Muhammad Shamim

• MBBS, FCPS, FACS, FICS, MHPE
• Professor (Assistant) at Prince Sattam Bin Abdulaziz University

Empyema of the gallbladder is a severe complication of acute cholecystitis, and it can take unexpected turns when complications like fistula formation arise. This report outlines the case of a 45-year-old female who presented with a 5-day history of pain and a lump in her right upper abdomen. Initial evaluation revealed an abdominal wall abscess, b...

Background: The COVID-19 pandemic has significantly disrupted healthcare systems, including the management of emergency general surgery. Even though the pandemic ended, the new variants are continuously emerging, making it necessary to standardized the management protocols of emergency general surgery in COVID patients. Objective: This meta-analysi...

Background: Locally advanced rectal cancers (10-20%) can present with infiltration into adjacent viscera. R0 resections remain the key factor for better survival. Traditionally these cases have been managed with open surgery. There are some limitations of laparoscopic surgery in these case, which can potentially be overcome by robotic surgery. Obje...

The purpose of this work is to study the impact age has on medical errors. In making analogies for this research, documents and literature related to the subject matter were gathered by searching for keywords in search engines and scholarly sites. By taking happenings and studies from journals and works across the world, an exhaustive research was...

Femoral hernia comes out of abdominal cavity through the femoral canal and descends vertically to saphenous opening, and once escapes this opening it expands considerably, sometimes rising above the inguinal ligament. Due to its tortuous course, the hernia is usually irreducible and liable to strangulate. There are different open surgery choices. I...

Hernia is defined as protrusion of a viscus or part of a viscus through a weakening or defect in the wall of its containing cavity. Areas of potential anatomical weakness includes inguinal canal, femoral canal, linea alba, umbilical scar, as well as acquired surgical trauma. The weakening/defect may be acquired (like surgical scar) or congenital (l...

Context: There is a high prevalence of diabetes mellitus in Saudi Arabia. Also, the diabetic foot complication rate is alarmingly high with many patients ending in amputation. Aims: To assess the knowledge, attitude, and practices regarding diabetic foot care among Saudi and non-Saudi diabetic patients in Alkharj. Settings and design: It is a...

Background Traditional open hemorrhoidectomy is the most commonly performed operation for the third or fourth degree hemorrhoids in the developing world, despite considerable postoperative pain and bleeding complications. This modification is an attempt to reduce these complications and compare the outcome of both methods. Methods A prospective, c...

The aim of the study is to study the pattern of injuries from road traffic accidents presented at the emergency department of a rural teaching institution in Karachi. This descriptive case series was conducted prospectively in the Emergency Department of Fatima Hospital and Baqai Medical University from 1 January 2012 to 21 March 2013. There were 3...

Surgeons are still following the old habit of routine subhepatic drainage following laparoscopic cholecystectomy (LC). This study aims to compare the outcome of subhepatic drainage with no drainage after LC. This prospective study was conducted in two phases. Phase I was open, randomized controlled trial (RCT), conducted in Civil Hospital Karachi,...

To study the pattern of general surgery cases and their management in a rural teaching institution. This descriptive case-series was conducted prospectively in Surgical Unit II at Fatima Hospital and Baqai Medical University, from June 16, 2005 to June 15, 2010. There were 1125 patients in the series who were managed either conservatively or operat...

Carcinoma in ectopic breast tissue is rare. This is a case report of a 70-year-old postmenopausal female, who presented with a painless mass in right axilla, diagnosed as invasive ductal carcinoma of ectopic breast tissue an excisional biopsy. Postoperatively she was put on tamoxifen, and remained well 10 months after surgery.

Scrotal oedema associated with dengue fever is a rare and self limiting condition resolving in a few days without any complication or sequelae. This is a report of two cases of dengue fever associated with acute scrotal and penile oedema.

Ovarian dysgerminoma is a rare malignancy of the ovary. This is a case report of a 30-year-old female, presenting with a huge ovarian mass along with multiple gallstones; she was treated by fertility-sparing excision of the mass and cholecystectomy, followed by chemotherapy. She later had an uneventful pregnancy and delivered a healthy baby.

Hydatid cyst disease most commonly affects liver and lungs, but it can affect all viscera and soft tissues of the body. Simultaneous mammary and femoral hydatid cysts, without any other visceral involvement, are extremely rare. This is a case report of 25-years-old female, presenting with lump in left breast mimicking fibroadenoma and lump in right...

This study aimed to determine the frequency, pattern and management of acute abdomen in patients with dengue fever. This descriptive case series is a prospective analysis of acute abdomen in dengue fever that was performed at three secondary care hospitals in Karachi, Pakistan from June 1, 2005 to December 31, 2008. The inclusion criterion was all...

To determine the frequency and reasons of conversion of laparoscopic cholecystectomy (LC) to open cholecystectomy (OC) in a tertiary care teaching hospital. A prospective analysis of conversion of laparoscopic to OC was performed in one Surgical Unit of Civil Hospital Karachi, from 1st September 1997 to 31st May 2005. There were 1238 patients in th...

The recurrence of inguinal or other abdominal hernia due to Prolene polypropylene mesh dissolution has never been reported in the literature. This is a report of two cases of recurrent inguinal hernias after mesh hernioplasty, but, on exploration, no mesh was found.

Objective: To compare the outcome of sub-costal incision with trans-costal incision & 12th rib resection in the surgical approach for benign renal disease. Methodology: It is a prospective, analytical, comparative study using randomized controlled trial (RCT), conducted at Fatima hospital-Baqai medical university (Karachi), from June 2005 to Decemb...

This prospective, double-blind, randomized, controlled trial was designed to compare the outcome of diathermy incisions versus scalpel incisions in general surgery. A total of 369 patients who underwent diathermy incision (group A: 185 patients) or scalpel incision (group B: 184 patients) were analyzed. Variables analyzed were: surgical wound class...

To compare the outcome of Open excision and secondary healing with rhomboid excision and Limberg flap in the management of sacrococcygeal pilonidal sinus disease (SPD). A prospective, analytical, comparative study using randomized controlled trial (RCT) was conducted at Liaquat University Hospital (Jamshoro) & Fatima Hospital-Baqai Medical Universi...

Appendiceal faecal fistula is recognized serious complication of appendicectomy, which is one of the commonest surgical procedures performed in modern day surgical practice. We report a unique case of appendiceal faecal fistula which persisted for nine years in a teenage girl.

About 99% of testicular tumors are malignant though they only constitute about 1-2% of malignant tumors in male. They are more readily accessible to examining fingers than a tumour of any other organ in the body, however too often they escape detection until it has metastasised. Worst error is to plunge a trocar and cannula into the enlarge testis...

Persistent Mullerian duct syndrome (PMDS), a form of male pseudohermaphroditism, is rare. This is a case report of 40-years-old, an otherwise normal male, presenting with Mullerian duct derivatives and transverse testicular ectopia (TTE) in the sac of irreducible recurrent inguinal hernia.