Plastibell circumcision; seven years' experience

Design: Prospective Study

Setting: Different hospitals as a day care surgery

Period: March 2005 up to March 2012

Patients and Methods: Plastibell circumcision in infants and children's up to the age of 7 years was conducted using Plastibell device in different hospitals as a day care surgery

Results: In Plastibell method, local edema was minor complication then delayed separation of the ring, infection, mild bleeding after plastibell separation, respectively and no major complication was noted

Conclusion: Plastibell device circumcision prevents the most serious complications like bleeding, infection etc. It is fast and ensures excellent cosmoses and it takes short operating time

Surgical fixation of clavicular fractures outcome and complications

To determine the outcome of K-wire fixation of Clavicular fracture in terms of union rates and complication profile. Retrospective case series study. This study was carried out at DHQ teaching hospital Abbottabad and Mansehra from March 2009 to Feb 2011. Forty five adult patients with displaced mid clavicular fractures treated with K-wire fixation in a standard Supine position were included in this study. Out of 45 patients, non union occurred in only two, Implant failure occurred in the same two cases. Most of the complications were of minor nature consisting of superficial wound infection 2, delayed union 4 and pin prominence at insertion site 10. No major nerve or vascular injuries occurred. Intra medullary K-wire fixation of displaced mid clavicular fracture with protection in early post operative period is a safe and simple procedure, achieving good union rates without major complications

Cannulated screw fixation of fracture neck of femur

To determine the outcome of cannulated screw fixation of intra capsular fracture neck of femur in terms of union rates and complications. Retrospective case series study. This study was carried out at the DHQ Teaching hospital Abbottabad and Gilani hospital Abbottabad from March 2008 to March 2011. Twenty four patients with intracapsular fractures neck of femur younger than 65 years of age including Garden I-1V, were fixed with cannulated screws, and included in this study. All cases were done by one surgeon and were followed for twenty four months. Union was recorded in twenty one patient's i.e. 87.5%. One patient from Garden III and two patients from Garden IV went in to non-union and were converted in tohemiarthoplasty. Combined Union rate of Garden III and IV was 78.57%. Cannulated Screw fixation of intracapsular fracture neck of femur is a safe and effective method

Acute abdomen, causes and outcome - experience at DHQ hospital Abbottabad

Acute abdominal pain is one of the most frequently encountered symptoms in patients seeking emergency treatment. Acute and severe abdominal pain, however, is almost always a symptom of intra-abdominal disease. Abdominal pain in neonates, infants, and young children has numerous causes not encountered in adults. Evaluation of mild and severe pain follows the same process, although with severe abdominal pain, therapy sometimes proceeds simultaneously and involves early consultation with a surgeon. History and physical examination usually exclude all but a few possible causes, with final diagnosis confirmed by judicious use of laboratory and imaging tests. To find out the most common causes of acute abdomen in the region. Retrospective study. This study was conducted at DHQ Teaching Hospital Abbottabad from April 2011 to March 2012. Total 1056 patients were admitted with pain abdomen during this period. Patients of all ages were included. Patients with blunt and penetrating trauma to the abdomen were excluded. The patients were divided into 05 age groups. Patients were investigated with physical examination, ultrasonography, X-ray abdomen and blood complete picture, serum amylase and serum LFT's. Preoperative diagnosis and post operative findings were compared and evaluated. The most common age group was 16-30 yrs [42.5%] and 2[nd] most common group was 1-15 yrs [28.5%]. The most common cause found was acute appendicitis [48.2%]. The 2[nd] common cause was non-specific abdominal pain [16.15%]. Total of 645 [61%] out of 1056 patients reported with acute abdomen were operated while 411 [39%] patients were managed conservatively. Acute appendicitis was the most common cause of pain abdomen in patients of ages 5-30 years followed by non-specific abdominal pain. Life-threatening causes should always be ruled out before focusing on less serious diagnosis. Ultrasonography of abdomen and pelvis should be done routinely in every female patient with acute lower abdominal pain to rule out gynaecological causes of acute abdomen

Efficacy of intrasheath steroid injection in treating de quervain's disease

To determine the effectiveness of Intrasheath steroid injection in treating de Quervairfs disease. Case series observational study. Outpatient Department of Orthopedics BBS [DHQ] Teaching Hospital Abbottabad from April 2006 to Sept 2009 including a period of follow up of eighteen months. Eighty patients with de Quervairfs disease were diagnosed on the basis of positive Finkelsteirfs test and presence of severe pain for more than four weeks. These patients were given intrasheath injections of 40 mg Methyl Prednisolone mixed with one ml of lignocaine 2% in the first dorsal compartment of wrist. Patients with trauma, infection and rheumatoid arthritis were excluded from study. Seventy two patients i.e., 90% were cured and out of them 75% required only one injection .Only two cases underwent surgical release. Intrasheath steroid injection is a safe, very useful and cost effective method in treating de Quervairfs disease