Pakistan Journal of Medical & Health Sciences最新文献

{"title":"Establishing Normal Range of Fetal Pulmonary Artery and Fetal Aortic Diameter in 18-26 Weeks of Gestation in Pakistani Population","authors":"Beenish Nadeem, N. Malik, M. Niazi, Saira Ahmad, Mariam Hassan Bukhari, Arsalan Khalid","doi":"10.53350/pjmhs221610482","DOIUrl":"https://doi.org/10.53350/pjmhs221610482","url":null,"abstract":"Congenital heart diseases constitute almost 0.8 to 1.2% of newborn illnesses globally however unfortunately 64% of them remained undiagnosed on conventional anamoly scan which uses four chamber view for cardiac evaluation. In developed countries, other than routine anomaly scan, the three vessel view(3VV) has been added to look for any potential outflow tract anomalies which increased the sensitivity of screening CHD however this view is not routinely used in our clinical practice due to lack of expertise and less awareness regarding the importance of this view . We aimed to establish normal reference values of fetal pulmonary and fetal aorta diameter value using 3VV so that its routine use can increase diagnostic accuracy of anamoly scan in our population. Methodology: This is a non probability convenient study investigating healthy pregnant females between 18-26weeks of gestation conducted from 04-02-2022 to 04-08-2022. After formal ethical approval, 56 patients were included in the study. After achieving 3VV,fetal pulmonary artery and fetal aorta diameter were evaluated and mean values were calculated for each gestational week. Results: The mean age of pregnant females included is 27.3 + 4.4 years (range 20 -37 years). The pulmonary artery diameter ranged from 2.3mm at 18 week of gestation to 3.6mm at 26 week of gestation. Fetal PAD is observed to correlate linearly (r=0.887) with gestational age and linear regression equation derived as PAD= (-0.52) +0.15(GA). Mean fetal aortic diameter was calculated ranged from 1.5mm at 18 week of gestation to 1.6mm at 26week of gestation. Fetal aorta diameter correlation with gestational was found to be 0.164 showing weak correlation along with insignificant regression analysis hence the regression equation cannot be formulated for fetal aorta. Conclusion: Normal mean values of fetal pulmonary artery and fetal aorta from 18-26weeks of gestation were calculated. Linear relationship was found between pulmonary artery diameter and gestational age. However weak correlation noted between fetal aorta diameter and gestational age was noted. Keywords: Fetal pulmonary artery; fetal aorta; anamoly scan; three vessel view(3VV); normal range.","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"45 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":"124431787","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":"Level of Knowledge among Mother’s Uses of ORS Therapy in Diarrhea Under 5 Years of Children","authors":"R. Qureshi, F. Baloch, Naheed Haroon Kazi, I. Qureshi, T. Kousar","doi":"10.53350/pjmhs221610466","DOIUrl":"https://doi.org/10.53350/pjmhs221610466","url":null,"abstract":"Objective: To determine mothers' knowledge regarding ORS therapy during diarrhea among children, aged under five years. Methodology: This was a cross-sectional study and was conducted at the pediatric department of Bilawal Medical College for Boys LUMHS/Jamshoro. The study duration was six months, from March 2021 to August 2021. All the mothers, aged 18 to 40 years, who presented with their children under 5 years old with acute diarrhea and were willing to participate in the study were included. After taking demographic information, interviews were conducted with the mothers, and data was gathered. A self-structured questioner was used to assess the maternal knowledge in terms of diarrhea and its severity, the purpose of ORS, the ORS preparation method, the frequency of use, and the type of ORS. All the data was collected via a study proforma, and SPSS version 26 was used for the data analysis. Results: Children’s mean age was 4.0+2.58 years. Most of the children 60.5% were girls and 38.3% were boys. The majority of women, 43.2%, were educated; 30.9% had a secondary education; 21% had a primary education; and only 4.9% were graduates. Majority of the individuals 75.3% belongs to poor socioeconomic status. Overall, 82.7% of mothers were aware of the severity of diarrhea, 91.4% were aware of ORS, 61.7% believed it was used to prevent water loss, 4.9% believed it prevented salt and water imbalances, and 4.9% believed it was used to prevent diarrhea, while 28.4% were unaware. 