Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.67394
M. Mostafi, Aminur Rahman
Abstract not available J Bangladesh Coll Phys Surg 2023; 41: 185-186
[j]孟加拉大学物理外科杂志2023;41: 185 - 186
{"title":"Synopsis of Manuscript Review","authors":"M. Mostafi, Aminur Rahman","doi":"10.3329/jbcps.v41i3.67394","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.67394","url":null,"abstract":"Abstract not available\u0000J Bangladesh Coll Phys Surg 2023; 41: 185-186","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44118729","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.66909
S. Mahmood, S. Alam
Tolosa Hunt syndrome is a rare disorder of uncertain aetiology characterized by severe periorbital headaches and recurrent painful unilateral opthalmoplegia. Resolution of findings on follow-up imaging and response to steroids is characteristic. This case is to emphasize the role of MRI in the diagnosis of this condition. J Bangladesh Coll Phys Surg 2023; 41: 234-236
{"title":"Tolosa Hunt Syndrome- A Case Report","authors":"S. Mahmood, S. Alam","doi":"10.3329/jbcps.v41i3.66909","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.66909","url":null,"abstract":"Tolosa Hunt syndrome is a rare disorder of uncertain aetiology characterized by severe periorbital headaches and recurrent painful unilateral opthalmoplegia. Resolution of findings on follow-up imaging and response to steroids is characteristic. This case is to emphasize the role of MRI in the diagnosis of this condition.\u0000J Bangladesh Coll Phys Surg 2023; 41: 234-236","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43217301","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.66912
M. Saha, S. A. Safwath
Gastric xanthoma, although benign lesion, sometimes resemble to neoplasm. It is more common in older age group. Histologically it contains lipid ladenhistiocytes. But it should be differentiated from malignancy. So proper attention during endoscopic examination and relevant investigations to exclude malignancy should be considered in every patients with gastric xanthoma. J Bangladesh Coll Phys Surg 2023; 41: 237-238
{"title":"Gastric Xanthoma – A Case Report","authors":"M. Saha, S. A. Safwath","doi":"10.3329/jbcps.v41i3.66912","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.66912","url":null,"abstract":"Gastric xanthoma, although benign lesion, sometimes resemble to neoplasm. It is more common in older age group. Histologically it contains lipid ladenhistiocytes. But it should be differentiated from malignancy. So proper attention during endoscopic examination and relevant investigations to exclude malignancy should be considered in every patients with gastric xanthoma.\u0000\u0000J Bangladesh Coll Phys Surg 2023; 41: 237-238\u0000","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42726300","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.67666
Mohiuddin Ahmed
Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection.1 It is frequently leading to death from septic shock and multi organ failure worldwide. Sepsis can be caused by any infection, either fungal, viral, parasitic, or bacterial, and not all of these pathogens can be cultured. In around half of patients with sepsis, no pathogen is identified.2 For every hour delayed treatment the risk of mortality from sepsis increases by 4-9%.3 Sepsis takes 11 million lives around the world each year, contributing to 20% of all deaths globally and taking more lives than cancer.4 There is more than 20 deaths every minute.5 Before the onset of organ dysfunction, infections should be identified and this requires a rapid diagnosis and a prompt initiation of treatment. J Bangladesh Coll Phys Surg 2023; 41:183-184
