Pakistan Journal of Medical & Health Sciences最新文献

{"title":"Comparison between Intracorporeal Pneumatic Lithotripsy and Extracorporeal Shock Wave Lithotripsy (ESWL) in terms of efficacy and Safety for Management of Proximal Ureteric Stones","authors":"M. Amjad, I. Hyder, R. A. Rehman, H. Shafi, M. Seerwan, Ali Shandar Durrani","doi":"10.53350/pjmhs221610318","DOIUrl":"https://doi.org/10.53350/pjmhs221610318","url":null,"abstract":"Objective: To compare efficacy and safety of intracorporeal pneumatic lithotripsy versus extracorporeal shock wave lithotripsy (ESWL) in patients of upper ureteric stones having stone size from 10 to 15 mm. Study Design: Randomized control trial Setting: Study was done at department of Urology, Nishtar Hospital Multan. The duration of the study was from January 2021 to January 2022. Methodology: 140 patients were divided into two groups randomly. In group A ureterorenoscopy (URS) with Pneumatic Lithotripsy was used for proximal ureteric stones management. URS was performed under general anesthesia. In group B, ESWL was done for the management of proximal ureteric stones identified by ultrasound and fluoroscopy. SPSS version 23 was used for data analysis. Results: In this study In Intracorporeal Pneumatic Lithotripsy group the stone cleared in 90% patients and in ESWL group the stone cleared in 78.6% patients (p-value=0.595). In Intracorporeal Pneumatic Lithotripsy group the pain was present in 14.3% patients and in ESWL group the pain was present in 18.6% patients (p-value=0.494). In Intracorporeal Pneumatic Lithotripsy group the bleeding was noted in 25.7% patients and in ESWL group the bleeding was noted in 40.0% patients (p-value=0.072). Conclusion: This study concluded that intracorporeal pneumatic lithotripsy is a good alternate of ESWL for the management of upper ureteric stones (having size from 10 to 15mm). Keywords: Urolithiasis, Intracorporeal Pneumatic Lithotripsy, Extracorporeal Shock Wave Lithotripsy, Ureteric Stone","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122700383","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}

{"title":"Thyroid Dysfunction in Pregnancy and its Outcome","authors":"Hina Pirzada, Sehrish Ali, A. Mudassir, Maham Waseem, Humaira Zulfiqar Saifee","doi":"10.53350/pjmhs221610339","DOIUrl":"https://doi.org/10.53350/pjmhs221610339","url":null,"abstract":"Objective: To identify the thyroid dysfunction in pregnancy and its outcomes. Study Design: Prospective study Place and Duration of Study: Department of Obstetrics & Gynaecology, Sheikh Khalifa Bin Zayed Al-Nahyan Hospital/CMH Muzaffarabad Azad Kashmir from 1st October 2021 to 31st March 2022. Methodology: Seventeen hundred pregnant women in third trimester were screened. Out of them, 50 were identified to be suffering from thyroid dysfunction. The pregnant women in their third trimester and within the age group of 18-40 years were recruited. By using enzyme linked sorbent assay the serum levels of TSH, Free T3 and Free T4 were determined for each woman as a routine clinical health check-up practice. The women who had raised analytical levels as well as correlated clinical history were identified as suffering from thyroid dysfunction. These women were further followed for the outcomes of their pregnancy. Results: The prevalence of thyroid dysfunction was 2.9%. There were 42% pregnant women suffering from subclinical hypothyroidism while 36% were having overt hypothyroidism and 12% had subclinical hyperthyroidism. Conclusion: The major outcome of thyroid dysfunction in pregnancy in terms of maternal and fetal outcomes was presence of anemia in women and was 4.89%. In women considering fetal outcomes, low birth weight was observed in 32% neonates with a need of neonatal intensive care for 42% of newborns were seen. Keywords: Thyroid dysfunction, Pregnancy, Outcome","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125879092","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}

