We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol. Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77
{"title":"Quality of Life after Liver Transplantation","authors":"B. Das, Mohammed Mostafizur Rahman, Khan Zr","doi":"10.3329/jss.v18i2.43759","DOIUrl":"https://doi.org/10.3329/jss.v18i2.43759","url":null,"abstract":"We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol. \u0000Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83361995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amar Kumar Saha, S. S. Haque, S. Biswas, Md Barkot Ali
Congenital short bowel syndrome (SBS) is a rare congen.it.al disease, Only about 37 cases were reported. Infants usually present with failure to 'thrive, recurrent vomiting and or diarrhoea. It is associated with significant mortality and morbidity, High degree of suspicion is necessary to diagnose this condition promptly. Early initiation of parenteral nutrition or surgery may result in a favorable outcome. We treated a case of infant aged eight-weeks presented with recurrent bilious vomiting and failure to thrive. On Laparotomy it was found that the baby had very short small bowel with malrotation. This case was reported and reviewed. Journal of Surgical Sciences (2014) Vol. 18 (1) : 35-37
{"title":"Congenital Short Bowel Syndrome","authors":"Amar Kumar Saha, S. S. Haque, S. Biswas, Md Barkot Ali","doi":"10.3329/jss.v18i1.43751","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43751","url":null,"abstract":"Congenital short bowel syndrome (SBS) is a rare congen.it.al disease, Only about 37 cases were reported. Infants usually present with failure to 'thrive, recurrent vomiting and or diarrhoea. It is associated with significant mortality and morbidity, High degree of suspicion is necessary to diagnose this condition promptly. Early initiation of parenteral nutrition or surgery may result in a favorable outcome. We treated a case of infant aged eight-weeks presented with recurrent bilious vomiting and failure to thrive. On Laparotomy it was found that the baby had very short small bowel with malrotation. This case was reported and reviewed. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 35-37","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73506015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hypospadias is the result of failure of fusion of the urethral folds on the ventral aspect of the penis.It usually occur 1 in every 300 male children.Reconstruction of urethra in childhood is the only hope of cure. The aim of this study is to find out the out.come of tubularized incised plate urethroplasty for distal penile hypospadias and to -~~ow that this procedure will end up in a better cosmetic appearance. Methods: This prospective study was conducted in a private medical college hospital, Comilla between July 2011 to June 2012 on 30 patients using Snodgrass technique of hypospadlas surgery. All cases were consecutively selected. Data were processed and analysed· using software SPSS (Statistical Package for social Sciences) version 11.5 and the test· statistics used to analyse the data were descriptive statistics and Z-test for proportion. The variables studied were age, socioeconomic condition, post-operative complications, such as infection rate, urethrocutaneous fistula, meatal stenosis, wound dehiscence etc. &cosmatic outcome such as size of the meatus, shape of the glans studied. Results: Satisfactory results were obtained in 21 (70%) patients and only 8 (26.67%) had urethrocutaneous fistula, 1(3.33%) had retrusive meatus and 7 (23.33%) had wound infection. The final outcome was evaluated based on urethrocutaneous fistula and cosmesis. Out of 30 patients, 21(70%) did not have urtethrocutaneous fistula and were cosmetically acceptable. Binomial test based on Z-approximation reveals that observed proportion of patients with satisfactory- outcome was statistically significant (p = 0.05). Conclusion: This study concludes that Snodgrass urethroplasty has better cosmetic outcome. Thus we recommended it as the primary treatment for the children with distal hypospadias. Journal of Surgical Sciences (2014) Vol. 18 (1) : 9-14
背景:尿道下裂是阴茎腹侧尿道褶皱融合失败的结果。它通常发生在每300个男孩中。儿童尿道重建是治疗的唯一希望。本研究的目的是为了了解管状切开钢板尿道成形术治疗阴茎远端尿道下裂的效果，以及如何使该手术最终获得更好的外观。方法:本前瞻性研究于2011年7月至2012年6月在Comilla私立医学院附属医院对30例采用Snodgrass技术进行尿道下裂手术的患者进行研究。所有病例均连续选取。使用SPSS (Statistical Package for social Sciences) 11.5版软件对数据进行处理和分析，用于分析数据的检验统计量为描述性统计和比例z检验。研究的变量包括年龄、社会经济条件、术后并发症(如感染率、尿道瘘、金属狭窄、伤口裂开等)和手术结果(如生殖道大小、龟头形状)。结果:21例(70%)患者获得满意的治疗效果，仅8例(26.67%)出现尿道瘘，1例(3.33%)出现后道，7例(23.33%)出现伤口感染。最终结果以尿道瘘和美容为基础进行评估。在30例患者中，21例(70%)没有尿道瘘，美观可接受。基于z近似的二项检验显示，观察到的患者结局满意的比例有统计学意义(p = 0.05)。结论:Snodgrass尿道成形术具有较好的美容效果。因此，我们建议将其作为小儿远端尿道下裂的主要治疗方法。外科杂志(2014)Vol. 18 (1): 9-14
