BACKGROUND AND OBJECTIVES Inguinal hernia repair is among the most common procedures performed worldwide and the laparoscopic totally extraperitoneal (TEP) approach is a recognized and effective surgical technique. Although technically advantageous because of the option of no mesh fixation and no need for creation of a peritoneal flap resulting, in less postoperative pain and faster recovery, T...

Objective: To compare the frequency of post-tonsillectomy hemorrhage and severity of pain by Dissection and Diathermy method of tonsillectomy. Material and Methods: All the cases (100) that presented during six months of duration were included in the study by Simple Random Sampling in the Department of ENT and Head and Neck Surgery, Holy Family Hospital, Rawalpindi from November 2009 to April 2...

Aim: To compare mean per operative pain and mean operative time of steri strip vs suture closure of facial lacerations. Methods: A total of 190 children of either sex between 05-12 years of age with laceration less than 12 hours old and Laceration less than 3cm in length were included in the study from Trauma Centre Combined Military Hospital Rawalpindi during 2014 while the children with lacer...

INTRODUCTION: Acute appendicitis is one of the commonest causes acute abdomen encountered in surgical practice, requiring emergency surgery. Open appendicectomy by Grid Iron incision had been gold standard for many years. Laparoscopic technique provided an opportunity to explore new method management suspected cases appendicitis. AIMS & OBJECTIVES: To compare laparoscopic and open terms intra-o...

Objective: To determine the efficacy of post-operative pain control over the first 24 hours in patients undergoing unilateral total knee arthroplasty (TKA) using a multi-modal analgesia protocol including femoral nerve catheters (FNC). Materials and Methods: 119 patients who underwent unilateral TKA between 2009 and 2010 under regional anesthesia with FNC were studied. Electronic charts were re...

Introduction:Since the introduction of laparoscopic cholecystectomy (LC) several modifications have been introduced to its procedure. Main aim these is improve cosmesis & reduce pain. Several institutes are routinely performing conventional 3 ports laparoscopic. In modified LC, third port was moved from right hypochondrium umbilicus, conceal it in umbilical scar, thereby giving three comfor...

In this study we hypothesised that anxiety/depression, one of five dimensions in the health-related quality of life (HRQoL) measurement tool EQ-5D, could predict outcome after total hip replacement surgery. Pre-operative and one-year post-operative data from the Swedish Hip Arthroplasty Register, including 6158 patients with primary osteoarthritis of the hip, were analysed. In order to examine ...

BACKGROUND Different methods for dressing of donor site of skin graft in burn patients have similarly pain, limitation of mobility of donor site and local complications such as infection and scar. Amniotic membrane has used for improvement of healing in some wounds. Accordingly in this study amnion was used as biologic dressing for donor site of skin graft to evaluate it’s efficacy in improveme...

We have described our technique of caudal anaesthesia in children. This technique was used for relief of post-operative pain in 120 patients. Relief of pain was complete. Post-operative recovery was quiet and comfortable, with no side effects. The surgeons, the parents and recovery room personnel were satisfied. There were no surgical or anaesthetic complications.

BACKGROUND Pre-operative imaging techniques for sporadic primary hyperparathyroidism (SPHPT) and intraoperative parathyroid hormone (ioPTH) have led to the wide spread use of minimally invasive surgical approaches. STUDY DESIGN In our prospectively collected database, 157 subjects with SPHPT and a preoperative diagnosis of parathyroid adenoma were treated with parathyroidectomy between Januar...