Laparoscopic cholecystectomy in acute gallstone pancreatitis in index hospital admission: feasibility and safety.

Background And Objective: Acute gallstone pancreatitis is quite common throughout the globe. Conventionally definitive cholecystectomy has been delayed in index hospital admission. Since the last decade timing of cholecystectomy is gradually shifting towards the earlier phase of disease and currently gallstone pancreatitis is being evaluated as a further indication for laparoscopic cholecystectomy.

Role of laparoscopy in peritonitis.

Objective: Laparoscopy has gained clinical acceptance in many subspecialties in the last decade. The conventional open surgery for peritonitis carries significant morbidity and mortality. The present study was done to extend and evaluate benefits of minimally invasive surgery in this subset of patients.

Biliary bypass surgery - Analysis of indications & outcome of different procedures.

Objectives: This study reports the indications and outcome of various biliary bypass surgical procedures from a single centre over a period of 10 years.

Methods: This is a prospective observational study conducted over a period of 10 years (January 2001-december 2010). A total of 1500 patients were included, who underwent pancreatico-biliary surgery due to common bile duct (CBD) stones, congenital anomalies of biliary tree, unoperable pancreatico-biliary malignancies, CBD strictures and cases who developed iatrogenic biliary injuries during cholecystectomy (both open & laproscopic) during this period of time.

A safe quick technique for placement of the first access port for creation of pneumoperitoneum.

Introduction: Closed and open techniques for creation of pneumoperitoneum are being used simultaneously with varying frequencies. Some studies analyzing slight modifications to both approaches have been published and others are under way. We conducted this study to eliminate some of the disadvantages of the open technique, an already proven safer technique.

Laparoscopic-assisted management of impalpable testis in patients older than 10 years.

Objective: Cryptorchidism affects 1% of male births. The majority of patients with undescended testis are identified and treated in childhood, but a significant proportion of them especially in third-world countries are neglected and present late. Herein, we present our initial experience of managing impalpable testis in older children and adults with laparoscopic assistance.

Laparoscopic versus inguinal (Ivanissevich) varicocelectomy.

Objective: To compare the postsurgical outcome of laparoscopic and open inguinal varicocelectomy.

Study Design: Quasi-experimental study.

Place And Duration Of Study: Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, from July 2003 to June 2007.

Clinical outcomes of laparoscopic versus open appendectomy.

Background: Appendectomy, being the most common surgical procedure performed in general surgery, is still being performed by both open and laparoscopic methods due to a lack of consensus as to which is the most appropriate method. Because further trials are necessary and few such studies have been performed in developing countries, we decided to evaluate the outcomes of the 2 procedures to share our experience with the international community.

Methods: Consecutive patients with suspected acute appendicitis who underwent laparoscopic (LA) (n=48) and open (n=52) appendectomy (OA) over a period of 3 years were studied.

Surgical site infection rate and associated risk factors in elective general surgery at a public sector medical university in Pakistan.

This prospective study aimed to determine the surgical site infection (SSI) rate and associated risk factors was carried in a general surgical ward at Liaquat University Hospital Jamshoro. A total of 460 patients requiring elective general surgery from July 2005 to June 2006 were included in this study. All four surgical wound categories were included.