Objective: To determine the diagnostic accuracy of contrast-enhanced computed tomography in the detection of necrosis in acute pancreatitis by taking surgical findings as the gold standard.
Methods: The descriptive cross-sectional study was conducted at Radiology and Surgery departments of the Jinnah Postgraduate Medical Centre, Karachi, from January 1 to June 30, 2016, and comprised patients of either gender having severe clinical pancreatitis with symptoms lasting >72 hours without showing improvement. Computed tomography scan was performed with slice thickness of 3mm.
Background Spondylolisthesis is characterized by the slipping of one vertebra, compared with the underlying one, due to structural and degenerative changes. Its origin is multifactorial which includes disc degeneration, facet joint anatomic orientation, iliolumbar configuration, and ligament hyperlaxity. The most common operative treatment is decompression and may require an individualized surgical plan.
View Article and Find Full Text PDFObjective: To find out the clinical outcome of posterior decompression with occipitocervical fixation and fusion in patients with Craniovertebral junction instability.
Methods: Eighty consecutive patients of cranio vertebral junction (CVJ) compression were treated in the department of neurosurgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi over a period of 05 years from 1 January 2012 till 31 August 2016. All patients underwent posterior decompression with occipitocervical fusion (OCF) and fixation.
Background: The clinical outcome following surgical resection of intracranial epidermoid lesions is not well documented. We describe a case series evaluating the clinical presentation and outcome following surgery in patients diagnosed with these lesions.
Materials And Methods: A retrospective study conducted over a 4-year period.
J Coll Physicians Surg Pak
February 2016
Objective: To determine functional outcome of intradural extramedullary spinal tumors in patients undergoing excision through the posterior approach alone.
Study Design: Interventional study.
Place And Duration Of Study: Neurosurgery Department, JPMC, Karachi, from March 2011 to February 2014.
J Coll Physicians Surg Pak
July 2015
Objective: To find out the frequency of Zuckerkandl Tubercle (ZT) and the position of recurrent laryngeal nerve with reference to ZK.
Study Design: Cross-sectional observational study.
Place And Duration Of Study: Surgical Ward-3, Jinnah Postgraduate Medical Centre (JPMC), Karachi, from June 2010 to August 2011.
J Coll Physicians Surg Pak
June 2015
Objective: To determine the clinical presentations, complications and mortality in patients with Dandy-Walker Malformation (DWM) after surgery i.e., shunt with y-connector.
View Article and Find Full Text PDFJ Coll Physicians Surg Pak
April 2015
Objective: To evaluate the symptomatic outcome after PFD (Posterior Fossa Decompression) with duraplasty in Chiari-1 malformations.
Study Design: Case series.
Place And Duration Of Study: Department of Neurosurgery, JPMC, Karachi, from July 2008 to September 2012.
J Coll Physicians Surg Pak
December 2010
Vestibular fistula represents the most common type of anorectal defect seen in girls with anorectal malformation. Adult presentation of this malformation is rare. The following is a case of adult presentation of anorectal malformation with a vestibular fistula in a 23 years old female, who came because of cosmetic and fertility concerns before her marriage.
View Article and Find Full Text PDFObjective: To determine the frequency and profile of carcinoma in multi-nodular goiter and solitary thyroid nodule.
Study Design: Case series.
Place And Duration Of Study: Surgical Unit-I, Ward-3 of Jinnah Postgraduate Medical Centre, Karachi, from January 1999 to January 2009.
A 35-year-old woman presented with lower abdominal pain and amenorrhoea. CT showed a thick walled lobulated mass with Ascaris adjacent to caecum along with the presence of a left ovarian mass. The peroperative findings were a tubular mass with central tunneling containing an Ascaris lumbricoides.
View Article and Find Full Text PDFJ Coll Physicians Surg Pak
September 2009
Objective: To compare the postoperative outcome of stapled haemorrhoidectomy and conventional Milligan Morgan's open haemorrhoidectomy.
Study Design: Comparative study.
Place And Duration Of Study: Surgical Unit 1, Ward-3, Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, from March to September 2006.
Objective: To determine the frequency of tuberculosis in recurrent fistula-in-ano.
Study Design: Case series.
Place And Duration Of Study: This study was conducted in Surgical Ward-3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from 1998 to 2007.