Extramucosal single layer interrupted intestinal anastomosis: a better alternative

To evaluate the technique of extra mucosal interrupted single layer intestinal anastomosis in different diseases where anastomosis is needed in different parts of gastrointestinal tract both in elective and emergency situations. Design: Prospective study. Place and Duration of Study: Surgical Unit 1 Jinnah Hospital Lahore, over a period of 2'/2 years from December 2000 to June 2003. Material and In this study 123 anastomosis were performed in 100 patients. All these patients were operated upon by the senior surgeons in the emergency/elective operating rooms. Single layer interrupted extramucosal anastomosis with vicryl 2/0 or 3/0 was done in all cases. Overall anastomotic leak was just 0.81%. Wound infection was observed in 6%, without any increase in morbidity and zero% mortality. Extramucosal single layer interrupted intestinal anastomosis is the safest technique both for the small and large bowel, with minimal possible complications

study of carcinoma breast in elderly female patients

Seventy two patients of carcinoma breast aged 55 and above were studied for clinicopathological features. The whole or most of the breast was involved in 29% patients, followed by Upper Outer Quadrant [27.5%] and subareolar area [22.21%]. The commonest presenting feature was lump breast [44.7%] with an average size of 8.86 cms. The lump was painful in [39.8%]. Only 19 patients [26.39%] reported within three months of noticing a lump. Majority of the patients presented in stage III [41.67%] and stage IV [29.17%]. The average age at menarche was 13.9 years, the average age at first pregnancy being 22. years and menopause at 51.8 years

Role of a general practitioner in dealing cancer problems

The general practioners are the backbone of any country's health services. They play an effective role in the management of general ailments and referring the specific problems to hospitals and institutions. The services of these doctors in our society are unfortunately not fully utilized. Cancer is one of the health problems where the general practitioners can be very helpful. The doctors in general practice can contribute in five different ways to meet this challenge of modern era. These are public education, early detection of cancer, appropriate follow up after treatment, Rehabilitation of patients and their families and terminal care of the dying patients

Inguinal hernia- clinical presentation

A prospective study of two hundred and four patients of inguinal hernia was carried out in Rawalpindi General Hospital. The hernia was predominantly more common among males. The commonest age group was third, fifty and sixty decades. A number of predisposing factors were observed including benign enlargement of prostate, chronic cough, chronic constipation and undescended testes. R[t]. sided hernias were more common

Mortality in burnt patients

Extensive Burns are one of the commonest surgical emergencies. These patents usually present in a state of shock and are critically ill. Many patients die of renal shut-down and electrolyte imbalance in the early stage, whereas in stages patients become victims of infection and die on account of septicaemia. This study was conduced in the Department of General surgery Unit-I in Rawalpindi General Hospital Rawalpindi. The aim was to find out the extent of mortality and its possible causes in burnt patients

clinicopathological study of carcinoma breast

The clinical and histological features were studied in 156 patients with breast carcinoma. The commonest presentation [89, 16%] was a lump in the breast. However, a few patients reported with an ulcerating growth on the breast [4.66%] or metastatic deposits [3%]. The commonest age group was between 31 to 50 years [63.15%]. The bulk of the patients [79.54%] consulted the physician months after the detection of a mass in the breast. The upper lateral quadrant of breast was the commonest site [32.69%] and the left breast was more frequently [58%] involved. The infiltrating duct carcinoma was diagnosed on microscopy in 68.59% of cases. The prognosis of carcinoma of breast remains poor in Pakistan as most of the women belong to younger age groups and report late to physicians