69.1% of mothers were aware of the ORS preparation method, but 56.8% had no idea how long ORS should be used for. 49.4% of mothers said ORS should be used slowly at small intervals, few said as per demand; and the remaining had no knowledge. Although regarding types of ORS, most of the mothers 71.6% had no idea. Conclusion: As per the study conclusion, most of the mothers had inadequate knowledge of ORS therapy during diarrhea. Numerous factors, including lower socioeconomic status, maternal illiteracy, caregiver ignorance, and the inability to offer therapy, when necessary, are linked to the severity of disease. Keywords: Diarrhea, ORS, Dehydration, knowledge, Mothers","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"5 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":"116948662","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":"Diagnostic Yield of Fiberoptic Bronchoscopy Washings among Patients of Sputum Smear Negative Pulmonary Tuberculosis","authors":"Muhammad Nusrullah, Afeera Hamid, M. Rashid, H. Waqas, Abdul Rauf","doi":"10.53350/pjmhs221610445","DOIUrl":"https://doi.org/10.53350/pjmhs221610445","url":null,"abstract":"Fiberoptic bronchoscopy with bronchial washing is done for diagnosis of pulmonary tuberculosis among patients who cannot produce sputum spontaneously. Aim: To evaluate the diagnostic yield of Fiberoptic Bronchoscopy for detection of positive cases in cases of Smear negative pulmonary tuberculosis. Study Design: Cross-sectional study. Methodology: All patients (n=80) were advised NPO for 6 hours before carrying out the procedure. It was done using local anesthesia while retrievement of the instilled amount by 25% was considered successful. The bronchial washings were sent for AFB staining in-order to confirm the presence or absence of Mycobacterium Tuberculosis. Bronchial washing smear was considered positive if 1-9 AFB/HPF are seen on direct microscopy. Statistical Analysis: SPSS v.26 analyzed the data. Stratification of diagnostic yield was done with respect to age and gender. Post stratification Chi-Squire test was applied with P-value ≤0.05 was taken as significant. Results: The diagnostic yield of FOB for detection of positive cases in cases of Smear negative PTB was 57.5%. The highest diagnostic yield was seen in patients in the age group 16-32 and 49-60 years old patients i.e. 37% in both groups. For both genders diagnostic yield for FOB was 50%. However patient’s age and gender were insignificantly associated with diagnostic yield of FOB. Conclusion: It was concluded that FOB can provide a rapid and definitive diagnosis of pulmonary tuberculosis in sputum negative patients. Keywords: Diagnostic Yield, Fiberoptic Bronchoscopy, Smear Negative and Pulmonary Tuberculosis.","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"17 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":"116734766","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 Dexpanthenol, Olive Oil and Breast Milkfor the Nipple Crack Treatment in Lactating Mothers","authors":"Noreen Kousar, Muhammad Tariq Ghaffor, Sadaf Shahzadi, Sohail Sabir, S. Naseem, S. Haider","doi":"10.53350/pjmhs221610314","DOIUrl":"https://doi.org/10.53350/pjmhs221610314","url":null,"abstract":"Cracked nipple is a painful condition for lactating mothers and if untreated leads to lactational mastitis, breast abscesses Objectives: T o compare the efficacy of dexpanthenol, olive oil and breast milk for nipple cracks treatment in lactating mothers Outcome Measures: We measured the Severity of pain (the primary outcome) by using visual analogue scale (VAS) and healing of cracked nipple (Secondary outcome) was assess by Nipple trauma score (NTS) before treatment and after7days, 14 days of treatment Material And Methods: We conducted a quasi experimental study from march 2022 to end of august 2022 in sheikh zayed hospital, Rahim Yar Khan after ethical approval from institutional review board. The total numbers of 120patient were equally divided into three groups using Breast milk, Olive oil or Dexpanthenol respectively for their cracked nipples. The data was collected on predesigned Performa.Data Analysis Procedure: We measured the percentages ,means and standard deviations with the help of statistical package for social sciences version (SPSS) version 28. ANOVA test and Non-parametric test were also used to test the difference between study groups Results: At day0 baseline mean nipple pain score and nipple trauma score was same in all groups.At day 7 breast milk and olive oil show better reduction in pain as compared