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  • 1
    Online Resource
    Online Resource
    Clinical Outcome of Surgical Diathermy in Elective Surgery-Prospective Randomized Controlled Tria
    Bangladesh Academy of Sciences ; 2019
    In:  KYAMC Journal Vol. 10, No. 3 ( 2019-12-23), p. 143-146
    Details
    In: KYAMC Journal, Bangladesh Academy of Sciences, Vol. 10, No. 3 ( 2019-12-23), p. 143-146
    Abstract: Background: Recent studies suggest that surgical diathermy shows better clinical outcome in the context of incision time, wound related postoperative pain, postoperative wound infections, and length of postoperative hospital stay and cosmetic outcome of scar in cases of elective surgical patients. Objectives: Compare the efficacy and safety of surgical diathermy versus conventional surgical blade for making skin incisions in elective mid-line laparotomy and to evaluate weather cutting diathermy is an effective and better alternative to surgical blade incision. Materials and Methods: This prospective study was carried out in the department of surgery at BSMMU, Dhaka over a period of one year. Sample size was 64 with a follow up duration for 6 month. In Group I (D), skin incision was taken with diathermy, and in Group II (S), incision was taken with surgical blade. Results: Compared with a scalpel incision, cutting diathermy resulted in significantly shorter incision times and reduced post-operative wound related pain (P = 〈 0·001), shorter duration of postoperative hospital stay (P = 0.003) with no differences in the wound complication rate and cosmetic outcome of scar. Conclusions: The study has demonstrated that surgical cutting diathermy is a safe and effective method to make skin incisions in elective surgery KYAMC Journal Vol. 10, No.-3, October 2019, Page 143-146
    Type of Medium: Online Resource
    ISSN: 2308-2860 , 2308-2720
    URL: Article
    DOI: 10.3329/kyamcj.v10i3.44417
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
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  • 2
    Online Resource
    Online Resource
    Causes of Delayed Hospitalization In Periampullary Carcinoma and Its Correlation With Perioperative Outcome
    Bangladesh Academy of Sciences ; 2016
    In:  Journal of Dhaka Medical College Vol. 24, No. 1 ( 2016-09-07), p. 17-23
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 24, No. 1 ( 2016-09-07), p. 17-23
    Abstract: Abstract not availableJ Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 17-23
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v24i1.29557
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
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  • 3
    Online Resource
    Online Resource
    Change in serum interleukin-6 levels in patients after pancreatoduodenectomy for periampullary cancer
    Bangladesh Academy of Sciences ; 2017
    In:  Bangabandhu Sheikh Mujib Medical University Journal Vol. 10, No. 1 ( 2017-02-23), p. 11-15
    Details
    In: Bangabandhu Sheikh Mujib Medical University Journal, Bangladesh Academy of Sciences, Vol. 10, No. 1 ( 2017-02-23), p. 11-15
    Abstract: This study was undertaken to elucidate the changes in interleukin-6 concentrations in the systemic circulation of 20 patients following pancreatoduodenectomy and whether it had any predictive value for postoperative complications. Blood was drawn on the day before surgery, at fixed intervals immediately after closure of the abdomen, and on day 1, 3, 5 after surgery for the measurement of interleukin-6. Change in the serum interleukin-6 levels was observed before and after pancreatoduodenectomy and between patients with and without complications. There was no mortality, but morbidity occurred in 5 patients. Serum interleukin-6 levels peaked immediately after surgery and gradually declined to preoperative level on postoperative day 5, but it remained persistently higher in a patient who developed postoperative complication. The peak level of interleukin-6 was significantly correlated with body mass index, duration of jaundice, biliary decompression prior to surgery, operation time and hospital stay, but not with operative blood loss. In conclusion, interleukin-6 is an important stress marker for predicting the complications after pancreatoduodenectomy operation. Patient with good body mass index status, short duration of jaundice and without preoperative biliary decompression provides less operative stress, less chance of complications and shorter hospital stay.
