scholarly journals Microvascular Free Tissue Transfer at Chittagong Medical College Hospital - A Milestone

1970 ◽  
Vol 1 (1) ◽  
pp. 3-8 ◽  
Author(s):  
MA Ali ◽  
MAR Siddiqui ◽  
MS Khaled ◽  
M Islam ◽  
S Parvin
Keyword(s):  
Plastic Surgery ◽  
Free Tissue Transfer ◽  
The Body ◽  
Medical College Hospital ◽  
Tissue Loss ◽  
College Hospital ◽  
Medical College ◽  
Tissue Transfer ◽  
Soft Tissue Loss

Introduction: A defect in any part of the body involving extensive soft tissue loss adversely affects the functional ability. With the advent of microvascular free tissue transfer in the reconstruction of large defects, the problem is going to be solved. However, studies are still going on about the different aspects of its success and failure. The present study is one such step to share our early experience.Methods: The study was carried out in the Department of Plastic Surgery, Chittagong Medical College Hospital from August 2009 to April 2010. We reviewed the operative experiences of free tissue transfer on 5 cases. Standard microvascular anastomotic techniques as well as peroperative & postoperative heparinization were maintained in all the cases. Follow up results were evaluated at varying periods following standard protocol.Results: Of the 5 cases reconstructed, 4(80%) had lesions in the maxillofacial region and 1(20%) in the ankle region. In terms of diseases they suffered, 3(60%) had squamous cell carcinoma and 2(40%) sustained mechanical injury. The outcome of treatment demonstrates that 3(60%) cases recovered uneventfully, one developed slight loss of sensation on the left thumb (20%) and another one failed to recover (20%).Conclusion: In this study successful microvascular free tissue transfer was possible in 80% cases. With the increase in experience we can expect increased success rate as well.DOI: http://dx.doi.org/10.3329/bdjps.v1i1.6485Bangladesh Journal of Plastic Surgery (2010) Vol. 1 (1) pp.3-8

Cross-Leg Flaps for Lower Extremity Salvage: A Scoping Review

2019 ◽  
Vol 35 (07) ◽  
pp. 505-515
Author(s):  
Melody Scheefer Van Boerum ◽  
Thomas Wright ◽  
Mary McFarland ◽  
Michelle Fiander ◽  
Christopher J. Pannucci
Keyword(s):  
Lower Extremity ◽  
Scoping Review ◽  
Free Tissue Transfer ◽  
The United States ◽  
Posterior Tibial Artery ◽  
Tissue Loss ◽  
Peroneal Artery ◽  
Tissue Transfer ◽  
Reconstructive Option ◽  
Soft Tissue Loss

Abstract Background Lower extremity trauma with soft tissue loss presents a challenge to the reconstructive surgeon. Cross-leg flaps, first described by Hamilton in 1854, are still used to salvage traumatized lower extremities in patients not suitable for free tissue transfer, or those who are receiving care in locations with limited resources. Methods A scoping review methodology was used to examine the evidence supporting the use of cross-leg flaps in modern healthcare. Results There have been 409 cases of cross-leg flaps reported in the modern literature, with the majority of flap cases occurring outside the United States in Turkey, India, and Japan. The most common indication was trauma, mentioned in 93.2% of patients (n = 353 of 379), and anatomic limitation, including inadequate vasculature, was the main reason for not performing free tissue transfer (52.8% of patients; n = 170 of 322). The majority are cross-leg fasciocutaneous flaps (85.8%, n = 273 of 318), based off the posterior tibial artery (27.5%, n = 50 of 182) and peroneal artery (26.9%, n =  49 of 182) and, covering defects of the distal third of the leg (55.5%, n = 151 of 272), or the foot (27.9%, n = 76 of 272). The pedicles are typically divided at 3 weeks (mean 20.9 days) after external fixation is used as the immobilization method (57.7%, n = 184 of 319). Flap survival was 100% across all publications except one (n = 349 of 350 patients), making cross-leg flaps a robust and reliable reconstructive option. Conclusion In resource-limited environments or in patients who are unsuitable for microvascular free tissue transfer, the cross-leg flap remains an impactful and reliable option for limb salvage.

scholarly journals Dermatological manifestations in PLHIV visiting link ART centre at rural medical college hospital in Western Tamilnadu, India

