Pattern of dynamic intestinal obstruction in adults

To evaluate the causes of dynamic intestinal obstruction at PIMS Islamabad. Material and This was a prospective study of 75 consecutive cases of dynamic intestinal obstruction, conducted in department of surgery at Pakistan Institute of Medical Sciences, Islamabad from 1st August 1998 to 31st December 1999. Those patients who improved with conservative treatment and did not undergo laparatomy were excluded from the study. All patients who underwent laparatomy for management of their disease were included. Laparatomy findings were recorded and where necessary specimen was taken for histopathology for confirmation of final diagnosis. In this study of 75 cases, 100% patients presented with pain and distension of abdomen, other symptoms were less in frequency. Males were 38 and females were 37 with male to female ratio of 1.01:1. Tuberculosis was the leading cause of [36%] dynamic intestinal obstruction followed by carcinoma of the large gut and postoperative adhesions. Only two patients had small bowl malignancy and intessusception, and one patient was with meckle's diverticulum. Tuberculosis is emerging as a leading cause of dynamic intestinal obstruction. Therefore it is time to run more efficiently the tuberculosis control programme in Pakistan, before it is too late

Review of 100 cases of intestinal amoebiasis in SWAT

The objective of this study was to find out the frequency of intestinal amoebiasis and the evaluation of clinical features and effectiveness of therapy in such patients. Material and This study was conducted in Saidu Group of Teaching Hospitals Swat from April to August 2001. An analysis of 100 patients with abdominal symptoms was done. Stool examination was performed by a specially trained technician. The stools were reported positive for Entamoeba histolytica in 70% of patients. These patients usually presented with chronic, low-grade upper abdominal pain and vague general abdominal discomfort, belching and flatulence. Bowel habits varied from continuous diarrhea to constipation alone. Frank dysentery with blood and mucous was rare. of treatment were good. The frequency of amoebiasis is high in Swat and stool examination may be diagnostic in majority of cases

Surgical management of lumbar disc herniation by st and ard laminectomy in a periphery hospital; an experience with 64 patients

To study the outcome of surgical management of lumber disc hemiation by st and ard laminectomy procedure.This study was conducted in a periphery hospital, form March 2000 to July 2002. patient spresenting with bachache and leg pain were thoroughly investigated. For the confirmation of hemiated disc, myelography was performed in 50 patients, CT Scan in 10 patient and MRI in 4 patients. All patients underwent st and ard laminectomy. Patients were followed up after 3-4 weeks. Sixty four patient were operated upon for lumbar disc herniation. The youngest patient was 20 years old while the oldest was 65 years' old. All these patients underwent st and ard laminectomy. Forty six patient were males while eighteen were females. The majority of the patients were in the forth and fifth decade of life. Two patients developed discitis, four patients had dural tear during operation, two patients developed wound sepsis. Results of st and ard laminectomy for lumber disc herniation are favourable