scholarly journals Outcome of Lateral tarsal strip (LTS) procedure in the correction of eyelid malposition

2021 ◽  
Vol 3 (Number 2) ◽  
pp. 7-11
Author(s):  
Syeed Mehbub Ul Kadir ◽  
Md. Feroz Khan ◽  
Md. Abul Kalam Azad ◽  
Md. Ismail Hossain ◽  
Narayan Chandra Bhowmik ◽  
...  
Keyword(s):  
Management Strategies ◽  
Case Series ◽  
Lower Eyelid ◽  
Female Ratio ◽  
Involutional Entropion ◽  
Eyelid Malposition ◽  
Lateral Tarsal Strip ◽  
The Mean ◽  
Age Range ◽  
Male To Female

To analysis the effectiveness of lateral tarsal strip for the surgical repair of the marginal malpositions of the lower eyelid. A retrospective, consecutive case series of patients who underwent lateral tarsal strip (LTS) procedure for all types of involutional lower eyelid malposition (entropion and ectropion) and paralytic ectropion, at one tertiary eye centre of Dhaka, Bangladesh, between January 2013 and December 2017. All records were evaluated to determine the indications, management strategies, surgical outcome and postoperative complications. A total of 46 lower eyelids marginal malposition’s of 41 patients were studied in this study and lateral tarsal strip 9LTS) procedure was used to repair the involutional entropion (52%), involutional ectropion (35%), and paralytic ectropion (13%) of the lower eyelid. The male to female ratio was 2:1. The mean age was 61.34 years with 26 years to 85 years age range. The surgical correction was satisfactory in 93.5% cases. Lateral tarsal strip (LTS) procedure achieved statistically significant better anatomical and functional outcomes for the correction of all types of involutional eyelid marginal malposition’s and paralytic ectropion.

Diagnostic Accuracy of Rapid Diagnostic Kits Test for Diagnosis of Malaria

2021 ◽  
Vol 15 (10) ◽  
pp. 2826-2828
Author(s):  
Muhammad Ahsan Zafar ◽  
Sidra Khalid ◽  
Talha Munir
Keyword(s):  
Diagnostic Accuracy ◽  
Gold Standard ◽  
Female Ratio ◽  
Diagnostic Kits ◽  
Negative Results ◽  
Malaria Antigen ◽  
The Mean ◽  
Sensitivity Specificity ◽  
Age Range ◽  
Male To Female

Objective: To assess the diagnostic accuracy of rapid diagnostic kits test for diagnosis of malaria taking microscopy as gold standard Methodology: A total of 375 cases with age range 18-65 years of either gender as suspected for malaria were included in the study. We excluded all those cases already taking anti-malarial drugs. The study was conducted at Chughtais Lahore Lab, Lahore. Required blood sample were obtained following aseptic measures. Malaria RDT SD Bioline Malaria Antigen Pf/Pan (Catalogue No. 05FK60, Standard Diagnostics Inc, Hagal-Dong, Korea, from now on referred as “SD RDT”) was used. Patients were labeled as positive or negative on the basis of reports from hematology department assessed by microscopy and patients were labeled as positive or negative Results: The mean age of the patients was 41.84±13.44 years, male to female ratio of the patients was 1.01:1. The sensitivity, specificity, and diagnostic accuracy of the RDT for diagnosing malaria was 96.79%, 96.28% and 96.53% respectively taking microscopy as gold standard Conclusion: Rapid diagnostic kits is very useful reliable test with high diagnostic accuracy for diagnosis of malaria taking microscopy as gold standard Keywords: Microscopy, Rapid Diagnostic kits, Malaria,

scholarly journals Diaphragmatic Hernia with Atypical Presentation - A Case Series

2014 ◽  
Vol 32 (1) ◽  
pp. 45-50
Author(s):  
SMA Shahid ◽  
MN Ali ◽  
M Ahmed ◽  
SS Islam ◽  
SB Hossain
Keyword(s):  
Diaphragmatic Hernia ◽  
Case Series ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Chest X Ray ◽  
The Mean ◽  
Challenging Situation ◽  
Male To Female ◽  
Diaphragmatic Hernias