{"title":"Management of Distal Penile Hypospadias by Tubularized Incised Plate Urethroplasty: Study Of 30 Cases","authors":"N. Mahmud, Serajul Haque","doi":"10.3329/jss.v18i1.43746","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43746","url":null,"abstract":"Background: Hypospadias is the result of failure of fusion of the urethral folds on the ventral aspect of the penis.It usually occur 1 in every 300 male children.Reconstruction of urethra in childhood is the only hope of cure. The aim of this study is to find out the out.come of tubularized incised plate urethroplasty for distal penile hypospadias and to -~~ow that this procedure will end up in a better cosmetic appearance. \u0000Methods: This prospective study was conducted in a private medical college hospital, Comilla between July 2011 to June 2012 on 30 patients using Snodgrass technique of hypospadlas surgery. All cases were consecutively selected. Data were processed and analysed· using software SPSS (Statistical Package for social Sciences) version 11.5 and the test· statistics used to analyse the data were descriptive statistics and Z-test for proportion. The variables studied were age, socioeconomic condition, post-operative complications, such as infection rate, urethrocutaneous fistula, meatal stenosis, wound dehiscence etc. &cosmatic outcome such as size of the meatus, shape of the glans studied. \u0000Results: Satisfactory results were obtained in 21 (70%) patients and only 8 (26.67%) had urethrocutaneous fistula, 1(3.33%) had retrusive meatus and 7 (23.33%) had wound infection. The final outcome was evaluated based on urethrocutaneous fistula and cosmesis. Out of 30 patients, 21(70%) did not have urtethrocutaneous fistula and were cosmetically acceptable. Binomial test based on Z-approximation reveals that observed proportion of patients with satisfactory- outcome was statistically significant (p = 0.05). \u0000Conclusion: This study concludes that Snodgrass urethroplasty has better cosmetic outcome. Thus we recommended it as the primary treatment for the children with distal hypospadias. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 9-14","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84356185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nazrul Islam, Mustafizur Rahman, K. Zaman, M. Alamgir, S. S. Murad, Sm Ahsan Habib
Tissue that is damaged and poorly oxygenated as a result of swelling, trauma or inflammation has been shown to have a positive response to laser therapy irradiation. At present, cutaneous lesions represent a dilemma of global proportions and instigate great clinical interest because of the high morbidity associated with changes in the normal healing process. Among the clinical aspects involving this issue, we emphasize tissue repair time in an effort to make the process quicker and more harmonious, reduce possible complications in lesion resolution, and allow an adequate choice of therapy. Laser light energy is highly absorbed by skin and subcutaneous tissue and therefore penetration is key to therapeutic results. Among the methods currently available, low-level laser therapy (LLLT) stands out. Here we present a case of 78 years old lady with multiple variable non healing ulcers on back. Appropriate antibiotics and regular dressing failed to heal the lesions. So we have decided to apply low level laser therapy. At the end of 8th week the wound looked pretty healthy. No untoward reaction or side effect was reported by the patient. Journal of Surgical Sciences (2014) Vol. 18 (1) : 38-42
{"title":"Low Level Laser Therapy (LLLT) On Soft Tissue Healing: A Case Report","authors":"Nazrul Islam, Mustafizur Rahman, K. Zaman, M. Alamgir, S. S. Murad, Sm Ahsan Habib","doi":"10.3329/jss.v18i1.43752","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43752","url":null,"abstract":"Tissue that is damaged and poorly oxygenated as a result of swelling, trauma or inflammation has been shown to have a positive response to laser therapy irradiation. At present, cutaneous lesions represent a dilemma of global proportions and instigate great clinical interest because of the high morbidity associated with changes in the normal healing process. Among the clinical aspects involving this issue, we emphasize tissue repair time in an effort to make the process quicker and more harmonious, reduce possible complications in lesion resolution, and allow an adequate choice of therapy. Laser light energy is highly absorbed by skin and subcutaneous tissue and therefore penetration is key to therapeutic results. Among the methods currently available, low-level laser therapy (LLLT) stands out. Here we present a case of 78 years old lady with multiple variable non healing ulcers on back. Appropriate antibiotics and regular dressing failed to heal the lesions. So we have decided to apply low level laser therapy. At the end of 8th week the wound looked pretty healthy. No untoward reaction or side effect was reported by the patient. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 38-42","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73703403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract not available Journal of Surgical Sciences (2014) Vol. 18 (1) : 28-34
外科科学杂志(2014)Vol. 18 (1): 28-34
{"title":"Enhanced Recovery Programme (ERP) after Abdominal Surgery: Time to Change Practice","authors":"A. Hossain, N. Haque, A. Nafisa","doi":"10.3329/jss.v18i1.43750","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43750","url":null,"abstract":"Abstract not available \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 28-34","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80333974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hriday Ranjan Roy, N. Ahmed, Mirza Md. Nazrul lslam
