Abstract:
Background:
Primary hyperparathyroidism is a frequent endocrine disorder with variable...
Abstract:
Background:
Primary hyperparathyroidism is a frequent endocrine disorder with variable clinical manifestation and outcome. This study aimed to evaluate the impact of parathyroidectomy on quality of life and symptom relief in primary hyperparathyroidism patients. Materials and
Methods:
A Cross sectional study was conducted in the Head and Neck Surgery Division of the Department of Otolaryngology-Head & Neck Surgery, BSMMU, Shahbag, Dhaka from August 2022 to January 2023. 25 patients undergone parathyroidectomy. Parathyroid function was measured as parathyroid hormone (PTH) level. Baseline levels of PTH, and total calcium (Ca) were evaluated preoperatively and their postoperative levels were measured before skin incision, 10 minutes after parathyroidectomy, 24 hours and 7 days accordingly. The data was calculated in an Excel spreadsheet which was then exported to SPSS 26.0 (Statistical Package for the Social Science) for analysis. The statistical significance was set to p<0.05.
Results:
In this series, 3(8.5%), 6 (17.1%) and 2(5.7%) patients presented with osteitis fibrosacystica, nephrolithiasis and neuropsychiatric syndrome respectively. Moreover, 14 (40.0%) patients had muscle weakness, and 18 (51.0%) subjects presented with fatigue. It was observed that preoperative PTH and calcium levels and postoperative calcium levels in SPHPT and
ASPHPT were statistically significant. A notable improvement in health-related quality of life was observed with the VAS score rising from 70 (IQR: 50-80) to 80 (IQR: 70-90).
Conclusion:
This study provides evidence supporting the enduring advantages of parathyroidectomy in individuals with primary hyperparathyroidism (PHPT). The observed reduction in pre-operative symptoms seems to be a significant factor contributing to the enhanced quality of life (QOL) experienced by these patients over the long term.
Abstract
Background:
Appendicular abscesses are a common complication of acute appendicitis, of...
Abstract
Background:
Appendicular abscesses are a common complication of acute appendicitis, often requiring surgical drainage. The optimal method of skin closure post-drainage remains debated. This study compares primary skin closure (PC) and delayed skin closure (DC) in terms of surgical site infection (SSI), hospital stay, wound healing time, and patient satisfaction.
Methods:
A single-blind randomized controlled trial was conducted on 200 patients with appendicular abscesses confirmed via ultrasound or CT scan. Patients were randomized to PC (immediate closure) or DC (closure after 48 hours of open packing). Outcomes included SSI rates (CDC criteria), hospitalization duration, time to complete healing, and patientreported outcomes.
Results:
The DC group had significantly lower SSI rates (8% vs. 18%, p=0.02) but longer hospital stays (5.8 vs. 3.2 days, p<0.001) and healing times (14.5 vs. 10.2 days, p=0.01). Diabetic patients in the PC group had a 30% SSI rate compared to 12% in DC (p=0.04).
Patient satisfaction was higher in PC due to faster recovery.
Conclusion:
Delayed closure reduces SSI risk, particularly in high-risk populations, but prolongs recovery. Primary closure is advantageous in low-resource settings or for patients prioritizing shorter hospitalization.
Assessment of Pulmonary Function of Psoriatic
Patients Receiving Methotrexate
Assessment of Pulmonary Function of Psoriatic
Patients Receiving Methotrexate
Exploring the Factors Contributing to Treatment
Failure and Recurrence in Superficial Dermatophytos...
Exploring the Factors Contributing to Treatment
Failure and Recurrence in Superficial Dermatophytosis
Assessment of serum Calcium level of exclusively breastfed newborns and infants up to 6 months of ag...
Assessment of serum Calcium level of exclusively breastfed newborns and infants up to 6 months of age and its orrelation with maternal serum Calcium
<p>Abstract:</p>
<p>Background: Balanitis Xerotica Obliterans (BXO) with meatal stenosis is a very...
