المؤلفون: Bashir, Mustehsan, Nadeem, Tahir, Iqbal, Javed, Rashid, Abdur

المصدر: Annals of King Edward Medical University; Vol. 9 No. 1 (2003): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v9i1

مصطلحات موضوعية: Prospective Study. Longitudinal Studies. Typhoid. Ileostomy. Intestinal Perforation. Retrospective Studies. Research. Punctures. Ileal Diseases

الوصف: This is a prospective observational study carried out during last five years (Jan, 1998 to Nov, 2002) The purpose was to study guidelines of case selection for different available procedures to treat typhoid perforations. Ninety cases of typhoid perforation were treated by different procedures. The complete records were maintained and a designed protocol of management was observed. Male to Female ratio was 4 to 1. Average age 26 years (7 cases below 10 years and 6 cases above 40 years) Only 17 cases (18.88%) presented within 24 hours, the largest group of 31 cases (34.44%) presented after 72 hours. Although complication rate was very high in the late reporting, no significant mortality difference was noted. Primary ileostomy (group 1) 18 cases had no mortality, 53 cases of simple perforation closure had 5 mortalities (9.43%), resection anastmosis group that is 19 cases had 2 mortalities (10.5%), closure of the ileostomies (19 cases) had no mortality and a very low complication rate. In our study ileostomy is a good life saving procedure to be used judiciously, accepting its inconvenience to the patient.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/1291/1002Test; http://annalskemu.org/journal/index.php/annals/article/view/1291Test

الإتاحة: https://doi.org/10.21649/akemu.v9i1.1291Test
https://doi.org/10.21649/akemu.v9i1Test
http://annalskemu.org/journal/index.php/annals/article/view/1291Test

المؤلفون: Malik, Aisha

المصدر: Annals of King Edward Medical University; Vol. 10 No. 4 (2004): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v10i4

مصطلحات موضوعية: Stillbirth. Uterus. Health. Octanoic Acids. Abortion, Criminal. Abortion, Induced. Punctures. Abortion, Spontaneous. Uterine Diseases. Uterine Perforation

الوصف: Perforation of the uterus presents one of the gravest complications of emptying the pregnant uterus. induced abortion has emerged as one of the major share-holders of maternal mortality in third world countries. Of particulars importance is the fact that most of the illegal abortions, performed in the underdeveloped and developing countries, are attempted in older, multiparous women, increasing the risks many- fold. In the present article, a typical case of induced abortion, resulting in severe bowel injury, is presented followed by a discussion of the extent of the problem and its moral, social, and financial implications. Attention is drawn to the important role obstetrician / gynecologist can play, by providing better maternal / child health services, in an effort to reduce the incidence of induced abortion.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/1277/988Test; http://annalskemu.org/journal/index.php/annals/article/view/1277Test

الإتاحة: https://doi.org/10.21649/akemu.v10i4.1277Test
https://doi.org/10.21649/akemu.v10i4Test
http://annalskemu.org/journal/index.php/annals/article/view/1277Test

المؤلفون: Shafiq, Mohammad Akmal, Khan, Intesarur Rashid, Siraj, Samra

المصدر: Annals of King Edward Medical University; Vol. 10 No. 4 (2004): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v10i4

مصطلحات موضوعية: Small Intestine. Fever. Intestinal Perforation. Pelvic Pain. Abdominal Pain. Punctures. Appendicitis. Jejunal Diseases. Intestinal Obstruction

