- Abdominal Trauma and Injuries
- Abdominal vascular conditions and treatments
- Bone fractures and treatments
- Gastrointestinal disorders and treatments
- Pancreatitis Pathology and Treatment
- Helicobacter pylori-related gastroenterology studies
- Hip and Femur Fractures
- Amoebic Infections and Treatments
- Elbow and Forearm Trauma Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Cholangiocarcinoma and Gallbladder Cancer Studies
- RNA regulation and disease
- Hospital Admissions and Outcomes
- Metastasis and carcinoma case studies
- Parasitic infections in humans and animals
- Cancer Diagnosis and Treatment
- Musculoskeletal Disorders and Rehabilitation
- Fetal and Pediatric Neurological Disorders
- Ocular Diseases and Behçet’s Syndrome
- Ubiquitin and proteasome pathways
- Histone Deacetylase Inhibitors Research
- Pancreatic and Hepatic Oncology Research
- Salmonella and Campylobacter epidemiology
- Hematological disorders and diagnostics
- Surgical site infection prevention
Benazir Bhutto Hospital
2021-2024
University of Central Punjab
2024
Allied Hospital
2022
Rawalpindi Medical University
2019-2021
Objective: To compare postoperative wound infection rates and hospital stay duration between laparoscopic appendectomy (LA) open (OA) in patients with acute appendicitis. Materials Methods: A single center, label, randomized clinical trial (NCT12345678) was conducted at Benazir Bhutto Hospital, Rawalpindi, Pakistan. total of 130 (65 per group) aged 18–70 years ultrasonography confirmed appendicitis were to OA (McBurney incision) or LA (three port technique). Exclusion criteria included...
Splenic cysts are differentiated into primary and secondary based on epithelial lining. Primary non-parasitic splenic extremely rare. We report a case of 24-year-old male with left hypochondrial swelling no history abdominal trauma. His hydatid serology was negative. A CT scan showed massive splenomegaly due to large, relatively thin-walled cystic lesion possible thin internal septation near the lower pole spleen. The entire cyst its intact wall were excised laparoscopically. cyst's nature...
Hip dislocations may occur in both children and adults following accidents involving vehicles, or falls. Reduction within six hours of damage is currently encouraged since it one the most important variables avoiding avascular necrosis femoral head. The treating surgeon must be aware likelihood creating a complete separation between physis neck during an attempted reduction due to potential biomechanical injury capital epiphysis (CFE). We are reporting case proximal epiphysiolysis hip...
Cystic echinococcosis, also known as hydatid disease, rarely occurs in aorta. In this article, we report a rare case of pseudo-aneurysm the lower descending thoracic aorta communicating with cyst; surgical excision was performed primary repair This emphasizes need for early diagnosis cyst high index suspicion endemic areas, particularly if vicinity major vessel and aggressive investigations followed by subsequent treatment before disabling life-threatening complications occur.
Hepatic endometriosis is a very rare form of first described by Rokitansky in 1986. To our knowledge, 42 cases hepatic have been reported the literature till date. The condition offers diagnostic challenge owing to its variable presentation on imaging and need for histological immunohistochemical evidence definite diagnosis. We hereby present 43rd case ectopic endometrium liver 30 years old, multiparous female who presented with fever pain right hypochondrium. Radiological suggested cystic...
Background: Bone marrow examination is an invaluable tool in the diagnosis of hematological and non-hematological diseases. Referral made based on clinical after analyzing CBC peripheral film.Objective: This study aims at evaluating spectrum diseases diagnosed bone biopsy a tertiary care hospital Rawalpindi, Pakistan.Materials Methods: descriptive, cross-sectional was carried out pathology department Holy family for duration 1 year ethical approval from IRF. All 220 cases requiring were...
INTRODUCTION: The experience in the operation theatres is pivotal for surgical education. A measure of educational environment operating room as perceived by residents would assist educators and trainees gauging quality learning occurring within their institute. METHODS: cross-sectional survey using theatre (STEEM) 40-item inventory to perception surgery allied public sector hospitals Rawalpindi. Internal reliability was assessed Cronbach α coefficient. P≤ 0.05 considered significant....
Abstract Introduction ERAS protocols are multimodal perioperative care pathways designed to achieve early recovery after surgical procedures by maintaining pre-operative organ function and reducing the stress response following surgery. Despite a significant body of evidence indicating that lead improved outcomes, implementation has been slow, is not yet universal. The aim this study was evaluate current enhanced among Pakistani surgeons. Methods A survey questionnaire consisting 23 items...
Abstract Objective The study aimed at assessing the bacterial profile and antimicrobial susceptibility patterns of pathogens isolated from patients diagnosed with surgical site infection. This will help identify organisms guide in formation protocols to prevent treat infections. Methods descriptive cross-sectional was conducted Department Surgery May 2021 2022, using convenient sampling technique. Wound samples were taken infection cultured on Blood MacConkey agar. Antimicrobial performed...
Abstract Introduction Renal artery aneurysm is a rare complication after renal trauma. Most patients are managed with minimally invasive techniques. However, in case of risk expansion or rupture, surgical exploration may be warranted. Here we present 10 year old girl who presented blunt Case report A ER sudden onset abdominal pain history fall. Fast scan showed free fluid abdomen and right kidney injury. CT grade V injury compressing inferior vena cava anteriorly ascending colon laterally....
