Search

Objectives: To document the frequency of complications following Laparoscopic Sleeve gastrectomy in morbidly obese patients in population of Khyber Pakhtunkhwa province, Pakistan Material and Methods: This descriptive study was conducted at Lady Reading Hospital and Mohmand Medical Center, Peshawar from 1st May 2018 to 30th April 2019. All patients who underwent Laparoscopic Sleeve Gastrectomy were included in this study whether operated in public or private hospital. All patients were operated by a single surgeon. Data of complication was collected and analysed by using SPSS version 16.0. Results: A total of 22 patients enrolled with mean age of 36.2±8.1 years. Male to female ratio was 3.4:1. Mean pre-operative weight was 133.2±33.1 Kg and pre-operative Body Mass Index (BMI) was 47.6±7.5 kg/m2. Post-operative weight loss at one month was 10.79±15.6 kg, and post-operative BMI was 39.7±5.3 Kg/m2 at same point. Mean percentage of excess weight loss at one month was 38.9%. Post-operatively 2-patients had developed suture line bleed and 1-patient has developed pulmonary complication, while 1-patient needed invasive ventilation in post-operative period. 3-patients presented with rapid weight loss at one month follow up. Re-exploration and mortality was zero. Conclusions: Sleeve Gastrectomy is a safe and easy procedure to perform in a wide range of BMI's in obese patients with greater earlier benefits of significant weight loss. Consideration to a gastric bypass as a definitive procedure at a later date may be required in some patients. [ABSTRACT FROM AUTHOR]

Background: Acute small intestinal obstruction (ASIO) is one of the commonest causes of emergency hospital admissions, morbidity and mortality. Intestinal tuberculosis (ITB) is common cause of ASIO in developing countries leading to significant morbidity and mortality. Our objectives were to determine prevalence, distribution and determinants of ITB in adult indoor patients with ASIO in population of Peshawar Division, Pakistan. Materials & Methods: This cross-sectional study was conducted at Department of Surgery Peshawar Medical College, Peshawar, Pakistan from January 2019 to June 2020. The data was collected from its three affiliated hospitals; Mercy Teaching Hospital, Kuwait Teaching Hospital & Prime Teaching Hospital, Peshawar. 207 ASIO subjects were selected from population at risk consecutively. Sex, age groups and presence of ITB were variables. Prevalence and distribution were described by count, percentage and confidence intervals for proportion for population. Hypotheses for distribution were tested by chi-square goodness of fit and of association by chisquare test of association. Results: Out of 207 patients with ASIO, 128 (61.84%) were men and 79 (38.16%) women, 87 (42.03%) were in age group 18-40 and 120 (57.97%) in 41-60 years. Out of 207 patients with ASIO, 41 (19.81%) had ITB, while 166 (80.19%) had no ITB. Out of 41 ITB patients, 25 (12.08%) were men and 16 (7.73%) women, 17 (8.21%) in age group 18-40 and 24 (11.60%) in 41-60 years. The prevalence of ITB was similar to expected (p=.5695). The distribution across sex (p=.00001) was different and across age groups (p=.12501) was similar to expected. Presence of ITB was not associated to sex (p=.8992) and age groups (p=.9347). Conclusion: Prevalence of intestinal TB in adult indoor acute small intestinal obstruction (ASIO) population of Peshawar Division, Pakistan was 19.81%. Prevalence was higher in men than women and higher in 41-60 years than 18-40 years age group population. Overall prevalence of intestinal TB was similar to expected. Observed distribution across sex was different and across age groups was similar to expected. Presence of intestinal TB was not associated to sex and age groups respectively. [ABSTRACT FROM AUTHOR]

Objectives: To compare primary anastamosis versus colostomy in patients with penetrating colonic injuries Materials and Methods: Th is randomized control trial was conducted at Surgical 'A' and 'B' Units, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar. Th e duration of the study was six months in which a total of 290. i.e. (145 in each group) patients were enrolled. Open randomized sampling was adopted and aft er following all ethical measures and informed writt en consent was taken from all the patients. SPSS v.20.0 was used as a statistical instrument where descriptive calculations were taken for categorical and numerical variables. Results: Th is study shows that mean age in primary anastamosis was 33±2.81 years while in Colostomy was 32±2.13 years. In primary anastamosis group 80% patients were male and 20% patients were female while in colostomy group 85% patients were male and 15% patients were female. In effectiveness, the results of primary anastamosis were 95% effective while colostomy showed eff ectiveness in only 85% patients. Conclusion: Primary anastamosis is safe and has excellent results as compare to colostomy in the treatment of penetrating colonic injuries. [ABSTRACT FROM AUTHOR]