Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Sep 2024
Spontaneous Closure of Bile Leak in Abdominal Drain after Cholecystectomy: A Systematic Review.
Bile leakage in abdominal drain after cholecystectomy is reported to close spontaneously without any intervention. The aim of this systematic review was to find out the amount and source of bile leaks that can be closed spontaneously and various factors associated with this closure. A systematic search of PubMed, Google Scholar, and Cochrane under preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was performed. ⋯ Overall 66.6% cases of bile leaks were laparoscopically operated. Bile leakage in abdominal drain after cholecystectomy up to 500 ml per day closes spontaneously in a week time provided patient has no major ductal injury and peritonitis. Key Words: Bile leakage, Abdominal drain, Endoscopic retrograde cholangiopancreatography.
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J Coll Physicians Surg Pak · Sep 2024
Postoperative Outcomes of the Awake Colorectal Surgery with Neuraxial Anaesthesia.
To determine the outcome of awake surgery with combined spinal epidural in geriatric colon cancer patients with advanced comorbidity. ⋯ Regional anaesthesia, Spinal-epidural, Mobilisation, Pain, Colon cancer.
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J Coll Physicians Surg Pak · Sep 2024
Observational StudyPulmonary Embolism Risk Assessment in Acute Isolated Distal Deep Venous Thrombosis.
The clinical risk factors and risk of developing pulmonary embolism (PE) in patients with acute isolated distal deep venous thrombosis (IDDVT) were assessed using single complete-duplex ultrasound (CDUS) imaging to reduce over-testing and over-treatment. This observational study was conducted from January 2020 to December 2022. Retrospective analysis was performed on CT pulmonary angiography (CTPA), blood coagulation markers, myocardial injury markers, blood gas analysis, and CDUS imaging of the lower extremity blood vessels of 146 patients with newly diagnosed IDDVT. ⋯ The combined prediction model achieved an area under the receiver operating characteristic curve (AUC) of 0.832 [95% confidence interval (CI): 0.761, 0.902]. By balancing the sensitivity and specificity of DD, combined single CDUS improves the predictive value for PE in patients with IDDVT. Key Words: Venous thrombosis, Pulmonary embolism, Ultrasonography, D-dimer, Diagnosis.
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J Coll Physicians Surg Pak · Sep 2024
LetterCOVID-19 Vaccination, Pregnant Woman, and Adverse Effects: Comment.
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