scholarly journals Myiasis as a Rare Complication of Male Circumcision: A Case Report and Review of Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Muhammad Rajib Hossain ◽  
Kazi Mazharul Islam ◽  
Junaid Nabi
Keyword(s):  
Male Circumcision ◽  
Coming Out ◽  
Rare Complication ◽  
Emergency Operation ◽  
College Hospital ◽  
Common Procedure ◽  
Excessive Bleeding ◽  
Medical College ◽  
Surgery Department ◽  
Religious Reasons

Introduction. Circumcision is a common procedure carried out around the world. Due to religious reasons, it is routinely done in Bangladesh, by both traditional as well as medically trained circumcisers. Complications include excessive bleeding, loss of foreskin, infection, and injury to the glans penis. Myiasis complicating male circumcision appears to be very rare.Case Presentation. In 2010, a 10-year-old boy presented to the OPD of Dhaka Medical College Hospital with severe pain in his penile region following circumcision 7-days after. The procedure was carried out by a traditional circumciser using unsterilized instruments and dressing material. After examination, unhealthy granulation tissue was seen and maggots started coming out from the site of infestation, indicating presence of more maggots underneath the skin. An emergency operation was carried out to remove the maggots and reconstruction was carried out at the plastic surgery department.Conclusion. There is scarcity of literature regarding complications following circumcision in developing countries. Most dangerous complications are a result of procedure carried out by traditional circumcisers who are inadequately trained. Incidence of such complications can be prevented by establishing a link between the formal and informal sections of healthcare to improve the safety of the procedure.

scholarly journals Malignant Melanoma in Anal Canal : A Case Report

1970 ◽  
Vol 21 (2) ◽  
pp. 180-181
Author(s):  
M Hasan ◽  
ANMM Haque ◽  
MR Haque
Keyword(s):  
Malignant Melanoma ◽  
Anal Canal ◽  
Coming Out ◽  
Anal Verge ◽  
College Hospital ◽  
Lower Rectum ◽  
Medical College ◽  
Internal Part ◽  
History Of ◽  
Surgery Department

A 60 years old postmenopausal lady was admitted in the surgery department of Islami Bank Medical College Hospital with complaints of a lump in anal region and occasional per rectal bleeding for six months. Examination revealed a small well defined globular mass in anal canal which extended from the anal verge up to lower rectum internally. Internal part was ulcerated from where foul smelling discharge was coming out. She had no history of exposure to any radiation or any surgery over the anal canal. On radiogram of the chest a cannon ball shadow was found. Incisional biopsy of the lesion revealed malignant melanoma. Abdomino-perineal resection of rectum and anal canal was done for the lesion with an uneventful postoperative period. Adjuvant therapy could not be instituted because the patient could not afford it. The patient carried herself well until she died at the ninth month postoperatively. doi: 10.3329/taj.v21i2.3803 TAJ 2008; 21(2): 180-181

scholarly journals Rectal Foreign Body in a 30 Year Old Male- A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 35-37
Author(s):  
Md Monoarul Islam Talukdar ◽  
Quamrul Akter ◽  
Md Abdullah Al Mamun ◽  
Abdullah Md Abu Ayub Ansary
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Young Male ◽  
College Hospital ◽  
Rectal Pain ◽  
Medical College ◽  
Post Operative Period ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Surgery Department

Though anorectal foreign body cases are rare, they have become increasingly frequent in recent years. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault. The diagnosis may be made by rectal examination and metallic objects can be confirmed by plain abdominal radiographs. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodies usually require an operative intervention. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exact location of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. . We report the case of a young male who presented at surgery department of Shaheed Suhrawardy medical college hospital with severe rectal pain due to insertion of an apple into rectum by some eunuchs. It was successfully removed transanally under spinal anesthesia. Post operative period was uneventful and referred for psychiatric consultation.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 35-37

scholarly journals Spontaneous Transmural Migration of a Retained Surgical Mop into the Small Intestinal Lumen Causing Sub-Acute Intestinal Obstruction: A Case Report

2011 ◽  
Vol 19 (1) ◽  
pp. 34-37
Author(s):  
Md Moniruzzaman Sarker ◽  
AKM Golam Kibria ◽  
Md Manzurul Haque ◽  
Kali Prosad Sarker ◽  
Md Khalilur Rahman
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Intestinal Lumen ◽  
College Hospital ◽  
Medical College ◽  
Transmural Migration ◽  
History Of ◽  
Small Intestinal ◽  
The Right ◽  
Surgery Department