Coronary artery bypass graft (CABG) surgery is one of the treatment modalities of coronary artery disease (CAD) patients. There are multiple selection criteria for CABG and multiple procedures like conventional CABG, on pump beating heart CABG and off pump beating heart CABG (OPCAB). This study was intended to compare between conventional CABG and on pump beating heart CABG. Total 60 patients were selected for the study, of which 30 patients had undergone conventional CABG and 30 had undergone on pump beating heart CABG. Different preoperative and postoperative variables shows clear and significant superiority of on pump beating heart CABG. So it may be an alternative surgical procedure where OPCAB is not feasible in poor left ventricular (LV) .function. Journal of Surgical Sciences (2014) Vol. 18 (1) : 20-27
{"title":"On Pump Beating Heart CABG is Superior to Conventional CABG in Poor Left Ventricular Function","authors":"Hriday Ranjan Roy, N. Ahmed, Mirza Md. Nazrul lslam","doi":"10.3329/jss.v18i1.43748","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43748","url":null,"abstract":"Coronary artery bypass graft (CABG) surgery is one of the treatment modalities of coronary artery disease (CAD) patients. There are multiple selection criteria for CABG and multiple procedures like conventional CABG, on pump beating heart CABG and off pump beating heart CABG (OPCAB). This study was intended to compare between conventional CABG and on pump beating heart CABG. Total 60 patients were selected for the study, of which 30 patients had undergone conventional CABG and 30 had undergone on pump beating heart CABG. Different preoperative and postoperative variables shows clear and significant superiority of on pump beating heart CABG. So it may be an alternative surgical procedure where OPCAB is not feasible in poor left ventricular (LV) .function. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 20-27","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"161 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78363635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. S. Faruque, Md Aminul Islam Joarder, S. Mubin, N. Elahi
Background: Evaluation of the safety and efficacy of day case laparoscopic cholecystectomy in a teaching hospital may influence the rationale of this practice to gain widespread acceptance. Methods: Day case laparoscopic cholecystectomy was offered to patients during a two and a half year period (Jan 2010 - July 2012) in Minimally Invasive Surgery unit in BSMMU who met the following established inclusion criteria: ASA (American Society of Anesthesiology) physical status classification classes I and II; age: 18 - 70 years; body mass index (BMI) < 30 kg/m2; patient acceptance and cooperation (informed consent). Acute cholecystitis was considered as an exclusion criterion. Follow-up was done by clinical examination on an outpatient basis one week and 3 months after operation. Evaluation was done about success rates, postoperative outcome (complications, readmissions, morbidity and mortality) and patient's overall satisfaction. Results: 40 consecutive patients, predominantly female (62.5%) and ASA II (75%) with a mean age 44 ± 13.3 years underwent cholycystectomy. 85% patients had symptomatic gallstone disease. Mean operating time was 45±15.1 minutes and no conversion was needed. 25% cases experienced post operative nausea and vomiting and all patients were discharged in the following morning. 20% developed minor complications that resolved spontaneously. 1 case was readmitted and overall patient satisfaction rate was 90%. Conclusions: This study suggested that day case laparoscopic cholecystectomy is clinically effective and can be performed safely in a teaching hospital by competent surgeon. Journal of Surgical Sciences (2014) Vol. 18 (1) : 15-19
{"title":"Safety and Effectiveness of Day Case Laparoscopic Cholecystectomy in a Teaching Hospital","authors":"M. S. Faruque, Md Aminul Islam Joarder, S. Mubin, N. Elahi","doi":"10.3329/jss.v18i1.43747","DOIUrl":"https://doi.org/10.3329/jss.v18i1.43747","url":null,"abstract":"Background: Evaluation of the safety and efficacy of day case laparoscopic cholecystectomy in a teaching hospital may influence the rationale of this practice to gain widespread acceptance. \u0000Methods: Day case laparoscopic cholecystectomy was offered to patients during a two and a half year period (Jan 2010 - July 2012) in Minimally Invasive Surgery unit in BSMMU who met the following established inclusion criteria: ASA (American Society of Anesthesiology) physical status classification classes I and II; age: 18 - 70 years; body mass index (BMI) < 30 kg/m2; patient acceptance and cooperation (informed consent). Acute cholecystitis was considered as an exclusion criterion. Follow-up was done by clinical examination on an outpatient basis one week and 3 months after operation. Evaluation was done about success rates, postoperative outcome (complications, readmissions, morbidity and mortality) and patient's overall satisfaction. \u0000Results: 40 consecutive patients, predominantly female (62.5%) and ASA II (75%) with a mean age 44 ± 13.3 years underwent cholycystectomy. 85% patients had symptomatic gallstone disease. Mean operating time was 45±15.1 minutes and no conversion was needed. 25% cases experienced post operative nausea and vomiting and all patients were discharged in the following morning. 20% developed minor complications that resolved spontaneously. 1 case was readmitted and overall patient satisfaction rate was 90%. \u0000Conclusions: This study suggested that day case laparoscopic cholecystectomy is clinically effective and can be performed safely in a teaching hospital by competent surgeon. \u0000Journal of Surgical Sciences (2014) Vol. 18 (1) : 15-19","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78174491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Alam, Mashrur Akbar Khan, R. Zaman, A. Akbar, Abul Bashar