    Type of Medium: Online Resource
    ISSN: 2224-7750 , 2074-2908
    URL: Article
    DOI: 10.3329/bsmmuj.v10i1.31311
    Language: English
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
    detail.hit.zdb_id: 2573885-9
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  • 4
    Online Resource
    Online Resource
    Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy
    Bangladesh Academy of Sciences ; 2016
    In:  Bangabandhu Sheikh Mujib Medical University Journal Vol. 6, No. 1 ( 2016-08-04), p. 54-57
    Details
    In: Bangabandhu Sheikh Mujib Medical University Journal, Bangladesh Academy of Sciences, Vol. 6, No. 1 ( 2016-08-04), p. 54-57
    Abstract: Background: A duct-to-mucosa pancreatojejunostomy is technically difficult to perform than Dunking procedure after pancreatoduodenectomy. In contrast, the incidence of anastomotic dehiscence is more in Dunking than duct-to-mucosa procedure. Duct-to-mucosa technique is rarely practiced in our country because of technical difficulties and lack of experiences. Objectives: This study was undertaken to evaluate the safety of duct-to-mucosa procedure in our patients with pancreatoduodenectomy. Methods: We have performed pancreatojejunostomy in 14 consecutive patients using a duct-to-mucosa technique and the result was assessed. Results: No patients developed pancreato-jejunal leakage; however, 6 of 14 patients developed complications not related to operative techniques (wound infections; 3,jejunal fistula following removal of jejunal feeding tube; 1, renal dysfunction; 1, delayed gastric emptying; 1) which were managed conservatively. There were no postoperative deaths in the present series and the median postoperative hospital stay was 20.3 days. The follow-up period ranged from 1 to 12 months and all patients are surviving with good health during this period. Conclusion: Pancreatojejunostomy by duct-to-mucosal technique is a safe method of pancreatojejunostomy after pancreatoduodenecytomy.
    Type of Medium: Online Resource
    ISSN: 2224-7750 , 2074-2908
    URL: Article
    DOI: 10.3329/bsmmuj.v6i1.29085
    Language: English
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2573885-9
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  • 5
    Online Resource
    Online Resource
    Choledochal Cyst: Experience from A Tertiary Level Hospital of Bangladesh
    Bangladesh Academy of Sciences ; 2022
    In:  IAHS Medical Journal Vol. 4, No. 1 ( 2022-04-12), p. 51-55
    Details
    In: IAHS Medical Journal, Bangladesh Academy of Sciences, Vol. 4, No. 1 ( 2022-04-12), p. 51-55
    Abstract: Background : Choledochal cysts are rare, congenital abnormal dilatations of the intrahepatic biliary channels of uncertain origin. It may clinically manifest at any age. Biochemical tests are not diagnostic but imaging modalities help in accurate diagnosis. Surgery in the form of complete excision of the cyst with diversion is the treatment of choice and decreases the risk of dreaded complication of cholangiocarcinoma. The aim of this study is to demonstrate the sex distribution, symptomology, biochemical presentation, radiological findings and outcome of surgery in Bangladeshi population. Methods and materials: A total of 12 cases were considered for this study which included all the cases that were admitted at Bangabandu Sheikh Mujib Medical University (BSMMU) during June 2013 to May 2014. The study also covered the incidence of the type of the cyst, post-operative complications and follow up of the patient for 5 years at least. Results: 9 of the patients were female and the median age of presentation was 17. Todani type I was the most common type. Patients attended hospital with upper abdominal pain (100%) alongwith other symptoms like vomiting, jaundice, etc. S. bilirubin and alkaline phosphatase were raised in most of the patients. Radiological diagnosis was done effectively by ultrasonography, CT (Computer Tomography) scan and MRCP (Megnatic Resonance Cholangiopancreatography). All the patients underwent complete excision of the Choledochal cyst with cholecystectomy with Roux en Y hepaticojejunostomy and post-operative complications include wound infection (n=2) scar pain and recurrent cholangitis (16.67% each). Conclusion: Surgery is the treatment of choice and decreases the risk of cholangiocarcinoma. Long term follow is required in these patients. IAHS Medical Journal Vol 4(2), June 2021; 51-55
    Type of Medium: Online Resource
    ISSN: 2709-5037
    URL: Article
    DOI: 10.3329/iahsmj.v4i1.59134
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2022
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  • 6
    Online Resource
    Online Resource
    Antimicrobial Therapy in Preventing Wound Infection Following Appendicectomy in Uncomplicated Appendicitis: A Comparative Study Between Single Dose And Multiple Doses In Adults
    Bangladesh Academy of Sciences ; 2019
    In:  Journal of Surgical Sciences Vol. 19, No. 1 ( 2019-11-04), p. 17-20
    Details
    In: Journal of Surgical Sciences, Bangladesh Academy of Sciences, Vol. 19, No. 1 ( 2019-11-04), p. 17-20