الوصف: The patient presented in Emergency with Pain right iliac fossa for last 24 hours. It was sudden in onset, mild in intensity, non-radiating to any site, and was associated with mild fever. About 5-6 episodes of vomiting occurred in that period. Her menstrual history was normal. She was taking medication for Rheumatoid Arthritis fort last three months. With Alvarado Score of 6 a clinical diagnosis of Acute Appendicitis was made. X-ray Abdomen did not reveal any abnormality, Blood C/E, Urine C/E, Blood sugar blood urea and serum electrolytes. After preparation, patient was taken to the theatre. Rutherford Morrison incision was made. Her appendix was difficult to locate but was normal. Strangely a toothpick was seen in the mesentery of appendix and there was a pinpoint perforation in terminal ileum about two inches proximal to ileocaecal junction Fig 1. Margins were fresh and it did not give a look of old perforation. There were adhesions between loops of small intestine, which were also adherent to under surface of liver. After adhesionolysis, margins of perforation were trimmed and it was repaired in two layers (Inner vicryl 2/0 continuous and outer with prolene 4/0 interrupted. Appendicectomy was also performed. After washing abdominal cavity with 0.9 normal saline wound was closed in layers. Patient was given postoperative antibiotics and an analgesic, kept NPO for 24 hours, and was discharged successfully after 3 days. Later on patient was asked and she admitted taking a burger three days earlier but she did not remember any toothpick.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/1278/989Test; http://annalskemu.org/journal/index.php/annals/article/view/1278Test

الإتاحة: https://doi.org/10.21649/akemu.v10i4.1278Test
https://doi.org/10.21649/akemu.v10i4Test
http://annalskemu.org/journal/index.php/annals/article/view/1278Test

المؤلفون: Islam, Haroon Rafiul, Sohail, Ahmad, Attique, Azhar, Shafique, Azhar, Cheema., Muhammad Arshad

المصدر: Annals of King Edward Medical University; Vol. 11 No. 4 (2005): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v11i4

مصطلحات موضوعية: Prospective Study. Typhoid. Ileostomy. Retrospective Studies. Intestinal Perforation. Punctures. Follow-Up Studies. Ileal Diseases. Ileum

الوصف: This is prospective study conducted in the department of Surgery, Mayo Hospital, Lahore over the period of four years. Comparative data was compiled on 100 patients divided in two equal groups. Efficacy of two operations was assessed in terms of morbidity and mortality. The final results were conclusive enough to show the benefits of ileostomy over the primary repair in cases of typhoid perforation.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/1127/850Test; http://annalskemu.org/journal/index.php/annals/article/view/1127Test

الإتاحة: https://doi.org/10.21649/akemu.v11i4.1127Test
https://doi.org/10.21649/akemu.v11i4Test
http://annalskemu.org/journal/index.php/annals/article/view/1127Test

المؤلفون: Maqsood, Lubna, Mumtaz, Fawad, Wahla, Muhammad Zakaria

المصدر: Annals of King Edward Medical University; Vol. 11 No. 4 (2005): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v11i4

مصطلحات موضوعية: Peritonitis. Typhoid. Ileostomy. Septic Shock. Intestinal Perforation. Inflammation. Abdomen. Punctures. Colostomy

الوصف: A study of 72 cases with typhoid perforation is presented. All the cases included in the study had more than 48hrs peritonitis with highly inflamed gut and presented late with septic shock. They were treated with exteriorization of the perforation as ileostomy. Postoperative recovery was satisfactory with minimal complications and very few mortalities. The ileostomy was closed 2 months later in all the cases.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/1107/834Test; http://annalskemu.org/journal/index.php/annals/article/view/1107Test

الإتاحة: https://doi.org/10.21649/akemu.v11i4.1107Test
https://doi.org/10.21649/akemu.v11i4Test
http://annalskemu.org/journal/index.php/annals/article/view/1107Test

المؤلفون: Khan, Asaad Akbar, Khan, Intesarur Rashid, Najeeb, Umer, Sheikh, Asim Jameel

المصدر: Annals of King Edward Medical University; Vol. 11 No. 3 (2005): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v11i3

مصطلحات موضوعية: Typhoid. Intestinal Perforation. Behavior. Choice Behavior. Punctures. Ileal Diseases. Epidemiologic Research Design. Biometry. Retrospective Studies

الوصف: Objectives: This comparative study was conducted at Mayo Hospital, Lahore from April 2004 to May 2005 to compare the results of primary repair and exteriorization in cases of typhoid perforation Materials and methods: :80 patients were selected out of which 48 were males and 32 were females. Inclusion criteria: Consisted of a history of fever abdominal pain, constipation, sharp shooting pain superimposed over the colicky abdominal pain clinical finding included tense tender abdomen and absent bowel sounds, investigations including gas under diaphragm in abdominal x-ray and positive widal test. Exclusion criteria: Consisted of negative Widal test even if there was gas under diaphragm, per op findings suggestive of tuberculosis or histopathology reports suggestive of tuberculosis or any pathology other than typhoid. Primary repair was done in patients who presented within 36 hrs of experiencing sharp shooting pain and per op findings of minimal contamination. Exteriorization in the form of loop or double barrel ileostomy was done in other cases.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/1004/742Test; http://annalskemu.org/journal/index.php/annals/article/view/1004Test