Background: laparoscopic cholecystectomy is now regarded as the "Gold Standard" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease. Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed. Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases. Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications. Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79
{"title":"Complications of Laparoscopic Cholecystectomy","authors":"A. Alam, Mashrur Akbar Khan, R. Zaman, A. Akbar, Abul Bashar","doi":"10.3329/jss.v17i2.43725","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43725","url":null,"abstract":"Background: laparoscopic cholecystectomy is now regarded as the \"Gold Standard\" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease. \u0000Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed. \u0000Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases. \u0000Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87629598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Alam, T. Haque, Shamim Hossain, K. Das, Tazul Lslam, H. Ahmed
Giant juvenile fibroadenoma occurs in adolescent girls. These tumours become enormous in size and grow rapidly, though these tumours are mostly benign. These patients are almost always treated by breast conserving surgery. Here we present a case having unilateral giant juvenile fibroadenoma with bilateral multiple small fibroadenomas in an adolescent female aged 16years. The diagnosis of the patient was made on clinical examination, USG & FNAC. Confirmatory diagnosis was made by histopathology. We removed the giant one with "Swiss-Roll" procedure and others by simple enucleation. The aesthatic appearence of the breasts were preserved. Journal of Surgical Sciences (2013) Vol. 17 (2) : 99-102
{"title":"Giant Juvenile Fibroadenoma of Breast","authors":"K. Alam, T. Haque, Shamim Hossain, K. Das, Tazul Lslam, H. Ahmed","doi":"10.3329/jss.v17i2.43785","DOIUrl":"https://doi.org/10.3329/jss.v17i2.43785","url":null,"abstract":"Giant juvenile fibroadenoma occurs in adolescent girls. These tumours become enormous in size and grow rapidly, though these tumours are mostly benign. These patients are almost always treated by breast conserving surgery. Here we present a case having unilateral giant juvenile fibroadenoma with bilateral multiple small fibroadenomas in an adolescent female aged 16years. The diagnosis of the patient was made on clinical examination, USG & FNAC. Confirmatory diagnosis was made by histopathology. We removed the giant one with \"Swiss-Roll\" procedure and others by simple enucleation. The aesthatic appearence of the breasts were preserved. \u0000Journal of Surgical Sciences (2013) Vol. 17 (2) : 99-102","PeriodicalId":33248,"journal":{"name":"Journal of Surgical Sciences","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77707055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Nazmul Baqui, Sharmin Rozhana, R. C. Rajib, M. M. Huda, Mohammad Mesbahuzzaman, T. K. Paul
Background: Mislabeled specimens are one of the most common pre-analytic errors in a histopathology laboratory. As histopathology provides the final diagnosis for most of the diseases, labeling errors can lead to serious consequences leading to wrong treatments. Objectives: This study was carried out to find common pre-analytical errors of histopathology laboratory in the context of our country. Methods: Data were collected on six points of container labeling and nine points of requisition papers through simple check list over a period of one week. Results: Among 142 samples, labeling was found in 82.40% container. Among these labels, patients name, age, hospital registration number of the patients were absent in 19.01%, 26.06% and 90.85% samples respectively. Site of origin of the tissue in the container was absent in 71.83% samples. About 4.93% samples came to the laboratory without fixatives. Patients name, age, sex, site of origin of tissue, name of the referring physician and their contact numbers were found absent in 0.70%, 3.52%, 33.10%, 7.75%, 50% and 95.77% of requisition papers respectively. Clinical diagnosis was absent in 54.23% cases. A good proportion of container and requisition papers did not contain proper labeling, which is important not only for identification but also for histopathological diagnosis. Conclusion: We believe that, these errors occur due to lack of standard histopathology requisition form. Association of Surgeons and Pathologists can collaboratively form a standard requisition form for sending histopathology samples to different laboratories, which could easily reduce mislabeling errors in histopathology. Journal of Surgical Sciences (2013) Vol. 17 (2) :80-83
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