Journal of Ayub Medical College, Abbottabad : JAMC
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J Ayub Med Coll Abbottabad · Oct 2009
Randomized Controlled Trial Comparative StudyComparative study of inverting sutureline versus over and over continuous suturing in hypospadias repair.
Hypospadias is one of the most common congenital anomalies of the male newborns affecting 1 in 300. Urethral meatus lies ectopically on the ventral surface of penis proximal to its normal position. There is defective development of urethral spongiosum and ventral prepuce. Various degrees of chordee may be associated. Objective of the study was to study the incidence of urethrocutaneous fistula formation after hypospadias repair employing two different suturing techniques. This Prospective Randomised Descriptive Clinical Trial was conducted in Department of Surgery, Fauji Foundation Hospital, Rawalpindi and Basharat Hospital, Rawalpindi, during a period of five years from January 2005 till December, 2009. ⋯ Inverting sutures reduce the incidence of urethrocutaneous fistula formation in hypospadias repair.
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J Ayub Med Coll Abbottabad · Oct 2009
How early do antibiotics have to be to impact mortality in severe sepsis? A prospective, observational study from an emergency department.
The objective of this study was to assess the promptness of antibiotic administration to patients presenting with sepsis and the effects on survival and length of hospitalization. ⋯ We demonstrated that in the population presenting to our emergency room, each hourly delay in antibiotic administration was associated with an increase in mortality.
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J Ayub Med Coll Abbottabad · Oct 2009
Acid aspiration prophylaxis during anaesthesia for caesarean section: a survey among anaesthetists at Hyderabad.
Pulmonary aspiration of gastric contents leading to acid aspiration syndrome (AAS) is a well recognized risk factor during general anaesthesia (GA) for Caesarean section (CS). The cross sectional observational study was conducted during July 2008 to October 2008 at Department of Anaesthesiology and Intensive Care, Liaquat University of Medical & Health Sciences Jamshoro, Sindh, Pakistan. The objective was to assess anaesthetic practice patterns and measures to prevent aspiration of acid gastric contents in full-term pregnant women undergoing anaesthesia for Caesarean section. ⋯ Recommended practice patterns and measures to prevent aspiration of acid gastric contents during anaesthesia for caesarean section are not observed by most of the anaesthetists working at Hyderabad.
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J Ayub Med Coll Abbottabad · Oct 2009
Per-operative findings of blocked ventriculoperitoneal shunt: a study of 72 cases.
Most patients with hydrocephalus are treated with ventriculo-peritoneal (VP) shunt placement; however, malfunction is common and is usually caused by mechanical failure. The aim of this study was to evaluate the per-operative findings accompanying presumed VP shunt malfunction. ⋯ The importance of clinical features cannot be overlooked in a patient with shunt malfunction. Upper end block due to choroids plexus is common operative finding.