bluuebunny/crossref_metadata_2025_split huggingface dataset:
Safety and Effectiveness of Day Case Laparoscopic Cholecystectomy in a Teaching Hospital
Authors: Faruque Mohammad Salahuddin , Joarder Md Aminul Islam , Mubin Samia , Elahi Nur E 
Published: February 2020

Background: Evaluation of the safety and efficacy of day case laparoscopic cholecystectomy in a teaching hospital may influence the rationale of this practice to gain widespread acceptance.
Methods: Day case laparoscopic cholecystectomy was offered to patients during a two and a half year period (Jan 2010 - July 2012) in Minimally Invasive Surgery unit in BSMMU who met the following established inclusion criteria: ASA (American Society of Anesthesiology) physical status classification classes I and II; age: 18 - 70 years; body mass index (BMI) < 30 kg/m2; patient acceptance and cooperation (informed consent). Acute cholecystitis was considered as an exclusion criterion. Follow-up was done by clinical examination on an outpatient basis one week and 3 months after operation. Evaluation was done about success rates, postoperative outcome (complications, readmissions, morbidity and mortality) and patient's overall satisfaction.
Results: 40 consecutive patients, predominantly female (62.5%) and ASA II (75%) with a mean age 44 ± 13.3 years underwent cholycystectomy. 85% patients had symptomatic gallstone disease. Mean operating time was 45±15.1 minutes and no conversion was needed. 25% cases experienced post operative nausea and vomiting and all patients were discharged in the following morning. 20% developed minor complications that resolved spontaneously. 1 case was readmitted and overall patient satisfaction rate was 90%.
Conclusions: This study suggested that day case laparoscopic cholecystectomy is clinically effective and can be performed safely in a teaching hospital by competent surgeon.
Journal of Surgical Sciences (2014) Vol. 18 (1) : 15-19
Gastric Lipoma
Authors: Rahman Mustafizur , Kutubi Afroza , Khan Md Shamsuddin , Lslam Mansurul , Mahmud Kamruzzaman Al , Lslam Sharmin 
Published: February 2020

Lipoma, a universal tumor of adult fat cells is usually encountered in the subcutaneous plane. However no part of human body is spared of having lipomas. Gastrointestinal lipomas though rare, may prove to be more dangerous and needs special attention for diagnosis and treatment. Here, we report a 55 year old female with gastric lipoma who presented with upper abdominal pain, dyspepsia and acute upper gastrointestinal bleeding.
Journal of Surgical Sciences (2014) Vol. 18 (2) : 74-77
Cavernous Hemangioma of Sigmoid Colon and Ano-Rectum: A Rare Cause of Haematochezia
Authors: Khan Tariq Akhtar , Sheikh Md Shahadot Hossain , Habib Md Ahsan , Lima Lsmat Jahan , Rahman Md Rayhanur , Nahid Nigar , Faruk Md Omar 
Published: February 2020

Cavernous hemangioma of colon and rectum is a rare disease, with no more than 200 cases reported in the literature so far. The rectosigmoid is the most common site of this disease in the gastrointestinal tract. We report a case of a 32-year-old male with recurrent episodes of per-rectal bleeding, who was finally diagnosed of cavernous hemangioma of sigmoid colon and ano-rectum. The lesion, 23 cm in length, occupied the whole circumference of the sigmoid colon and rectum extending up to the margin of the anal sphincter. Ultra-low anterior resection with hand-sewn colo-anal anastomosis and temporary loop ileostomy was carried out. The patient is in regular follow up. He is now symptom free.
Journal of Surgical Sciences (2014) Vol. 18 (2) : 83-86
Crossed Testicular Ectopia in a 65-year-old man
Authors: Islam Sharmin , Hossain SM Amjad , Mamun Abdullah Al , Reza Syed Masud , Barua Tushit Kumar 
Published: February 2020