{"title":"Impact of Delayed Presentation on the Surgical Outcome of Epidural Hematoma in Traumatic Brain Injury Patients","authors":"A. Iqbal, Taimoor Ali, M. Anwarullah, Qazi Ziaullah","doi":"10.53350/pjmhs221610300","DOIUrl":"https://doi.org/10.53350/pjmhs221610300","url":null,"abstract":"Objectives: To note the impact of delayed presentation on the surgical outcome of extradural hematoma in traumatic brain injury. Study Design: A case-series study. Place Duration of the Study: Department of Neurosurgery, Lady Reading Hospital Peshawar from July 2018 to June 2019. Methodology: A total of 119 patients of both genders aged 15-45 years suffering from epidural hematoma with history of head trauma presented after 6 hours having size of hematoma above 30 ml (as per axial images of CT brain) were included. Frequency of favorable and unfavorable outcomes were noted after three months of follow-up. Outcome was termed as favorable if patient had good recover or moderate disability. Results: Out of total 119 patients, 89 (74.8%) were male. Unfavorable outcome was noted in 37.8% (n=45) of total patients with delayed presentation to the hospital, while favorable outcome was noted in 62.2% (n=74) of patients. Good recovery and moderate disability were observed in 27.7% (n=31) and 34.5% (n=41) of total patients respectively. While, severe disability and vegetative state was recorded in 26.1% (n=31) and 7.6% (n=9) of patients respectively. Practical Implications: Efforts should be made to increase awareness about timely presentation and interventions for better surgical outcomes among patients of extradural hematoma. Conclusion: Frequency of unfavorable surgical outcome of extradural hematoma found to be 37.8% in head trauma patients with late presentation. Keywords: Extradural Hematoma, Glasgow Coma scale, surgical outcome","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121994840","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}

{"title":"Impact of Demographic Factors on Oral Health Knowledge and Attitude of patients with Type II Diabetesmellitus Visiting A THQ Hospital in Punjab, Pakistan","authors":"F. Riaz, Afifa Ehsan, Aliya Raza, Umer Abdullah, M. Mehdi, Ejaz Hussain Sahu","doi":"10.53350/pjmhs221610247","DOIUrl":"https://doi.org/10.53350/pjmhs221610247","url":null,"abstract":"Aim:Patients suffering from Diabetes Mellitus havea largerpossibilityofdeveloping oral diseases furthermore; those who have uncontrolled and long-duration of Diabetes Mellitusare also at a greater risk for acquiringperiodontaldisorders. The present study intended to investigate the association of oral fitness knowledge and attitude with different demographic factorsin patients with Type II Diabetes Mellitus visiting a secondary care provincial hospitalin Sargodha, Pakistan. Methods: The present study was a cross-sectional study piloted at a secondary care provincial hospital in District Sargodha which comprised 180 patients suffering from Type II Diabetes Mellitus.Information was collected using a systematized questionnaire which was handed out to study participants visiting the outpatient department of the hospital. Results:Oral health knowledge of the study participants were cross-tabulated with socio-economic and demographic factors and a significant association was seen with gender(P≤0.001), educational status(P≤0.0001), monthly income(P≤0.002), and marital status(P≤0.001). In the present study, 26% of males and 18% of females had adequate knowledge regarding oral health. Advanced levels of learningand income also transpiredto have a strong association with oral health awarenessand attitude(P≤0.01). Conclusions: Results of the present study suggest that oral well-being knowledge and attitude among patients with Type II Diabetes Mellitus were strongly associated in conjunction withgender, higher levels of education, and income. Based on these outcomes, communal-oriented oral well-being campaigns are indispensable to navigating the standard of living of patients with Type II Diabetes Mellitus. Keywords: Dental, Diabetes Mellitus, Knowledge, Oral Health, Oral complications, Type II Diabetes Mellitus.","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128183958","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}

