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 Ponseti Technique is the Best Option for the Treatment of Idiopathic Congenital Club Foot by the Age of Two Years

2015 ◽  
Vol 14 (2) ◽  
pp. 27-30
Author(s):  
Md Mostafizur Rahman ◽  
Shafiqul Islam ◽  
Abdur Rouf ◽  
Md Abdul Momen ◽  
Md Zahidul Islam ◽  
...  
Keyword(s):  
Satisfactory Result ◽  
Scoring System ◽  
Club Foot ◽  
Low Cost ◽  
Developing Nations ◽  
Medical College Hospital ◽  
Congenital Deformity ◽  
Interventional Study ◽  
College Hospital ◽  
Medical College

Club foot is the commonest congenital deformity in babies. Around 80% of the cases occur in developing nations. There are many option for treating club foot, Ponseti technique is one of them. This prospective interventional study was carried out at the Department of Orthopaedic & Traumatology, Rangpur Medical College Hospital, over period of 3 year from 22/09/2011 to 22/12/2014. One hundrad and Fifty patients of two hundrads and twenty three foots were treated by ponseti technique and followed up for the purpose of this study. Both rigid and non rigid variety of club foot were treated irrespective of sex and side of foot involvement. Pirani scoring system was used to assess the severity of deformity, needs of tenotomy and evaluation of result. All the patients were treated by Ponseti technique, only 83 (11.1%) foot by plaster, 140 (88.9%) foot required tenotomy. There were complication of 29 (13%) foot of 19 patients in the form of plaster sore. All patients were under bracing protocol. In this study it is found that 94.61% satisfactory result. So Ponseti technique is a safe, effective & low cost and easily acceptable. So it is the best option for the treatment of idiopathic congenital club foot under the age of two years.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 27-30

scholarly journals Evaluation of Result of Idiopathic Club Foot/Feet within 1 year of Age by Ponseti Technique

2017 ◽  
Vol 29 (2) ◽  
pp. 42-45
Author(s):  
Mahmudur Rahman ◽  
Md Salim ◽  
Md Khairul Anwar ◽  
Muallem Al Farukh Khan ◽  
Md Monirul Alam
Keyword(s):  
Observational Study ◽  
Club Foot ◽  
Plaster Cast ◽  
Developing Nations ◽  
Outpatient Department ◽  
Congenital Deformity ◽  
College Hospital ◽  
Medical College ◽  
Final Score ◽  
Better Than

Clubfoot is the commonest congenital deformity in babies. Around 80% of the cases occur in developing nations. There are many options for treating club foot, Ponseti technique is one of them. This observational study was carried out at Chittagong Medical College Hospital, From July 2014 to December 2015 to evaluate the results of idiopathic club foot / feet within 1 year of age by Ponseti technique. Patients with idiopathic congenital club foot (CTEV) is attended at the outpatient department of CMCH. Among the 35 patients, 1 patients 2.85% required 1 plaster, 2 patients (5.74%) required 2 plaster, 3 patients (8.57%) required 4 plaster, 5 patients (4.28%) required 5 plaster, 16 patients (45.71%) required 6 plaster, 5 patients (14.28%) required 7 plaster cast and 3 patients (8.57%) required 8 plaster cast with or without percutaneous tonotomy. The final score after completion of the management (with or without tenotomy) were 0 of 39 feet (75%) which were normal and 0.5 of 10 feet (19.24%) and score 1 of only 3 feet (5.76%) which were better than moderately abnormal.Medicine Today 2017 Vol.29(2): 42-45

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 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 Cholelithiasis in children: experience from Bangladesh

Mediscope ◽  
2015 ◽  
Vol 2 (1) ◽  
pp. 32-35
Author(s):  
MR Gazi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Treatment Outcome ◽  
Final Diagnosis ◽  
Medical College Hospital ◽  
Atypical Presentation ◽  
Patient Records ◽  
College Hospital ◽  
Medical College ◽  
Paediatric Cholelithiasis

Most  of  the  time  clinicians  overlook  the  diagnosis  of  cholelthiasis  in  children  because  of  its  atypical presentation. The present study reports paediatric cases of cholelithiasis treated in Gazi  Medical College Hospital, Khulna, Bangladesh during the period from 2002 to 2013. In order to  assess  the  frequency  of  paediatric  cholelithiasis  cases  and  treatment  outcome,  the  author  reviewed  the  patient  records.  The  retrospective  analysis  found  9  paediatric  cases  who  underwent  a  laparoscopic  cholecystectomy  performed  from  2002  to  2013  at  Gazi  Medical  College Hospital by a single Consultant Surgeon (the author). The cases were 7 females and 2  males. The average age was 8 years. The reports and full case history notes were checked and  data  were  extracted  accordingly.  Correspondence  was  done  to  confirm  the  outcome  of  any  subsequent follow up. It was found that clinically no one was obese but nutritional deficiency was  obvious  because  all  the  patients  were  from  poor  family.  Final  diagnosis  was  made  by  ultrasonography. All of them recovered uneventfully after laparoscopic cholecystectomy.Mediscope Vol. 2, No. 1: 2015, Pages 32-35

