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The postprandial glucose-lowering effect of dietary fiber (Psyllium Husk) in patients with type 2 diabetes mellitus. 膳食纤维(车前子壳)对 2 型糖尿病患者餐后血糖的降低作用。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7783
Muhammad Owais Fazal, Ghulam Abbas, Yasir Yaqoob, M. Musharraf, Syed Kamal Hussain
{"title":"The postprandial glucose-lowering effect of dietary fiber (Psyllium Husk) in patients with type 2 diabetes mellitus.","authors":"Muhammad Owais Fazal, Ghulam Abbas, Yasir Yaqoob, M. Musharraf, Syed Kamal Hussain","doi":"10.29309/tpmj/2024.31.03.7783","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7783","url":null,"abstract":"Objectives: To compare the mean reduction in postprandial plasma glucose in patients with diabetes mellitus type 2 by dietary fibre (psyllium husk) to those not using dietary fibre (psyllium husk) and on standard treatment. Study Design: Randomized Controlled Trial. Setting: Department of Medicine, Allied Hospital, Faisalabad. Period: 30th November 2022 to 29th May 2023. Material & Methods: A total of 60 type 2 diabetes mellitus patients of both genders, age >18 to 60 years, diagnosed with DM for more than two years, were selected. Patients undergoing insulin therapy, history of DSF allergy, gastrointestinal surgery, and pregnant or lactating women were excluded. Group A received soluble ffibre10.5 g daily for 12 weeks of intervention and standard medications oforDM. Postprandial glucose was checked after 2 hours of meal. In comparison, Group B did not receive any food supplements throughout the intervention period and continued regular diets. The outcome of Blood samples was obtained in terms of mean reduction in postprandial glucose. Results: Mean reduction in Postprandial glucose in Patients with type 2 diabetes mellitus by dietary fibre (psyllium husk) was 14.33 ± 2.04 mmol/l, and in those who are not using dietary fibre (psyllium husk) and on standard treatment, it was 10.83 ± 1.95 mmol/l (p-value = 0.0001). Conclusion: This study concluded that the mean reduction in Postprandial glucose in Patients with type 2 diabetes mellitus by dietary fibre (psyllium husk) is relatively high.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"61 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation between neutrophil to lymphocyte ratio and disease activity in patients with rheumatoid arthritis. 类风湿性关节炎患者中性粒细胞与淋巴细胞比率与疾病活动性之间的相关性。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.8008
Huma Liaqat, Muhammad Salman Aamir, Shahida Perveen, Saba Samreen, Haris Gul, B. Salim, Dr. Muhammad Salman, Aamir House, Alamzeb Amir
{"title":"Correlation between neutrophil to lymphocyte ratio and disease activity in patients with rheumatoid arthritis.","authors":"Huma Liaqat, Muhammad Salman Aamir, Shahida Perveen, Saba Samreen, Haris Gul, B. Salim, Dr. Muhammad Salman, Aamir House, Alamzeb Amir","doi":"10.29309/tpmj/2024.31.03.8008","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.8008","url":null,"abstract":"Objective: To figure out correlation between neutrophils to lymphocyte ratio in rheumatoid arthritis and its relationship with the disease severity. Study Design: Prospective study. Setting: Department of Rheumatology Fauji Foundation Hospital, Rawalpindi, Pakistan. Period: July 1st to December 31st, 2021. Material & Methods: Study population included rheumatoid arthritis patients fulfilling American college for rheumatology criteria. On the basis of disease activity score-28 (DAS-28), the subjects were categorised into active and remission groups. The control group consisted of healthy age and gender matched subjects. Relationship between neutrophils to lymphocytes ratio with disease activity was analyzed. Data was analysed using SPSS 21. Results: 140 patients with RA were evaluated along with 70 healthy control subjects. NLR was higher in active RA (1.99±0.84) as compared to RA with remission (1.76±0.41) and controls (1.77±0.79). p value<0.05 was obtained which was statistically significant. NLR is significantly correlated with CDAI and SDAI (r=0.24, p=0.04 each). CRP and ESR were also significantly higher in active RA patients compared to those in remission (p<0.005 and p<0.00 respectively) and control group. Conclusion: The neutrophil to lymphocyte ratio is a measure derived from a simple blood test. An elevated NLR is often considered an indicator of systemic inflammation. High NLR values may suggest increased inflammation and immune system activation, which are key features of RA. NLR may serve as a less expensive and easily accessible marker to detect inflammation in RA. It can be utilized in future as disease assessment tool.