    Abstract: Objectives: To find out the efficacy of single dose antibiotic vs multiple dosesin preventing wound infection following appendicectomy for uncomplicated appendicitis. Methods: A prospective comparative study was conducted in the Department of Surgery, Chittagong Medical college Hospital from January'2009 to June'2009. 100 patients with uncomplicated appendicitis who underwent appendicectomy during that period were included in this study. Among them 50 cases were included in study group ·(SG) who were given only single dose of combination drugs ( lnj. Cefuroxime + lnj. Metronidazole).ln rest of the 50 cases (CG), antibiotics were continued for 7 days postoperatively. Result: Maximum incidence of acute appendicitis was in the 2nd and 3rd decade of life with male preponderance .Rate of wound infection in the study group and control group was 4% and 2% respectively which was not statistically significant .The duration of antibiotic therapy had no significant effect on the length of hospital stay between the two groups ; 2.48 days vs 2.9 days [mean + s.d. 69.6 # 16.8 hours ] in the study and control group respectively, though treatment cost was higher in control group in c omparison to the study group . Conclusion: Single dose of preoperative antibiotics is adequate for prevention of postoperative wound infection following appendicectomy for uncomplicated appendicitis. Journal of Surgical Sciences (2015) Vol. 19 (1) : 17-20
    Type of Medium: Online Resource
    ISSN: 2408-8668 , 1728-2152
    URL: Article
    DOI: 10.3329/jss.v19i1.43772
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
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  • 7
    Online Resource
    Online Resource
    Fascioliasis-An Uncommon Cause of Recurrent Cholangitis
    Bangladesh Academy of Sciences ; 2019
    In:  Journal of Surgical Sciences Vol. 19, No. 1 ( 2019-11-04), p. 35-38
    Details
    In: Journal of Surgical Sciences, Bangladesh Academy of Sciences, Vol. 19, No. 1 ( 2019-11-04), p. 35-38
    Abstract: We report a case of Fascioliasis presented with recurrent cholangitis in a female necessitating multiple consultations and hospitalizations over a period of two years. Investigative profile failed to confirm any definite diagnosis prior to her admission in Hepato-Biliary-Pancreatic Surgery Division of the Department of Surgery of Bangabandhu Sheikh Mujib Medical University where she was provisionally diagnosed as a case suffering from extrahepatic cholagiocarcinoma. With the intent of extrahepatic excision with Rouxen-Y hepaticojejunostomy abdomen was explored and surprisingly 28 mature liver flukes (fasciola hepatica) were found lodged in the extra and intrahepatic biliary tree. Although fasciola hepatica infestation is more common in far East Asia, this case may represent the tip of an iceberg of endemic infestation of this trematode in Bangladesh which warrants further investigations. Journal of Surgical Sciences (2015) Vol. 19 (1) : 35-38
    Type of Medium: Online Resource
    ISSN: 2408-8668 , 1728-2152
    URL: Article
    DOI: 10.3329/jss.v19i1.43776
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
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  • 8
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    Online Resource
    Comparative analysis of analgesic consumption and pain relief in patients receiving 0.25% bupivacaine versus those without intervention
    Medip Academy ; 2024
    In:  International Surgery Journal Vol. 11, No. 6 ( 2024-05-29), p. 897-902
    Details
    In: International Surgery Journal, Medip Academy, Vol. 11, No. 6 ( 2024-05-29), p. 897-902
    Abstract: Background: Laparoscopic cholecystectomy, now a standard for gall bladder surgery in symptomatic cholelithiasis, has significantly renovated our perspective on the postoperative recovery of patients undergoing cholecystectomy. However, pain stands out as a significant factor necessitating overnight stays after laparoscopic cholecystectomy. This study investigates the comparison of the analgesic and pain relief between groups who will receive 0.25% bupivacaine and group will not receive 0.25% bupivacaine. Methods: A cross sectional study that was carried out in the department of surgery in Bangabandhu Sheikh Mujib Medical University, Dhaka over a period of six months and comprised 40 patients scheduled for laparoscopic cholecystectomy. Results: At 12 hours after surgery, group I had a lower mean Numeric Rating Scale (NRS) score for pain (4.1±1.21) compared to group II (7.95±0.6). The difference between the groups was statistically significant (p 〈 0.05). The mean NRS score for pain at 12 hours postoperatively was significantly lower in group I (4.72±0.61) compared to group II (6.08±0.64), suggesting a substantial reduction in pain intensity with the use of Bupivacaine during the initial 12 hours after surgery. Conclusions: Considering the observed effectiveness of local administration of 0.25% bupivacaine at the port sites in reducing postoperative pain and the associated decrease in the need for conventional analgesics, patients undergoing laparoscopic cholecystectomy may benefit from discussing this pain management approach with their healthcare providers.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20241387
