Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
-
J Coll Physicians Surg Pak · Oct 2022
A Comparative Study on Removal of Appendectomy Specimen during Laparoscopy.
This study included 151 patients and compared four techniques for appendectomy specimen removal during laparoscopy in a tertiary health centre. An endo bag was the most common removal technique which is preferred in the elderly, whereas, direct removal is preferred in younger patients (p=0.045). A lower median CRP level was observed in the powdered glove group (p=0.025), and median values of hospital stay were longer in powder-free and powdered glove groups (p<0.001). ⋯ However, powdered gloves technique is preferred method in cases with less inflammation, though, it prolongs the need for drainage catheter use and length of hospital stay. Therefore, we emphasise that removal via powdered gloves is the worst technique among the four techniques. Key Words: Appendectomy, Appendicitis, Laparoscopy, Morbidity, Readmission.
-
J Coll Physicians Surg Pak · Oct 2022
Role of Ondansetron in Reducing Methotrexate Intolerance in Patients with Inflammatory Arthritis.
To determine the frequency of intolerance to Methotrexate (MTX) in patients with inflammatory arthritis by using MTX intolerance severity score, and evaluate the effects of Ondansetron in reducing MTX intolerance. ⋯ Rheumatoid arthritis, Methotrexate, Ondansetron, Nausea, Arthritis juvenile.
-
J Coll Physicians Surg Pak · Oct 2022
Percutaneous Uniplanar Pedicle Screw-Rod System with Injured Vertebra Fixation for Thoracolumbar Burst Fracture and Technique Notes.
To evaluate the efficacy of percutaneous uniplanar pedicle screw (PUPS) combined with injured vertebra fixation for treating thoracolumbar burst fracture and provide technique notes. ⋯ Percutaneous uniplanar pedicle screw, Minimally invasive surgery, Thoracolumbar vertebral body fracture, Injured vertebra fixation.
-
J Coll Physicians Surg Pak · Oct 2022
The Role of Rehabilitation Services in the Optimal Management of Urinary Incontinence in Women.
Null.
-
J Coll Physicians Surg Pak · Oct 2022
Case ReportsSymptomatic Spinal Seeding Metastasis of a Low-grade Oligodendroglioma.
Extracranial metastases from primary brain tumours are mostly caused by high-grade tumours. Metastases from low-grade intracranial tumours are much rare and usually asymptomatic. We present a case of a symptomatic spinal cord compression with intradural extramedullary and diffuse leptomeningeal infiltration observed approximately 51 months after the first diagnosis of a 52-year male patient with WHO Grade 2 oligodendroglioma with temporoparietal localisation. ⋯ The patient who experienced refractory seizures died before his radiotherapy treatment was completed. It should be kept in mind that spinal metastases may also be seen in low-grade intracranial tumours without malignant transformation as in the present case. Key Words: Spinal seeding, Spinal metastases, Low-grade oligodendroglioma.