Aisha Memon

Liaquat University of Medical and Health Sciences, Jamsboro, Sindh, Pakistan

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Publications (8)1.9 Total impact

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    ABSTRACT: To compare the postsurgical outcome of laparoscopic and open inguinal varicocelectomy. Quasi-experimental study. Department of Surgery, Liaquat University of Medical and Health Sciences, Jamshoro, from July 2003 to June 2007. One hundred seven patients underwent either open inguinal or laparoscopic varicocelectomy. Diagnosis was made by clinical examination and color Doppler scan in doubtful cases. Pre-operative semen analysis was done in all patients. Operative time, postoperative analgesic requirement in number of tablets, hospital stay in days, improvement in semen parameters in subfertile subjects, pain on visual analog score. and postoperative complications were recorded and compared between the two groups. There were 50 patients in each group, with age ranging from 12-50 years (26.9+/-7.67 in open inguinal and 26.2+/-7.08 in laparoscopic group). Average operative time was 34.8+/-7.89 minutes for open inguinal and 43.8+/-8.95 minutes for laparoscopic group. The analgesic requirement was 16.3+/-1.58 tablets in the open inguinal and 11.3+/-2.23 in the laparoscopic group. Postoperative pain was significantly less in the laparoscopic group. There was statistically significant (p < 0.001) improvement in sperm count as well as motility in both groups irrespective of procedure. The open inguinal (Ivanissevich) procedure and laparoscopic varicocelectomy had almost equivalent postoperative outcomes regarding improvement in semen parameters and postoperative complications. Open inguinal procedure had a shorter operating time while laparoscopic varicocelectomy had the advantage of less analgesic requirement and short hospital stay. On the whole, open inguinal (loupe magnified) varicocelectomy is an effective procedure where availability and costs of laparoscopic instruments are barriers.
    Journal of the College of Physicians and Surgeons--Pakistan: JCPSP 02/2010; 20(2):106-11. · 0.30 Impact Factor
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    ABSTRACT: This prospective study aimed to determine the surgical site infection (SSI) rate and associated risk factors was carried in a general surgical ward at Liaquat University Hospital Jamshoro. A total of 460 patients requiring elective general surgery from July 2005 to June 2006 were included in this study. All four surgical wound categories were included. Primary closure was employed in all cases. Patients were followed up to 30th day postoperatively. All cases were evaluated for postoperative fever, redness, swelling of wound margins and collection of pus. Cultures were taken from all the cases with any of the above finding. Mean +/- SD age of the patients was 38.8 +/- 17.4 years with male to female ratio of 1.5:1. The overall rate of surgical site infection was 13.0%. The rate of wound infection was 5.3% in clean operations, 12.4% in clean-contaminated, 36.3% in contaminated and 40% in dirt-infected cases. Age, use of surgical drain, duration of operation and wound class were significant risk factors for increased surgical site infection (P < 0.05). Postoperative hospital stay was double in cases who had surgical site infection. Sex, haemoglobin level and diabetes were not statistically significant risk factors (P > 0.05). In conclusion, surgical site infection causes considerable morbidity and economic burden. The routine reporting of SSI rates stratified by potential risk factors associated with increased risk of infection is highly recommended.
    International Wound Journal 03/2008; 5(1):74-8. · 1.60 Impact Factor
  • Journal of Minimal Access Surgery 10/2007; 3(4):178-9.
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    ABSTRACT: To find out the safety profile of laparoscopic cholecystectomy in empyema of gallbladder. Empyema of gall bladder is a severe form of acute cholecystitis with superadded suppuration. It has been considered a contraindication for the laparoscopic cholecystectomy (LC) because of fear of life-threatening complications. This study aimed to determine the safety and feasibility of LC in empyema of gallbladder. LC was attempted in 67 patients of empyema of gallbladder within 24h. However in few cases there was a delay because of reluctance for surgery or delay in giving consent etc. The procedure was performed by standard four-port technique with few changes made to facilitate dissection according to situation. Between April 2003 to June 2006, 970 LC performed for gallstone disease at surgical unit-1 of LUMHS by the same surgical team. Among these, 67 (6.90%) patients were diagnosed to have empyema gall bladder. LC successfully completed in 54 (80.59%) patients. In 13 (19.40%) patients the procedure was converted to open cholecystectomy (OC) due to various operative difficulties of which the most serious injuries included bleeding from cystic artery (four cases), common bile duct injury (two cases) and duodenal injury in one case. Maximum operating time was up to 160 minutes (one case). Postoperative complications occurred in 10 (18.51%) successfully operated patients. Maximum patients (n=45, 83.33%) were discharged in 48-96 hours while three patients were discharged after two weeks. Laparoscopic cholecystectomy can be performed in empyema of gallbladder keeping in mind a slightly increased risk of complications even in the best hands. However, the experience of the surgeon plays a key role in the overall outcome.
    Journal of Minimal Access Surgery 04/2007; 3(2):52-6.
