Publications by authors named "Najam Husain"

Article Synopsis
  • The text discusses a study comparing two surgical approaches, conventional multi-port laparoscopy (CL) and single-incision laparoscopic surgery (SILS), for patients undergoing Hartmann's reversal (HR), primarily after colostomy.
  • A thorough online search led to the inclusion of two observational studies with 160 patients, revealing that SILS had a significantly shorter operative duration, while other outcomes like mortality and complications showed no significant differences.
  • The conclusion indicates that, despite some limitations in the research, SILS is a quicker method with comparable safety and effectiveness to CL techniques.
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Introduction: Recent studies have suggested that ambulatory management is feasible for acute uncomplicated diverticulitis (AUD); however, there is still no consensus regarding the most appropriate management settings. This study presents a multi-centre experience of managing patients presenting with AUD, specifically focusing on clinical outcomes and comparing ambulatory treatment with in-patient management.

Methods: A retrospective multi-centre study was conducted across four hospitals in the UK and included all adult patients with computed tomography (CT) confirmed (Hinchey grade 1a) acute diverticulitis over a 12-month period (January - December 2022).

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Enterocolic lymphocytic phlebitis (ELP) is an idiopathic form of venous inflammation that is limited to the gastrointestinal tract. It is characterised by inflammation of the veins with no involvement of the arteries. Usually, it presents with gastrointestinal symptoms such as abdominal pain, and imaging may suggest malignancy.

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Well-leg compartment syndrome is a rare and severe complication that occurs after prolonged surgery in the lithotomy position. This review outlines the presentation, diagnosis, and management of well-leg compartment syndrome after colorectal surgery. A comprehensive and systematic search of various electronic databases was conducted.

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Diaphragmatic hernia (DH) is an uncommon cause of small bowel obstruction (SBO), particularly in the absence of trauma. This rarity can pose a diagnostic challenge, leading to significant delays in treatment and increased morbidity. We report a case of a 79-year-old male patient who presented with acute signs of small bowel obstruction.

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Article Synopsis
  • A study was conducted to compare the effectiveness of outpatient versus inpatient treatment, as well as the use of antibiotics versus no antibiotics, in patients with uncomplicated acute diverticulitis (Hinchey grade 1a).
  • The research analyzed data from multiple studies and found that patients receiving no antibiotics had lower recurrence rates and shorter hospital stays compared to those receiving antibiotics.
  • Additionally, there was no significant difference in outcomes between outpatient and inpatient treatments, indicating that outpatient management is safe and feasible for selected patients.
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Epiploic appendagitis (EA) is a rare and frequently overlooked cause of abdominal pain. EA within the sigmoid colon in a right-sided inguinal hernia is a rare entity with only a few cases reported. In this article, we present a case of an 80-year-old male with a palpable mass within an incarcerated right inguinal hernia.

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Background Haemorrhoid is the most common anal canal disease. Treatments may vary from non-invasive to invasive depending on the symptoms. Haemorrhoidectomy has been widely used.

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Rapunzel syndrome is an extremely rare intestinal condition stemming from trichophagia (compulsive ingestion of hair). The syndrome usually causes intestinal obstruction but we report a unique case where it has caused appendicitis. We also reviewed the existing literature on Rapunzel syndrome.

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May-Thurner syndrome (MTS) is an unusual cause of deep venous thrombosis; even rarer is the spontaneous rupture of collaterals around the thrombosed common iliac vein due to MTS. We present a case of MTS which presented with left leg swelling and abdominal mass due to retroperitoneal haemorrhage.

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