scholarly journals Post-Operative Restlessness During Recovery Period Following General Anaesthesia

KYAMC Journal ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 645-648
Author(s):  
Md Rashid Ali ◽  
Shamim Adam ◽  
KR Khan ◽  
Zahir Al Imran
Keyword(s):  
General Anaesthesia ◽  
Orthopaedic Surgery ◽  
Recovery Period ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Medical College ◽  
Key Word ◽  
Different Types ◽  
North Bengal

Background: Smooth induction and smooth maintenance, smooth reversal and quite recovery is a key word in general anaesthesia. All anaesthetist desires that his patients wake-up smoothly & quietly. However the matter is not easy at all. Anaesthetist often faces a bitter experiences & awk.ward situation during recovery from anaesthesia. Objective: To detect the degree & frequency of restlessness in various types of patients of different age & sex groups and in different types of operations.Methodology & Materials : Our study was carried out in North Bengal Medical College Hospital, Sirajgonj, in between July/2014 & December/2014. 60 (sixty) patients were chosen of different age & sex group and of different types of operation for this perpous.Results: Our study shows that the patients of E.N.T. surgery & the patients of Paediatric surgery, were most vulnerable & responded badly, during reversal and in the post operative ward. Among others a few of them developed restlessness due to some other cause. The children were more prone to develop restlessness than the adults. The Orthopaedic surgery patients also responded badly during recovery period.Conclusion: Special attention should given to this matter as it is really a hazardous situation to all; (i.e. anaesthetist, surgeon, O.T. Sister). An adequate pre-medication,smooth induction, quiet maintenance, smooth reversal & a suitable post operative analgesic is absolutely necessary. Pre anesthetic visit & close rapport with the patient is also essential to overcome this situation.KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 645-648

scholarly journals Evaluation of Congenital Upper Urinary Tract Anomalies in Hypospadias

2014 ◽  
Vol 2 (2) ◽  
pp. 68-72
Author(s):  
Md. Abdullah Al Farooq ◽  
Shafiqul Hoque
Keyword(s):  
Urinary Tract ◽  
Vesicoureteric Reflux ◽  
Upper Urinary Tract ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Pelviureteric Junction Obstruction ◽  
Medical College ◽  
Genital Ambiguity ◽  
Urinary Tract Anomalies

Background: Hypospadias may be associated with other congenital upper urinary tract anomalies. Literature showed various opinions to evaluate or not to evaluate upper urinary tract in hypospadias patient. Frequency of upper urinary tract anomalies also varies. This study was carried out on this background to avoid confusion.Objectives: Morphological evaluation of upper urinary tract to find out the frequency of upper urinary tract anomalies associated with uncomplicated hypospadias patients and give a guideline for investigation of such patients. Methods: This prospective study was designed and accomplished in the Departments of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka; Dhaka Medical College Hospital (DMCH), Dhaka and Chittagong Medical College Hospital (CMCH), Chittagong; Bangladesh from October 2004 to June 2006. Eighty five (85) patient with hypospadias having neither any congenital anomalies, nor other genital ambiguity, nor any secondary vesicoureteric reflux (VUR) or meatal stenosis were selected for the study. Detailed history and examination were carried out. Upper urinary tract of all patients were evaluated by Ultrasonography (USG), Intravenous Urography (IVU), and Micturating Cystourethrography (MCU).To exclude genital ambiguity in perineal hypospadias, karyotype were done to ascertain male sex. Results were analyzed by SPSS with the help of Chi-square and Z approximation test . Result : Eighty five (85) patients were taken. All patients were evaluated by USG, IVU and MCU to detect congenital upper urinary tract anomalies.Results: Four (4) patients had had upper urinary tract anomalies. One (1) patient found to have left sided pelviureteric junction obstruction (PUJO) while one (1) patient had right sided pelviureteric junction obstruction (PUJO). One (1) patient was found to have left sided pelviureteric duplication and the last patient with left renal agenesis. USG detected three (3) anomalies in 85 patients (3.53%) and IVU detected all four (4) anomalies in 85 patients (4.7%), but no primary reflux was detected by MCU. Overall frequency of upper urinary tract anomalies was 4.7%. Eighty one (81) patients (95.3%) had no anomalies. USG detected 3 (three) anomalies out of 4 (four) patients (75%) & IVU detected all four anomalies (100%). Absence of upper urinary tract anomaly was statistically significant.Conclusion: Frequency of upper urinary tract anomalies are significantly low  (4.7%) in uncomplicated hypospadias. USG can detect 75% congenital upper urinary tract anomalies in hypospadias patients. So USG is good enough and recommended to evaluate upper urinary tract anomalies in uncomplicated hypospadias patients. There is no need to evaluate upper urinary tract by IVU or MCU in such patients, if asymptomatic otherwise.DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19547

