Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jan 2020
Stricture of Urethra: Patterns and Outcomes of Management from a Single Centre in Pakistan Over 7 Years.
To determine the outcomes of urethroplasty and its complications from a large cohort of patients managed in a single centre. ⋯ Anastomotic urethroplasty yielded best outcomes followed by OMG urethroplasty. In the long-term follow-up, erectile dysfunction (ED), infertility and recurrence of stricture are the main complications which need individualised management.
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J Coll Physicians Surg Pak · Jan 2020
Comparison of Mortality in Fournier's Gangrene with the Two Scoring Systems.
To determine the factors associated with mortality in Fournier's gangrene (FG) toward informing the development of effective treatment strategies. ⋯ Based on the findings described in this study, age and dissemination scores from the UFGSI can be used to predict patient outcome. Patients with a UFGSI score greater than 10 have a higher mortality rate.
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J Coll Physicians Surg Pak · Jan 2020
Case ReportsPerioperative Nursing of Diffuse Pulmonary Ossification.
This study aims to describe the clinical manifestations of diffuse pulmonary ossification, explore the diagnostic methods to reduce the misdiagnosis rate, and discuss its nursing treatment in the perioperative period. In The Fifth Central Hospital of Tianjin, one patient with diffuse pulmonary ossification, confirmed by surgical lung biopsy, was reported; and the clinical features and effective nursing methods are analysed. The patient was a 16-year teenager, who developed sudden convulsions without obvious cause with limited respiration. ⋯ Therefore, it is easily misdiagnosed as other interstitial lung diseases. Lung biopsy can be used to confirm this disease. Sequential acupoint stimulation by tapping the back can relieve cough and help patients recover quickly.
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The postpericardiotomy syndrome (PPS) is an important cause of morbidity and mortality following heart operation. This systematic review reviewed the literature regarding PPS. It was found to occur on day 18.3 ±15.9 after cardiac operations, most often after coronary artery bypass grafting, and mitral valve replacement. ⋯ Surgical trauma and cardiopulmonary bypass trigger the systemic inflammatory response, which results in antiheart autoantigen release, and the deposited immune complex could be found in the pericardial, pleural, and lung tissues, thereby provoking the occurrence of PPS. Therapeutic options for the refractory cases are long-term oral corticoids or pericardiectomy. Surgical intervention was warranted in 2.6% of the cases due to cardiac tamponade.