Crossed testicular ectopia (CTE) is an extremely rare anomaly in which deviation of testicular descent results in unilateral location of both testes. It usually presents as an inguinal hernia on the side of a fully descended testis and an impalpable testis with undeveloped hemiscrotum on the contralateral side. Most often the diagnosis of CTE is not made until surgical exploration. Few reports are available regarding CTE in infants or younger children. Though the patients of CTE usually present at a younger age, we report a case of crossed testicular ectopia in a 65-year-old male who was admitted in the department of surgery, Shaheed Suhrawardi Medical College Hospital (ShSMCH) with right sided inguinal hernia.
Journal of Surgical Sciences (2015) Vol. 19 (1) : 39-41
Eosinophilic Ureteritis: Report of A Rare Case
Authors: Asad Hafiz Al , Belal Md Towhid , Islam Md Kamrul , Saha Produyt Kumar 
Published: February 2020

During evaluation for left loin to groin pain, a 14- year-old boy was found to have left mid ureteric stricture with proximal hydro-ureteronephrosis on imaging. Pus cells were present in his urine with a raised serum creatinine level. There was peripheral eosinophilia and biopsy near the stricture revealed eosinophilic ureteritis. The patient was evaluated to find out the possible causes of eosinophilia. Here we report a case of eosinophilic ureteritis for its rarity.
Journal of Surgical Sciences (2015) Vol. 19 (2) : 80-81
Laparoscopic Cholecystectomy in A Case of Symptomatic Cholelithiasis with Situs Inversus Totalis
Authors: Haque Sheikh Sayidul , Fesuny Syed Al , Md Belaluddin - , Kabir SM Sakib , Jahan Meer Ishrat 
Published: February 2020

Laparoscopic cholecystectomy is one of the commonest surgical procedures carried out in the world now a days. Chronic cholecystitis in a patient with situs inversus totalis may pose diagnostic and therapeutic challenges specially while laparoscopic cholecystectomy is to be carried out. We discuss one such case and make an outline how the diagnosis was made and the pitfalls encountered during surgery and how they were overcome.
Journal of Surgical Sciences (2015) Vol. 19 (2) : 82-84
Gastrointestinal stromal tumor of rectum
Authors: Rahman Md Rayhanur , Sheikh Md Shahadot Hossain , Lima Ismat Jahan , Fatema Most Bilkis , Alam Md Ariful , Salahuddin Gazi Muhammad , Islam Md Rashidul , Naznin Kazi Nasid , Khan Tariq Akhter , Pervin Mosammat Mira , Taher Md Abu 
Published: February 2020

Although gastrointestinal stromal tumors (GISTs) frequently occur in the gastrointestinal tract, they are relatively rare in the rectum. Biopsy of the lesion and immunohistochemistry (IHC) confirm the diagnosis. Complete surgical resection is the principal curative procedure. In combination with surgery, immunotherapy with Imatinib shows cure in intermediate risk and improvement in high risk rectal GIST. We report a case of a 45-yearold female who presented with constipation and generalized weakness, ultimately diagnosed to have rectal GIST.
Journal of Surgical Sciences (2015) Vol. 19 (2) : 85-88
Undifferentiated carcinoma of The mesentery in a 51 year old male : A case report
Authors: Mohammad Din , Islam Sharmin 
Published: February 2020

Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Among them undifferentiatedcarcinoma of the mesentery is very rare entity. Here we present a case of undifferentiatedcarcinoma of the mesentery in a 51 year old male presented with rapidly increasing hugeabdominal lump,central abdominal pain and weight loss. Ultrasound of the whole abdomen andCT scan of whole abdomen reports were suggestive of retroperitoneal mass. The tumor wasresected and histopathology report was suggestive of malignant mesothelioma whereas immunohistochemistryreport revealed undifferentiated carcinoma of the mesentery.
Journal of Surgical Sciences (2016) Vol. 20 (1) : 29-31
Prognostic Factors of Success of Extracorporeal Shock Wave Lithotripsy 46 (ESWL) in The Treatment of Renal Stones.
Authors: Zaman Md Masud , Rabby Md Jamal E , Ali Mohammad , Hassan Md Kabirul , Rahman Md Mustafizur , Ashaduzzaman ATM 
Published: February 2020

