Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jul 2021
Observational StudyManagement of Malignant Chest Wall Tumors.
To analyse the malignant chest wall tumors in terms of histological types and confer option for resection, stabilisation and reconstruction, along with postoperative morbidity and mortality. ⋯ Malignant tumors of the chest wall are rare entity which can be effectively treated with chest wall resection, mesh reinforcement for stabilisation and muscle flaps for reconstruction with acceptable postoperative complications, morbidity and mortality. Key Words: Primary, Malignant, Chest wall, Tumors, Chest wall reconstruction, Stability of chest wall.
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J Coll Physicians Surg Pak · Jul 2021
The Value of Carotid Intima-Media Thickness in the Detection of Atherosclerosis in HIV (+) Patients Subclinical Atherosclerosis in HIV (+).
To evaluate the role of the traditional risk scoring system (TRSS) in detecting subclinical atherosclerosis in HIV (+) patients. ⋯ In this study, the scoring systems (Framingham, ACC/AHA CVHRS) that determine the risk of cardiovascular disease recommended in current practice and the results of CIMT measurements were not found to be compatible. The development of new scoring systems including CIMT testing for the determination of this risk will open important new horizons. Key Words: AIDS, Cardiovascular disease, Subclinical atherosclerosis, CIMT.
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J Coll Physicians Surg Pak · Jul 2021
Obstetrics and COVID-19 Experience: Challenges and Strategies Adapted by a Tertiary Care Hospital in a Developing Country.
Novel coronavirus disease 2019 (COVID-19) pandemic has produced profound effects on the global healthcare systems including every specialty. Pregnant women are physiologically immunocompromised and may be affected more by the pandemic than the general population. New and unique challenges were encountered by hospitals and healthcare providers (HCPs) related to medical, surgical and strategic management involved in obstetric care. ⋯ Strategies adopted for timely intervention to overcome those challenges were implemented for smooth and safe care to all patients and staff. We believe that planning and preparing proactively is the key to address any pandemic like COVID-19. Key Words: COVID-19, Pregnancy, Obstetric care, Challenges.
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J Coll Physicians Surg Pak · Jul 2021
Surgical Resection Length and Harvested Lymph Nodes in Colon Cancer.
To determine the relationship between resected specimen length and tumor location, the number of LN harvested (LNh), and the positive LN ratio (LNR) in colon cancer. ⋯ Central LN dissection and vascular high ligation, according to tumor site are more efficient than the length of the resected specimen for an adequate LN dissection in colon cancers. Key Words: Colon cancer, Harvested lymph node, Specimen length, Adequate dissection.
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J Coll Physicians Surg Pak · Jul 2021
Case ReportsBrain Abscess Caused by Lactococcus Lactis in a Young Male.
Lactococcus lactis cremoris is one of the gram positive cocci, not known to be pathogenic in humans. We report a case of brain abscess due to lactococcus lactis in an adolescent. An 18-year male with congenitally corrected transposition of great arteries and dextrocardia was admitted with fever, headache and right-sided numbness. ⋯ He was treated with ceftriaxone and remained disability-free on six month follow-up. To our knowledge, this is one of the few reports of brain abscess caused by lactococcus lactis. Key Words: Brain abscess, Lactococcus lactis, Adolescent.