scholarly journals BLOOD TRANSFUSION

2011 ◽  
Vol 18 (02) ◽  
pp. 212-214
Author(s):  
REHMATULLAH SOOMRO ◽  
MUHAMMAD RIZWAN JAVED ◽  
SARA AHMAD ALI
Keyword(s):  
Surgical Procedures ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Elective Surgical Procedures ◽  
Transfusion Ratio ◽  
A Prospective Study ◽  
Surgical Unit ◽  
Cross Matching ◽  
Cross Match

Objective: To evaluate Blood Ordering and Transfusion ratios for elective surgical procedures. Study Design, Setting & Duration: This was a prospective study carried out at Muhammad Medical College Hospital Mirpurkhas from January 2007 to December 2007. Patients & Methods: A total of 1032 patients were included, both male & female. All patients who underwent elective surgical procedures in Surgical Unit, Muhammad Medical College hospital, Mirpurkhas from January 2007 to December 2007 were included in this study. Blood units cross matched and units transfused intra-operatively and post-operatively were recorded apart from patient demography and hepatitis profile. Results: A total of 1032 patients underwent elective surgical procedures during the study period. Total 1500 blood units arranged, among these only 74 units of blood were transfused. This means only 4.9% of blood was utilized while 95.1% of blood was not utilized. Cross-match to transfusion ratio (C/T) = 20.27, Transfusion probability (Tp) = 7.1 and Transfusion index (Ti) = 0.07. Conclusion: For elective surgical procedures, there is no need for routine cross matching of blood. However, one must confirm the availability of blood for Hepatitis B and Hepatitis C reactive patients, and for cases, where the bleeding is inevitable like transvesical / transurethral removal of prostate. 

scholarly journals Pediatric Laparoscopic Surgery: Four Years Experience in Dhaka Medical College Hospital

2015 ◽  
Vol 4 (1) ◽  
pp. 11-18
Author(s):  
Tahmina Hossain ◽  
Md Ashraf Ul Huq
Keyword(s):  
Inguinal Hernia ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Oral Feeding ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Laparoscopic Procedures ◽  
Surgical Conditions ◽  
Care Surgery

Purpose: Laparoscopy is gaining popularity over laparotomy in various surgical conditions. Now a day, an increasing number of diagnostic and therapeutic surgical procedures are being done laparoscopically. The aim of this study was to assess the safety and feasibility of laparoscopy in children.Materials and Methods: This retrospective study was carried out in the Department of Pediatric Surgery of Dhaka Medical College Hospital over a period of 52 (Fifty two) months from June 2009 to August 2013. A total of 123 patients were operated laparoscopically up to 12 years of age for different surgical conditions. Data was collected from the hospital records and analyzed retrospectively.Results: Out of these 123 laparoscopically performed cases, Appendectomy was performed in 39 cases, closure of internal inguinal ring for Inguinal Hernia was done in 36 patients, 20 patients underwent Cholecystctomy, 16 patients had laparoscopic procedures for impalpable Undescended Testis (UDT), 5 patients were operated for Adnexal Mass of which one case was converted into open procedure due to technical difficulties and 1 for Pancreatic Pseudo cyst. Diagnostic Laparoscopy was performed for 2 patients with Biliary Atresia and 4 patients for Ambiguous Genitalia. Median age of the patients was 6.08 years (ranging from 2 months to 12 years of age). The length of post operative hospital stay was 2-3 days. All the laparoscopic procedures for Inguinal Hernia and impalpable UDT were performed as day care surgery. Operative and post operative complications were minimal. Other advantages of the laparoscopic procedures were smaller incisions, incidental diagnosis of other associated pathology, lesser post operative pain, earlier oral feeding, quicker mobilization and a better cosmetic result.Conclusion: With the recent development of laparoscopic surgical techniques and equipments, laparoscopic surgical procedures are becoming popular day by day and can be performed safely for both diagnostic and therapeutic purposes in pediatric surgical patients.J. Paediatr. Surg. Bangladesh 4(1): 11-18, 2013 (January)

scholarly journals Prescribing Trends of Analgesics Used in Postoperative Patients in a Surgical Unit of Enam Medical College Hospital

1970 ◽  
pp. 23-25
Author(s):  
Mohammad Abdullah Masud ◽  
Zaida Rahman ◽  
Mahmuda Begum ◽  
Syed Ashrafuzzaman
Keyword(s):  
Medical College Hospital ◽  
Hospital Treatment ◽  
College Hospital ◽  
Medical College ◽  
Pain Medications ◽  
Prescribing Trends ◽  
Surgical Unit

The present study was conducted to evaluate the prescribing trends of analgesics used in the postoperative patients in a surgical unit of Enam Medical College Hospital. Treatment records of 180 patients, who underwent surgery in Enam Medical College Hospital, were randomly selected. Data pertaining to pain medications prescribed from the day of operation to sixth postoperative day were recorded. 180 prescriptions containing analgesics were collected randomly from the period of July 2007 to June 2008. In the operation day 65.6% patients received Nalbuphine and 33.3% patients received Pethidine. Along with Nalbuphine and Pethidine 86.7% patients received Tramadol and 13.3% patients received Ketorolac. 0.6% patients did not receive any analgesic in the day of operation. In 1st postoperative day, 84.4% patients received Ketorolac and 15.6% patients received Tramadol. In 2nd, 3rd, 4th and 5th postoperative day patients received Ketorolac 86.1%, 85.6%, 83.9% and 62.2% respectively. In 6th postoperative day, 92.8% patients did not receive any analgesics.DOI: 10.3329/bjpp.v25i1.5742Bangladesh J Physiol Pharmacol 2009; 25(1&2) : 23-25

scholarly journals Study of bacteriological profile and sensitivity to various drugs in a case of wound dehiscence in tertiary care centre