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    ABSTRACT: Advancing age with its associated co-morbidities increases the likelihood of postoperative complications as well as conversion rate during laparoscopic cholecystectomy. Recent studies have also questioned efficacy of this procedure in geriatric patients. The present study assesses the safety and applicability of laparoscopic cholecystectomy in geriatric patients. The objective of the present study was to asses safety and applicability of laparoscopic cholecystectomy in the elderly patients of 65 years and above. This is a prospective analysis of 173 patients, over 65 years of age, who underwent laparoscopic cholecystectomy from December 2002 to November 2006 at Liaquat University Hospital, Jamshoro. Patients presenting with complicated and uncomplicated gallstone disease were included in the study population and all of them were operated laparoscopically. The data included demographic details, co-morbidities, underlying biliary pathology, indications for surgery, operative and postoperative complications, morbidity and mortality, and hospital stay. The statistical analysis of the data performed on SPSS version 10. Laparoscopic cholecystectomy undertaken in 173 elderly patients with a mean age of 69.72 years, out of whom 52 (30.05%) were males and 121 (69.94%) were females. Co-morbid conditions were identified in 53.17% (n = 92) patients and included hypertension in 38 patients (21.96%), Diabetes Mellitus in 23 patients (13.29%), COPD in 19 (10.98%) patients, Coronary artery disease in 9 (5.20%) and cardiac arrhythmias in 3 (1.73%) patients. Indications for surgery included simple biliary colic in majority of patients (69.94%) and complicated stone disease in 52 (30.05%) subjects. There were 37 (21.38%) emergency laparoscopic cholecystectomies and 136 (78.61%) patients were operated electively. Mean operative time was 100 minutes with a SD 29.03. Fourteen (8.09%) patients required conversion to OC (Open Cholecystectomy) due to various reasons. Mean hospital stay was 6.28 days. Overall 23 (13.29%) patients developed postoperative complications. One patient died of acute MI on 2nd postoperative day. There is no undue risk in laparoscopic cholecystectomy in the elderly population and the procedure can be regarded as safe as in patients below 65 years of age.
    Journal of Ayub Medical College, Abbottabad: JAMC 01/2007; 19(4):45-8.
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    ABSTRACT: ANDI (Aberration of normal development and involution) classification covers most of the benign breast conditions as a result of hormonal influence. Prolactin plays an important role in normal proliferation and differentiation of breast epithelium. The objective of this hospital based study was to find out clinical presentation and prolactin level of ANDI patients. Total 330 patients with different conditions of ANDI visited surgical out patient department of Liaquat University of Medical and Health Sciences from May 2005-May 2006. 200 were selected for their Prolactin levels measurments apart from other clinical, radiological, cytological or histopathological investigations. Only 30 (15%) patients found to have raised Prolactin. 27% of multipl e fibroadenoma, 12.5% with recurrent fibroadenoma, 13.3% with cyclical nodularity, 6.5% with mastalgia, 4.8% with fibrocystic disease, 23% with fibroadenosis and 71% with galactorrehea along with fibrocystic disease were having raised Prolactin. The result of our study suggest that Prolactin hypersecretion is likely etiological factor in some of the conditions of ANDI, rest may be due to end organ hypersensitivity to normal circulating Prolactin or other hormones. Pharmacological manipulation of raised prolactin in patients can provide relief from symptoms.
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    ABSTRACT: Breast cancer is most common in females affecting nearly one out of nine women sometimes in their life. The main objective of this hospital based study was to find out the pattern of benign breast lumps in young Sindhi females. Out of the total 800 females who attended the surgical out-patient departments of Liaqua t university medical and health sciences between March 2004- February 2006, 500 young females aged between 15-25 year were diagnosed with breast lump/lumps(with or without pain) and these were included in the study. FNAC was carried out on every patient for correct histopathological diagnosis. Out of 500 patients, 294 (59 %) had benign breast lump/lumps. Among these included 66.3% with fibrocystic disease along with adenosis; 11.5% with fibroadenoma along with adenosis; 8.1% with solitary fibroadenoma; 6.12% with unilateral multiple fibroadenomas; 3.7% with bilateral fibroadenomas; 3.4% with recurrent fibroadenomas and 0.68% patients came with stromal lumps. The results of this study suggest that the pattern of benign breast lump is changing in young Sindhi females from fibroadenomas to adenosis and fibrocystic disease.
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    ABSTRACT: ANDI accounts for major workload in breast clinics. There is no single ideal treatment available to treat benign breast diseases. Aim of this study was to find out the response of antiprolactin treatment in ANDI patient. Total 200 patient of ANDI during April 2005-March 2006 who visited Surgical outpatient department of Liaquat University of Medical and Health sciences Jamshoro Pakistan were treated with Bromocriptine.Study was observational, non analytic, non comparative. Patient with solitary fibroadenomas, mild to moderate mastalgia or nodularity, solitary cysts, recent history of pregnancy, lactation, hormonal intake, inflammatory or even doubtful malignant lesions were not included in study. Out of total 200 patients received antiprolactin treatment, 148 (74%) responded well and got relieved from symptoms.52 patients dropped out of treatment out of them 30 (15%) did not respond to treatment and 22 (11%) developed serious side effects. Patients with galactorrhea responded 100% and with adolescent hypertrophy only responded 16.6%. Only 15% were having raised S.Prolactin and all of them responded well without developing serious side effects. Antiprolactin treatment is effective in most of the conditions of ANDI and can be prescribed even in patients with normal serum prolactin levels. Most of the patients do not develop serious side effects.