2017 ◽  
Vol 5 (3) ◽  
pp. 901
Author(s):  
Mohankumar Vedhanayagam ◽  
Rajesh Rajagopalan ◽  
Srinivasahan Karatupalyam Govindan ◽  
Balamurgan Bhavani Rajendran
Keyword(s):  
Side Effects ◽  
Highly Active Antiretroviral Therapy ◽  
Skin Diseases ◽  
Medical College Hospital ◽  
People Living With Hiv ◽  
College Hospital ◽  
Early Management ◽  
Medical College ◽  
Wide Range

Background: Ever since the early reports of human immuno deficiency infection, it presented as wide range of infectious and non-infectious dermatoses which correlate with the degree of immunodeficiency. Skin assessment remains a vital tool in the diagnosis and management of HIV infection due to relative easiness of examination. Most of skin diseases are amenable to diagnosis by inspection and biopsy. In this descriptive study, we have enumerated in detail the dermatological manifestations of Link ART centre clients.Methods: To analyze the dermatological manifestations in people living with HIV, we undertook a prospective observational study of all PLHIV on ART visiting IRT Perundurai Medical College Hospital link anti- retroviral therapy centre (LAC) during July 2015 to August 2016 with focus to skin manifestations.Results: Among the 140 clients, 22 in 2010, 12 in 2011, 6 in 2012, 51 in 2013, 36 in 2014, and 9 in 2015, 3 up to June 2016 enrolled for follow up. 31 were transferred to nearby ART, Link ART centres during this period as per their request, 4 lost for follow up and 6 deceased after enrolment, finally ninety-nine (39 male; 60 female) were utilizing our centre during the study period. Majority of participants were on ZLN (zidovudine, lamivudine, and nevirapine) regimen, hailing from rural zones, belonged to low or low middle income group, were undertaking farming, cattle rearing. CD4 counts of the asymptomatic clients in the ZLN group noted increase and decrease in the ZLE (zidovudine, lamivudine, and efavirenz), TLN (tenofovir, lamivudine, and nevirapine) group.  In the symptomatic clients, decline in the individual and the mean counts except in female ZLN subset. 70% were clinically asymptomatic and 30 % were having some dermatological manifestations. Multiple manifestations were seen in 5 clients during the study period. Dermatological manifestations observed commonly were fungal and viral infections, xerosis/ichthyoses, adverse drug reactions like lipodystrophy, and discoloration of nails.Conclusions: Skin manifestations observed in this study were due to aging and long term cosmetic side effects of highly active antiretroviral therapy  (HAART). Lipodystrophy posed significant aesthetic distress in HAART clients. Hence, early management would decrease the most offending cosmetolgical side effects of the disease and drugs. Therapy yields the declining trend in the inflammatory, infectious dermatoses.

scholarly journals TO DETERMINE THE RECURRENCE RATE OF STRICTURE URETHRA FOLLOWING OPTICAL URETHROTOMY IN DEPARTMENT OF UROLOGY AT PEOPLE’S MEDICAL COLLEGE HOSPITAL NAWABSHAH, A 2 YEARS’ EXPERIENCE.

2019 ◽  
Vol 26 (07) ◽  
pp. 1101-1107
Author(s):  
Salman Manzoor Qureshi ◽  
Muhammad Ali Sohail ◽  
Aijaz Hussain Memon ◽  
Mujeeb ur Rehman Sahito ◽  
Muhammad Shahid Bhatti ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Medical College Hospital ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
Multiple Factors ◽  
Stricture Urethra ◽  
Retrograde Urethrogram ◽  
Open Surgical Procedure