scholarly journals Clinical investigation of different types of cases of outdoor patients using ultrasonography in Rangpur Medical College Hospital, Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 294-298
Author(s):  
Shafaat Mahjabun ◽  
Humayun Kabir ◽  
Meftah Islam ◽  
Abdur Rahim Azad ◽  
Sumon Kumar Sarker ◽  
...  
Keyword(s):  
Fatty Liver ◽  
Health Care Providers ◽  
Gall Stone ◽  
Medical College Hospital ◽  
Mass Lesion ◽  
Care Providers ◽  
College Hospital ◽  
Medical College ◽  
Clinical Scenarios ◽  
Different Types

Ultrasonography is an easy, noninvasive, rapid investigation advised by doctors worldwide. Hence we diagnosed different types of cases through ultrasonography at outdoor patients admitted to Department of Rangpur Medical College Hospital, Rangpur Bangladesh over a period of four months. Our objective was to investigate the prevalence of different types of cases diagnosed and evaluated by ultrasonography in a variety of physical conditions with multiple clinical scenarios. Ultrasonography were performed using GE Logiq V5 Expert ultrasound machine with linear and curved linear phased array transducers. A total 300 cases were diagnosed, where female and male cases were 204 (68%), 96 (32%) respectively. Most ultrasound examinations were abdominal, with the remainder being obstetric, pelvic, breast, and genitourinary examinations. In this study, abdominal ultrasonography represented 118 case (39.33%), Pelvic 54 (18%), KUB 57 (19%), Breast 7 (2.33%) and Obstetrics 64 (21.33%). We found general clinical prevalence of abdominal cases were Cholelithiasis 17 (5.67%), Cholecystitis 3 (1%), Fatty liver 24 (8%), Hepatic Mass 2 (0.67%), Hepatic cyst 1 (0.33%), Acute hepatitis 2 (0.67%), Acute appendicitis 6 (2%), Ascites 2 (0.67%), Hernia 3(1%), Acute pancreatitis 2 (0.67%), Choledocholithiasis 2 (0.67%), Splenomegaly 1 (0.33 %), Abscess 1 (0.33%) and normal cases were 54 (18%). In genitourinary, Stone 20 (6.67%), Cyst 7 (2.33%), RPD 11 (3.67), Cystitis 4 (1.33), Ectopic kidney 1 (0.33%), Enlarged prostate 6 (2%), Hydronephrosis 1 (0.33%), Mass lesion 2 (0.67%) and normal cases were 7 (2.33%). In Pelvic, RPC 11 (3.67%), Ovarian and adnexal cyst 11 (3.67%), Uterine Anomaly 14 (4.67%), Mass lesion 2 (0.67%), Collection 7 (2.33) and normal cases were 5 (1.67%). In Obstetrics, normal pregnancy with no or minor complications, pregnancy with severe complications and abnormal pregnancy were 31(10.33%), 30(10%) and 3(1.0%) respectively. In Breast, dilated duct 1 (0.33%), Abscess 2 (0.67%), Fibroadenoma 2 (0.67%) and normal cases were 2 (0.67%). Here, we found that Fatty liver, stone in genitourinary tract and gall stone were highly prevalent. So, health care providers need to concern and raise awareness to reduce the number of cases. Asian J. Med. Biol. Res. June 2020, 6(2): 294-298

