The management of patients with acute calculous cholecystitis has changed during recent years. The etiology of acute cholecystitis is still not fully understood. Infection of bile is relatively unimportant since bile and gallbladder wall cultures are sterile in many patients with acute cholecystitis. Ultrasonography is first choice for diagnosis of acute cholecystitis and cholescintigraphy is s...

Acute cholecystitis is one of the most common acute surgical conditions. Laparoscopic cholecystectomy remains the mainstay of treatment. In patients managed non-operatively, antibiotics play an important role in the treatment of cholecystitis. The current retrospective observational study was conducted at a tertiary care hospital in Karachi, and comprised medical records of patients admitted be...

Materials and methods Two female elderly patients (83 and 87 years old) recently came to our attention for a mechanical bowel obstruction. Their routine blood investigation revealed only high urea, creatinine and phosphates. Ultrasonography showed scleroatrophic lithiasic cholecistytis. The abdominal X-ray didn't show any sign of Rigler's triad, except for small bowel obstruction. Laparotomy di...

BACKGROUND Acute biliary diseases during pregnancy have been classically managed conservatively. Advances in minimally invasive surgery and the high recurrence rate of symptoms observed changed this management. METHODS This is a prospective observational study. Initial management was medical. Unresponsive patients were treated with minimally invasive techniques including gallbladder percutane...

Patients undergoing surgical treatment for calculous disease were considered to have had a partial cholecystectomy performed when a part of the gall bladder wall was retained for technical reasons. Forty patients underwent partial cholecystectomy: for chronic cholecystitis (20), acute cholecystitis (4), Mirizzi's syndrome (14), portal hypertension or partially accessible gall bladder (one patie...

This volume, which completes the revised edition of this manual, deals with the surgical affections of the pancreas, liver, spleen, neck, thyroid, larynx, breast, thorax, lungs, heart, and genito urinary organs. The question of choice between cholecystectomy and cholecystostomy is left somewhat open, the former being chiefly recommended for cases with diseased gall-bladder and a common duct fre...

ventilation tube (vt) insertion is the most common otologic operations performed in children, which has great importance in recovery and prevention of hearing loss in children with eustachian tube dysfunction in critical ages of growth development. the location of the vt insertion varies in different studies; the differences are in recovery rates and sequelae of vt insertion. this study is perf...

the increasing incidence of systemic candidiasis, which parallels the use of invasive and immunosuppressive medical procedures, necessitates development of rapid and cost effective tests for diagnosis of systemic candidiasis. therefore in this study 85 mice were first immunosuppressed by cyclophosphamide and then infected by candida albicans ncpf 3153. other 85 mice were employed as control. th...

0