Background: Renal calculi are common approximately 50% of patient between the ages of 30and 50 years. The development of endourological and extracorporeal lithotripsy techniques ledto an increasing number of options for the management of renal calculi.
Objective: To define factors those have a significant impact on the success rate after extracorporealshock wave lithotripsy (ESWL) for treatment of renal stones.
Materials and Methods: Between April 2008 & December 2008, 64 patients with single ormultiple radiopaque renal stones (::s;30mm) were treated with ESWL monotherapy using StortzModulith SLX-F2 lithotriptor.The results of treatment were evaluated after 3 months of followupTreatment success was defined as complete clearance of the stones or presence ofclinically insignificant residual fragments (::s;4mm).The results of treatment were correlated withthe patient characteristics (age, sex, body mass index) and stone features (size, site, nature &radio density).
Results: At 3-months follow-up, the overall success rate is 76%. Among them, repeated ESWLsessions are required in 19 patients (53.9%). Post-ESWL complications are recorded in 8patients (12.5%). Using the x2 test, only three factors have a significant impact on the successrate, namely: stone site, size (the largest diameter of the stone), stone number & BMI (BodyMass Index). The success rate is highest for stones located in the upper calyx (15/15; 100%)and lowest for those located in the lower calyx (10/16; 62.5%) (p=.005). Stones with a largestdiameter ot s 15mm are associated with a success rate of 90.2% (37 /41), compared to 52.2%(12/23) for those with a diameter of >15mm (p=.001). The success rate is also higher forsingle stone (46/56; 82%) than multiple stones (3/8; 37.5%) (p=0.005).Patients with lowerBMI (<24) have a better success than higher BMI (>25) (p=0.01)
Conclusion: The success rate of ESWL for the treatment of renal stones can be predicted bystone size, location, number and patient BMI.
Journal of Surgical Sciences (2016) Vol. 20 (2) :46-50
Pica of Adult Onset Presenting as Surgical Emergency
Authors: Rahman Md Azizur , Ashaduzzaman Abu Taher Md , Jamal ABM , Hossain ABM Bayzid , Paul Subinoy Krishna , Saha Tapan Kumar , Saha Haridas 
Published: February 2020

Pica is a worldwide problem that has no barriers of age, race, gender or geography. Picamay be benign or it may have life threatening consequences. We report here a case of 28-year-old male, electrician apparently psychologically sound got admitted with complaints ofpersistent pain in upper abdomen and vomiting with history of ingestion of dinner fork andtooth brush. Laparotomy was done to remove the foreign bodies and later referred topsychiatry department where he was diagnosed as an adult onset pica due to schizophrenia.Pica in elderly age group is relatively uncommon, and it rarely has an adult onset.
Journal of Surgical Sciences (2016) Vol. 20 (2) :62-64
Crohn's disease presenting as acute abdomen diagnosis and management a Case Report
Authors: Uddin Maj Md Nasir , Abu taleb Sayed Md , Muaid Col S MA Al , Morsed Maj Monowar 
Published: February 2020

CD is characterised by a chronic full thickness inflammatory process that can affect any part ofthe gastrointestinal tract from the lips to the anal margin. We present a case of acute abdomenadmitted in CMH Rangpur. Exploratory laparotomy was performed and diseased resectedsegments were confirmed as Crohn's Disease on histopathology.
Journal of Surgical Sciences (2017) Vol. 21 (1) :36-38
Comparison of Sphincter Saving Resection (SSR) & Sphincter Losing Abdominoperineal Resection (APR) in Very Low Rectal Cancer
Authors: Singha Jawhar Lal , Ahmad Sami , Ahmed Nadim , Alam ABM Muksudul 
Published: February 2020