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"11 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High fluorescent lymphocytes in dengue infection; A navigator for hematopathologists. 登革热感染中的高荧光淋巴细胞;血液病理学家的导航仪。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7965
Fariha Nasreen, Attika Khalid, M. Rehan, Asma Shaikh, Humaira Rehman
{"title":"High fluorescent lymphocytes in dengue infection; A navigator for hematopathologists.","authors":"Fariha Nasreen, Attika Khalid, M. Rehan, Asma Shaikh, Humaira Rehman","doi":"10.29309/tpmj/2024.31.03.7965","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7965","url":null,"abstract":"Objective: The aim of this research is the early detection of dengue infection on the basis of presence of high fluorescent lymphocyte (HFL) which enables the clinicians to tailor further investigations and early commencement of treatment to prevent complications and thus can reduce mortality and morbidity in dengue patients. Study Design: Prospective Research. Setting: Fauji Foundation Hospital in Rawalpindi. Period: February 2022 to July 2022. Material & Methods: Samples of Full blood counts (FBC) received in Pathology laboratory were processed on automated Hematology analyzer Sysmex XN-series (XN-1000). All the FBCs that were of known dengue patients were excluded from the study. The FBCs with High Fluorescent Lymphocytes on White blood cell differential fluorescence (WDF) scattergram were selected and evaluated. Detection of dengue infection was done by using Dengue Virus ELISA (IgM and IgG) test. Results: Among one hundred samples with High Fluorescence Lymphocyte there were 77% were Dengue Positive. Binomial test did give a significant association of Dengue with High Fluorescence Lymphocyte (p<0.01). Conclusion: We draw the conclusion that presence of high fluorescent lymphocytes helps in the early detection of dengue positive cases.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"163 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of smartphone usage on academic performance of undergraduate medical college. 使用智能手机对医学院本科生学习成绩的影响。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7860
M. Iqbal, Minahil Shafique, Aqsa Afzal, Fizza Noor, Muhammad Waseem, Unsa Marrium
{"title":"Impact of smartphone usage on academic performance of undergraduate medical college.","authors":"M. Iqbal, Minahil Shafique, Aqsa Afzal, Fizza Noor, Muhammad Waseem, Unsa Marrium","doi":"10.29309/tpmj/2024.31.03.7860","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7860","url":null,"abstract":"Objective: To assess the effect of smartphone usage on the academic performance of the students of Sahiwal Medical College. Study Design: Cross-sectional study. Setting: Department of Physiology, Sahiwal Medical College, Sahiwal. Period: 24th May to 25th July 2022. Material & Methods: and a validated questionnaire was shared among the 114 undergraduate students of 1st and 2nd year MBBS of Sahiwal Medical College. Results: Our study involved 114 participants of age between 18-20 years. The majority of the participants were females (78.4%) and the duration of smartphone usage of most students was between two to six hours per day (66.7%). No statistical significance was found between the usage of smartphones and the academic performance of students. Conclusion: There is no association between smartphone usage and the academic performance of undergraduate medical students.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"98 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic accuracy of diffusion weighted imaging on MRI in suspected cases of ovarian cancer, keeping histopathology as gold standard. 以组织病理学为金标准,磁共振成像弥散加权成像对疑似卵巢癌病例的诊断准确性。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7953
Maryam Latif, Salahuddin Balooch, Zeeshan Ali, Umar Amin, Kiran Zafar, Muhammad Usman Khan