to Dexpanthenol.At day 14 olive oil showed statistically significant reduction in pain as compared to breast milk and dexpanthenol t. At day 7 and day 14 olive oil show statistically significant better healing of cracked nipples as compared to Breast milk and Dexpanthenol. Practical implication Conclusion: Our study is proving that olive oil is better than Breast milk and Dexpanthenol in term of pain relief and healing of cracked nipples proving hypothesis: H2 Keywords: Cracked nipple, olive oil, Breast milk, Dexpanthenol.","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical & Health Sciences","volume":"58 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":"121874302","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 of the Efficacy of Dapagliflozin Metformin Versus Sitagliptin Metformin: in Newly Diagnosed Type 2 Diabetes","authors":"Afra Ishtiaque, Shahreen Mehmood Khan, S. Azhar, M. Mehmood, Saira Shahnawaz","doi":"10.53350/pjmhs221610459","DOIUrl":"https://doi.org/10.53350/pjmhs221610459","url":null,"abstract":"Objective: To comparison of the efficacy of dapagliflozin+metformin versus sitagliptin+metformin: in newly diagnosed type 2 diabetes Methodology: In this Randomized Control Trial, we enrolled a total of 180 cases; 90 cases newly diagnosed type 2 diabetes mellitus (HbA1c>6.5) in two equal groups A&B on the basis of computer-generated randomization table. Group A was allotted to the cases 100mg q.d sitagliptin plus 850 mg in addition to 500mg metformin 2 times a day. Patients of Group B were advised for 10mg qd dapagliflozin+500mg metformin 2 times a day for six months. Patients were followed up on monthly basis for any inconvenience. The final follow-up was done on 6th month of treatment. All the patients with poor/non-compliance were excluded from the study. All cases with HbA1c <6.0 were considered as effectively treated patients. Results: Comparison of Efficacy in both groups shows 44(48.9%) in Group A and 31(34.4%) in Group B, the overall efficacy was 41.7%, p-value=0.0.35 showing a significant difference. Conclusion: Dapagliflozin+metformin is significantly higher than sitagliptin+metformin for newly diagnosed type 2 diabetes Keywords: Newly type 2 diabetes, treatment, Dapagliflozin & Metformin Vs Sitagliptin & Metformin","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical &amp; Health Sciences","volume":"39 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":"132975021","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":"Serum Vitamin D Level in Chronic Obstructive Pulmonary Disease and its Relation with Severity","authors":"Ubaid Ullah Sami, S. Rehman, A. Ghafoor, Zayed Naser, S. Ahmad, H. Din","doi":"10.53350/pjmhs22169941","DOIUrl":"https://doi.org/10.53350/pjmhs22169941","url":null,"abstract":"Introduction: The COPD is a serious epidemic-level public health issue. Patients with COPD have been found to have low vitamin D serum levels in a number of studies. Aim: The goal of the study was to determine whether there was a relationship between vitamin D serum levels and the severity of COPD by comparing the levels in COPD patients at stages II, III, and IV to those in the control group. Study Design: A Cross-sectional study Place and Duration: In the Pulmonology department of Lady Reading Hospital, Peshawar and District Headquarter Hospital, Timergara Dir-Lower KPK during the period from January 2022 to June 2022. Methods: The study included 140 participants in total, including 70 COPD patients and 70 controls for comparison. Patients were included from the outpatient department and medical wards. According to GOLD guidelines, advanced COPD staging II, III, and IV were done. In SPSS 21.0, inferential and descriptive statistics were accomplished. Results: COPD was found in 34.3%, 37.1%, and 28.6% of people in stages II, III, and IV, respectively. There was a statistically significant relationship between lower vitamin D levels and advanced COPD patients, with the mean vitamin D serum concentration in COPD patients being 16.01 ng/ml and the vitamin D mean concentration in healthy controls being 35.98 ng/ml. (p<0.0001). The severity of COPD was supposed to be inversely related with vitamin D serum levels. Conclusions: The vitamin D serum levels were found lesser in patients with advanced COPD (stages II, III, and IV) than in the general population correlated with GOLD staging. Keywords: Global initiative for chronic obstructive lung diseases; Chronic obstructive pulmonary disease and Vitamin D levels","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical &amp; Health Sciences","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115052701","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":"Morphological Variations of Sigmoid Notch Using Orthopantomogram among Patient Reporting at Sandeman Provincial Hospital, Quetta","authors":"S. A. Ali, Nasrullah Mengal, Z. Ali, J. Baloch, Summya Waseem","doi":"10.53350/pjmhs22169943","DOIUrl":"https://doi.org/10.53350/pjmhs22169943","url":null,"abstract":"Objective: To assess the Morphological variations of sigmoid notch using orthopantomogram in adult patients Study design: Cross sectional study Place and duration of study: Department of Orthodontics, Dental Section, Sandeman Provincial Hospital, Quetta, from June 2020 to December 2020. Material and methods: All the adult patients who fulfilled inclusion criteria were included in this research project after screening according to selection criteria.200 candidates were included and underwent Orthopantomogram for evaluation of morphological variations of sigmoid notch. Reports were assessed and morphological variations were noted. Data was analyzed by using SPSS. ver.20. Results: The mean age of candidates was 25.5 ± 5 years. There were 129 (64.5%) male candidates and 71 (35.5%) were female candidates. The males to female ratio was 1.8:1. Out of 200 candidates, left side was involved in 100 (50%) candidates and right side was involved in 100 (50%) candidates. Out of 200 cases, wide sigmoid notch was observed in 115 (57.5%) candidates, sloping sigmoid notch was observed in 59 (29.5%) candidates and round sigmoid notch was observed in 26 (13.0%) candidates. Conclusion: In our study, we observed the most common sigmoid notch shape was observed to be wide type followed by sloping type. Keywords: Morphology, Variations, Sigmoid notch, Orthopantomogram, Orthodontics","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical &amp; Health Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124913258","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":"Venous Thromboembolism Prophylaxis and Screening: A Clinical Audit","authors":"A. Khan, Amarah Nisar, Jawad Mabood, H. Ullah","doi":"10.53350/pjmhs22169946","DOIUrl":"https://doi.org/10.53350/pjmhs22169946","url":null,"abstract":"Objective: We aimed to audit venous thromboembolism in surgical patients at risk of VTE presented to surgical department in 2021 using the caprini risk assessment model. Methodology: This clinical audit was conducted in surgical D unit department of Surgery, Khyber Teaching Hospital, Peshawar from July 2021 to December 2021. A total of 150 patients each for the audit group and the re-audit group were selected through non-probability consecutive sampling for both genders. A predesigned proforma according to caprini risk assessment model was used to assess the patient’s individual risk for DVT and provision of appropriate prophylaxis. Data was entered into Microsoft excel, analyzed through SPSS version 23 and results were presented in the form of descriptive writing and tables. Results: The mean age of the study population was 50.47 with relatively equal selection from both genders. None of the patients in the audit group were properly grouped for their risk of DVT and management needed as mentioned in the caprini RAM guidelines. In the re-audit group, 100% of the patients were accurately categorized into groups and the VTE risk assessment percentage significantly improved from 0% to 80.8%. Conclusion: The audit showed noticeable deficiencies in record keeping and clinical assessment of VTE risk in the management of hospital patients. However, through appropriate measures this insufficiency can be amended with appreciable results.","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical &amp; Health Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131210258","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":"Elevated Serum Procalcitonin Levels in Chronic Kidney Diseases Patients Undergoing Renal Therapy","authors":"F. Mazhar, A. Khalid, Ghulam Muhammad, Nida Basharat, Memona Imtiaz, Ahad Mehmood, Aiman Ijaz","doi":"10.53350/pjmhs22169937","DOIUrl":"https://doi.org/10.53350/pjmhs22169937","url":null,"abstract":"Introduction: Inflammation is an established mortality risk factor in chronic kidney disease patients and particularly in patients on dialysis. Objectives: The main objective of the study is to find the role of procalcitonin in chronic kidney diseases patients undergoing renal therapy. Material and methods: This cross sectional study was conducted