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2024
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  • 9
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    Online Resource
    Mitochondrial Dysfunction in Early Diagnosed Autism Spectrum Disorder Children
    Bangladesh Academy of Sciences ; 2017
    In:  Journal of Dhaka Medical College Vol. 26, No. 1 ( 2017-09-14), p. 43-47
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 26, No. 1 ( 2017-09-14), p. 43-47
    Abstract: Background: Mitochondrial dysfunction and abnormal brain bioenergetics can cause autism.Cellular function impairment due to mitochondrial dysfunction may cause cognitive impairment, language deficits and abnormal energy metabolism in autism.Objective: The aim of this study was to evaluate biochemical evidence of the mitochondrial dysfunction by measuring blood ammonia, serum lactate, alanine aminotransferase (ALT), aspartate aminotransferase (AST) and creatinine kinase (CK) in autism spectrum disorder children.Methods: This observational type of analytical study with case-control design was conducted in the Department of Physiology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka. For this study, a total number of 20 Subjects were randomly selected, among which 10 were apparently healthy subjects (control group-A) for comparison and 10 were diagnosed children with autism spectrum disorder (study group-B). 5ml venous blood was collected from both groups for analysis serum CK, AST, ALT, lactate and blood ammonia. Blood ammonia, serum lactate, AST, ALT and CK level were estimated in all children by standard laboratory method. Independent samplet test was used for statistical analysis. P value 〈 0.05 was accepted as significant. The mean of all the measured biochemical variables in normal children were within normal ranges.Result: Blood ammonia, serum lactate, AST, CK were found significantly higher in autism spectrum disorder children in comparison to control Conclusion: From the result of this study it may be concluded that mitochondrial dysfunction occur in autistic spectrum disorder children .J Dhaka Medical College, Vol. 26, No.1, April, 2017, Page 43-47
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v26i1.34000
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
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  • 10
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    Online Resource
    Study On Serum Magnesium, Calcium And Iron In Autism Spectrum Disorder (ASD) Children
    Bangladesh Academy of Sciences ; 2020
    In:  Journal of Dhaka Medical College Vol. 27, No. 2 ( 2020-03-10), p. 199-204
    Details
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 27, No. 2 ( 2020-03-10), p. 199-204
    Abstract: Background: Autism is a complex neurodevelopmental disorder and one of the major cause of lifelong disability. Magnesium, calcium and iron are important minerals of biological system. Hypomagnesaemia, hypocalcaemia and iron deficiency has been found to be associated with abnormal metabolic functions resulting in autistic spectrum disorder. Hypothesis: Serum magnesium, calcium and iron levels are lower in ASD children than healthy control. Objective: To measure serum magnesium, calcium and iron in ASDchildren and to compare them with healthy control. Method: This observational type of analytical study with case-control design was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka from March 2014–January 2016. For this study, 80 children aged 3-10 years were randomly selected, among which 40 were apparently healthy and 40 were diagnosed as ASD. The study group was selected from the Parents’ Forum (Mohakhali DOHS, Dhaka) for ASD children and the control group was selected from some regular schools. 5ml venous blood was collected from both groups for analysis of fasting serum magnesium, calcium and iron. Fasting magnesium, calcium and iron were estimated in all children by standard laboratory method. Independent sample‘t’ test and proportion (Z) test were used for statistical analysis. P value Â0.05 was accepted as significant. Result: The mean serum magnesium, calcium and iron were significantly lower (pÂ0.001) in cases as compared to controls. The frequency of hypomagnesaemia, hypocalcaemia and iron deficiency were significantly higher in early diagnosed ASD children, which was 7 (17.5%), 22 (55%) and 5 (12.5%) out of 40 ASD children respectively.The mean values of all the biochemical variables in normal children were within normal ranges. Conclusion: The results indicate that hypomagnesaemia, hypocalcaemia and iron deficiency are common in ASD children. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 199-204
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    URL: Article
    DOI: 10.3329/jdmc.v27i2.45834
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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