{"title":"Awareness of Dental Practitioners Regarding Biocompatibilty of Dental Materials","authors":"Uzma Hasan, M. Fatima, H. Khan, Saeeda Zia, Aatika Khan, M. Habib","doi":"10.53350/pjmhs221610420","DOIUrl":"https://doi.org/10.53350/pjmhs221610420","url":null,"abstract":"Objective: This study was done to evaluate awareness of dental practitioners regarding biocompatibility of dental materials among dental practitioners. Study Design: Cross sectional study Place and duration of study: This study was conducted in Islamic international dental college Islamabad during June 2019 to December 2019. Materials and methods: This was a cross sectional questionnaire based study. Questionnaires were distributed to house officers and post graduate trainees (N=100) of Islamic International Dental Hospital. The recorded data was analyzed using SPSS2015 (version 23) software. Results: 85% of dental practitioners had knowledge about biocompatibility of polymer based materials. 89% were aware of type of adverse reactions associated with latex gloves. 64% of dental practitioners had awareness that eugenol is a cytotoxic substance present in zinc oxide eugenol. 7% of dental practitioners knew about the various methods to diagnose titanium allergy. Practical implication: This study will help the dental practitioners to comprehend what type of allergies are prevalent in their local population and which dental material can give best results without adverse effects. Conclusion: Our participants have sufficient knowledge about the biocompatibility of dental materials but the knowledge about titanium allergy needs to be enhanced. Keywords: awareness, biocompatibility, dental practitioners, dental materials","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131828110","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}

{"title":"Safety and Effectiveness of Direct Xa Inhibitors vs Warfarin in Patients with Nephrotic Syndrome","authors":"Ayesha Shahjahan, Syed Irfan Ahmed, A. Jamal","doi":"10.53350/pjmhs221610474","DOIUrl":"https://doi.org/10.53350/pjmhs221610474","url":null,"abstract":"Introduction: Nephrotic syndrome (NS) is characterized by excessive proteinuria (> 3.5 g/day), hypoalbuminemia, and edema. Objectives: The main objective of the study is to find the safety and effectiveness of direct Xa inhibitors vs warfarin in patients with nephrotic syndrome. Material and methods: This cross-sectional study was conducted in Akbar Niazi Teaching Hospital, Barakahu, Islamabad from January 2022 till June 2022. The data were collected from 120 patients which diagnosed with nephrotic syndrome. After permission from hospital ethical committee, total 120 patients meeting the inclusion and exclusion criteria was enrolled in the study. Detailed history of kidney disease and physical examination was done to meet the inclusion and exclusion criteria. Informed consent was obtained. Results: The data was collected from 120 patients. Out of 120 participants, 60 were treated with warfarin while 60 were considered as control group. Median age was 26 years in group I and 25.3 years in group II (p=0.705). Female cases counted for 41 (86%) and 19 (14%) in I and II groups, respectively. Risk factors, clinical presentation, affected vessels and AF for both groups are depicted in Table I. Results from both groups were comparable and statistically, no significant differences were observed (p• value more than 0.05). Practical implication: This study will help in treating nephrotic syndrome and kidney complications. Conclusion: It is concluded that awareness about nephrotic syndrome in patients were low and its prevalence continues to remain high and is likely to increase globally. Direct Xa inhibitors were associated with lower hazards of kidney complications and mortality than warfarin in patients with nephrotic syndrome. Keywords: Nephrotic, Syndrome, Complications, Mortality, Warfarin","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"8 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129669965","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}