Holy Family Hospital, Rawalpindi during November 2021 to June 2022. The data was collected with the permission of ethical committee of hospital. Baseline characteristics of patients were collected, including age, gender, BMI, history of diseases and time of dialysis. Results: The data was collected from 200 patients. There were 88 (44.0%) male and 112 (57.0%) female patients. The mean age for male was 45.9 ± 11.7 years and for female 49.8 ± 14.1 years. The PCT level in CKD patients (0.45 ± 0.70 ng/mL) was significantly higher as compared to reference value of healthy control subjects. Significance increase in the value of BUN, Na, K, CRP and BUN is also observed in CKD patients. Practical implication: PCT must be measured in CKD patients especially for dialysis patients. Conclusion: It is concluded that PCT levels were significantly high in CKD patients, thus PCT is a valuable marker for early diagnosis of CKD or patients undergoing HD. Keywords: CKD, PCT, CRP, Inflammation, Dialysis, Diagnosis","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical &amp; Health Sciences","volume":"296 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123746659","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":"Our Experience with Laparoscopic Appendectomy at the Department of Pediatric Surgery LRH Peshawar","authors":"M. Y. Khan, S. Maroof, Fayaz Iqbal, Wardah Saleem, M. Shoaib, K. .","doi":"10.53350/pjmhs22169971","DOIUrl":"https://doi.org/10.53350/pjmhs22169971","url":null,"abstract":"Aim and Objective: This study aims to determine the effectiveness of laparoscopic appendectomy for children performed as emergency or emergency surgery at MTI/LRH in Peshawar, Pakistan. Material & Methods: From January 2020 to December 2022, the Department of Pediatric Surgery, Medical Teaching Institute, Lady Reading Hospital Peshawar studied acute appendicitis in children. This study comprised children with clinically confirmed acute appendicitis as indicated by blood complete, HBs Ag, HCV, ultrasound, and primary assessment. The pediatric surgical unit maintained direct resuscitation of patients' NPO for at least 6 hours, began antibiotics, and performed laparoscopic surgery under general anesthesia. This strategy avoids additional treatment, saves time and money, reduces hospital-acquired infections and other hospital dangers, and allows for excellent local infection control without pus spreading throughout the peritoneal cavity. Laparoscopic surgery makes cholecystectomy a few-day procedure instead of a week. Laparoscopic appendectomy reduces hospital stays for children. Thus, we examined our data to determine whether children may have an emergency or same-day laparoscopic appendectomy (24-hour postoperative stay). We reviewed all three-year-olds who underwent laparoscopic appendectomy for suspected appendicitis. Results: Acute appendicitis afflicted 79 children, 4/1 male-to-female. 79 2- to 16-year-olds underwent laparoscopic appendectomy surgeries. 5% of children after laparoscopic appendectomy developed perforated appendicitis and needed an open appendectomy. Forty-one (64.5%) had severe appendicitis before surgery. 22 (27.2%) had perforated appendicitis, (5%) had ovarian cyst rupture, and 2.5% had no pathology. Surgery averaged 54 minutes. 14 of 79 primary wound closure patients had their right lower quadrant peritoneal cavity emptied. All 79 patients underwent successful appendectomy operations. Wound infection (6 patients) and stomach pain (4 patients) were the most prevalent sequelae managed conservatively. Four patients required readmission and laparotomy due to intestinal obstruction and other issues. Thirty-two children were released within 24 hours after laparoscopic appendectomy. The control group had no significant morbidity (drug rash,1: fever, 3). Practical implication: This study will provide the data on the effectiveness of the laparoscopic appendectomy for the treatment of Appendicitis. Conclusion: Our study shows that the current laparoscopic appendectomy method for treating adorable appendicitis in children is safe and may be performed as a fast-track or same-day operation with a postoperative stay of fewer than 24 hours in some children who do not have perforated appendicitis. Keywords: Laparoscopic appendectomy, Pediatric Laparoscopy, fast-track same-day surgery","PeriodicalId":296492,"journal":{"name":"Pakistan Journal of Medical &amp; Health Sciences","volume":"2011 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114582114","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}