{"title":"A Retrospective Study on Common Place, Season and Post-Mortem Findings of Death Due To Drowning.","authors":"F Nahar, M N Sathi, M K Iqbal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drowning is the process of experiencing respiratory impairment from submersion /immersion in liquid. Determining the cause of death in drowning cases is quite challenging which can be achieved with thorough investigation and complete autopsy done. After complete autopsy only the pathologist certifies a death best on drowning. In the field of Forensic Medicine are facing difficulties in estimation of time, cause and mode of death. Hence this study aimed to analyse the various aspect of drowning death whose Post Mortem were conducted in the Mortuary of Dhaka Medical College, Dhaka, Bangladesh in the year 2020. This study was a retrospective study which was conducted among 162 dead subjects. In this study all the dead bodies were recovered from different sources of submersion irrespective of age or sex and either the bodies were fresh or decomposed. Detailed history related to place of the incident, type of water, position of the body and other relevant findings were obtained from the records. The majority of the subjects with drowning were 118(72.83%) of the males following by 44(27.16%) of the female. The place of drowning was found to be in river 96(59.25%) and ditch 24 (14.81%) followed by lake 28(17.28%) and pond 14(8.64%). The magnitude of drowning is higher among males in and drowning has become an undervalued problem with inclusion of child population. Hence there is necessity for prevention among all the ages by the Government so that over all burden caused by drowning can be reduced.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"1216-1220"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194152","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}
M K Khan, J Ferdous, M A Saadat, J Boiragee, S B Hossain
{"title":"Challenges and Opportunities of Management of Long Term Complications of Persons Affected By Leprosy in Context of Integrated Program in Bangladesh.","authors":"M K Khan, J Ferdous, M A Saadat, J Boiragee, S B Hossain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Leprosy continues to cause long-term complications due to delayed treatment. Although Bangladesh achieved national elimination of leprosy in 1998, hundreds of new cases are still detected annually, with many patients developing disabilities. Effective management of complications remains a public health challenge. This study aimed to assess the current situation of managing long-term complications of leprosy in Bangladesh, identify challenges and explore opportunities for improving quality treatment through government and NGO hospitals. The cross-sectional study was conducted between November 2020 and October 2021 in five purposively selected divisions of Bangladesh. Participants included 20 government and NGO managers or physicians involved in leprosy care and 35 patients with complications receiving treatment at designated facilities. Data were collected on treatment practices, referral patterns and patient experiences. In 2019, 1933 complication cases were managed, of which 1,595 required admission and 256 referrals (13.0%). In 2020, 883 cases were treated, with 872 admissions and 96 referrals (10.9%). The leading indication for referral was reconstructive surgery (44.4%), followed by treatment at Upazila Health Complex (11.1%), reactions (16.7%), ulcers (16.7%) and squamous cell carcinoma of the foot (11.1%). Danish Bangladesh Leprosy Mission (DBLM) Hospital, Nilphamari, was the most cited referral center (46.7%). Regarding future integration, 30% of managers recommended specialized leprosy hospitals, while others suggested district or medical college hospitals, or enhanced government support to NGOs. Patient-reported barriers included difficulties reaching referral centers (31.4%), financial problems (22.9%) and issues with referral letters (20.0%). Only 25.7% reported no difficulties. Major surgeries, complicated ulcers and chronic osteomyelitis remain significant management challenges. Constraints include limited funding for NGOs, insufficient trained manpower and inadequate rehabilitation logistics. Strengthening district and medical college hospitals with skilled personnel and resources, alongside government support for NGO facilities, is essential to improve comprehensive leprosy complication management in Bangladesh and countries with low-resource settings.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"954-962"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194194","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":"Eyes Are the Window of the Brain: Neuro-Ophthalmic Correlations.","authors":"S Sarkar, R Hamid, S Sarkar, M T Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The phrase \"eyes are the window of the brain\" reflects the intricate neuroanatomical and physiological connection between ocular structures and central nervous system (CNS) function. This review explores the vital role of the eyes in detecting neurological disorders, with emphasis on the optic nerve, retina, extraocular muscles and pupillary reflexes. Advances in neuro-ophthalmology have enhanced early detection of brain tumors, hydrocephalus, demyelinating diseases and raised intracranial pressure through ocular findings. This article synthesizes anatomical, clinical and imaging insights to underline the significance of ophthalmic evaluation in neurology and neurosurgery.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"1297-1302"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194280","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}