{"title":"Procalcitonin as a Marker of Bacterial Sepsis: Time for a Reappraisal?","authors":"Mohiuddin Ahmed","doi":"10.3329/jbcps.v41i3.67666","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.67666","url":null,"abstract":"Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection.1 It is frequently leading to death from septic shock and multi organ failure worldwide. Sepsis can be caused by any infection, either fungal, viral, parasitic, or bacterial, and not all of these pathogens can be cultured. In around half of patients with sepsis, no pathogen is identified.2 For every hour delayed treatment the risk of mortality from sepsis increases by 4-9%.3 Sepsis takes 11 million lives around the world each year, contributing to 20% of all deaths globally and taking more lives than cancer.4 There is more than 20 deaths every minute.5 Before the onset of organ dysfunction, infections should be identified and this requires a rapid diagnosis and a prompt initiation of treatment.\u0000J Bangladesh Coll Phys Surg 2023; 41:183-184","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44374061","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.66937
Sm Anwar Sadat, R. Akter, Sharmin Ferdaus Emu
Objective: Oral Lichen Planus (OLP) treatment or clinical management is challenging. This systematic review aims to discuss the main therapy used in the management of OLP and the efficacy of every type of treatment to improve the quality of patient life. Methodology: We discussed the publications on the clinical management of oral lichen planus on the PubMed database. Only randomized controlled trials (RCT) conducted in humans were considered. We included randomized controlled trials (RCT) published from 2005/1/1 to 2021/5/28 with symptomatic, clinically, or histologically diagnosed OLP. We compared different active treatments or between active treatment and placebo. Results: Twenty randomized controlled trials involving 931 patient samples were included in the analysis. For the short time treatment (on average 2-8 weeks) of OLP, TCI, including Tacrolimus, pimecrolimus, and Ciclosporin, were similar to TCS, including Clobetasol, triamcinolone in efficacy. Tacrolimus–Triamcinolone resulted in similar outcomes. In addition, Tacrolimus and Ciclosporin showed a statistically higher incidence of local adverse events than triamcinolone and Clobetasol. A few systemic adverse events occurred in the tacrolimus and ciclosporin groups, but they were not serious. Conclusion: Triamcinolone acetonide 0.1% should be the first drug of choice when selecting TCS, and Tacrolimus 0.1% should be the drug of choice when selecting TCI. J Bangladesh Coll Phys Surg 2023; 41: 219-233
{"title":"Treatment of Oral Lichen Planus: A Systematic Review","authors":"Sm Anwar Sadat, R. Akter, Sharmin Ferdaus Emu","doi":"10.3329/jbcps.v41i3.66937","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.66937","url":null,"abstract":"Objective: Oral Lichen Planus (OLP) treatment or clinical management is challenging. This systematic review aims to discuss the main therapy used in the management of OLP and the efficacy of every type of treatment to improve the quality of patient life.\u0000Methodology: We discussed the publications on the clinical management of oral lichen planus on the PubMed database. Only randomized controlled trials (RCT) conducted in humans were considered. We included randomized controlled trials (RCT) published from 2005/1/1 to 2021/5/28 with symptomatic, clinically, or histologically diagnosed OLP. We compared different active treatments or between active treatment and placebo.\u0000Results: Twenty randomized controlled trials involving 931 patient samples were included in the analysis. For the short time treatment (on average 2-8 weeks) of OLP, TCI, including Tacrolimus, pimecrolimus, and Ciclosporin, were similar to TCS, including Clobetasol, triamcinolone in efficacy. Tacrolimus–Triamcinolone resulted in similar outcomes. In addition, Tacrolimus and Ciclosporin showed a statistically higher incidence of local adverse events than triamcinolone and Clobetasol. A few systemic adverse events occurred in the tacrolimus and ciclosporin groups, but they were not serious.\u0000Conclusion: Triamcinolone acetonide 0.1% should be the first drug of choice when selecting TCS, and Tacrolimus 0.1% should be the drug of choice when selecting TCI.\u0000J Bangladesh Coll Phys Surg 2023; 41: 219-233","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44657969","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.66901
N. Ferdous, Md. Nazrul Islam, M. Rahman, Naziya Anjum, A. Zaman, Fahid Bin Nazrul