Oncological outcomes of sphincter-saving resection (SSR) and sphincter losing abdominoperineal resection (APR) in 210 consecutive patients with very low-lying rectal cancer (i.e. lower margin of tumor is within 3.5 cm from the anal verge) were studied and compared. 54 (25.71%) patients underwent SSR and 156 (74.28%) patients underwent SLR-APR. The APR group comprised higher proportions of men (61.53% vs 55.5%, P =.049) and advanced-stage disease (P <.001). Preoperative chemoradiotherapy (PCRT) was administered in both the group with almost similar distribution (62.82 % vs 59.25%, P <.001). Overall, (the systemic and local) recurrence rates were almost similar i.e. 33.31% in SSR and 33.32% in APR. On stratification according to PCRT and pathologic stage, the mode of surgery did not affect the recurrence type. Moreover, recurrence-free survival (RFS) did not differ according to the mode of surgery in different cancer stages. Patients who were stratified according to cancer stage and PCRT also showed no differences in RFS according to the mode of surgery. The results of the study demonstrate that, regardless of PCRT administration, SSR is an effective treatment for very low rectal cancer.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 3-8
Comparative Study of Solid Culture and Liquid Culture for the Diagnosis of Pulmonary Tuberculosis
Authors: Jahan Hosne , Hasan Kamrul , Khanam Rashida Akter , Bhowmik Devolina , Tarana Mst Naznin , Sarker Soma , Sarwar Sharmin 
Published: February 2020

Background: Tuberculosis is a highly infectious disease and has the highest burden with it. Diagnosis of tuberculosis in many countries is still dependent on microscopy. For developing countries with a large number of cases and financial constraints, evaluation of rapid and inexpensive diagnostic methods has great importance. Culture of Mycobacterium tuberculosis complex (MtbC) is the accepted reference standard for confirmation of TB infection and is necessary for drug susceptibility testing (DST). There are several methods for culturing MtbC using solid and liquid media. Although solid media has been used for over 100 years, liquid culture media is increasingly being introduced in low and middle income countries (LMIC).
Objective: The purpose of the present study was to compare the efficacy of solid culture and liquid culture in the diagnosis of pulmonary tuberculosis.
Methodology: This cross sectional study was done in the Department of Microbiology at Sir Salimullah Medical College, Dhaka and National Institute of Chest Disease & Hospital (NIDCH), Dhaka during the period of January 2016 to December 2016 for a period of 1(one) year. Sputum samples from suspected MDR-TB patients were collected by purposive sampling technique from OPD of Sir Salimullah Medical College (SSMC) and NIDCH. Microscopy, liquid culture in liquid MGIT 960 media were done for MTB diagnosis.
Result: This study shows the comparison of results of microscopic examination of solid culture and liquid culture (MGIT 960). The liquid MGIT 960 method detected more positive samples than solid culture 68% vs 67%. The mean turnaround time of detection (TTD) of MTB was 34.3±5.2 days for Lowenstein-Jensen media and 17.5±3.8 days for MGIT 960 (p value <0.05). So, liquid culture gave earlier result than solid culture.
Conclusion: Liquid culture more positive result than solid culture under microscope in smear of sputum and also liquid culture gave earlier result than solid culture.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 28-31
Trigeminal Neuralgia: Role of Interventional Pain Physician
Authors: Karmakar Chandra Shekhar , Rahman Md Lutfor , Islam Md Shahidul , Molla Atidh Muhammad , Islam Monirul , Karim Mohammad Rezaul 
Published: February 2020