T Tazmin, M N Islam, M A Ali, M A Hossain, S K Dhar, J Ferdousi, M Sharmin, K Begum, K N M Mahbub, T B Belayet, N Kar, F Fahmin, A Jahan, S A Bhuiyan, A Ahmed
{"title":"Clinical Response of Paracetamol versus Indomethacin in the Medical Treatment of Patent Ductus Arteriosus in Newborn.","authors":"T Tazmin, M N Islam, M A Ali, M A Hossain, S K Dhar, J Ferdousi, M Sharmin, K Begum, K N M Mahbub, T B Belayet, N Kar, F Fahmin, A Jahan, S A Bhuiyan, A Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patent Ductus Arteriosus (PDA) is a common acyanotic congenital heart disease in newborn which has a lot of serious consequences if left untreated. By giving proper medication timely, we can limit its complications. Already established drug 'Indomethacin' has demonstrated good effects but with many contraindications and potential adverse effects. Hence, the search for alternative drug for PDA is now a need of time. So, the objective of the study is to compare the clinical response of paracetamol and indomethacin in the medical treatment of PDA in newborn. This randomized controlled trial was carried out in the Department of Neonatology, Mymensingh Medical College Hospital, Bangladesh from October 2016 to February 2019. The study included sixty (60) cases of PDA, which were divided into two groups: the paracetamol group and the indomethacin group. Both drugs were found as equally effective in respect to PDA closure. The paracetamol group's PDA closure rate was 85.7%, whereas the indomethacin group's was 85.2%. More increase of serum creatinine and serum bilirubin and reduction of platelet count were observed in indomethacin group after intervention but these differences were not statistically significant (p>0.05). Paracetamol was found as safer than indomethacin and the frequency of complications including renal impairment, gastrointestinal bleeding, necrotizing enterocolitis were found more in indomethacin group. According to the results of this study, enteral paracetamol is safer than indomethacin yet just as effective in treating PDA closure in neonates.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"1057-1062"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194229","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}
S S Sultana, M N Islam, M I Bari, S N Islam, F Akter, M A Rabbany, K Zaman, K Begum, S Yesmin, G Morshed
{"title":"Frequency of Congenital Hypothyroidism and Radiographic Assessment of Knee Epiphysis in Newborn.","authors":"S S Sultana, M N Islam, M I Bari, S N Islam, F Akter, M A Rabbany, K Zaman, K Begum, S Yesmin, G Morshed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Congenital hypothyroidism (CH) is the commonest preventable cause of mental retardation in newborn. It is more prevalent in endemic goiter regions like Bangladesh. The clinical manifestations are often subtle or absent at birth. As early clinical diagnosis is difficult without newborn screening, most cases of congenital hypothyroidism remain undetected before three months of age. Before the appearance of clinical manifestation, CH can be identified by a simple knee X-ray. This cross-sectional observational study was conducted in the department of pediatrics, Rajshahi Medical College Hospital, Bangladesh from January 2015 to December 2015, to compare between radiographic appearance of knee epiphysis and biochemical data as a screening tool for congenital hypothyroidism in neonate. Total 100 term neonates aged 7 days to 28 days admitted in the department of pediatrics, Rajshahi Medical College Hospital, Bangladesh were included in this study by purposive sampling method. Digital X-ray of knee joint was performed in all (100) cases. If the epiphysial diameter was between 0-8 mm then serum TSH and T₄ level was measured and compare the both results. Among the 100 X-rays of the knee, size of the epiphysis of 74 neonates was normal (>8 mm). Twenty six (26) neonates had epiphysial size between 0-8mm in diameter. Among these 26 neonates, both epiphysis (distal femoral and proximal tibial) were absent in 20(77.0%) neonates and 6 neonates had epiphysis size <8 mm in diameter. Out of these suspected 26 cases, two had TSH level <10 mIU/L but T₄ level was <6 μgm/dl and 3 other suspected patients had T₄ level more than 6μgm/dl but TSH level of those 3 patients were >10 mIU/L. These 5 cases are diagnosed as suspected hypothyroidism and advised for follow up. Rest of the neonates (21 cases) had both TSH level >10 mIU/L and T₄ level <6 μgm/dl. This study was found when either the individual epiphysial diameter or combined mean epiphysial size in diameter between 0-8 mm, we should strongly suspect congenital hypothyroidism and confirm it with biochemical data.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"1063-1069"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194318","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}
P K Sarker, N Akand, S Tahura, M Kamruzzaman, J Akter, K A Zaman, T Farhana, M M Hossain, M J Alam, M A S Khan, M J Hasan