Background: The occurrence of COVID-19 infection in rheumatic patients and their evaluation are of global interest. The purpose of this study was to determine the clinicodemographiccharacteristics of COVID-19 infection among rheumatic patients. Methods: In this observational cross-sectional study, 167 consecutive patients of both genders from online consultancy were enrolled from 13th June to 12thOctober 2020 conducted in a tertiary level rheumatology consultation center, Modern One Stop Arthritis Care & Research Center®, Dhanmondi, Dhaka. The WHO case definition of COVID-19 and disease severity scoring tool were used for diagnosis and assessment of the patients.Suspected cases were interviewed in detail and investigated with RT-PCR for COVID-19, HRCT of the chest, X-ray chest P/A view, and other necessary tests. The prevalence of COVID-19 infection was expressed in percentage. Results: Out of 167 rheumatic subjects,64 and 103 were men and women respectively, witha mean age of 42.15±13.04 years. The prevalence of COVID-19 infection was 7.78% (13/167). RT-PCR was positive in 9 (69.23%) patients and the remaining weresuspected cases (RT-PCR was negative but positive clinical features and X-ray chest findings.All COVID-19 positive patients presented with fever (100%).Among COVID-19 cases,spondyloarthritis (SpA), osteoarthritis of knee(OA),psoriatic arthrtis (PsA), rheumatoid arthritis (RA) and systemic lupus erythematosus(SLE)were5 (38.46%), 3 (23.08%), 2 (15.38%), 2 (15.38%) and 1 (7.69%) respectively.DMARDs/biologics wereongoingin 3 (tofacitinib), 1 (etanercept), 1 (methotrexate), 1 (sulphasalazine), 1(hydroxychloroquine) and 1 (leflunomide) patients.The use of non-specific drugs for Covid-19 treatment were azithromycin, ivermectin, doxycycline, and hydroxychloroquin. Among these rheumatic patients, the elderly group of patients with the comorbidities like diabetes5 (38.46%), hypertension 5 (38.46%)and bronchial asthma 3 (23.08%)were infected with COVID-19. Conclusion: The prevalence of COVID-19 was 7.78% among the rheumatic patients. Fever was the universal presentation in this study. The commonest rheumatic diseases were SpA . Diabetes and hypertension werethe most common comorbidities in patients with rheumatic diseases with COVID-19 infection. J Bangladesh Coll Phys Surg 2023; 41: 205-211
背景:风湿病患者中COVID-19感染的发生及其评估是全球关注的问题。本研究的目的是确定风湿病患者中COVID-19感染的临床人口学特征。方法:在这项观察性横断面研究中，从2020年6月13日至10月12日在达卡Dhanmondi现代一站式关节炎护理与研究中心(Modern One Stop Arthritis Care & Research center®)三级风湿病咨询中心招募了167名来自在线咨询的男女患者。采用世界卫生组织病例定义和疾病严重程度评分工具对患者进行诊断和评估。对疑似病例进行详细访谈，采用RT-PCR检测、胸部HRCT、胸部x线P/A片等必要检查进行调查。COVID-19感染流行率以百分比表示。结果167例风湿病患者中，男性64例，女性103例，平均年龄42.15±13.04岁。新冠肺炎感染率为7.78%(13/167)。9例(69.23%)患者RT-PCR阳性，其余为疑似病例(RT-PCR阴性，但临床特征和胸部x线表现阳性)。所有COVID-19阳性患者均出现发热(100%)。其中，脊柱炎(SpA) 5例(38.46%)，膝骨关节炎(OA) 3例(23.08%)，银屑病关节炎(PsA) 2例(15.38%)，类风湿性关节炎(RA) 2例(15.38%)，系统性红斑狼疮(SLE) 1例(7.69%)。3例(托法替尼)、1例(依那西普)、1例(甲氨蝶呤)、1例(磺胺嘧啶)、1例(羟氯喹)和1例(来氟米特)患者正在使用DMARDs/生物制剂。治疗Covid-19的非特异性药物有阿奇霉素、伊维菌素、强力霉素和羟氯喹。在这些风湿病患者中，合并糖尿病(38.46%)、高血压(38.46%)、支气管哮喘(23.08%)等合并症的老年组患者感染COVID-19。结论:风湿病患者新冠肺炎患病率为7.78%。发烧是本研究的普遍表现。最常见的风湿病是SpA。糖尿病和高血压是风湿病合并COVID-19感染患者最常见的合并症。[J]孟加拉大学物理外科20123;41: 205 - 211
{"title":"Clinicodemographic Characteristics of COVID-19 Infection Among Patients with Rheumatic Diseases","authors":"N. Ferdous, Md. Nazrul Islam, M. Rahman, Naziya Anjum, A. Zaman, Fahid Bin Nazrul","doi":"10.3329/jbcps.v41i3.66901","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.66901","url":null,"abstract":"Background: The occurrence of COVID-19 infection in rheumatic patients and their evaluation are of global interest. The purpose of this study was to determine the clinicodemographiccharacteristics of COVID-19 infection among rheumatic patients.\u0000Methods: In this observational cross-sectional study, 167 consecutive patients of both genders from online consultancy were enrolled from 13th June to 12thOctober 2020 conducted in a tertiary level rheumatology consultation center, Modern One Stop Arthritis Care & Research Center®, Dhanmondi, Dhaka. The WHO case definition of COVID-19 and disease severity scoring tool were used for diagnosis and assessment of the patients.Suspected cases were interviewed in detail and investigated with RT-PCR for COVID-19, HRCT of the chest, X-ray chest P/A view, and other necessary tests. The prevalence of COVID-19 infection was expressed in percentage.