RESUMO
Objective: to determine the frequency of musculoskeletal manifestations in diabetic patients and to examine the possible predictors for its development
Material and Methods: we performed a cross sectional study from 1 April 2013 to 31 June 2013 to evaluate the musculoskeletal manifestations in diabetic patients at Diabetic Management Center of Services Hospital Lahore, Pakistan. Base line variables were examined to determine the association of musculoskeletal manifestations. Analysis was carried out using Statistical package for Social Sciences [SPSS version 20]
Results: 100 patients were included; 34% had musculoskeletal manifestations. Of these 34 patients 29 [85%] were type 2 DM. The most common manifestations were adhesive capsulitis [n=13], carpal tunnel syndrome [n=12] and muscle atrophy [n=9]. A significant association was found between gender [p=0.041], overweight [p=0.021] and neuropathy
Conclusion: musculoskeletal manifestations are recognized in diabetic patients. Physicians should consider examining the particular regions in the joints of shoulders and hands during their routine visits
RESUMO
To evaluate the effects of a modified incision and closure technique on the incidence of vault haematomas and post operative morbidity after vaginal hysterectomy. This study was conducted in Lady Aitchison Hospital, Lahore from November 2011 to December 2012. 100 patients aged 40 to 70 years having utero-vaginal prolapse undergoing vaginal hysterectomy were included in the study. Vaginal hysterectomy was performed with a modified Incision. Patients were observed for fever, pain and vaginal bleeding. Pelvic ultrasound was carried out for any pelvic collection or haematomas. Patients were followed for one month. Patients with complaints of lower abdominal pain, vaginal spotting, bleeding or fever were readmitted and evaluated. Out of 100 patients, 2% patients developed vault haematomas, 11% developed pain, 5% developed fever. 7% patients stayed at hospital for 5-6 days due to complications. Haematoma was confirmed by ultrasound in 2% cases and those were readmitted. Conservative management was done. No patient required surgical evacuation. Adoption of the modified technique resulted in a significant fall in postoperative morbidity due to haematoma formation.