{"title":"Diagnostic accuracy of diffusion weighted imaging on MRI in suspected cases of ovarian cancer, keeping histopathology as gold standard.","authors":"Maryam Latif, Salahuddin Balooch, Zeeshan Ali, Umar Amin, Kiran Zafar, Muhammad Usman Khan","doi":"10.29309/tpmj/2024.31.03.7953","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7953","url":null,"abstract":"Objective: To assess the diagnostic accuracy of diffusion weighted imaging on MRI in patients of ovarian cancer with histopathology considered as gold standard. Study Design: Cross-sectional study. Setting: Department of Radiology, Tertiary Care Hospital Kharian. Period: February 2022 to August 2022. Material & Methods: Non-probability, consecutive sampling was performed from 60 patients. After receiving informed consents, the suspected female patients with age 15 to 65 years went under MRI. The results were compared with histopathological findings and diagnostic potential of MRI was calculated by 2x2 table. The findings of both the modalities were compared by correlation analysis with p<0.05 considered as significant. Results: The sensitivity and specificity of MRI were estimated to be 92.68% and 73.68%. The positive predictive value and negative predictive value were estimated to be 88.37% and 82.35%. The diagnostic accuracy was found to be 86.66%. The findings of MRI and histopathology were significantly (p<0.05) correlated with a value of 0.685. Conclusion: The use of MRI is highly recommended in diagnosis of ovarian cancer.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"77 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic accuracy of computed tomography brain perfusion in the prediction of acute ischemic stroke taking the findings of MRI as gold standard. 以核磁共振成像结果为金标准,计算机断层扫描脑灌注在预测急性缺血性中风方面的诊断准确性。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7957
Bushra Ujala, Nosheen Ahmad, Arwa Naeem
{"title":"Diagnostic accuracy of computed tomography brain perfusion in the prediction of acute ischemic stroke taking the findings of MRI as gold standard.","authors":"Bushra Ujala, Nosheen Ahmad, Arwa Naeem","doi":"10.29309/tpmj/2024.31.03.7957","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7957","url":null,"abstract":"Objectives: To determine the diagnostic accuracy of computed tomography brain perfusion to predict acute ischemic stroke taking the findings of MRI as gold standard. Study Design: Cross-sectional Validation study. Setting: Department of Radiology Allied Hospital Faisalabad. Period: 20th May 2022 to 19th November 2022. Material & Methods: A total of 215 individuals, aged between 30 and 70, of both sexes, and exhibiting ischemic stroke symptoms lasting no more than 12 hours, were included. Patients with abnormal renal function tests having renal disease were excluded. The conventional non-contrast CT used in the CT stroke protocol had basal sections that were either 3 mm or 4 mm in thickness and supra tentorial sections that were either 3 mm or 4 mm in thickness. The acquisition parameters were 80kVp and 120mAs. Dynamic CT perfusion was carried out with 4 cm plane coverage. At the seventh day, all patients underwent a follow-up MRI using a 1.5 Tesla Philips MRI scanner. A radiologist examined CTP to look for signs of early ischemic changes. For CT perfusion (CTP), measurements were taken for time to peak (TTP), cerebral blood flow (CBF), and cerebral blood volume (CBV). Results: Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of computed tomography brain perfusion in the prediction of acute ischemic stroke taking the findings of MRI as gold standard was 85.37%, 76.09%, 82.68%, 79.55% and 81.40% respectively. Conclusion: This study led to the conclusion that diagnostic accuracy of computed tomography brain perfusion to predict acute ischemic stroke is quite high.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"48 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140080605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency of prolonged colonoscopy and its associated factors among adults: An experience of A Tertiary Care Hospital in Karachi, Pakistan. 成人长时间结肠镜检查的频率及其相关因素:巴基斯坦卡拉奇一家三级医院的经验。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.8016
Mashal Bai, Shahid Karim, Rajesh Kumar, Sindhu Rani, A. Faryal