\u0000Results: Out of 167 rheumatic subjects,64 and 103 were men and women respectively, witha mean age of 42.15±13.04 years. The prevalence of COVID-19 infection was 7.78% (13/167). RT-PCR was positive in 9 (69.23%) patients and the remaining weresuspected cases (RT-PCR was negative but positive clinical features and X-ray chest findings.All COVID-19 positive patients presented with fever (100%).Among COVID-19 cases,spondyloarthritis (SpA), osteoarthritis of knee(OA),psoriatic arthrtis (PsA), rheumatoid arthritis (RA) and systemic lupus erythematosus(SLE)were5 (38.46%), 3 (23.08%), 2 (15.38%), 2 (15.38%) and 1 (7.69%) respectively.DMARDs/biologics wereongoingin 3 (tofacitinib), 1 (etanercept), 1 (methotrexate), 1 (sulphasalazine), 1(hydroxychloroquine) and 1 (leflunomide) patients.The use of non-specific drugs for Covid-19 treatment were azithromycin, ivermectin, doxycycline, and hydroxychloroquin. Among these rheumatic patients, the elderly group of patients with the comorbidities like diabetes5 (38.46%), hypertension 5 (38.46%)and bronchial asthma 3 (23.08%)were infected with COVID-19.\u0000Conclusion: The prevalence of COVID-19 was 7.78% among the rheumatic patients. Fever was the universal presentation in this study. The commonest rheumatic diseases were SpA . Diabetes and hypertension werethe most common comorbidities in patients with rheumatic diseases with COVID-19 infection.\u0000J Bangladesh Coll Phys Surg 2023; 41: 205-211","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":"185 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41291908","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.67061
Ju Ahmmad, S. Shams, N. Hassan, Md. Titu Miah, M. A. Islam, Md Sharif Ahmed
Introduction: Assessment of the symptoms of anxiety, depression, stress and feeling of wellbeing among healthcare workers are essential to take necessary steps to treat or prevent any psychiatric morbidity. Objective: The objective of the study was to assess the psychiatric morbidity among the healthcare workers of a tertiary level hospital in Bangladesh. Methods: This was a cross sectional study conducted in Combined Military Hospital, Bogura, Bangladesh from July 2021 to December 2021. For this purpose, 50 health workers fulfilling inclusion and exclusion criteria were taken as sample. They filled up personal & sociodemographic data and the short-form Bangla version of WHO-5, GAD-7, PHQ- 9andPSS-5 scale [1,2,3,4,18]. The results showed that the mean age of the health workers was average 25 years with male predominance (58%). Symptoms of anxiety, depression, stress and wellbeing were found among 20%, 30% ,96% and 96% of health workers respectively. This excess stress and low feeling of wellbeing may be related to extra stressors caused by dread, fear and exceptional longevity of the disease itself and sudden socioeconomic drift down compounded by Covid-19 pandemic effects. Combination of depression, anxiety and stress in different patterns were also higher in them. Conclusions: Incidence of psychiatric illness was high among health care workers during the COVID-19 pandemic. Further larger studies are required to categories these illness and to find out help to overcome. J Bangladesh Coll Phys Surg 2023; 41: 212-218
{"title":"Assessment of Psychiatric Morbidity Among Health Care Workers During COVID-19 Pandemic in A Tertiary Care Hospital in Bangladesh","authors":"Ju Ahmmad, S. Shams, N. Hassan, Md. Titu Miah, M. A. Islam, Md Sharif Ahmed","doi":"10.3329/jbcps.v41i3.67061","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.67061","url":null,"abstract":"Introduction: Assessment of the symptoms of anxiety, depression, stress and feeling of wellbeing among healthcare workers are essential to take necessary steps to treat or prevent any psychiatric morbidity.\u0000Objective: The objective of the study was to assess the psychiatric morbidity among the healthcare workers of a tertiary level hospital in Bangladesh.