Objectives: To determine the recurrence rate of Stricture Urethra following Optical Urethrotomy in department of Urology at people’s medical college hospital Nawabshah, a 2 years’ experience. Study Design: Prospective observational. Setting: Department of Urology at People’s Medical College Hospital Nawabshah. Period: January 2016 to January 2018. Methodology: Patients who fulfill inclusion criteria were admitted through Urology OPD. An informed consent was taken. All baseline investigations / Antegrade and Retrograde Urethrogram, Qmax in uroflowmetery, post void residual ultrasound scan were performed in all cases. The patients were asked to attend the OT after anesthetic assessment, under spinal anesthesia. They were advised to have follow-up visits with uroflowmetery and PVR. All the collected data was filled on Performa. Data was analyzed through SPSS Version 20.0. Results: A total of 95 patients (100 %) underwent first session of DVIU, out of 95 patients 37 patients (38.95 %) showed improvement in subjective, while remaining 58 patients (61.05%) showed deterioration. so they underwent second session of DVIU. After second session of DVIU 15 patients (25.86%) out of remaining 58 patients showed improvement, while 43 patients (74.14%) remained in agony, So I counseled them all (remaining 43 patients) for third sitting of DVIU or open urethroplasty. Out of 43 remaining patients only 23 patients willingly underwent third session of DVIU and remaining 20 patients refused and they directly underwent open end to end urethroplasty. The 23 patients, who underwent DVIU, have failed and finally they also underwent urethroplasty. Conclusion: The recurrence rate after DVIU has based on multiple factors that should be properly addressed during treatment planning to avoid unnecessary re treatment, to decrease the rate of more invasive open surgical procedure.

scholarly journals Effect of Pelvicaliceal Anatomy on “Post Eswl Stone Clearance of Lower Caliceal Stone"

2020 ◽  
Vol 15 (1) ◽  
pp. 6-10
Author(s):  
Md Muzharul Hoq ◽  
SM Mahbub Alam ◽  
MA Awal ◽  
Md amanur Rasul ◽  
Pranashis Saha ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Medical College Hospital ◽  
Stone Size ◽  
College Hospital ◽  
Stone Clearance ◽  
X Ray ◽  
Medical College ◽  
Hospital Patients ◽  
Quasi Experimental

Objective: To find out stone clearance rate of lower calyx and to determine important anatomic predictive factors responsible for the stone clearance of lower calyx following ESWL. Methods: This prospective quasi experimental study was conducted in the Department of Urology, Dhaka Medical College Hospital, Dhaka, from January 2006 to July 2007. Patients with single lower calyceal stone (Stone size d” 20mm), age between 12 to 75 years and were agreed to participate in the study were selected. Different lower calyceal predictive factors were measured from IVU with the help of radiologist before ESWL. Selected patients were treated with ESWL by siemens lithostar machine in the department of Urology, Dhaka Medical College Hospital. Patients were discharged on the same day with advice to follow up after 1 month. All patients were followed up with plain X- ray KUB region to see stone clearance. Purposive sampling methods were followed. Data were processed and analyzed using software SPSS (Statistical Package for Social Sciences). Results: Lower caliceal stones with favorable anatomy (infundibulo-pelvic angle e”700, infundibular length d” 30mm, infundibular diameter >4mm, and infundibular length to diameter ratio < 7) were stone free in cases and was statistically significant in stone clearance. But number of minor calices , caliceal pelvic height and stone morphology have shown no impact on stone clearance in this study. Conclusion: ESWL for lower caliceal stone should be recommended only those patients those have favorable anatomy for discharge of fragments. Bangladesh Journal of Urology, Vol. 15, No. 1, Jan 2012 p.6-10

scholarly journals The Ponseti Technique for the Treatment of Congenital Club foot at OPD in Rajshahi Medical College Hospital

2011 ◽  
Vol 24 (1) ◽  
pp. 26-29
Author(s):  
DM Sohel ◽  
A Asif Iqbal ◽  
P Dutta ◽  
BK Dam ◽  
S Ahmed ◽  
...  
Keyword(s):  
Club Foot ◽  
Treatment Plan ◽  
Treatment Options ◽  
Previous Treatment ◽  
Medical College Hospital ◽  
Congenital Deformity ◽  
Idiopathic Clubfoot ◽  
College Hospital ◽  
Medical College

Congenital club foot is the most common congenital deformity of the foot. Its characteristics presentation of equinus, varus, adductus and cavus deformities makes it easily recognizable. The estimated ratio is 1 or 2 per 1000 live births.It is a complex deformity that is difficult to correct. The goal when treating idiopathic clubfoot is achieve a foot with appearance and function that are nearly normal. There various types of treatment options for correction of the foot. (1) conservative, (2) surgery. The most frequently used surgical approach is posterio medial release which has many variation. However, long term follow up studies showed that the results of surgical treatment are disappointing. Ignacio Ponseti MD is the man who changed the previous treatment plan of club foot. Ponseti developed his method of club foot manipulation based on his understanding of normal anatomy of subtalar joint. In OPD of Rajshahi Medical College Hospital we studied 262 patients with congenital club foot, in which 188 were male and 74 were female. Total number of tenotomy undertaken 172, patients using braces 200. In our short term follow up our result is encouraging. TAJ 2011; 24(1): 26-29

scholarly journals Preliminary Report of Encephalitis Surveillance Study in Rajshahi Medical College Hospital

