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Full-Text Articles in Medicine and Health Sciences
Fifteen Years Experience Of Managing Penetrating Extra-Peritoneal Rectal Injuries, Tanzeela Gala, Noman Shahzad, Ahmed Ibrahim Edhi, Fareed Ahmed Shaikh, Hasnain Zafar
Fifteen Years Experience Of Managing Penetrating Extra-Peritoneal Rectal Injuries, Tanzeela Gala, Noman Shahzad, Ahmed Ibrahim Edhi, Fareed Ahmed Shaikh, Hasnain Zafar
Section of General Surgery
Background: Although civilian injuries are generally less severe, they nevertheless remain a challenging problem for the surgeons. In isolated rectal injury patients, though proximal diversion, pre-sacral drainage, distal rectal wash-out and wound debridement are the various surgical options employed in various combinations, the optimum strategy especially for civilian injuries remains unknown. We reviewed our experience of managing penetrating extra peritoneal rectal injuries.
Methods: We conducted a Retrospective review of Adult patients with penetrating extra-peritoneal rectal injuries. Follow-up information of at least one month was needed for early post-operative complications.
Results: A total number of fifteen patients met …
Rhizopus Necrotizing Fasciitis Of Caesarean Wound: A Rare Life Threatening Condition, Abdul Rehman Alvi, Ghina Shamsi
Rhizopus Necrotizing Fasciitis Of Caesarean Wound: A Rare Life Threatening Condition, Abdul Rehman Alvi, Ghina Shamsi
Section of General Surgery
Mucormycosis is a rare cause of necrotizing fasciitis in immunocompromised patients. We report a young female, who developed rhizopus necrotizing fasciitis of caesarean wound. The lady died secondary to non-responding sepsis and irreversible multi-organ failure. High index of suspicion can lead to early diagnosis by frozen section of histopathology and fungal culture technique. Aggressive surgical debridement and intravenous anti-fungal medication is the main stay of treatment. A delay in diagnosis and treatment may cause multi-organ failure leading to high mortality.
Necrotizing Fasciitis Of The Breast, Saira Nizami, Kamran Mohiuddin, Mohisin-E-Azam, Hasnain Zafar, Muhammad Ashraf Memon
Necrotizing Fasciitis Of The Breast, Saira Nizami, Kamran Mohiuddin, Mohisin-E-Azam, Hasnain Zafar, Muhammad Ashraf Memon
Section of General Surgery
Necrotizing fasciitis is a potentially fatal condition that can affect any part of the body. It can occur after trauma, around foreign bodies in surgical wounds, or can be idiopathic. We describe a case of necrotizing fasciitis involving the breast following an initial debridement of an inflammatory lesion.