{"title":"Association of Lactate Clearance with Morbidity and Mortality in Neonates with Sepsis and Septic Shock at RECEP Tayyip Erdogan Hospital Muzaffargarh","authors":"Mehwish Iqbal, Athar Razzaq, F. A. Malik, Muhammad Amjad Ali, Muhammad Imran, Maham Shehzadi","doi":"10.53350/pjmhs221610471","DOIUrl":"https://doi.org/10.53350/pjmhs221610471","url":null,"abstract":"Objective: to determine the association of lactate clearance with morbidity and mortality in neonates with sepsis and septic shock at neonatology department of Recep Tayyip Erdogan Hospital Muzaffargarh. Methods: This prospective cohort study was carried out at department of neonatology of Recep Tayyip Erdogan Hospital Muzaffargarh from January 2021 to June 2021. Term neonates, aged less than 28 days and diagnosed as the cases of sepsis, were included. After taking demographic information, a detailed medical history was obtained, and a complete clinical examination was done. Blood samples were taken from all the patients and sent to the Hospital diagnostic laboratory to evaluate the CBC, liver function test, serum creatinine level, coagulation profile, CRP, blood culture, and serum lactate level. All the data were collected by using structured study proforma, and SPSS version 26 was used for the purpose of data analysis. Results: A total of 56 septic neonates were studied, their mean age was 13.14+7.79 days. Females were 51.8% and males were 48.2%. Blood culture was positive in 75.0% of the cases, and CRP was positive in 98.2% of the cases. Overall average of serum lactate at baseline was 2.67+1.73, at 6 hours was 1.91+0.98 and at 24 hours average of serum lactate was 0.21+0.10. 50% of the cases had AKI, 50.0% had AHI, cardiac failure was in 26.8% of the cases, 30.4% of the cases had need of ventilation, and the mortality rate was 35.7%. Septic neonatal morbidity and mortality were statistically insignificant according to serum lactate at baseline and at 24 hours (p >0.05). Despite the fact that serum lactate at 6 hours was significantly associated with mortality and the need for ventilation (p 0.05), Conclusion: As per the study conclusion, neonatal sepsis and septic shock are highly responsible for neonatal morbidity and mortality. Lactate clearance at six hours was found to be significantly related to neonatal mortality and the need for ventilation. Although lactate clearance at 6 hours is observed to be a predictor of neonatal mortality in neonates with sepsis and septic shock, Keywords: Neonatal sepsis, lactate clearance, morbidity, mortality","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133153023","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}

{"title":"Efficacy of 2% Kojic Acid Containing Formulation vs Picosecond Laser for Treatment of Melasma","authors":"Naseemullah, Abdul Qayum Khan, F. Khan, Shahzad Rashid Awan, Sarah Riaz Khan","doi":"10.53350/pjmhs221610368","DOIUrl":"https://doi.org/10.53350/pjmhs221610368","url":null,"abstract":"Background: Melasma is a frequently observed dermatological condition. The conventional therapies for melasma improvement established to date are mainly categorized into chemical peeling, topical agents and laser therapy. A new technique to reduce discomfort and post-laser discoloration induced by heat effects is the picosecond laser system. Objective: To find out efficacy of 2% kojic acid containing formulation vs picosecond laser for treatment of melasma Methodology: This was comparative randomized controlled study carried out at the department of dermatology Qazi Hussain Ahmad Medical Complex Nowshera and alshifa clinic and skin aesthetic, Nowshera for duration of one year from July 2020 to July 2021. Totally, 300 patients were included in the study. Each picosecond laser and kojic acid group comprise of 150 patients. All the information was recorded at the baseline and each following visit. Severity Index (MASI) score was calculated and color photographs were taken of all patients. Results: At baseline, the mean MASI scores for picosecond laser and kojic acid group was 10.5±3.5 and 11.2±4.1 respectively (p=0.31). In both the group significant improvement occur in the MASI scores at weeks 12 and week 20. In picosecond laser group, the most remarkable improvement rate (62%) was noted while in kojic acid containing formulation group the rate of improvement was 41.96%. Conclusion: Our study concludes that picosecond Laser device is an efficient and well-tolerated therapeutic option for melasma as compared to kojic acid containing formulation. Keywords: Efficacy; Kojic acid; Picosecond laser; Melasma","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115824806","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}

