Preliminary results of laparoscopic assisted orchidopexy for intra-abdominal testis

To analyze the outcome Laparoscopic assisted Orchidopexy for Intra-abdominal Testis. A prospective, descriptive study from July 1997 to January 2007. The study was conducted in the Departments of Pediatric Surgery at Dow Medical College / Civil Hospital Karachi and National Institute of Child Health, besides some private hospitals of Karachi. All patients with impalpable testis. Patients with intra-abdominal testis were subjected to Laparoscopic assisted single stage or 2-stage Fowler-Stephens orchidopexy. All patients were reviewed two and six months after the procedure to assess the outcome of surgery. A total of 28 patients with 35 impalpable testes were seen during the study period. Of these 13 had impalpable testes on the right and eight on the left side, whereas seven were bilateral. Laparoscopic examination revealed 29 intra-abdominal testes. Amongst these, Laparoscopic assisted Single stage Orchidopexy was performed in four testes and the first stage of Fowler-Stephen Orchidopexy in 29 testes. Second stage of the Fowler-Stephens Orchidopexy was completed in 18 testes successfully, as we did not encounter testicular atrophy in any case so far. Postoperative complications were seen in two patients. One case developed port site haematoma which was drained and the other subcutaneous emphysema which was managed conservatively. Laparoscopic assisted single and 2-stage orchidopexy is a safe and successful treatment procedure for intra-abdominal testes

Prevalance of helicobacter pylori in dyspeptic patients at Lyari General Hospital

To find out the frequency of Helicobacter Pylori among patients having dyspepsia. Observational, cross sectional study from Jan. 2005 to Oct. 2005. Department of Surgery at Sindh Govt. Lyari General Hospital, Karachi. Patients presenting with dyspepsia, irrespective of age and sex were included in the study. Complete history of all the patiens was taken and thorough examination done. Upper G.I.Endoscopy was performed, biopsies taken and the specimen sent for histopathology. A total number of 63 patients were studied, out of which 31 were males and 32 females, with ages ranging from 12-68 years. Majority of the patients were in the third and fourth decades of life, and presented with upper abdominal pain and retrosternal burning. Other symptoms seen included regurgitation, dyspepsia, water brash, nausea, vomiting and hematemesis in some cases. Histopathology of gastric biopsy showed Helicobacter pylori associated gastritis in 30 [47.62%] patients, while 33 [52.38%] patients had gastritis which was not associated with Helicobacter pylori infection. The incidence of Helicobacter pylori associated gastritis and gastritis not associated with Helicobacter pylori is more or less equal in dyspeptic patients