1970 ◽  
Vol 17 (2) ◽  
pp. 75-79
Author(s):  
Sultana M Hussain ◽  
MJ Hossain ◽  
ARMS Ekram ◽  
ES Gurley ◽  
MM Alam ◽  
...  
Keyword(s):  
Japanese Encephalitis ◽  
Nipah Virus ◽  
Medical College Hospital ◽  
Serum Samples ◽  
Recent Infection ◽  
College Hospital ◽  
Medical College ◽  
Control And Prevention ◽  
One Year

More than 100 different viruses, bacteria, toxins and drugs can cause acute encephalitis. A prospective, hospital-based study to define the causes of encephalitis in Bangladesh began in June 2003. At Rajshahi Medical College Hospital in one year 105 out of 391 suspected encephalitis patients were enrolled. The specimens were collected from these patients and were tested for a variety of pathogens at twelve laboratories at the Centers for Disease Control and Prevention (CDC) in Atlanta and Ft. Collins, USA. Among the first 105 patients enrolled, the median age of the patient was 18 years; 55% were male. Twenty-four percent (n-25) died in hospital or before completing the follow-up. Thirteen out of 105 (12.38%) patients had Japanese encephalitis; three of the encephalitis patients had a positive test result of having recent infection with dengue virus and one had encephalitis due to alpha virus, another patient had encephalitis due to echovirus. Three (2.8%) were polymerase chain reaction (PCR) or culture positive for Streptococcus pneumoniae, and 4 for Mycoplasma pneumoniae. No Nipah virus infection was identified among the first 105 serum samples tested. These data suggest that Japanese encephalitis virus is an emerging cause of encephalitis in northern part of Bangladesh. doi: 10.3329/taj.v17i2.3449 TAJ 2004; 17(2): 75-79  

scholarly journals TISSUE EXPANSION

2006 ◽  
Vol 13 (01) ◽  
pp. 87-91
Author(s):  
RAYHANA AWWAL ◽  
SHAFQUAT HUSSAIN KHUNDKAR ◽  
RUHUL HASSAN JOARDER
Keyword(s):  
Hospital Setting ◽  
Tissue Expansion ◽  
Study Data ◽  
The Body ◽  
Tissue Loss ◽  
College Hospital ◽  
Medical College ◽  
Body Design ◽  
Data Source ◽  
Almost All

Objective: To study the use of tissue expansion for reconstruction in various sitesof the body. Design :Retrospective study. Data source: Hospital records of plastic surgery dept of Dhaka Medicalcollege Hospital. Setting: Dhaka Medical College Hospital. Period:Jan2001-Dec2004. Materials and Methods:12patients with various amount of tissue loss undergone tissue expansion to cover the defect. Results: In this studysuccessful reconstruction was possible in 10 out of 12 cases. In 2 case expander had to be taken out .It was possibleto use expander in almost all sites of the body. Complication occurred in 7patients ,of which major complicationoccurred in 3 cases.

scholarly journals Release of Contractures by Subcutaneous Pedicled Rhomboid Flaps

2013 ◽  
Vol 3 (1) ◽  
pp. 3-6
Author(s):  
II Mannan ◽  
SH Khundkar ◽  
T Ahmed ◽  
FB Ibrahim
Keyword(s):  
Plastic Surgery ◽  
Clinical Results ◽  
The Body ◽  
Interventional Study ◽  
College Hospital ◽  
Medical College ◽  
Versatile Technique ◽  
The Mean ◽  
Rhomboid Flap ◽  
Different Parts