{"title":"Surgical Audit of Leakage after Open Surgical Repair of Perforated Peptic Ulcer","authors":"Ibrahim Asghar, S. Fatima, A. Shaikh, Nargis Shaikh, K. Qureshi","doi":"10.53350/pjmhs221610288","DOIUrl":"https://doi.org/10.53350/pjmhs221610288","url":null,"abstract":"Objective: to critically analyze the leakage after open surgical repair of peptic ulcer perforation. Methods: All patients who fulfilled the inclusion criteria and visited to surgical department SMBBMU, Larkana from September, 2018 to March, 2021 were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. X-ray abdomen erect posture, leukocyte count, and serum amylase were performed. After surgery, site of perforation and type of surgery were recorded. Patients were followed for 30 days in order to assess the leakage. Results: Mean ± SD of age was 42.6±8.5 years. Out of 203 patients included in the study, 145 (71.4%) were male while 58 (28.6%) were female, Leakage was noted in 13 (6.4%) patients. Conclusion: It is to be concluded that leakage was less likely prevalent after peptic ulcer perforation repair, but we cannot rule out residual confounders. Practical implication Keywords: Leakage, Peptic Ulcer Perforation, Repair, Peritonitis, Laparoscopy, Surgery.","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"322 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123324286","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}

{"title":"A Comparison between the Post-Operative Pain Relief in Total Hystrectomy with Epidural Bupivacaine and TAP Block","authors":"S. Hassan, Muhammad Amim Anwar, Syed Nouman Ahmed, Aqil Qayyum, M. Arshed","doi":"10.53350/pjmhs221610230","DOIUrl":"https://doi.org/10.53350/pjmhs221610230","url":null,"abstract":"Background: Anesthesia is essential in the treatment of postoperative pain. Epidural analgesia and trans versus abdominis plane (TAP) block are possible options for analgesia for abdominal surgery. Objective: The main objective of the study is to evaluate and compare the efficacy of epidural bupivacaine and trans versus abdominus plane (TAP) block to provide better post-operative pain relief in total abdominal hysterectomy. Study design and place of study: This study was a prospective randomized control trial conducted at Department of anesthesiology, Liaquat National Hospital, Karachi for the period July 2017- July, 2018. Methods: Total 101 patients were enrolled thorough pre anesthetic assessment before surgery and an informed and written consent was obtained. Patients were allocated in group A and B after taking all ASA monitoring, participants in group A had an epidural catheter passed while Group B patients were given transversus abdominis plane block intra-operatively. A Visual Analogue Scale (VAS) score was used to assess anxiety levels. Statistical test like the chi-square test was used, with a p-value of 0.05 being considered statistically significant Results: Total 101 participants enrolled, the average age was 45.48 ± 1.06 (Age Rang 30-60years). The mean age of patient in Epidural Group was 47.02± 7.62 as ccompared with TAP Block Group was 43.56± 13.35 with p-value 0.007. Majority of the patients has ASA II, 39(61.9%) and 24(38.1%) respectively with p-value 0.240. Pain score at 10 minutes in epidural and TAP Block was reported as 2.16±2.1o and 3.0±2.94 (mild pain) with p-value 0.000 while after 6 hours, the VAS pain score showed mild pain in epidural group as 1.96±1.67 but moderate to severe pain was observed in TAP block patients as 4.28±1.56 with insignificant p-value 0.162. Study findings will help care taker staff for Post-Operative Pain Relief after the surgery , the benefits of single shot TAP block could be of advantage in situations where epidural analgesia is contraindicated or not desired. Conclusion: The study concluded better pain relief in patients with epidural bupivacaine when compared with TAP block. Keywords: TAP Transversus Abdominus Plane ASA Physical Status Score VAS Visual Analogue Scale Epidural block, postoperative pain relief, Total Abdominal Hysterectomy, Transversus Abdominis Plane Block","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126449433","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}