scholarly journals Clinical presentation of congenital neck mass in children

2012 ◽  
Vol 18 (1) ◽  
pp. 16-22
Author(s):  
Mazharul Alam Siddique ◽  
Mahbuba Hossen ◽  
Ahmmad Taous ◽  
Kazi Shamimus Salam ◽  
Belayat Hossain Siddiquee ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Neck Surgery ◽  
Neck Mass ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Medical College ◽  
Neck Masses ◽  
Common Location ◽  
Complete Surgical Excision

Background: Congenital neck mass is a very common problem in children in Otolaryngology & Head-Neck Surgery and Paediatric Surgery Department but data of our country is inadequate and there is lack of published study. This study will help to diagnose congenital neck masses, evaluate the success of surgical treatment in our country.Objective: To assess the frequency of congenital neck mass in children and to see the clinical presentation of different congenital neck mass.Study design: Cross sectional prospective study.Place of study: Department of Otolaryngology – Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Dhaka Medical College Hospital (DMCH)l, Dhaka and Mymensingh Medical College Hospital (MMCH), Mymensingh.Methodology: Patients below the age of 18 years with congenital neck mass who presented to three tertiary level hospitals from January 2010 to December 2010 were included in this study. Total thirty six patients were purposively selected. Age, gender, types of swelling and location were examined, investigations were done. Data was analyzed with SPSS software and was presented in the form of tables, diagrams and pie charts.Results: 36 patients with different congenital neck swelling were examined. Out of 36 patients, thyroglossal cysts were commonest- 21(58.33%). Other congenital lesions were as follows: Branchial cyst 7(19.44), Lymphangioma 3(8.33%), Haemangioma 3(8.33%), Dermoid cyst 2(5.55%). Midline was most common location 21 (58.33%).Conclusion: Congenital neck masses constitute important differential diagnosis for neck masses. These masses constitute diagnostic and therapeutic challenges for many clinicians. Correct diagnosis, safe and complete surgical excision requires sound knowledge of the location and extent of these masses.   DOI: http://dx.doi.org/10.3329/bjo.v18i1.10409  Bangladesh J Otorhinolaryngol 2012; 18(1): 16-22

scholarly journals Single Stage Urethroplasty for Proximal Hypospadias with Chordee

1970 ◽  
Vol 6 (2) ◽  
pp. 66-69 ◽  
Author(s):  
MK Hassan ◽  
AC Paul ◽  
MA Khair ◽  
RK Saha ◽  
A Hanif ◽  
...  
Keyword(s):  
Blood Supply ◽  
Single Stage ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Proximal Hypospadias ◽  
Medical College ◽  
Dual Blood Supply ◽  
Good Cosmesis ◽  
Surgery Department

Proximal hypospadias with chordee usually requires two stage procedures: 1st stage is orthoplasty and ventral parking of prepucial skin and 2nd stage is urethroplasty after 6 months of 1st stage. The aim of this study is to describe and report the outcome of a single stage repair- Koyanagi Nanamura procedure for proximal hypospadias with chordee. Between January 2006 to December 2010, 44 boys with proximal hypospadias underwent repair using the Koyanagi Nanamura technique in Paediatric Surgery Department of Faridpur Medical College Hospital and Dhaka Medical College Hospital. The boys' age ranged from 1 to 7 years. The technique employs the use of lateral penile skin and extends into the inner preputial skin. This flap enjoys double blood supply from the base of the meatus as well as the preputial vessels. Follow-up period was 6 months. Satisfactory results were obtained in 39 (88.6%) patients. Three patients developed fistulae. Two patients developed meatal stenosis. Results were considered satisfactory when the boy achieves a glanular meatus, single forward stream, unimpeded voiding, good cosmesis, and no need for secondary surgery for the urethra. Koyanagi Nanamura procedure is a reliable procedure in which the lateral flaps have dual blood supply, which produces good results (88.6%) and is suitable for proximal forms of hypospadias with chordee. Key words: Hypospadias; Chordee; Fistula; Penis DOI: http://dx.doi.org/10.3329/fmcj.v6i2.9202 FMCJ 2011; 6(2): 66-69

