Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2022
Case ReportsThe Fate of Coracoid Graft after Latarjet Procedure: Arthroscopic and Open Findings of Graft Union and Glenoid Remodelling.
Successful Latarjet procedures depend on many factors including graft union and subsequent restoration of the glenoid surface. Coracoid graft union has been studied; however, remodelling of the glenoid has not been studied extensively. We present two Latarjet cases in which coracoid screws were removed due to hardware issues, at 12 months postoperatively in one patient and at six months in another. ⋯ Our arthroscopic and open findings with respect to graft union, screw prominence, and glenoid remodelling, are presented. Both cases showed good union of the coracoid graft and restoration of the native glenoid shape. Key Words: Shoulder dislocation, Surgery, Complications, Coracoid process.
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J Coll Physicians Surg Pak · Oct 2022
Randomized Controlled TrialAbdominal Pain Management and Point-of-care Ultrasound in the Emergency Department: A Randomised, Prospective, Controlled Study.
To determine the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients with acute abdominal pain. ⋯ Abdominal pain, Cost, Emergency department, Length of stay, Point-of-care ultrasound.
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J Coll Physicians Surg Pak · Oct 2022
Randomized Controlled TrialTargeted Bleeding Management Guided by Non-Invasive Haemoglobin Measurement in Surgical Patients.
To assess blood transfusion decisions in blood losses using a continuous total haemoglobin (SpHb) and non-invasive haemoglobin (Hb) device. ⋯ Haemorrhage, Anaemia, Blood transfusion, General surgery.
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J Coll Physicians Surg Pak · Oct 2022
Clinical Spectrum and Endoscopic Treatment of Gastrointestinal Carcinoid Tumour.
To analyse the clinical spectrum and endoscopic treatment outcome of patients diagnosed with gastrointestinal carcinoid tumours. ⋯ Gastrointestinal carcinoid tumours, Neuroendocrine tumour, Clinical features, Endoscopic treatment.
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J Coll Physicians Surg Pak · Oct 2022
Review Case ReportsPapillary Urothelial Carcinoma Arising from Ureterocele: Is it a Rare Occurrence?
Various hydronephrotic, dysplastic or clinical pathologies can accompany ureterocele, which is a cystic dilatation of the intravesical part of the submucosal ureter. However, the development of cancer in the ureterocele is highly unusual. Hematuria is the most common sign, although imaging can also indicate alterations in the wall of the ureterocele. ⋯ Our review of the literature revealed very few reports. The present study is therefore particularly valuable from that perspective and describes the clinical management of a patient developing papillary urothelial carcinoma in ureterocele. Key Words: Ureterocele, Bladder, Hematuria, Urothelial carcinoma.