Congenital Diaphragmatic Hernia is one of the most challenging diagnosis faced by pediatric surgeons. From the time of its first anatomic description more than 300 years ago, CDH has carried a high mortality rate. We aimed to review patients who presented with hernia of diaphragm during the last six months. In this retrospective study, the medical records of three patients treated for diaphragmatic hernias who were admitted to Rajshahi Medical College Hospital between July 2012 and December 2012 were analyzed. Three patients with age of 45 days to 7 years were included in the study. Male to female ratio was 1:2. All patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic. One patient needed thoracotomy incision. No patient required mesh repair. The mean hospitalization time was 14 days. There was no postoperative death. Diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ. DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21050 J Bangladesh Coll Phys Surg 2014; 32: 45-50

Utility of Omentoplasty in Mediastinitis Treatment following Sternotomy

2016 ◽  
Vol 19 (6) ◽  
pp. 265
Author(s):  
Abdurrahim Colak ◽  
Ugur Kaya ◽  
Münacettin Ceviz ◽  
Necip Becit ◽  
Fehimcan Sevil ◽  
...  
Keyword(s):  
Heart Surgery ◽  
Subcutaneous Tissue ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Coagulase Negative Staphylococci ◽  
Female Ratio ◽  
Mediastinal Infection ◽  
The Mean ◽  
Age Range ◽  
Male To Female

Background: Mediastinal infection is one of the most serious complications that occurs following open-heart surgery by sternotomy. In the present study, omentoplasty was initially and aggressively used to treat the infection and prevent the recurrence caused by bones in cases of mediastinitis following open-heart surgery at our clinic.Methods: Among the 3656 patients who underwent surgery at our department of cardiovascular surgery between January 1996 and December 2012, omentoplasty as a treatment for mediastinitis was applied to 19 (0.51%) patients (of which 13 were males) following sternotomy. The cases were revised on the 15th day following the first surgery and/or when there was a suspicion of mediastinal infection. The necrotic skin, subcutaneous tissue, and bone tissue were resected, and all the affected sternal tissues were removed until healthy hemorrhagic areas were reached. Results: The average age of the patients was between 49 and 81 years (mean: 65.7 ± 10.5 years). The mean age of the men was 66.08 ± 12.7 years (age range: 49-81 years) and that of the women was 63.2 ± 6.8 years (age range: 55-71 years). The male to female ratio was 2:1, and in both the male and female groups, the approximate age ranged from 55 and 70 years. In the intraoperative cultures received from wound cases, the most common agent of infection was methicillin-resistant coagulase-negative staphylococci. Purulent leaks from eight patients stopped in approximately 4 days. Purulent leaks from the other 11 patients continued until the 6th day, and thus, medical dressing also continued, after which the leaks stopped on the 15th day. The approximate postoperative hospital stay was 32 days (range: 13-63 days). Conclusion: Omentoplasty in heart surgery can be considered an effective method when used to control infection and treat secondary poststernotomy mediastinitis.

Childhood malignant tumours in owerri

2017 ◽  
Vol 2 (2) ◽  
pp. 34
Author(s):  
Managing Editor
Keyword(s):  
Age Groups ◽  
Embryonal Rhabdomyosarcoma ◽  
Malignant Diseases ◽  
Malignant Tumours ◽  
Female Ratio ◽  
The Mean ◽  
Yolk Sac Tumour ◽  
Age Range ◽  
Male To Female ◽  
Childhood Tumours

Tittle: Childhood Malignant Tumours in Owerri; A Histopathological Review. Aim: The aim of this study is to evaluate the demographic and pathologic characteristics of childhood tumours in Owerri. Methodology: The surgical day books, histology request and report forms were studied and the clinico-pathologic information were retrieved and analyzed using SPSS version 20.0 Results: A total of 27 cases of malignant diseases of children were clinically diagnosed and histologically confirmed. The mean age of the patients were 10.17±4.33 years with age range of 1 to 18 years. The male to female ratio was 1:1.25. The peak age of incidence falls in the 6-10 age groups which accounted for 40.74%. Wilm’s tumor (Nephroblastoma) was the commonest 8 cases (29.63%), Embryonal Rhabdomyosarcoma 6 cases (22.22%), Neuroblastoma 4cases (14.81%), osteosarcoma 3cases (11.11%), yolk sac tumour of the ovary 2 cases (7.41%), one case “3.70%” each for retinoblastoma, soft tissue sarcoma and angiosarcoma  

In-line oblique transducer approach for ultrasound guided cannulation of internal jugular vein.