A case of sub-acute intestinal obstruction due to spontaneous complete transmural migration of a retained surgical mop into the small intestinal lumen has been treated surgically in surgery department of Rajshahi Medical College Hospital. The patient presented with colicky abdominal pain, nausea, occasional abdominal distention and vomiting. She had history of abdominal operation twice previously. Abdominal examination revealed a mobile lump in the right side of abdomen. Diagnosis could be made only at laparotomy.   doi: 10.3329/taj.v19i1.3167 TAJ 2006; 19(1): 34-37

scholarly journals Gastric GIST: A Rare Cause of Upper GI Bleeding

2022 ◽  
Vol 12 (2) ◽  
pp. 119-122
Author(s):  
Md Mustafizur Rahman ◽  
Tanvir Ahmed ◽  
Mohammad Rashedul Hassan ◽  
Mansurul Islam
Keyword(s):  
Partial Gastrectomy ◽  
Gastric Gist ◽  
College Hospital ◽  
Medical College ◽  
Upper Gi ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gi Endoscopy ◽  
Lesser Curvature ◽  
Surgery Department ◽  
Mesenchymal Tumours

Gastrointestinal stromal tumours are the most common mesenchymal tumours of the gastrointestinal tract. This case report highlights the necessity of early surgical intervention in such cases to avoid mortality due to bleeding and to raise the awareness of rare causes of upper gastrointestinal bleed and their management. A 19 year old male presented in the surgery department of Shaheed Suhrawardy medical College Hospital with complaints of recurrent episodes of melena with anorexia and weight loss for 6 months. Apart from anaemia no significant findings were noted on physical examination. Investigations including upper GI endoscopy was not conclusive. So he underwent laparotomy which revealed an exophytic growth along the lesser curvature. Lower partial gastrectomy was done and histopathological and immunohistochemistry report showed evidence of benign low risk GIST. As the tumor was benign with no malignant potential imatinib therapy was not advocated. J Shaheed Suhrawardy Med Coll 2020; 12(2): 119-122

scholarly journals A COMPARATIVE STUDY TO ASSESS THE EFFICACY OF HYDROXYPROPYLMETHYLCELLULOSE POWDER OVER STEROID SPRAY IN TREATMENT OF ALLERGIC RHINITIS IN THE DEPTT. OF ENT AND HEAD & NECK SURGERY, SILCHAR MEDICAL COLLEGE & HOSPITAL

2021 ◽  
pp. 79-81
Author(s):  
Tinku Moni Borah ◽  
Smrity Rupa Borah Dutta
Keyword(s):  
Allergic Rhinitis ◽  
Nasal Spray ◽  
Neck Surgery ◽  
Complete Relief ◽  
College Hospital ◽  
Medical College ◽  
Group A ◽  
Group B ◽  
A Prospective Study ◽  
Surgery Department

Objective: To assess the efficacy of Hydroxypropylmethylcellulose powder over steroid nasal spray in treatment of allergic rhinitis. Methods: A prospective study of 60 patients suffering from allergic rhinitis was conducted in the ENT and Head & Neck surgery Department, Silchar medical College and Hospital from April 2018 to August 2018.The study subjects were divided into two groups A and B. Group A was treated with oral antihistaminic and steroid nasal spray, while group B was treated with oral antihistaminics and HYDROXYPROPYLMETHYLCELLULOSE powder nasal spray for 4 weeks. The treatment outcomes were evaluated after 14 days and 28 days from the beginning of treatment, by assessing relief of symptom on a five point scale. Results: There was almost similar score in both the groups ranging between score 3 and 4(i.e., relief of nasal obstruction and sneezing) after 14 days of treatment (62% vs 64%). But after 28 days there was significantly better improvement score of group B study subjects over group A in score 5 (i.e., complete relief from symptoms (83.3% vs. 66.6% ).In both the groups, mild sedation at the beginning of the treatment was reported in some patients, which is a well known side effect of antihistaminics. Conclusion: The result obtained comparing both the groups indicated high efficacy of hydroxypropylmethylcellulose powder over steroid nasal spray in the treatment of allergic rhinitis.

scholarly journals HYSTERECTOMIES

2011 ◽  
Vol 18 (01) ◽  
pp. 46-50
Author(s):  
QAMAR-UR- NISA ◽  
HABIB ULLAH ◽  
TANWEER AHMED SHAIKH ◽  
Miss Hemlata ◽  
Fatima Memon ◽  
...  
Keyword(s):  
Coming Out ◽  
Histopathological Examination ◽  
Medical College Hospital ◽  
Uterovaginal Prolapse ◽  
Histopathological Diagnosis ◽  
College Hospital ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Chronic Cervicitis ◽  
Made In