\u0000Methods: This was a cross sectional study conducted in Combined Military Hospital, Bogura, Bangladesh from July 2021 to December 2021. For this purpose, 50 health workers fulfilling inclusion and exclusion criteria were taken as sample. They filled up personal & sociodemographic data and the short-form Bangla version of WHO-5, GAD-7, PHQ- 9andPSS-5 scale [1,2,3,4,18]. The results showed that the mean age of the health workers was average 25 years with male predominance (58%). Symptoms of anxiety, depression, stress and wellbeing were found among 20%, 30% ,96% and 96% of health workers respectively. This excess stress and low feeling of wellbeing may be related to extra stressors caused by dread, fear and exceptional longevity of the disease itself and sudden socioeconomic drift down compounded by Covid-19 pandemic effects. Combination of depression, anxiety and stress in different patterns were also higher in them.\u0000Conclusions: Incidence of psychiatric illness was high among health care workers during the COVID-19 pandemic. Further larger studies are required to categories these illness and to find out help to overcome.\u0000J Bangladesh Coll Phys Surg 2023; 41: 212-218\u0000","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44511307","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.66896
N. Begum, M. Hasan, T. Ahmed, M. Kalam
Background: Despite improvements in burn management, infection is still the biggest challenge in major burn cases globally. Burn causes extensive tissue destruction, immune dysfunction, increases the risk of infection and septicemia with high morbidity and mortality. The aim of this study was to observe the levels of serum fibrin degradation product (FDP), D-dimer and procalcitonin in patients with burn sepsis treated in intensive care unit (ICU). Materials & Methods: This observational study was carried out in Department of Burn and Plastic Surgery, Dhaka Medical College Hospital, Dhaka from February 2018 to January 2019. Forty (40) patients with major burns, from (15% to 50% total body surface area burn) with burn sepsis, were recruited for the study. In all cases, plasma level of fibrin degradation product (FDP), D-dimer and procalcitonin were measured and recorded. Result: Male predominance (57.5%) was observed in our study. Eighty five percent (85%) patients had total body surface area burn (TBSA) 20% to 50%. Sixteen patients (40%) suffered from flame burn, 13 (32.5%) patients from scalds and 11 (27.5%) patients had high voltage electric burn. The value of FDP was raised in 62.5% patients, D- dimer in 67.5% patients. Serum procalcitonin level was high (> 2ng/ml), indicating burn sepsis in 47.5% cases but it was not significant (2 sample t – test reveals no significant relationship between rise of serum level of procalcitonin and presence of burn sepsis) Conclusion: Fibrin degradation product (FDP) and D- dimer were raised in two-thirds of burn cases while procalcitonin in two-fifths cases. Measurement of serum level of FDP, Ddimer and procalcitonin may give an idea regarding early onset of bacterial infection and burn sepsis and can serve as an indicator for burn sepsis. J Bangladesh Coll Phys Surg 2023; 41: 193-197
{"title":"An Observational Study on Levels of Serum Fibrin Degradation Product (FDP), D-Dimer and Procalcitonin in Burn Sepsis","authors":"N. Begum, M. Hasan, T. Ahmed, M. Kalam","doi":"10.3329/jbcps.v41i3.66896","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.66896","url":null,"abstract":"Background: Despite improvements in burn management, infection is still the biggest challenge in major burn cases globally. Burn causes extensive tissue destruction, immune dysfunction, increases the risk of infection and septicemia with high morbidity and mortality. The aim of this study was to observe the levels of serum fibrin degradation product (FDP), D-dimer and procalcitonin in patients with burn sepsis treated in intensive care unit (ICU).