{"title":"Frequency of prolonged colonoscopy and its associated factors among adults: An experience of A Tertiary Care Hospital in Karachi, Pakistan.","authors":"Mashal Bai, Shahid Karim, Rajesh Kumar, Sindhu Rani, A. Faryal","doi":"10.29309/tpmj/2024.31.03.8016","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.8016","url":null,"abstract":"Objective: To determine frequency and factors associated with prolong cecal intubation among adults undergoing colonoscopy in a tertiary care hospital. Study Design: Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: September 2022 to June 2023. Material & Methods: The study comprised patients undergoing elective colonoscopies, regardless of gender and age, who were at least eighteen years old. Cecal intubation time longer than ten minutes was regarded as a prolonged colonoscopy duration. The Aronchick scale, which is used to evaluate the quality of bowel preparation. The association between the patient's characteristics and the prolonged cecal intubation was investigated using logistic regression. P-values were considered statistically significant if they were less than or equal to 0.05. Results: Total 281 patients were enrolled into the study. Median age of patients was 40 (IQR=30-50) years and majority were males 66.5%. Median cecal intubation length and time was 90 (IQR=80-100) cm and 7 (IQR=5-10) minutes. Prolonged intubation was seen among nearly one-fifth of total patients (19.1%). Odds of prolonged cecal intubation were significantly lower patients of age <50 years, relatively higher body mass index (BMI), out-patients, patients with excellent quality of bowel preparation and among those cases in which colonoscopies were performed by consultant. Conclusion: Proportion of prolonged cecal intubation was high particularly among older age, female gender, patients with lower BMI, past surgeries and poor quality of bowel preparation.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"19 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-ionic contrast material in pediatric ct scans: A statistical analysis of mild allergic reactions. 儿科 CT 扫描中的非离子造影剂:轻度过敏反应统计分析
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7571
Abdul Maajid Khokhar
{"title":"Non-ionic contrast material in pediatric ct scans: A statistical analysis of mild allergic reactions.","authors":"Abdul Maajid Khokhar","doi":"10.29309/tpmj/2024.31.03.7571","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7571","url":null,"abstract":"Objective: To assess allergic reactions to IV non-ionic contrast media in children. Study Design: Cross-sectional study. Setting: Faisal Hospital, Faisalabad, and Children Hospital, Faisalabad. Period: June 2022 to September 2022. Material & Methods: A total of 310 patients (males and females) under the age of 14, referred for a CT scan with non-ionic contrast material were included in the study, Data were collected at the Children’s Hospital and the Faisal Hospital Faisalabad for over 4 months and statistically analyzed by SPSS V22. The Chi-square test was used to measure the association between the age of children and mild allergy reactions. Results: This study included 310 patients, 183 (59%) males, and 127 (41%) females, who received the non-ionic contrast agent. Thirteen patients (6 males and 7 females) experienced mild allergic responses including 5 cases of rash, 3 cases of itching, 2 cases of nausea, and 1 case of vomiting, flushing, and swelling. There were 10 reactions for children under five, 1 for children between five to ten years, and 2 for children older than ten years. Out of 13 reported allergic reactions, the brain region observed seven while the chest, head, and neck regions observed none. Conclusion: According to the findings of this study, imaging young children with low-osmolality non-ionic contrast material is relatively safe and has few side effects. Out of 310, only 13 children experienced mild allergic responses to non-ionic contrast material. This study found an association between the age of children (<5 years) and mild allergic reactions (skin rash and itching) which was found to be statistically significant (p=0.005).","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"20 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency of microscopic colitis in patients presenting with chronic diarrhea. 慢性腹泻患者患显微镜下结肠炎的频率。