scholarly journals An Audit of the Patients Treated in Paediatric Surgery Department of Ad-din Women’s Medical College Hospital, Dhaka

2015 ◽  
Vol 3 (1) ◽  
pp. 26-29
Author(s):  
Musrat Rahman ◽  
Rezaul Islam ◽  
SM A Alim
Keyword(s):  
Quality Of Service ◽  
Pediatric Surgery ◽  
Randomized Study ◽  
Medical College Hospital ◽  
Paediatric Surgery ◽  
College Hospital ◽  
Medical College ◽  
Overall Performance ◽  
Surgical Audit

Background: Surgery without audit is like playing without keeping the score. Medical/Surgical Audit is the evaluation of the quality and efficiency of the surgical services offered to the patients by a group of Medical Personnel in a Hospital. A surgical Audit of the patients of Department of Pediatric Surgery in a non-government Hospital was performed to evaluate overall performance and the quality of service delivered to the patients.Methods: It was a randomized study carried out in the department of Pediatric surgery in Ad-din Women’s’ Medical College Hospital during the period of January 2008 to December 2012 (total 5 years). Total 4613 patients were included in this study. Among them 832 (15.91%) patients were treated after admission and 4396(84.09%) patients were treated as OPD patients.Results: Among the total 4613 patients, 3953 patients were male and 660 patients were female. Total 3127 patients were under 5 years and 1486 patients were over 5 years. Among total 832 admission, 551 (66.22%) were elective cases and 281 (33.78%) were emergency cases.Conclusion: Clinical audit is a process. It is a process used by clinicians who seek to improve patient care. So in this audit we have tried to evaluate our overall performance and the quality of service delivered to our patients in the last 5 years period to find out the limitations and deficiencies prevailing in this field.J. Paediatr. Surg. Bangladesh 3(1): 26-29, 2012 (January)

scholarly journals Primary Repair of Traumatic Gut Injury Without Diversion in Casualty Department of Dhaka Medical College Hospital

2014 ◽  
Vol 8 (2) ◽  
pp. 77-79
Author(s):  
Md Mahiuddin Matubber ◽  
Syed Muhammad Baqui Billah ◽  
ASM Nazmul Huq ◽  
Akhter Ahmed ◽  
Ratan Kumar Saha ◽  
...  
Keyword(s):  
Wound Infection ◽  
Primary Repair ◽  
Tertiary Hospital ◽  
Medical College Hospital ◽  
College Hospital ◽  
Stab Injury ◽  
Medical College ◽  
Distended Abdomen ◽  
Severity Of Injury ◽  
Different Types

Colon is one of the most commonly injured viscera followed by small gut and liver in abdomen for which management becomes complicated had the type and severity of injury not been assessed properly. With improved facilities in patient care and proper use of antibiotics the inclination is directed towards primary repair of colon without diversion. This study was aimed to assess the efficacy of primary repair in a tertiary hospital. A number of 50 patients of traumatic gut injury from 15-50 years (31.18 ± 9.38 years) mainly presenting with RTA with blunt trauma abdomen (54.0%) and different types of stab injury (40.0%) were managed with primary repair in the department of casualty in Dhaka Medical College Hospital, Dhaka between the period of January to June 2009. On admission more than half (52.0%) had hypotension, 70.0% distended abdomen, 84.0% tender abdomen, 58.0% presented with abdominal rigidity while 80% of them had perforation of the small and 20% had the same in large gut. After primary repair, only 6% developed chest infection and 4% developed wound infection. The findings suggest that primary repair without diversion in the treatment of traumatic gut injury can be performed among patients admitted in our hospitals. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20390 Faridpur Med. Coll. J. 2013;8(2): 77-79

