short series of six cases: during the follow up [11-42 months] there has been no recurrence