The professional medical journal Pub Date : 2024-03-04 DOI: 10.29309/tpmj/2024.31.03.7757
Naik Muhammad, Mansoor-Ul-Haq, Adeel Rahat, Asad Abbas Jafri
{"title":"Frequency of microscopic colitis in patients presenting with chronic diarrhea.","authors":"Naik Muhammad, Mansoor-Ul-Haq, Adeel Rahat, Asad Abbas Jafri","doi":"10.29309/tpmj/2024.31.03.7757","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.03.7757","url":null,"abstract":"Objective: To evaluate frequency of microscopic colitis in patients presenting with chronic diarrhea at a tertiary care hospital in Karachi, Pakistan. Study Design: Descriptive Cross-sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: January, 2022 to June, 2022. Material & Methods: Patients presenting in out-patient department of age >18 years of any gender with history of diarrhea >1 month, normal thyroid tests, negative serology for Celiac disease (Anti TTG IgA and IgG), and normal colonoscopy findings including terminal ileum were enrolled in the study after written informed consent. MC diagnosis was established using clinical diarrhea history and colonic biopsy findings. Results: Total 130 patients were analyzed with median age of 38 (IQR= 28-55) years. Nearly half were females (n=67, 51.5%). All patients had normal colonoscopy findings. Out of 130 patients, microscopic colitis was seen among 7(5.4%) cases out of which 5(3.8%) had lymphocytic colitis and 2(1.5%) had collagenous colitis. Patients with and without MC shared the same characteristics. Conclusion: A lower microscopic colitis frequency was found in the studied sample. Lymphocytic microscopic colitis is predominant than collagenous microscopic colitis.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140266641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative study of morbidity of open cholecystectomy vs laparoscopic cholecystectomy in complicated gall stone disease. 复杂胆结石症中开腹胆囊切除术与腹腔镜胆囊切除术发病率的比较研究。
The professional medical journal Pub Date : 2024-02-07 DOI: 10.29309/tpmj/2024.31.02.7885
Usama Shabbir, Jamal Anwar, Shahbaz Hussain, Mubashar Abrar, Ayesha Akram, Muhammad Ahsan, Ameer Afzal
{"title":"Comparative study of morbidity of open cholecystectomy vs laparoscopic cholecystectomy in complicated gall stone disease.","authors":"Usama Shabbir, Jamal Anwar, Shahbaz Hussain, Mubashar Abrar, Ayesha Akram, Muhammad Ahsan, Ameer Afzal","doi":"10.29309/tpmj/2024.31.02.7885","DOIUrl":"https://doi.org/10.29309/tpmj/2024.31.02.7885","url":null,"abstract":"Objective: To evaluate the resist of minimally invasive surgery i.e. laparoscopic cholecystectomy versus open cholecystectomy in cases with complex gallstone diseases. Study Design: Prospective study. Setting: North Surgical Ward, Mayo Hospital Lahore. Period: 11th July 2020 till 10th January 2021. Material & Methods: A total of 372 patient’s fulfilling the criterion was included for study in group-A Laparoscopic cholecystectomy was done. In group B open cholecystectomy was done which includes 86 patients. The entire patient received injection Ketorolac 30 mg i.e. 8 hourly and postoperative injection NeIbufin 6 mg i.v.12hourIy as standard in all patients and Post-operative pain was assessed Visual analogy scale after 24 hours. Results: The mean age of patients in open group was 41.28 ± 13.75 years and in Laparoscopic group was 43.46 ± 13.90 years. In Open group there were 80(43%) male and 106(57%) female cases while in Laparoscopic group there were 65(34.9%) male and 121(65.1%) female cases. The mean hospital stay was statistically shorter in Laparoscopic group (3.80 ± 1.37 days) as compared to Open group (5.12 ± 1.58 days), p-value <0.001. In open group 77(41.4%) cases had post-operative pain and in Laparoscopic group 27(14.5%) cases had post-operative pain. The post-operative pain was statistically higher in open groups, p-value < 0.001. Conclusion: Laparoscopic is an ideal treatment option in terms of less pain and shorter duration of hospital stay as compared to open cholecystectomy for patients with complicated gallstone disease.","PeriodicalId":22991,"journal":{"name":"The professional medical journal","volume":"115 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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