2019 ◽  
Vol 6 (3) ◽  
pp. 724
Author(s):  
Shashank Shekhar Tripathi ◽  
Ankur Tripathi ◽  
Rahul Singh ◽  
Himansha Pandey
Keyword(s):  
Surgical Procedures ◽  
Surgical Complication ◽  
Tertiary Care ◽  
Wound Dehiscence ◽  
Tertiary Care Centre ◽  
Medical College ◽  
Elective Surgical Procedures ◽  
One Year ◽  
A Prospective Study ◽  
Prolonged Hospital

Background: Surgical wound infection is a common post-operative complication causing significant post-operative morbidity and mortality, prolonged hospital stays and adds between 10-20% to hospital cost.Methods: This is a prospective study conducted in Department of General Surgery and Department of Microbiology, M.L.N. Medical College and Swaroop Rani Nehru Hospital, Allahabad. The study group comprised of all patients who underwent surgery during the period from October 2017 to September 2018 and were diagnosed with postoperative surgical site infection and wound dehiscence.Results: A total of 1640 patients were followed during one year of study. 540 (32.92%) patients were operated as emergency cases while 1100 (67.08%) were operated as elective cases.Conclusions: Wound dehiscence is a common surgical complication occurring in about 6.5% of surgical procedures. Emergency operative procedures are associated with higher incidence (16.67%) of wound dehiscence as compared to elective surgical procedures (1.67%). Male gender is more commonly associated with wound dehiscence especially in case of emergency surgical procedures with male to female ration of 1.67:1.Incidence of wound dehiscence increases with increasing age being maximum in older age group. Malnutrition is the most common risk factor present in surgical patients predisposing to wound dehiscence.

scholarly journals Endoscopic sinus surgery: experience of 60 cases

1970 ◽  
Vol 17 (2) ◽  
pp. 104-109
Author(s):  
Md Golam Mustafa ◽  
Khabiruddin Ahmed ◽  
Mahmudal Hasan
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Neck Surgery ◽  
Medical College Hospital ◽  
Sinus Surgery ◽  
College Hospital ◽  
Medical College ◽  
Post Operative Period ◽  
A Prospective Study ◽  
Surgery Department

Objective: To study the quality of life in patient who underwent ESS operation. Design and setting: A prospective study conducted over a period of one(01) year; from July 2004 to June 2005 in Otolaryngology – Head & Neck Surgery Department of Shaheed Suhrawardy Medical College Hospital and Dhaka Medical College Hospital, Dhaka, Bangladesh. Results: Hospital admitted 60(Sixty) cases of ESS patients were included and analyzed. 42 cases were male; whereas 18 cases were female in this study. 21-40 years (44 cases) were the commonest age group of study people. No significant/ alarming complications were recorded during post operative period. Conclusion: Instead of all limitations, outcome of ESS is more acceptable in comparison with conventional sinus surgery. The main symptoms, like nasal obstruction, discharge, headache and facial pain get relieved off dramatically which is compatible with other recognized study. Key words: Endoscopic sinus surgery; open the sinuses; restore normal air flow. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8849 BJO 2011; 17(2): 104-109

scholarly journals Topical Corticosteroid Abuse on the Face: A Prospective Study of Garments Workers Appearing at Dermatology Outpatients in a Private Medical College Hospital

2015 ◽  
Vol 27 (1) ◽  
pp. 23-26
Author(s):  
Gazi Asma Sultana ◽  
Md Ziaur Rahaman Bhuiyan
Keyword(s):  
Rural Areas ◽  
Common Adverse Effect ◽  
Medical College Hospital ◽  
College Hospital ◽  
Over The Counter ◽  
Medical College ◽  
Suburban Areas ◽  
The Face ◽  
A Prospective Study ◽  
Structured Questionnaire

Abuse of topical corticosteroids (TC), especially over the face, is common not only in Bangladesh but also prevalent worldwide. Data about the magnitude of this problem in our country is lacking. The aims of this study were to find out the demographics, magnitude and clinical features of TC misuse on the face in the dermatology outpatient department (OPD) as well as to raise awareness about this problem and to analyze its causes. This was a prospective questionnaire-based clinical study conducted among the garment’s workers who visited the out patient department of a non government medical college hospital. Garments workers with relevant facial dermatoses reporting to the investigator were asked about their current use of over-the-counter topical formulations and a structured questionnaire applied in case the same was confirmed to be TC. A total of 895 garment’s workers with facial dermatoses were screened, of which 129 (14.41%) were using TC. TCs were used for treating acne in 53 (41.0%), as a lightening agent in melasma in 34 (26.4%), general face cream/fairness cream/after shave cream in 21 (16.3%). Steroid combinations were used by 84 (65.12%). Most of the patients (n =90; 70%) belonged to rural areas, followed by those hailing from suburban areas (n = 31; 24%).15 out of 22 (68%) prescriptions by doctors were for products in the milder steroid group, whereas 98 of 107 (91.6%) recommendations by non-physicians were for potent steroids (P< 0.001). 118 of the 129 patients (91.5%) have shown adverse effects. Acne/exacerbation of acne was the most common adverse effect. TC misuse in garment’s workers with facial dermatoses is quite common, and most of this use is unwarranted. Use as a treatment for acne is the most common indication in this cohort.Medicine Today 2015 Vol.27(1): 23-26

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