Congenital Abnormalities of Female Genital Tract

1970 ◽  
Vol 25 (1) ◽  
pp. 23-28 ◽  
Author(s):  
HA Baby
Keyword(s):  
Genital Tract ◽  
Congenital Abnormalities ◽  
Female Genital Tract ◽  
Medical College Hospital ◽  
Primary Amenorrhea ◽  
College Hospital ◽  
Specialized Treatment ◽  
Medical College ◽  
Different Types ◽  
Female Genital

Objective: To observe the congenital abnormalities of female genital tract those are found in our population and their clinical implication. Place of study: Faridpur Medical College Hospital, Faridpur. Study period: January 2001 to December 2005. Methods and Materials: During the study period all cases of congenital abnormalities of female genital tract diagnosed in Faridpur Medical College Hospital were studied. Results: Total 74 women with different types of congenital abnormalities were detected. Though some cases were diagnosed incidentally, the various symptoms they produced were primary amenorrhea, apareunia, dyspareunia, hematocolpos and hematometra, infertility, prolapse uterus, abortions, ectopic pregnancy, premature labour and malpresentations. Among the 74 patients 35(47.3%) patients were treated at this centre, 24(32.4%) patients needed no treatment, 3(4%) patients were referred to higher centres for specialized treatment. Conclusion: Different types of congenital abnormalities of female genital tract are found in our population which cause various symptoms and complications. Though not all abnormalities need treatment and some need very simple treatment, there are some cases which need specialized treatment and expertise. (J Bangladesh Coll Phys Surg 2007; 25 : 23-28)

scholarly journals Cancer Types and Treatment Modalities in Patients Attending at Delta Medical College Hospital

2015 ◽  
Vol 3 (2) ◽  
pp. 57-62 ◽  
Author(s):  
Rafia Parveen ◽  
Shaikh Shofiur Rahman ◽  
Syeda Adib Sultana ◽  
Zakir Hossain Habib
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Medical College Hospital ◽  
Treatment Modalities ◽  
College Hospital ◽  
Frequency Pattern ◽  
Female Ratio ◽  
Female Patients ◽  
Medical College ◽  
Different Types

Background: Cancer is a major health burden worldwide. By 2030, over 9 million cancer patients are assumed to die in developing countries from different types of cancers. Incidence of different types of cancers is increasing due to unhealthy life style. At present, lung cancer is most prevalent in Bangladeshi male whereas it is cancer cervix in female.Objective: To determine the frequency, pattern and treatment modalities in different types of cancer in different age and sex group to get an idea about national cancer scenario.Materials and method: A cross-sectional study was conducted on 1300 cancer patients attending at Delta Medical College Hospital within three months duration (from 15.07.10 to 15.10.10). Histologically proven malignant cases were included in the study.Results: There were 400 male and 900 female patients. Male: female ratio was 1:2.25. Among all patients, cervical cancer was the top most common malignancy (23.07%) followed by breast (22.46%). In male, lung cancer was found to be the most common cancer (15.75%), followed by non-Hodgkin’s lymphoma (13.75%), colorectal (12%), stomach (6.75%), and oesophageal (5.75%) carcinomas. In female patients, carcinoma cervix was the top most cancer (33.33%), followed by breast (32.33%), ovary (6.11%), gall bladder (3.77%), and colorectal (3%) carcinomas. Majority of cancers occurred in middle and older age groups. Combination of surgery, chemotherapy and teletherapy was the most common form of treatment.Conclusion: The findings of the study may provide a helpful clue to important facts and figures of different types of cancers in Bangladesh.Delta Med Col J. Jul 2015; 3(2): 57-62

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