\u0000Materials & Methods: This observational study was carried out in Department of Burn and Plastic Surgery, Dhaka Medical College Hospital, Dhaka from February 2018 to January 2019. Forty (40) patients with major burns, from (15% to 50% total body surface area burn) with burn sepsis, were recruited for the study. In all cases, plasma level of fibrin degradation product (FDP), D-dimer and procalcitonin were measured and recorded.\u0000Result: Male predominance (57.5%) was observed in our study. Eighty five percent (85%) patients had total body surface area burn (TBSA) 20% to 50%. Sixteen patients (40%) suffered from flame burn, 13 (32.5%) patients from scalds and 11 (27.5%) patients had high voltage electric burn. The value of FDP was raised in 62.5% patients, D- dimer in 67.5% patients. Serum procalcitonin level was high (> 2ng/ml), indicating burn sepsis in 47.5% cases but it was not significant (2 sample t – test reveals no significant relationship between rise of serum level of procalcitonin and presence of burn sepsis)\u0000Conclusion: Fibrin degradation product (FDP) and D- dimer were raised in two-thirds of burn cases while procalcitonin in two-fifths cases. Measurement of serum level of FDP, Ddimer and procalcitonin may give an idea regarding early onset of bacterial infection and burn sepsis and can serve as an indicator for burn sepsis.\u0000J Bangladesh Coll Phys Surg 2023; 41: 193-197","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43186397","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: The laparoscopic transabdominal preperitoneal (TAPP) inguinal repair is an evolving technique associated with well-known advantages of a minimally invasive approach. This prospective study was conducted to evaluate the feasibility, safety and effectiveness of laparoscopic TAPP using sutural mesh fixation & peritoneal closure. Intracorporeal sutural technique needs steep learning curve. Methods: Between May 2018 to December 2019, a total of 41 inguinal hernias underwent TAPP repair in 37 adults under general anesthesia. All the patients scheduled for elective inguinal hernia repair were offered the choice of the laparoscopic TAPP repair under general anesthesia. A detailed explanation of the procedure was given to all patients and informed consent was obtained. We used 2/0 vicryl for mesh fixation & peritoneal closure which took only 6.80 US Dollar in comparison to Protack from Covidien which is 167.80 US Dollar. Intraoperative & postoperative variables were recorded in pre structured proforma. Results: The 41 hernia includes 34(82.92%) direct, 07(17.08%) indirect. Unilateral hernia were 33(89.19%), & bilateral were 4(10.81%). Mean operating time for unilateral cases was 122 minutes & for bilateral 210 minutes. Mean operating time in the cases using 3D-4K image system was 70 minutes. Mean duration of hospital stay was 2.9 days. There was no conversion in this study. Postoperative complications included scrotal seroma 2(5.40%), hematoma 1(2.70%), port site infection 2(5.40%) & mesh infection 1(2.70%). Assessment of intensity of postoperative pain was evaluated according to VAS. 05 patients complained of mild pain: pain on the visual analog score (VAS) = 1-3 during one month follow-up. No patient reported with chronic pain & recurrence during the followup period. Conclusion: TAPP inguinal hernia repair with sutural mesh fixation & peritoneal closure is a feasible & safe technique with minimum postoperative morbidity and maximum patient’s satisfaction. J Bangladesh Coll Phys Surg 2023; 41: 187-192
{"title":"Laparoscopic TAPP Inguinal Hernia Repair: Mesh Fixation & Peritoneal Closure by Sutural Technique","authors":"Md Jahangir Hossan Bhuiyan, F. Begum, Md Mazharul Alam, Urmee Parveen","doi":"10.3329/jbcps.v41i3.64500","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.64500","url":null,"abstract":"Background: The laparoscopic transabdominal preperitoneal (TAPP) inguinal repair is an evolving technique associated with well-known advantages of a minimally invasive approach. This prospective study was conducted to evaluate the feasibility, safety and effectiveness of laparoscopic TAPP using sutural mesh fixation & peritoneal closure. Intracorporeal sutural technique needs steep learning curve.