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Faruquzzaman,Chittagong Medical College Hospital Chittagong | Mazumder S.K.,Chittagong Medical College
Bratislava Medical Journal

The role of laparoscopic appendectomy in the management of complicated appendicitis remains unsettled with reports of a higher incidence of postoperative intraperitoneal abscess. Most studies on laparoscopic appendectomy in children have been done in the Western population. This retrospective review has been done to compare laparoscopic appendectomy with open appendectomy in children with complicated appendicitis in Chittagong Medical Hospital, Bangladesh. Based on intention-to-treat analysis, there were 51 and 61 children in the laparoscopic and open appendectomy groups, respectively. Conversion from laparoscopy to open technique was done in six children. Distribution of age, gender and pathology of appendicitis was similar for the two groups. With laparoscopic appendectomy, the mean operative time was longer (112 vs 72 minutes, p-value is less than 0.005), while severe wound infection (2.1 vs 21 percent, p-value is less than 0.05) and mean postoperative hospital stay (5.7 vs 7.4 days, p-value is less than 0.005) were significantly lower. The incidence of postoperative intraperitoneal abscess (12 vs 11.5 percent) and postoperative fever (20 vs 11.5 percent) were not significantly different (p-value is greater than 0.05). This review has confirmed that the longer the operating time, the lower the incidence of wound infection and shorter the postoperative stay for laparoscopic appendectomy. There was no increased risk of postoperative intraperitoneal abscess. Source

Faruquzzaman,Chittagong Medical College Hospital Chittagong
Bratislava Medical Journal

This study was conducted in the surgical wards of Dhaka Medical College Hospital, Bangladesh (General Surgery Wards and burn unit) on nosocomial infection. Thirty percent of the study patients, of which, elderly patients constitute 62.5 %, were infected with nosocomial infection. Among those patients, wound infection (38.7 %) was the most common type of nosocomial infection, from which about 63.5 % belonged to postoperative. The other common types were acute respiratory tract infection (19.2 %), urinary infection (26.6 %), and gastro-intestinal infection (12.5 %). In this study, it was found that combined infection (36%), pseudomo-nas (33 %) as well as E. coli (17 %) had the greatest contribution of developing postoperative wound infection. Nosocomial infection was not significantly associated with sex distribution, but was significantly higher in postoperative patients (63.5 %) than preoperative (36.5 %). Another significant finding of this study was that there was a strong positive association between the frequency of nosocomial infections and increasing number of visitors per patient per day). Source

Moniruzzaman M.,Union health sub Center | Faruquzzaman,Chittagong Medical College Hospital Chittagong | Mohiuddin T.,Sher e Bangla Medical College Hospital Barisal
Bratislava Medical Journal

We report our experience in treating such patients. A retrospective chart review was performed from 2004 through 2007 in Urology Department of Dhaka Medical College Hospital by using the convenient type of purposive sampling. In cases undergoing perineal urethrostomy, we suggested the "side-to-side" technique, which comprised longitudinal urethrotomy and everting the mucosal and submucosal layers of the urethra to the incised skin. Graft-based urethroplasty using buccal mucosal graft, in one-stage or two-stage repairs, was the preferred choice of formal reconstruction. Patients undergoing hypospadias surgery should receive lifelong follow-up protocol to detect latent urethral strictures. Source

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