الإتاحة: https://doi.org/10.21649/akemu.v11i3.1004Test
https://doi.org/10.21649/akemu.v11i3Test
http://annalskemu.org/journal/index.php/annals/article/view/1004Test

المؤلفون: Abbas, Muhammad Hassan, Ali, Kamran, Bari, Mahbood, W, Ahmad, M, Anwer, A, Niazi N, H M, Tabassum

المصدر: Annals of King Edward Medical University; Vol. 12 No. 2 (2006): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v12i2

مصطلحات موضوعية: Enterocutaneous Fistula. Intestinal Perforation. Small Intestine. Abdomen. Tuberculosis. Punctures. Cutaneous Fistula. Intestinal Obstruction. Duodenal Diseases

الوصف: Objective: To study the results after forming the controlled enterocutaneous fistula in the patient of abdominal tuberculosis with matted and perforated small bowel. Design, place and duration of study This study based on therapeutic trial and conducted in one and half years from january1999 to june2001 at Mayo Hospital, Lahore. Patients and methods: All these 20 patients either operated in emergency or on elective list were malnourished, toxic and their operative findings were almost the same , these patients had extensively matted, friable and perforated gut. In these patients it was technically not possible to perform some definite procedure like right haemecolectomy or ileostomy with out increasing the morbidity or mortality. Under these circumstances, minimal surgical procedure which can be life saving is to oppose the anterior abdominal wall to the perforation and thus create a controlled enterocutaneous fistula. In 11 patients fistula closed on its own and in eight patients fistula remained patient and needed re-exploration and repair. Conclusion: This new method of treatment has yielded excellent results. We were able to cure the disease with no mortality. It is recommended that in cases of TB peritonitis with perforation and matted gut making of a controlled enterocutaneous fistula saves the life of the patient.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/879/628Test; http://annalskemu.org/journal/index.php/annals/article/view/879Test

الإتاحة: https://doi.org/10.21649/akemu.v12i2.879Test
https://doi.org/10.21649/akemu.v12i2Test
http://annalskemu.org/journal/index.php/annals/article/view/879Test

المؤلفون: Waqar, Tariq, Khan, Safdar Ali

المصدر: Annals of King Edward Medical University; Vol. 12 No. 1 (2006): AKEMU ; 2079-0694 ; 2079-7192 ; 10.21649/akemu.v12i1

مصطلحات موضوعية: Typhoid. Ileostomy. Intestinal Perforation. Punctures. Ileal Diseases. Biometry. Epidemiologic Research Design. Colostomy. Retrospective Studies

الوصف: Objective: To evaluate the better surgical option in cases of typhoid perforation comparing ileostomy and the primary repair. Study design: It was a cross sectional comparative study. Place and duration of study: Department of Surgery, Nishtar hospital Multan during December 2003 to November 2004. Patients and methods: A total of 50 cases of typhoid perforation which presented in less than 24 hours after perforation. The patients were divided into two groups of 25 patients each in double blind randomized pattern. In one group ileostomy was done and in the other group primary repair was done. Results: The mortality rate in the ileostomy was 8% and the morbidity rate was 56%. In the patients with primary repair the mortality rate was 12% and the morbidity rate was 24%. Conclusion: If patient present within 24 hours after perforation provided that the patient is in good general health and with no other concomitant illness primary repair of the typhoid perforation should be done in every patient.

وصف الملف: application/pdf

العلاقة: http://annalskemu.org/journal/index.php/annals/article/view/828/581Test; http://annalskemu.org/journal/index.php/annals/article/view/828Test

الإتاحة: https://doi.org/10.21649/akemu.v12i1.828Test
https://doi.org/10.21649/akemu.v12i1Test
http://annalskemu.org/journal/index.php/annals/article/view/828Test