Endoscopic Management of Ureteric Stones : Experience In Holy Family Red Crescent Medical College Hospital

2014 ◽  
Vol 22 (Number 1) ◽  
pp. 10-14
Author(s):  
Md. A Akbar ◽  
Md. S Alam ◽  
A Sharif ◽  
R Parvin
Keyword(s):  
Operation Time ◽  
Tertiary Hospital ◽  
Medical College Hospital ◽  
Endoscopic Management ◽  
Ureteric Stone ◽  
College Hospital ◽  
Female Ratio ◽  
Stone Clearance ◽  
Medical College

A retrosceptic study was done on 60 patient with ureteric stone underwent uretereroscopic stone in Holy Family Red Crescent Medical College Hospital from June 2008 to July 2011. Among them 35 were male and 25 were female. The male female ratio was 1.4:1. Age of the patients ranged from 21-73 years, with mean age 48±10.8 years. Of the stones 8 were located in the upper ureter, 23 in the mid ureter and 29 at the lower ureter. Size of the stone ranged from 0.8 cm to1.5cm. Ureterorenoscopy was done by 9.5 Fr. Semirigid ureteroscope and stones ware fragmented by pneumatic lithotriptor. Ultimate stone clearance at follow up after 1 month was in 55 (91.6%) cases. In four cases retropulsion of stone occurred up into the pelvicalycial system. These patients were managed byExtra coporeal shock wave lithotrypsy (ESWL.) One patient needed repeat URS and ICPL due to retained stone fragment in lower ureter after 6 weeks of follow up. Average operation time was 41.50 min. All cases were done under spinal anesthesia. D-J (Double I)stenting was done in all patients and Stent was removed ((ter 4-6 weeks under local anaesthesia after ensuring stone clearance. Ureteroscopy and Infra corporeal pneumatic lithotripsy (ICPL) is now a widely accepted procedure for ureteric stone management in appropriate patients where Laser facility is not available. The study has been done to evaluate the outcome of endoscopic treatment of ureteric stone by ICPL in a tertiary hospital.

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

scholarly journals Management of GIST: Perspective of Rajshahi Medical College Hospital

2010 ◽  
Vol 23 (1) ◽  
pp. 1-5
Author(s):  
Md Dayem Uddin ◽  
ABM Abdul Hannan ◽  
Mohibul Hasan
Keyword(s):  
Adjuvant Therapy ◽  
Imatinib Mesylate ◽  
Residual Disease ◽  
Palliative Therapy ◽  
Medical College Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
A Prospective Study

A prospective study had been carried out between July 2003 and June 2010 in Radiotherapy Department of Rajshahi Medical College Hospital on the patients diagnosed as Gastrointestinal Stromal Tumor (GIST). A total of 32 patients were enrolled. Males 24(75%) Predominated over the females 8(25%) with male female ratio 3:1. The patients were between 25 and 65 years with the mean age 45 years and majority (75%) belonged to age above 40 years. Common sites of involvement were ileum 14 (40.5%), Stomach 12 (32.5%) followed by duodenum 4 (15.25%) and jejunum 2(11.75%) in descending order. All patients attended after surgery except two who was inoperable. Patients with gross residual disease were planned for oral Imatinib mesylate (400-600mg / day) as adjuvant therapy. The two inoperable cases and those with gross residual disease at primary or metastatic site were planned for palliative treatment. Imatinib mesylate 400mg/day was planned for few cases. 3 cases with gross post operative residue were treated by 50Gys radiotherapy by conventional fractions from cobalt machine. Among 20 cases who were planned for adjuvant therapy 4 completed their course of targeted therapy after four years and are on 2-3 monthly follow up are in disease free state – clinically and by investigation . Among the remaining-16 cases, two patients faced progression of the disease and died and two patients presented with liver metastasis and rest are on oral Imatinib therapy in escalating dose, now gradually improving. Among the 12 cases, who were planned for palliative therapy, 4 post operative cases with gross residual mass, died due to disease progression. 2 post operative cases with gross residual disease, who received radiotherapy, did not come for subsequent follow up. Other 6 cases are yet on Imatinib and the tumor masses are regressing gradually. TAJ 2010; 23(1): 1-5

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