Objective: To audit indications and histopathological diagnosis of hysterectomies performed at Muhammad Medical College hospital, Mirpurkhas. Study Design: Retrospective study. Place and Duration of Study: Department of Obstetrics and Gynaecology and Department of Pathology, Muhammad Medical College Hospital, Mirpurkhas Sindh from January to December 2008. Methodology: Data regarding symptoms and indications of hysterectomies performed during this year were collected from files and patient records. Histopathological reports of those patients were collected from department of pathology. The results were analyzed by percentages. Results: A total of 145 hysterectomies were performed in 2008. Mean age of patients was 45years ranging from 35-60 years and parity ranges from 4 – 10. Most common presenting complaints were excessive menstrual blood loss in 97(67%) patients, followed by some thing coming out of vagina 28(19%). Most common pre-operative diagnosis of fibroid was made in 44 (33%) followed by uterovaginal prolapse in 28(19%) and dysfunctional uterine bleeding (DUB) in 18(12%) of patients. Regarding histopathological diagnosis chronic cervicitis was the most commonly diagnosed pathology in 45 (31%) followed by fibroid in 25(17%) cases. Conclusions: A yearly audit should be conducted in every institute to collect data and to analyze the pattern of indication and lesions found on histopathological examination. 

scholarly journals DEEP SURGICAL SITE INFECTIONS (DSSIS);

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Shahid Hussain Mirani ◽  
Abdul Waheed Khan ◽  
Ahmad Raza Nsar
Keyword(s):  
Abdominal Cavity ◽  
Surgical Site Infections ◽  
Wound Irrigation ◽  
College Hospital ◽  
Common Procedure ◽  
Surgical Incision ◽  
Medical College ◽  
Surgical Infections ◽  
Perforated Appendix ◽  
Operative Wound

Background: A surgical incision in the abdominal cavity (laparotomy surgery) is the most common procedure in surgical departments. Post-operative wound irrigation is very helpful method for surgeons to diagnose the surgical infections and to decrease the length of stay at hospital. Objectives: To determine the prevalence of deep surgical site infections in patients treated laparotomy procedure with or without post-operative wound irrigation. Study Design: Comparative control trial, observational study. Setting: Ghulam Muhammad Mahar Medical College Hospital, Sukkur. Period: 1st January 2016 to 31st December 2017. Material and Methods: Three hundred and thirty patients of both genders who had treated laparotomy because of intra-abdominal cavity and due to perforated appendix, examined TB, typhoid history, clinical treatments were included. All patients were divided into two groups with or without post-operative wound irrigation to examine the frequency of DSSIs in patients at third and seventh day of laprotomy treatment. Results: There were 180 (54.55%) were men and 150 (45.45%) patients were women. 50 (15.15%) patients having ages of <20 years, 110 (33.33%) patients were aged between 20 to 29 years, 130 (39.39%) patients were aged between 30 to 39 years, 25 (7.58%) patients having ages of 40 to 49 years and 15 (4.54%) patients were ages >49 years. Hospital stay of patients was recorded from 2 to 10 days, 237 (71.82%) patients having stay at hospital were 2 to 4 days, 63 (19.09%) patients stay were 5 to 7 days while 30 (9.10%) patients stay were >7 days. Out of all the 330 patients, 47 (14.24%) patients found surgical site infections on 3rd days, 43 (13.03%) found DSSIs on 5th day and 45 (13.64%) patients had deep surgical site infections on 7th day after laparotomy treatment. DSSIs on 3rd days was noted in 23 (6.97%) patients with Postoperative wound irrigation and 24 (7.24%) without PO wound irrigations, 22 (6.67%) found DSSIs with wound irrigations and 21 (6.37%) without wound irrigations, while on 7th day 21 and 24 patients had observed deep surgical site infections after operation. Conclusion: There is no major difference observed in prevalence of DSSIs whether performing post operative wound irrigation or do not performing PO wound irrigations after laparotomy procedure. Thus we concluded that the PO wound irrigations is not useful method to decrease the rate of DSSIs on 3rd, 5th and seventh day of after operation.

scholarly journals Modified Volar Oblique Triangular Flap for Coverage of Fingertip Defects

2021 ◽  
Vol 34 (1) ◽  
pp. 63-69
Author(s):  
Md Salek Bin Islam ◽  
Afroza Nazneen ◽  
Ahmed Asif Iqbal ◽  
Md Noazesh Khan ◽  
Asim Sarkar ◽  
...  
Keyword(s):  
Extensor Tendon ◽  
Flexor Digitorum Profundus ◽  
Range Of Movement ◽  
College Hospital ◽  
Medical College ◽  
Triangular Flap ◽  
And Function ◽  
Surgery Department ◽  
Flexor Digitorum ◽  
Age Range