<p>Abstract:</p>
<p>Background: Balanitis Xerotica Obliterans (BXO) with meatal stenosis is a very morbid<br />condition. Treatment of meatal stenosis due to balanitis xerotica obliterans is very challenging<br />because of high recurrence rate. Various type of surgical treatment options are practice for<br />BXO with meatal stenosis. Proper treatment is necessary to give a free relief from the<br />sufferings.</p>
<p><br />Objectives:</p>
<p>The purpose of this study was to evaluate the outcome of combined dorsal and<br />ventral buccal mucosal graft meatoplasty with dorsal meatoplasty in the treatment of Balanitis<br />Xerotica Obliterans with meatal stenosis.</p>
<p><br />Methods:</p>
<p>This prospective quasi experimental study was carried out in the department of<br />urology, Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2013 to june 2015<br />for a period of twenty four (24) months. All patients presented with Balanitis Xerotica<br />Obliterans with meatal stenosis. Patients were divided into two groups designated as group<br />1 and group 2 for combined dorsal and ventral buccal mucosal graft meatolplasty and dorsal<br />graft meatoplasty. Post-operative follow up was carried out six months.</p>
<p> </p>
<p>Results:</p>
<p>Among 60 patients 30 were in group1 and the rest 30 patients were in group 2. In<br />group 1, the mean ± SD of operative time was 101.17 ± 16.27 minutes. Six months after in<br />group 1, mean ± SD of q max was was19.37 ± 4.79ml/sec and in group 2, mean ± SD of q<br />was 16.16 ± 3.69 ml/sec (p<0.05). In group 1, mean ± SD of voiding time was 29.33 ± 8.16sec.<br />In Group 2, mean ± SD of voiding time was 32.73 ± 13.83ml/sec (p>0.05) in group 1, success<br />was in 25 (83.3%) cases where as in group 2, it was in 19 (63.3%) cases.</p>
<p> </p>
<p>Conclusion:</p>
<p>However, a prolonged longitudinal follow up is essential for combined dorsal<br />and ventral buccal mucosal graft meatoplasty is better than dorsal graft meatoplasty.<br />max</p>
Abstract
Background: The proportion of elderly population is increasing globally. Very little infor...
Abstract
Background: The proportion of elderly population is increasing globally. Very little information
is available on the presentation and clinical outcome of elderly patients at the Emergency
Department (ED) in Bangladesh. This study was carried out to assess the pattern of elderly
patients (65 years and more) who visited the ED of 250 Bedded General Hospital, Pabna
(GHP).
Methods: A retrospective observational study was conducted on patients aged 65 years or
more at GHP from 2017 through 2021. Patients’ demographic information, symptoms, diagnoses
and outcome following attendance were studied. Statistical analyses were done using SPSS
version 23.
Results: 20.7% (n = 94,905) of all adults (n = 4,57,549) presenting to the ED were aged e”
65 years. A greater number of elderly patients (58%) required hospitalization than nonelderly
adults (37%). The 3 most common symptoms were breathlessness (9.9%), dizziness
(9.0%)
and abdominal pain (5.3%). The symptoms were mainly acute (< 24 hours, 42%) or
less
than a week (28.9%). The 3 most common diagnoses were Respiratory tract infections
(7.8%),
Cerebro-vascular diseases (Stroke/Transient ischaemic attack, 7.6%) and heart failure
(7.4%).
Conclusion: Elderly people constituted 20.7% of emergency attendance but 32.5% of
admissions in adults. They differ significantly from younger adults in presentation and
outcome. A better understanding of this issue will help doctors at the ED provide better
management.
<p>Abstract</p>
<p>Background:</p>
<p>Ascaris lumbricoides is common intestinal parasite and bilia...
<p>Abstract</p>
<p>Background:</p>
<p>Ascaris lumbricoides is common intestinal parasite and biliary ascaris is the<br />commonest extra intestinal manifestation of round worm. This study was aimed to review the<br />predisposing factors, presentation and the role of endoscopic management of biliary ascaris.</p>
<p> </p>
<p>Method:</p>
<p>We performed retrospective analysis of 182 patients diagnosed and admitted as<br />biliary ascaris in the department of General Surgery, Bangabandhu Sheikh Mujib Medical<br />University, Dhaka from April 2016 and April 2021. Ultrasonographic findings of abdomen<br />were the mainstay of diagnosis.</p>
<p> </p>
<p>Results:</p>
<p>Biliary ascariasis was more common in female (78%). The most common presentation<br />was pain (100%). ERCP was done successfully in 90.7%. All patients were given<br />anthelminthic. There was no complication.</p>
<p> </p>
<p>Conclusion:</p>
<p>Ultrasound is a reliable screening test for diagnosis and ERC provides<br />confirmation. Once diagnosed, endoscopic extraction of the worm is often successful and<br />provides prompt relief to the patient. Antihelminthics should be administered for eradication<br />of worms from the intestine and to prevent their reentry into the biliary tree.</p>