Abstract Introduction Tuberculosis presenting as an isolated liver abscess is extremely rare. Case Summary A 55 year old woman presented with complaints of pain right hypochondrium associated low grade fever and weight loss for last 1 year. Abdominal examination revealed mild tenderness in hypochondrium. Rest system was unremarkable. Laboratory investigations chest radiograph were normal. Ultrasound abdomen showed coarse heterogeneous parenchyma increased echogenicity. Single irregular...
Abstract Aims Gall bladder diseases usually manifest as gall stones, inflammation of and cancer. There had been a constant debate over the years regarding selective vs. routine histopathological assessment all specimens. This study was aimed to assess safety adopting policy examination those specimens with pre-operative and/or intra-operative suspicion malignancy without risking patient safety. Methodology A descriptive, cross-sectional conducted. All 1285 cases biopsies done after elective...
Abstract Introduction Neuroendocrine differentiation in breast carcinomas was first described by Feyrter and Hartmann 1963, based on positive silver staining mucinous of the breast. NEBC are heterogeneous group rare tumours which account for < 0.1 % tumour 1% neuroendocrine tumours. Case A 65-year-old female presented with a 12 x 10 cm non-tender hard globular slightly mobile mass upper medial /inner quadrant right overlying 2 scar mark bilateral axillary lymphadenopathy. Mammography...
Abstract Introduction Walled-off pancreatic necrosis is a late complication of acute pancreatitis and can mimic cancer. Case Summary A 20 years old male patient was referred to us with suspicion mass. He gave an inconsistent history pain epigastrium jaundice about 3 months back. An ultrasound abdomen showed solid mass measuring 47 x 52mm in head pancreas having enhanced vascularity on doppler. Computed tomography scan done lesion 5cm páncreas, enhancing nature no separation from duodenum....
Background: Ivor lewis oesophagectomy (ILO) for oesophageal cancer (OC) is associated with high morbidity an anastomotic leak (AL) rate of upto 30% been quoted in literature.This can lead to return intensive care, delayed recovery and mortality.Several techniques have developed attempt reduce this risk such as, hand sewn technique, circular anastomosis side linear stapled (LSA).Recent meta-analysis suggested reduced AL LSA.We demonstrate our technique a totally robotic LSA performed distal...
Objective: With this research, we hope that can compare the effectiveness of percutaneous cross pins in treating paediatric supracondylar humerus fractures to two-lateral pins. Study Design: Prospective study Place and Duration: Children Hospital Faisalabad/ Bahawal Victoria Bahawalpur.April 2018-Oct 2018. Methods: This research included 104 patients both sexes. After permission, patient's age, sex, BMI were recorded. The ranged age from 3 10. with split into two groups. Percutaneous pinning...
Objective: The purpose of this study is to evaluate the efficiency reamed interlocking nails in treatment closed tibal shaft fractures. Study Design: Observational and Descriptive Place Duration: Allied Hospital Faisalabad / Bahawal Victoria Bahawalpur.Jun 2018-Dec 2018. Material Methods: A total 130 patients, both sexes, were included analysis. Enrollees between ages 18 60. After obtaining written agreement, demographic information registered patients was gathered stored a database. nail...
Abstract Oesophageal leiomyoma and epiphrenic diverticulum are two rare entities to be simultaneously occurring together. The preoperative diagnosis in such coexisting conditions is often difficult mostly an incidental finding. Till date there no evidence of the pathogenesis that if causes or vice versa?: We report a case 32-year-old male with known co-morbids, previous history accidental kerosine oil intake 7 months ago, dysphagia retrosternal burning pain since 4 weeks documented weight...
Abstract Introduction Appendiceal tumours are rare and mucinous account for 58% of the malignant appendix according to SEER data base, with remaining being carcinoid tumors. Mucinous have a potential peritoneal spread in form gelatinous material, resulting pseudomyxoma peritoni (PMP). We report case adenocarcinoma inducing 37 year old male. Case summary A male presented generalised abdominal pain 2 months gradually increasing distension over period one month. On examination, abdomen was...
Abstract Introduction Ischemic colitis (IC) is the condition that results when blood flow to colon reduced a level insufficient maintain cellular metabolic function. Case summary A 36 year old female; diabetic, hypertensive, with history of CVA and IHD, presented in ER complaints sudden onset, severe, colicky abdominal pain. Examination revealed mildly tense, tender abdomen at left iliac fossa palpable ill-defined mass. Her TLC was 31.6/L hemoglobin 9.3 g/dL. Serum amylase, lipase lactate...
Background: Vici syndrome is a rare, autosomal recessive multisystem disorder, first described in 1988 by Dionisi-Vici. This characterized corpus callosum agenesis, oculocutaneous hypopigmentation, cataracts, immunodeficiency, and cardiomyopathy with additional variable manifestations. Case Presentation: We present case of 2-month-old infant, born preterm via Spontaneous vaginal delivery (SVD). He presented fever, fits, developmental delay. His weight head circumference were below the third...