Appendicectomy: non invagination vs. invagination of appendicular stump

To find out the benefits of invagination of stump during appendicetomy. Acute appendicitis is the most common abdominal emergency requiring emergency surgery. A prospective randomized clinical trail. From June 2003 - May 2005. Mayo Hospital and Sir Ganga Ram Hospital, Lahore. A prospective randomized study including 200 patients undergoing appendicectomy was carried out to see any advantage of invagination of appendicular stump. A total of 200 operated cases of appendicitis divided in two groups of 100 cases each. In Group, a there were 59 males and to 2nd and 3rd decade. I Group there were 63 males and females. The youngest patient was 5 year old while the eldest was 57 year old. Maximum patients belonged to 2nd and 3rd decade. It was that there was no added benefit of invagination of appendicular stump, rather it took more operative time, and times, it was hazardous to do so

outcome of darning method of inguinal hernia repair using polypropylene in Sir Ganga Ram Hospital, Lahore

To valuate the darning method of inguinal hernia repair with polypropylene. 300 patients of unilateral inguinal hernia were admitted. After thorough investigations, all patients were operated for hernia repair by standard procedure using No.1 polypropylene. Patients were operated under, spinal or general anesthesia. Patients were followed up at one week, six weeks and six months after operation for wound healing and complications. Out of 300 patients, ranging in age from 20 to 70 years, 250 patients were given spinal anaesthesia, 45 patients [20%] were operated under local anesthesia. 196 patients were discharged from the hospital on the following day. 3 patients went into urinary retention and one patient had large haemotoma requiring exploration. Recurrence rate was 1% [n=3]. Darning method of inguinal repair with polypropylene is a safe and cheaper method of hernia repair