2021 ◽  
Vol 28 (03) ◽  
pp. 428-433
Author(s):  
Ehsan Ahmad ◽  
Liaqat Ali ◽  
Khalid Bashir ◽  
Maryam Inayat ◽  
Ayesha Asad ◽  
...  
Keyword(s):  
Jugular Vein ◽  
Case Series ◽  
Longitudinal Axis ◽  
Female Ratio ◽  
Successful Cannulation ◽  
Gender And Age ◽  
Successful Technique ◽  
The Mean ◽  
Ultrasound Assisted ◽  
Male To Female

Objective: To determine the frequency of successful cannulation of ultrasound assisted inline oblique transducer approach for internal jugular venous cannulation. Study Design: Descriptive Case Series. Setting: Department of Anesthesia and Intensive Care, Hameed Latif Hospital, Lahore. Period: 22-02-2017 to 22-08-2017. Material & Methods: In this study the cases were included of both gender and age between 18 to 65 years. Jugular vein was visualized ultrasonographically in an oblique axis and the needle was inserted in the same plane, aligned with the longitudinal axis of the transducer. Success rate was noted. Results: The mean age of patients was 49.94±10.90 years, male to female ratio of the patients was 1.9:1. In this study the successful cannulation was observed in 145/155 (93.55%) patients. Conclusion: It has been observed in this study that the ultrasound assisted inline oblique transducer approach is successful technique for IJV cannulation.

scholarly journals Synchronous Surgical Treatment of Lower Eyelid Involutional Entropion and Ptosis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
D. Vasakos ◽  
E. Nakos ◽  
C. Sioulis
Keyword(s):  
Treatment Options ◽  
The Elderly ◽  
Lower Eyelid ◽  
Postoperative Recovery ◽  
Multiple Time ◽  
Upper Eyelid ◽  
Alternative Treatment Strategy ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip ◽  
Upper Eyelid Ptosis

Background. Involutional entropion and upper eyelid ptosis are common eyelid diseases in the elderly population. They represent a frequent cause of discomfort and often result in significant visual and functional impairment. The surgical management of these disorders includes various treatment options and techniques and is usually carried out in multiple time sessions. Case Report. We report the case of a 72 year old female patient, suffering from right eye involutional lower eyelid entropion and ptosis, who was treated synchronously for both conditions, by applying the lateral tarsal strip procedure and the levator resection technique. Conclusion. The synchronous treatment of involutional entropion and ptosis is an alternative treatment strategy, which could potentially improve surgical outcome, while reducing postoperative recovery time and treatment costs.

scholarly journals Frequency of Patients Passing an Impacted Esophageal Meat Bolus by Conservative Method Alone

Esculapio ◽  
2020 ◽  
Vol 16 (03, july 2020-Septmber 2020) ◽  
Author(s):  
Ghulam Murtaza ◽  
sarwat Hassan Syed ◽  
Mohammad Qamar Nasir ◽  
Damish Arsalan ◽  
Muhammad Awais Amin ◽  
...  
Keyword(s):  
Conservative Management ◽  
High Frequency ◽  
Clinical Suspicion ◽  
Barium Swallow ◽  
Single Intravenous Dose ◽  
Demographic Information ◽  
Food Bolus ◽  
Female Ratio ◽  
Age Range ◽  
Male To Female

Objectives: To determine the frequency of patients passing the impacted esophageal meat bolus by conservative management Methods: After obtaining permission from ethical committee of Hospital,a total of 62 patients meeting the study criteria were recruited in the study which was conducted in Department of Otorhinolaryn-gology, Services Hospital, Lahore. Demographic information (name, age, gender, contact) was also obtained. Patients with clinical suspicion of impacted esophageal food bolus of age 20-50 years of either gender were included. Patients with known esophageal abnormalities like stricture, web or growth on either barium swallow or esophagogastroduodenoscopy, peptic ulcer and GERD were excluded. After taking informed written consent from each patient, single intravenous dose of buscopan 20mg was given to each patient. Each patient was followed by the researcher himself for 24 hours to assess the passage of food bolus. Results: 20-50 years was the age range in our study, with mean age being 34.10± .63 years. Majority of the patients 32 (51.61%) were between 20 to 35 years of age. Out of 62 subjects, 37 (59.68%) were male, 25 (40.32%) were females with male to female ratio 1.5:1. In our study, Frequency of patients passing the impacted esophageal meat bolus by conservative management was found in 51 (82.26%) patients. Conclusion: This study concluded that there is a high frequency of patients passing the impacted esophageal meat bolus by conservative management. Keywords: Esophagus, foreign body, conservative management.

