Gallstone Ileus With Cholecysto-Duodenal Fistula In An Elderly Male.

Gall stone ileus associated with cholecysto-duodenal fistula is a rare pathology. It most commonly presents in elderly females in 72-90% of cases. In such a case, a patient typically presents with recurrent attacks of sub-acute intestinal obstruction which usually resolves completely with conservative management only to recur again after some time.

Laparoscopic Sleeve Gastrectomy - A Prospective Follow Up Of 30 Patients.

Background: Morbid obesity has become a surgically treatable problem. Laparoscopic sleeve gastrectomy is becoming a popular choice both for surgeons and patients due to effectiveness and low complication rates.

Methods: It was a prospective case series spanning over 6 years.

Validation and reliability of Global Operative Assessment of Laparoscopic Skills for surgical residents and consultants.

Objective: To institute and validate the Global Assessment of Laparoscopic Surgery score as a measure of intraoperative performance.

Methods: The observational study was conducted at the Services Hospital, Lahore, and the National Hospital and Medical Centre, Lahore, from August 1, 2013, to February 28, 2014, and comprised Residents, Senior Registrars and Consultants who were divided into 3 groups. The Junior group comprised Residents from years 1, 2 and3; the Intermediate group had year 4 Residents and Senior Registrars; and the Senior group included Consultants.

Pre-operative antibiotic use reduces surgical site infection.

Objective: To assess the efficacy of World Health Organisation Surgical Safety Checklist as a simple, reliable and effective tool to ensure appropriate administration of intravenous antibiotics.

Methods: The prospective interventional study was conducted in three phases at Mayo Hospital, Lahore, from May 2011 to January 2012. The first phase comprised baseline data collection, followed by implementation of World Health Organisation Surgical Safety Checklist, and finally post-implementation data collection.

Laparoscopic cystgastrostomy: A Pakistani perspective.

Laparoscopic Pancreatic Pseudocyst (PP) surgery can be performed via anterior or posterior cystogastrostomy, endoscopy-assisted surgery and cystojejunostomy. We conducted a prospective analysis of our patients undergoing laparoscopic cystogastrostomy to analyse the merits and demerits of the procedure. In a period of 3 years from January 2010 to December 2012 all the patients who underwent laparoscopic drainage of pancreatic pseudocysts were prospectively analysed.

Mesh fixation vs. non-fixation in total extra peritoneal mesh hernioplasty.

Objective: To compare mesh fixation with non-fixation and its effect on outcome.

Methods: The interventional prospective study was conducted at the National Hospital & Medical Centre, Lahore from January 2007 to December 2008. After the two-year intervention period, the patients were followed up for 5 years.

Modified Limberg's flap versus primary closure for treatment of pilonidal sinus disease: a comparative study.

Objectives: To compare the outcome of Rhomboid excision and Modified Limberg's flap closure with excision and primary closure for the treatment of Sacrococcygeal Pilonidal sinus.

Methods: The study was conducted at the Surgical Department of Mayo Hospital, Lahore, from 2009 to 2012. A total of 60 patients of pilonidal sinus were randomly divided into two equal groups.