{"title":"Clinico-epidemiological Characteristics of Children with Cystic Fibrosis: a Tertiary Care Experience.","authors":"P K Sarker, N Akand, S Tahura, M Kamruzzaman, J Akter, K A Zaman, T Farhana, M M Hossain, M J Alam, M A S Khan, M J Hasan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To describe the clinico-epidemiological characteristics of pediatric cystic fibrosis (CF) cases among Bangladeshi paediatric population was the objective of the study. This observational study included pediatric patients (up to 14 years of age) with a clinical diagnosis of CF. Data were collected within the period from April 2021 to October 2021. Informed assent was taken from the accompanying parent. Clinical and epidemiological characteristics were analyzed on the basis of demographic data, medical history, laboratory tests and outcome information. Collected data were analyzed statistical software, SPSS 26.0. A total of 50 patients (66.0% male) with a mean±SD age of 39.7±30.75 months were included. Twenty-eight patients (57.14%) had siblings with CF and 41.67% of parents had a history of consanguineous marriage. The majority of them were stunted (86.0%) and underweight (86.0%) and half of them had wasting (54.0%). Median disease duration was 12 months (range: 2-72). Cough (100.0%) and purulent sputum (100.0%) were the predominant respiratory symptoms, while failure to thrive (98.0%) and bulky offensive stools (86.0%) were prime gastrointestinal symptoms. Among the signs, malnutrition (94.0%), short stature (72.0%), digital clubbing (64.0%) and bronchiectasis (40.0%) were most frequent. Pulmonary hypertension (48.0%, n=24) was the most common comorbidity identified in the study participants. In hospital, mortality was 16.0% (n=8). Digital clubbing, bronchiectasis, pancreatic insufficiency and abnormal liver function tests were significantly higher in the patient who died. Children with cystic fibrosis most commonly present with under nutrition and respiratory symptoms. Failure to thrive was almost a global phenomenon. Pulmonary hypertension was the most common complication found in echocardiography.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"1070-1080"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194201","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}
F Fahmin, M N Islam, M S Hasan, N Kar, H Akhter, A Yesmin, M A Rabbany, P D Adhikary, M Mazumder, T Tazmin, B K Banik
{"title":"Glycated Haemoglobin in Last Trimester Pregnancy as a Predictor of Neonatal Hypoglycaemia in Infants of Diabetic Mother.","authors":"F Fahmin, M N Islam, M S Hasan, N Kar, H Akhter, A Yesmin, M A Rabbany, P D Adhikary, M Mazumder, T Tazmin, B K Banik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maternal diabetes in pregnancy has become an emerging health burden. Among various complications neonatal hypoglycaemia is associated with neurodevelopmental sequelae but it is preventable. It will be very helpful if we can predict neonatal hypoglycaemia from maternal last trimester single HbA1c. The aim of the study was to find out whether maternal last trimester single time HbA1c level can predict neonatal hypoglycemia in case of Infant of Diabetic Mother (IDM). It was a hospital based prospective observational study. The study included 70 inborn IDM with maternal last trimester HbA1c attending in Neonatology Department of Mymensingh Medical College Hospital (MMCH), Bangladesh from November 2019 to September 2022. Those IDM babies who had maternal last trimester HbA1c ≥6.0% were selected as Group A and those who had maternal HbA1c <6.0% were selected as Group B. Their clinical evaluation and capillary blood glucose monitoring at ½, 2, 4, 6, 12, 18, 24 hours was done and venous blood glucose was done at 2 and 4 hours of age. Data were collected in a predesigned case record form and finally analyzed by appropriate statistical methods. There was significant difference of mean blood glucose values between two groups at 4, 6 and 18 hours of age. Good agreement was found between venous blood glucose and capillary blood glucose at 2 hours and at 4 hours of age. A moderate negative correlation was observed between maternal HbA1c and blood glucose level of IDMs at 4 hours of age (r = -0.575) and OR is 6.00. We found area under ROC curve for predicting neonatal hypoglycemia was 0.870 and optimal cut-off value was 6.45%, with sensitivity 75.0% and specificity 83.3%. In this study, maternal last trimester single time HbA1c level was found to be a useful tool for predicting neonatal hypoglycaemia.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 4","pages":"1036-1044"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194359","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":"Comparison between Combination of Neem, Propylene Glycol and Salicylic Acid with Salicylic Acid Alone Topically in Arsenical Palmar Keratosis.","authors":"K Sabiha, M Misbahuddin, A S M Chowdhury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Arsenicosis, a problem with chronic ingestion of arsenic in drinking water was first detected in 1993 in Bangladesh. Currently, 61 districts have been identified as having an arsenic concentration exceeding the maximum permissible limit of 0.05 mg/L. More than 40,000 people developed signs and symptoms of arsenicosis, manifested as skin hyperpigmentation often with hypopigmentation and later painful Keratosis on the palm and sole with fissures, cracks and warty lesions that reduce the working ability of patients. Keratosis is difficult to cure for its longer duration treatment and standard treatment is still lacking. Neem (Azadirachta Indica), a valuable source of unique natural products, has been used in various conditions, including skin care. Topical use of ethanol extract of neem has also been found to be effective. A cost-effective topical drug, in lower concentration with shorter duration and less adverse effect, is necessary. The purpose