Colonic injuries: is primary repair a safe option?

This study was conducted at Mayo Hospital, Lahore from April 2004 to May 2005 to compare the results of primary repair and exteriorization in cases of large gut injuries. 80 patients, presenting in emergency between Jan. 2004 and December 2005, were selected out of which 63 were males and 17 were females. Colonic injuries were divided into five categories and were dealt accordingly. All colonic injuries presenting to emergency in study period except. Injuries requiring ileocolic anastomosis, repair and proximal fecal diversion and distal colonic injuries requiring Hartmann's procedure

Comparison between primary repair and exteriorization in cases typhoid perforation

This comparative study was conducted at Mayo Hospital, Lahore from April 2004 to May 2005 to compare the results of primary repair and exteriorization in cases of typhoid perforation 80 patients were selected out of which 48 were males and 32 were females. Consisted of a history of fever abdominal pain, constipation, sharp shooting pain superimposed over the colicky abdominal pain clinical finding included tense tender abdomen and absent bowel sounds, investigations including gas under diaphragm in abdominal x-ray and positive widal test. Consisted of negative Widal test even if there was gas under diaphragm, per op findings suggestive of tuberculosis or histopathology reports suggestive of tuberculosis or any pathology other than typhoid. Primary repair was done in patients who presented within 36 hrs of experiencing sharp shooting pain and per op findings of minimal contamination. Exteriorization in the form of loop or double barrel ileostomy was done in other cases

Amputations in general surgical practice

Amputation is still often viewed as a failure of treatment. The responsibility for performing an amputation may even fall on the most junior member of the surgical team. Whatever the reason for extremity amputation, it should not be viewed as a failure of treatment. Amputation can be the treatment of choice for severe trauma, vascular disease, and tumors. In our setup amputations for vascular and diabetic complications fall under the domain of general surgeons The purpose of study was to determine the age and sex distribution, incidence of diseases that resulted in amputations, and the level of amputations done in them. A descriptive study on one hundred patients undergoing limb amputations in general surgical practice at department of Surgery, Mayo hospital Lahore. All the patients presented to general surgical emergency/OPD with limb pathology Patients with bone tumors and isolated limb trauma [referred to orthopedic unit]. Most amputations in our study were performed in elderly persons for PVD, Diabetes mellitus being the leading cause