Fingertip includes the portion of the digit which is distal to the insertion of flexor digitorum profundus (FDP) tendon and the extensor tendon. It is the most vulnerable part of the hand to be injured. So, reconstruction of this part requires a good outcome in sensation and function. To meet the goal of the reconstruction principle, "Like with Like" local flap is the most preferable. Such type of flap is a Volar oblique triangular flap based on volar perforator vessels from the Digital artery proper. The aim of the study is to identify its reconstruction outcome in viability, sensation, range of movement of DIPJ, and patients' satisfaction regarding contour.  This was a prospective observational study; ten patients were included who were admitted in the Burn and Plastic surgery Department of Rajshahi Medical College Hospital, Rajshahi, from September 2019 to December 2020.  Thirteen flaps were harvested to cover for the fingertip defect of ten patients; among them, three were female. The age range of our operated patient was 2- 38 years. None of the flaps was lost except marginal necrosis or epidermal loss. The range of movement of DIPJ and 2SPD were within the normal limit. Patients were satisfied with their contour.  So, the modified volar oblique, triangular flap is one of the good options for fingertip defects. TAJ 2021; 34: No-1: 63-69

scholarly journals Measurement of Postoperative Pain in Children by Visual Analogue Scale

2009 ◽  
Vol 12 (Number 1) ◽  
pp. 19-22
Author(s):  
S Alam ◽  
A K M Shamsuddin ◽  
Md. W Abusaleh ◽  
A H Khan
Keyword(s):  
Postoperative Pain ◽  
Visual Analogue Scale ◽  
Pain Control ◽  
Analogue Scale ◽  
Paediatric Surgery ◽  
Postoperative Pain Control ◽  
College Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Surgery Department

Inadequate postoperative pain control causes significant morbidity and mortality. ht the presets mum in the paediatric surgery department the effective pain control is am mandardkert For this reason this study was undertaken to find out the degree of effective postoperative pain control in children by using Visual Analogue Scale iVA.St It was a crospsemional study for two years. Sample sine was 90 with a mean age of 8.7 years. Patients were selected from the Department of Paediatric Surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU). Dhaka; Bangladesh Institute of Child Health & Dhaka Shishu Hospital HliCH &DSH). Dhaka; and Dhaka Medical College hospital (DMC111. Dhaka. Children aged five to 12 years receiving postoperative analgesics were included in this study. All of them were mentally healthy. well responsive and cmoperative. Patients were selected in such a way that neither thee hod any malignant disease nor were they stoffernsg front any chronic pain or postoperative pain due to magical wound sepsis. Postoperative pain was measured by VAS from the first postoperative day to the seventh postoperative day and was graded by she Sriwatanakars method. It vans Plod that difference in pain scams were statistically nowsigo0ficant among the three institutes front the first postoperative day to the seventh postoperative day. Patients experienced moderate pain up to the third postoperative day, mild pain up to the fifth postoperative day and. ome pain up to the sowsh postoperative day. Postoperative pain was mu effectively controlled by currently used analgesics in paediatric surgery departments in these hospitals. So so find at the degree of effrctice postoperative pain control in children fierther study should be carried 0111 with large number of patients in different mares of Bangladesh.

scholarly journals Evaluation of scrotal reconstruction with thigh flap

2018 ◽  
Vol 50 (1-2) ◽  
pp. 13-17
Author(s):  
Md Tarikul Islam ◽  
Palash Kumar Dey ◽  
Abu Hena Mustafa Kamal ◽  
Md Farid Uddin
Keyword(s):  
Prospective Study ◽  
Donor Site ◽  
Scrotal Skin ◽  
College Hospital ◽  
Medical College ◽  
Advantages And Disadvantages ◽  
Aesthetic Appearance ◽  
Skin Loss ◽  
Cutaneous Flap ◽  
Surgery Department

Background: Scrotal skin can be lost in many ways. Partial loss of scrotum is easy to manage but major scrotal skin loss represents a significant challenge to the reconstructive surgeon. Although many techniques have been established for the treatment of major scrotal defects, each technique has its own advantages and disadvantages in specific situations.Objective: The aim of this prospective study was to evaluate the outcome of thigh fascio-cutaneous flap for reconstruction of major scrotal loss with exposed testis.Methods: This prospective study was done for 5 years extending from January 2012 to December 2016. In this period we reconstructed major scrotal defects of eight patients with antero medial and pudendal thigh fascio-cutaneous flap in Burn and Plastic Surgery department, Khulna Medical College Hospital. Total eleven thigh fascio-cutaneous flaps were used for reconstruction of major scrotal defects.Results: The mean patient age was 41 years (range 24 to 62 years). The aetiology of scrotal loss was Fournier's gangrene in 4 cases and trauma in 4 cases. Three cases had bilateral and five cases had unilateral flap reconstruction. The flaps allowed sensate coverage and took well. Primary donor site closure obviated the need for skin grafts in most of the cases, Complications were flap tip necrosis (12.50%) and minor wound infection (12.50%) which were treated conservatively. Donor site scar was limited and acceptable. The flap had good aesthetic appearance except in one fatty patient where the flaps were bulky.Conclusion: The study concluded that thigh fascio-cutaneous flap is very reliable for coverage of major scrotal defects.Bang Med J (Khulna) 2017; 50 : 13-17

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