\u0000Methods: Between May 2018 to December 2019, a total of 41 inguinal hernias underwent TAPP repair in 37 adults under general anesthesia. All the patients scheduled for elective inguinal hernia repair were offered the choice of the laparoscopic TAPP repair under general anesthesia. A detailed explanation of the procedure was given to all patients and informed consent was obtained. We used 2/0 vicryl for mesh fixation & peritoneal closure which took only 6.80 US Dollar in comparison to Protack from Covidien which is 167.80 US Dollar. Intraoperative & postoperative variables were recorded in pre structured proforma.\u0000Results: The 41 hernia includes 34(82.92%) direct, 07(17.08%) indirect. Unilateral hernia were 33(89.19%), & bilateral were 4(10.81%). Mean operating time for unilateral cases was 122 minutes & for bilateral 210 minutes. Mean operating time in the cases using 3D-4K image system was 70 minutes. Mean duration of hospital stay was 2.9 days. There was no conversion in this study. Postoperative complications included scrotal seroma 2(5.40%), hematoma 1(2.70%), port site infection 2(5.40%) & mesh infection 1(2.70%). Assessment of intensity of postoperative pain was evaluated according to VAS. 05 patients complained of mild pain: pain on the visual analog score (VAS) = 1-3 during one month follow-up. No patient reported with chronic pain & recurrence during the followup period.\u0000Conclusion: TAPP inguinal hernia repair with sutural mesh fixation & peritoneal closure is a feasible & safe technique with minimum postoperative morbidity and maximum patient’s satisfaction.\u0000J Bangladesh Coll Phys Surg 2023; 41: 187-192","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49658002","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}
Pub Date : 2023-07-27DOI: 10.3329/jbcps.v41i3.66913
Homayra Tahseen Hossain, A. Rahman, M. Mazumder, Mahbub Mayukh Rishad, Q. Islam, Mohammad Zahiruddin
Myelofibrosis (MF) is a rare disorder that is classified as one of the myeloproliferative disorders. It is a BCR-ABL1- negative myeloproliferative neoplasm characterized by abnormal proliferation of hemopoietic stem cells within the bone marrow, which leads to overproduction of fibrous tissue. Our patient a young girl of 17 year old presented with lump in left upper abdomen, shortness of breath & generalized swelling. The diagnosis was made based on severe anaemia, pancytopenia in peripheral blood film. Bone marrow trephine biopsy from the tibia revealed myelofibrosis. Splenectomy was done in an attempt to reduce the total volume of malignant cells and improve the features of hypersplenism. Myelofibrosis with hypersplenism in a 17- year- old girl is reported rarely. However, when it does, it usually runs rapid and fatal course. J Bangladesh Coll Phys Surg 2023; 41: 239-243
{"title":"Primary Myelofibrosis in a Young Girl- A Case Report","authors":"Homayra Tahseen Hossain, A. Rahman, M. Mazumder, Mahbub Mayukh Rishad, Q. Islam, Mohammad Zahiruddin","doi":"10.3329/jbcps.v41i3.66913","DOIUrl":"https://doi.org/10.3329/jbcps.v41i3.66913","url":null,"abstract":"Myelofibrosis (MF) is a rare disorder that is classified as one of the myeloproliferative disorders. It is a BCR-ABL1- negative myeloproliferative neoplasm characterized by abnormal proliferation of hemopoietic stem cells within the bone marrow, which leads to overproduction of fibrous tissue. Our patient a young girl of 17 year old presented with lump in left upper abdomen, shortness of breath & generalized swelling. The diagnosis was made based on severe anaemia, pancytopenia in peripheral blood film. Bone marrow trephine biopsy from the tibia revealed myelofibrosis. Splenectomy was done in an attempt to reduce the total volume of malignant cells and improve the features of hypersplenism. Myelofibrosis with hypersplenism in a 17- year- old girl is reported rarely. However, when it does, it usually runs rapid and fatal course.\u0000J Bangladesh Coll Phys Surg 2023; 41: 239-243","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42333233","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}
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