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Ain NU, Ahmad RS, Chaudhary Z, Asghar MS, Zafarullah S, Zaigham Ali Shah HS. Effect Of Age, Gender And Type Of Varicosity On The Post-Operative Pain Score After Seven-Day Compression Dressing After Varicose Vein Surgery. J PAK MED ASSOC 2023; 73:1491-1494. [PMID: 37469064 DOI: 10.47391/jpma.6559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
Great saphenous vein insufficiency is linked to 80% of all remarkable lower limb varicosities. A total of 30 patients were enrolled from OPD fulfilling the inclusion criteria after the approval of the hospital's ethical committee. Patients had compression dressing for seven days after surgery. The patients were divided into two groups-Group-A (Compression dressing for two days) and Group-B (Compression dressing for seven days). Stratification of pain score was done against age, gender, and grades of varicose veins, and after dividing into groups t- test was put into use. A p 20 value ≤0.05 was contemplated to be remarkable. Thirty patients with primary varicose vein were enrolled in this study. The mean age of patients was 35.4±9.9 years. Mean pain score in these patients was 2.9±0.8 years. Pain score after seven days of compression dressing after the surgery for varicose veins depend upon the gender, age, and grades of the varicosity of the veins. It is lesser in the females, younger age groups, and in those who had initially lesser severity of the varicose veins.
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Affiliation(s)
- Noor Ul Ain
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan
| | - Rana Sohail Ahmad
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan
| | - Zainab Chaudhary
- Department of Surgery, Faisalabad Medical University, Faisalabad, Pakistan
| | | | - Sadaf Zafarullah
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan
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Amir W, Zafarullah S, Waheed MR, Anwar J, Asghar MS. Obstructed inguinal hernia containing ovary with an ovarian cyst: a case report. J PAK MED ASSOC 2023; 73:1302-1304. [PMID: 37427636 DOI: 10.47391/jpma.6407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
A 27-year-old married woman came to the emergency room (ER) with the chief complaint of severe pain in the abdomen for 3 days, which was more pronounced in the right iliac fossa, along with the complaint of multiple episodes of vomiting for the last 6 hours. She also gave a history of swelling in the right inguinal region for last 9 months with the complaint of mild on and off pain in the swelling. On physical examination, diagnosis of obstructed inguinal hernia was made. Ultrasonography (USG) of abdomen was of no use, as it only commented on hernial defect and not on the contents of the hernial sac. An emergency surgery was planned; marsupialisation of ovarian cyst, repositioning of fallopian tube along with ovary and herniorrhaphy was performed without any difficulty.
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Affiliation(s)
- Wajahat Amir
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan
| | - Sadaf Zafarullah
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | | | - Jamal Anwar
- Department of Surgery, King Edward Medical University, Mayo Hospital,Lahore, Pakistan
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Asghar MS, Asgher MZ, Wahab A, Aslam J, Zafarullah S. Role of interventional radiology in surgical diseases of breast. J PAK MED ASSOC 2023; 73:863-868. [PMID: 37052001 DOI: 10.47391/jpma.4624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
Since the publication of the first imaging-guided wire localisation technique, the art of breast treatments has made great strides. Radiologists like Hall, Frank, Kopans, DeLuca, and Homer were all the pioneers in innovative breast interventional radiology field. Their approaches and gadgets for enhancing surgical outcomes in cases with breast diseases aided progress in the discipline and have withstood the ravages of time. Many of their methods are still in use. We are all standing together at the beginning of a new chapter in medicine. Cost effectiveness, comparative effectiveness studies, and an older population are all causing clinicians to reconsider what they perform. Similarly, we are now united on a global scale. The studies described in the current narrative review relate to multiple nations around the world. Breast cancer is a worldwide health problem. With the expansion of technological advances, as well as the apparent ease of worldwide travel, we must all collaborate to improve the outcome in the battle against breast cancer.
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Affiliation(s)
| | | | - Abdul Wahab
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | - Jaweria Aslam
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | - Sadaf Zafarullah
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
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Asghar MS, Sabir Z, Zaman BS, Zafarullah S, Zaigham Ali Shah HS, Aslam I, Afzal A. Experience of surgical management of rare cases of choledochal cyst in last five years-tertiary care reflection. J PAK MED ASSOC 2023; 73:677-680. [PMID: 36932781 DOI: 10.47391/jpma.5245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Choledochal Cyst (CC), also known as the biliary cyst, is one of the rare inherited anomalies of intrahepatic and/or extrahepatic biliary system characterised by varying degrees of cystic dilatation of the biliary tract without acute obstruction. The prevalence ranges from 1 in 13,000 people to 1 in 2 million people with preponderance in Asia1, particularly in Japan. Moreover, the presentation also varies in children and adults, and is usually vaguer and non-specific in adults. The prevalence is even lower in males, with female to male ratio being 3:1-4:12. We present here three cases of adult choledochal cysts excised in our surgical unit in the last five years. We discuss the aetiopathogenesis, presentation, diagnosis, surgical treatment, and complications of choledochal cysts based on the available literature. It is crucial to establish a multidisciplinary group of professionals, that comprises paediatric surgeons, pathologists, paediatric gastroenterologists, physiotherapists, nutritionists, oncologists, and radiologists, to get acceptable outcomes in diagnosing and treating children with choledochal cysts.
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Affiliation(s)
| | - Zainab Sabir
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan
| | - Balakh Sher Zaman
- Department of General Surgery, King Edward Medical University Mayo Hospital Lahore, Pakistan
| | - Sadaf Zafarullah
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | | | - Imran Aslam
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore, Pakistan
| | - Ameer Afzal
- Department of Surgery, King Edward Medical University, Mayo Hospital,Lahore, Pakistan
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Asghar MS, Asgher MZ, Wahab A, Aslam J, Zafarullah S, Waheed R. Post pancreatic surgery complications; surgeon vs interventional interventional radiologists. J PAK MED ASSOC 2023; 73:362-365. [PMID: 36800726 DOI: 10.47391/jpma.4680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Even at high-volume centres, pancreatic resections are linked with a high rate of complications, as well as significant morbidity and mortality. In the management of these occurrences, a multidisciplinary approach is required, and interventional radiology plays an important role in the treatment of patients who develop post-surgical problems. The current review was planned to provide an overview of interventional radiological techniques that can be used to treat various types of problems following pancreatic resection. Percutaneous fluid collection drainage, percutaneous transhepatic biliary operations, artery embolisation, venous interventions, and fistula embolisation are feasible therapeutic alternatives with fewer problems than a re-look surgery. They also have a shorter hospital stay and faster recovery.
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Affiliation(s)
| | | | - Abdul Wahab
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | - Jaweria Aslam
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | - Sadaf Zafarullah
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
| | - Rehman Waheed
- Department of Surgery, King Edward Medical University, Mayo Hospital, Lahore,Pakistan
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