Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · May 2022
Case ReportsUrachal Actinomycosis Presenting with Recurrent Urinary Tract Infections in a Middle-aged Woman: A Rare Case Report.
The urachal cyst, a remnant of allantois sac during embryogenesis, is a rare condition in adulthood. Urachus is an embryologic remnant degenerating after birth. Abberrant obliteration of the urachus causes urachal abnormalities. ⋯ Actinomyces, an anaerobic gram-positive filamentous bacterium, is a rare cause of granulomatous disease. In this case report, a 56-year woman with urachal cyst infection with actinomyces is discussed according to current knowledge. Key Words: Urachal cyst, Urachus, Chronic cystitis, Actinomyces.
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J Coll Physicians Surg Pak · May 2022
Randomized Controlled TrialEffectiveness of Using a Gelatine-Based Model in Ultrasonography-guided Jugular Central venous Catheter Placement Training: A Randomised Clinical Trial.
To evaluate the effectiveness of using a gelatine-based model, that can be prepared easily and at a low cost, compared to training without a model in ultrasonography (USG) guided internal jugular venous catheter placement training. ⋯ Central venous catheter, Medical training, Simulation-based training, Ultrasonography.
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J Coll Physicians Surg Pak · May 2022
Aspergillosis and Mucormycosis in COVID-19 Patients: A Systematic Review.
Fungal infections have increased in number since the onset of this lethal pandemic. This study aimed to assess risk factors and case fatality in COVID-19 cases with aspergillosis or mucormycosis. A systematic review was done according to PRISMA guidelines. ⋯ Case fatality was calculated to be 51.2%. Screening can be a beneficial tool for decreasing morbidity and mortality. Key Words: COVID-19, Mucormycosis, Aspergillosis.
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J Coll Physicians Surg Pak · May 2022
Safety of Minimally Invasive Surgical Techniques in Large Adrenal Lesions: A Single-Centre Study.
To compare perioperative outcomes of minimally invasive surgery for ≥5 cm and <5 cm adrenal lesions. ⋯ Laparoscopy, Robotic assisted laparoscopy, Adrenalectomy, Metastasectomy, Adrenal gland neoplasms.
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Repairing bilateral cleft lip (BCL) with a modified Z-Plasty technique to overcome many complications encountered with other traditional techniques was attempted in a group of Egyptian subjects at the Department of Oral and Maxillofacial Surgery, Faculty of Medicine for Girls, Al Azhar University, Cairo, Egypt between May 2018 to May 2021. The study included 20 patients suffering from primary BCL of both genders with ages ranging from one week to one year. 60% of the patients were female and 40% were males. The modified Z-Plasty technique was used in all patients. ⋯ Postoperative gummy show improved significantly (p=0.001), and 70% of patients had zero postoperative maxillary ridge show as lip lengths improved significantly. The clinical results of the modified double Z-Plasty technique used for closure of BCL were very interesting and avoid scarifying vermillion tissue in addition to the increase of both philtrum length and lip volume. Key Words: Bilateral cleft left lip, Repair, Z-Plasty.