The subcutaneous pedicled rhomboid flap is a technique that can release scar contractures without skin graft or additional flap. This study was planned to evaluate the efficacy of this technique. This prospective interventional study was conducted in the department of Plastic Surgery, Dhaka Medical College Hospital, over a period of 16 months. A total of 28 procedures of subcutaneous pedicled rhomboid flap were performed on 12 patients. The contractures were released successfully by the rhomboid flaps. The mean percentage gain in length of the scar band was 77.28%. Most of the cases had complication free recovery. The clinical results indicated that the subcutaneous pedicled rhomboid flap is an effective and versatile technique for releasing scar contractures in different parts of the body. DOI: http://dx.doi.org/10.3329/bdjps.v3i1.14998 Bangladesh Journal of Plastic Surgery 2012, 3(1): 3-6

scholarly journals Myositis Ossificans – A Case Report

1970 ◽  
Vol 18 (1) ◽  
pp. 79-81
Author(s):  
F Sultana ◽  
MA Quddus ◽  
MM Rahman ◽  
SM Nuruzzaman
Keyword(s):  
Autosomal Dominant ◽  
Myositis Ossificans ◽  
The Body ◽  
Medical College Hospital ◽  
Heterotopic Bone ◽  
Heterotopic Bone Formation ◽  
College Hospital ◽  
Familial Predisposition ◽  
Medical College ◽  
Post Traumatic

Myositis Ossificans is classified into three types: progressive, post traumatic and paraplegic. The progressive form, myositis ossoificans congenita, is a hereditary disease which is usually autosomal dominant or an isolated mutation and more common in boys. Post-traumatic myositis is found following massive trauma and paraplegic myositis occurs below the level of paralysis. Here, a heterotopic bone formation is evident in the muscle or soft tissue, which can occur almost anywhere in the body. An incidental case of myositis ossificans was found in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka in March, 2009. A male patient of 22 years of age was sent for radiological investigations from the medicine out patient department (MOPD) of Dhaka Medical College Hospital, Dhaka having complaints of backache and pain in the neck and chest. He was diagnosed as a case of myositis ossificans after the radiological report. It was an incidental finding having no history of trauma or familial predisposition. This case is presented for journal record and academic interest. Key words: Myositis Ossificans; autosomal dominant. DOI: 10.3329/jdmc.v18i1.6312 J Dhaka Med Coll. 2008; 18(1) : 79-81

scholarly journals A prospective study of vitiligo cases in Government Dharmapuri Medical College Hospital

2018 ◽  
Vol 4 (3) ◽  
pp. 349
Author(s):  
R. Akila
Keyword(s):  
Diabetes Mellitus ◽  
Marital Conflict ◽  
Social Stigma ◽  
The Body ◽  
Medical College Hospital ◽  
Treatment Modalities ◽  
Psychiatric Evaluation ◽  
College Hospital ◽  
Pigmentary Disorder ◽  
Medical College

<p class="abstract"><strong>Background:</strong> Vitiligo is a pigmentary disorder of skin whose precise etiology is not known, though it is considered to be genetic, an autoimmune skin disorder in which there is a loss of skin pigment. This disease can occur at any age. Vitiligo affects various parts of the body. Though various modalities of treatment became available, still produces significant social stigma and leads to a psychological impact on the patient.</p><p class="abstract"><strong>Methods:</strong> 100 cases of vitiligo patients attending Dermatology outpatient Department at Govt Dharmapuri Medical college hospital during the period of January 2017 to June 2017 were included in the study. Informed consent was obtained from all the patients and from parents in case of children. A detailed history was obtained and dermatological/systemic examination was done using a proforma. Necessary investigations were done. A psychiatric evaluation was done for all.<strong></strong></p><p class="abstract"><strong>Results:</strong> Females were more involved than males in our study. The youngest patient recorded in our study is 6 years. Exposed areas are more involved. The leg is the most common site involved followed by hands. 8 percent of patients had associated diabetes mellitus, hypothyroidism (2%), and hyperthyroidism (1%). Depression was seen in 8 percent of the patients. Marital conflict (3%) and delayed marriage (5%) was recorded in the study.</p><p class="abstract"><strong>Conclusions:</strong> Though various research studies and treatment modalities became available for this pigmentary disorder it still remains a social stigma. Females were little more involved in our study which may be due to a cosmetic concern. Associated diabetes mellitus and thyroid disorders support autoimmune etiology.</p>

Sign in / Sign up

Export Citation Format

Share Document