of this study was to observe the effect of the combination of neem, propylene glycol and salicylic acid for the treatment of palmar arsenical keratosis. Thirty patients of moderate palmar arsenical keratosis from an arsenic-affected area at Cumilla in Bangladesh were recruited randomly based on inclusion and exclusion criteria. One group of patients was given salicylic acid (10.0%) lotion in ethanol and another group of patients was given a combination of ethanol extract of neem (10.0%), propylene glycol (40.0%) and salicylic acid (10.0%). Clinical improvement was assessed by measurement of the palmar arsenical nodular size of both hands by slide calipers before and after the completion of treatment and perceptions of the patients about their improvement was scaled. The score (mean±SD) of the nodule of patients using neem (10.0%) plus propylene glycol (40.0%) plus salicylic acid (10.0%) before the study was 19.6±10.2 which was decreased to 8.1±6.6 after treatment. After 12 weeks of treatment, the mean perception score of improvement in neem (10%) plus propylene glycol (40.0%) plus salicylic acid (10.0%) was 4.8±0.6, improved from 2.2±1.1 in salicylic acid (10.0%) alone group. None of the patients reported any side effects rather topical use of a combination of ethanol extract of neem plus propylene glycol plus salicylic acid showed a significant effect in improving the keratotic lesion.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"728-737"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532041","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":"Disseminated Intravascular Coagulation in Children: An Update.","authors":"N Kamal, M M Hossain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disseminated Intravascular Coagulation (DIC) is a complex syndrome causing generalized micro thrombi formation, which causes consumption of coagulation factors resulting in secondary fibrinolysis. It is not uncommon in children. Due to its highly complex and variable pathophysiology and interrelationship with hemostatic system, DIC does not show any uniformity in presentation. Although, there are many forms of DIC, clinical picture of DIC is dominant with bleeding. Besides, there is no gold standard investigation to diagnose DIC. Many therapeutic approaches are not validated and controversial. Prompt diagnosis and correct treatment depends on understanding of underlying pathology. Treatment should be individualized depending on the nature of DIC to correct the underlying pathology, as complexity and variation of presentation suggests.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"942-949"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532046","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}
F F Kollol, M A Uddin, M M Hossain, K R Hoque, M A Shakil, A H M Sufiyan, N Biswas, N Islam, S M S Hasan, I Jahan, M Mashruh, M A Anon, M W Islam, T R Shanta, M A A Mamun, M A Baten, M A K Azad
{"title":"Early Post-Operative Outcomes in Closure and Non-Closure of Peritoneum in Open Appendicectomy for Uncomplicated Appendicitis.","authors":"F F Kollol, M A Uddin, M M Hossain, K R Hoque, M A Shakil, A H M Sufiyan, N Biswas, N Islam, S M S Hasan, I Jahan, M Mashruh, M A Anon, M W Islam, T R Shanta, M A A Mamun, M A Baten, M A K Azad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Open appendicectomy remains a common surgical procedure for managing uncomplicated acute appendicitis. Traditionally, peritoneal closure has been performed to restore anatomical layers, but this practice has been questioned due to its potential impact on surgical duration, postoperative pain and recovery outcomes. This study aims to compare early postoperative outcomes between peritoneal closure and non-closure techniques in patients undergoing open appendicectomy. This prospective comparative study was conducted at Mymensingh Medical College Hospital, Bangladesh, from July 2021 to June 2022, including 80 patients undergoing open appendicectomy for uncomplicated acute appendicitis. Patients were divided into Group I (peritoneal closure) and Group II (peritoneal non-closure).Data were processed and analyzed using the computer software SPSS (Statistical Package for Social Sciences, version 26.0 for Windows). The probability value, p<0.05 was considered statistically significant. There was no significant difference in age, sex, BMI, or comorbidities between the groups. Most procedures used a Grid Iron incision (67.5%). Wound infection (22.5%, 17.5% respectively) and wound dehiscence (7.5%, 2.5% respectively) rates were almost similar, with no significant differences (p=0.576 and p=0.305, respectively). However, Group II had significantly lower postoperative wound pain (p<0.001), reduced analgesic requirements (p<0.001) and shorter surgery duration (p<0.001) compared to Group I, demonstrating the potential benefits of omitting peritoneal closure in appendicectomy. It is concluded that non-closure of the peritoneum at open appendicectomy for uncomplicated appendicitis appears to have no adverse effect on post-operative recovery and outcome. Leaving the peritoneum open seems to reduce the operating time and shorter hospital stays. It also decreases post-operative pain with less analgesic requirement. Hence, the practice of non-closure of peritoneum in open appendicectomy for uncomplicated appendicitis can be done safely.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"707-713"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532048","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}