scholarly journals Accidental childhood poisoning in Paediatrics department of a tertiary care facility: A retrospective review

2020 ◽  
Vol 47 (3) ◽  
Author(s):  
D.C. Obu ◽  
M.C. Orji ◽  
U.V. Muoneke ◽  
U.V. Asiegbu ◽  
G.O. Ezegbe
Keyword(s):  
Tertiary Care ◽  
Care Facility ◽  
Accidental Poisoning ◽  
Female Ratio ◽  
The Public ◽  
Tertiary Care Facility ◽  
Childhood Poisoning ◽  
The Mean ◽  
The Relationship ◽  
Male To Female

Background: Accidental childhood poisoning is a recognized preventable cause of morbidity and mortality among children worldwide. This studywas aimed at determining the prevalence, pattern, and outcome of childhood poisoning among children in Abakaliki, Ebonyi State. Material and Methods: Medical records of all cases of accidental childhood poisoning admitted into Children’s emergency room (CHER) of the health facility of study between January 2014 and December 2018 were retrospectively identified and relevant data extracted and analyzed usingSPSS version 22. Results: Out of the 7,700 children that presented to CHER over a 5- year period, 42 were cases of poisoning, giving prevalence rate of 0.5%. Of the 42 cases, only 20 case notes were retrieved. The male to female ratio was 2.3:1 while the ages ranged between 6months and 14 years with the mean age of 3.06±2.88. Kerosene poisoning had the highest proportion of 50.0% (10/20) with the overall mortality rate of 5.0% (1/20).The relationship between age, place of residence and outcome in poisoned children was statistically significant (p = 0.038, 0.045 respectively). Conclusion: Accidental childhood poisoning is common in Abakaliki. Kerosene still remained the major agent while male toddlers were most  vulnerable. There is need to intensify enlightenment campaigns and education of the public about the hazard of improper storage of kerosene and other implicated substances at home. Keywords: Accidental poisoning, Childhood, Kerosene

scholarly journals CARCINOMA OF URINARY BLADDER;

2017 ◽  
Vol 24 (11) ◽  
pp. 1691-1696
Author(s):  
Khalid Hussain ◽  
Manzoor Ahmad Khan ◽  
Attiq ur Rahman Khan ◽  
Imran Amin ◽  
Muhammad Khalid Butt
Keyword(s):  
Bladder Tumor ◽  
Tnm Classification ◽  
Case Series ◽  
Female Ratio ◽  
Voiding Symptoms ◽  
Case Series Study ◽  
And Gender ◽  
Muscle Invasive ◽  
Male To Female ◽  
Gross Haematuria

Introduction: The most common presentation of carcinoma of urinarybladder is haematuria. Almost 80-90% of patients with carcinoma of bladder present eitherwith microscopic or gross haematuria and it is mostly intermittent rather than constant. Somepatients also complain of irritative voiding symptoms such as frequency, urgency and dysuria.Study Design: Descriptive, case series study. Setting: Department of Urology, DHQ Hospital,Gujranwala, Pakistan. Period: July 2015 to June 2016. Materials & Methods: Total 30 patientsirrespective of age and gender with diagnosis of bladder tumor based on clinical symptomsand supported by laboratory tools like Urine cytology, Ultrasound and IVU were included. Thealready diagnosed patients of bladder tumor that have been treated with different modalitieswere excluded. All the tumors were staged according to TNM classification after TURBT andgraded on the basis of histopathology. Results: Mean age was 53.17+16.07SD years. Maleswere 25(83.3%) and females were 5(16.7%). Male to female ratio is 5:1. Twenty eight (93.3%)patients out of 30 presented with painless haematuria. 23(73.33%) patients out of 30 patientswere smokers. 09 (30%) patients had Ta, in which G1 was found in 2 patients and G2 in 7patients. T1 was found in 10 (33.3%) patients, in which G2 was 5(17.3%) and G3 was 5(17.3%)cases. Muscle invasive T2a was diagnosed in 04 patients amongst them G2 and G3 wasdetected in 2(6.6%) patients each respectively. T2b was present in 3 patients, which had G1 in1(3.3%) and G3 in 2(10%) patients. T3b G2 was found 01 patient and T3b G3 was detected in1(3.3%) patient, T4M1 G3 was present in 2(6.6%) patients. Conclusion: This study concludedthat the bladder tumor is quite common with muscle invasive TCC is more common. Painlesshematuria is the commonest presentation and also smoking has a definite association with CAbladder.

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