Trigeminal neuralgia (TN) or tic douloureux is one of the commonest cause of fascial pain after 50 years of age. It is characterized by recurrent, episodic, lancinating pain over the distribution of trigeminal nerve. There is a lack of certainty regarding the aetiology and pathophysiology of TN. Evidence suggests that the likely etiology is vascular compression of the trigeminal nerve leading to focal demyelination and aberrant neural discharge. Secondary causes such as multiple sclerosis or brain tumors can also produce symptomatic TN. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. This multitude of treatment options poses the question as to which treatment fits which patient best. For patients refractory to medical therapy, Gasserian ganglion percutaneous techniques, gamma knife surgery and microvascular decompression are the most promising invasive treatment options. Among them three common interventions commonly carried out by interventional pain physician to provide pain relief are balloon compression, Glycerol rhizolysis and RF rhizotomy.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 73-77
Clinicopathological Study of Male Breast Malignancy in a Tertiary Care Hospital, Bangladesh
Authors: Akther SM Quamrul , Lima Ismat Jahan , Reza Syed Masud , Hoque Md Mozammel , Chowdhury Fayem , Islam Md Safiqul , Gupta Amit Sen 
Published: February 2020

Introduction: Male breast malignancy is a relatively rare condition among all the malignancies. It accounts for 0.2% of all malignant cases & less than 1% of all breast cancer.
Methods and Materials: A retrospective observational study was done among the male patients with breast malignancy, admitted in Surgery ward in Shaheed Suhrawardy Medical College Hospital, Bangladesh from January 2014 to December, 2018.
Results: Our series includes 09 patients. The mean age of the patient was 60 years. Most of the patients complaint breast lump with some degrees of skin colour changes. One has previous history of breast surgery (lumpectomy). Eight (8) patients went under simple mastectomy with axillary clearance after tissue diagnosis. One (1) patient got neo- adjuvant chemotherapy followed by surgery. Specimen was sent for histopathological & receptor study. Among them Infiltrating was ductal carcinoma was found in 07 cases, Sarcoma was in 01 (one) case & papillary carcinoma in 01 (one) case with 66.6 % positive oestrogen and progesterone receptor activity.
Conclusion: Surgeons should be kept in mind that male breast malignancy is not uncommon and all male breast lumps should be evaluated properly before surgery.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 48-51
Combined Use of Intraperitoneal and Incisional Bupivacaine Reduces Pain Severity after Diagnostic Laparoscopic in Infertile Women
Authors: Alam ABM Muksudul , Deeba Farzana , Khatun Shahla , Anwary Shaheeen Ara , Rahman Md Mustafizur 
Published: February 2020

Introduction: Diagnostic laparoscopy offers an excellent means through direct visualization to elucidate the hidden pathology in the absence of clinical signs and symptoms suggestive of a cause of infertility. But postoperative pain management remains a major challenge after laparoscopic surgeries. Approximately one half of all surgical procedures, postoperative pain is inadequately treated.
Aim: A randomized, double-blind, placebo-controlled trial was conducted with an objective to evaluate the post-operative analgesic efficacy of intraperitoneal and incitional bupivacaine infiltration at the end of diagnostic laparoscopy in infertile women
Methods: 40 infertile women, enrolled for diagnostic laparoscopy were divided randomly into two groups. Group A received intraperitoneal bupivacaine (0.25%) 10 ml and incisional infiltration of NS 10 ml, Group B received intraperitoneal bupivacaine 10 ml and incisional infiltration of bupivacain 10 ml. In postoperative period, Visual Analogue Score (VAS) was recorded up to 24 hours. Postoperative analgesic requirements, and side effects were recorded.
Results: The Visual Analogue Score (VAS) during the first postoperative 24 hours was significantly lower in group B compared to group A. Time to first analgesia required was delayed and total analgesic consumption was lower in group B which was statistically significant.
Conclusions: It is concluded that combined intraperitoneal instillation and incision site infiltration of bupivacaine in diagnostic laparoscopy may significantly reduce the postoperative pain and analgesic requirement.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 69-72
Ectopic Thyroid Incidence with its Hormonal Assessment
Authors: Begum N , Shah KZ , Khan MMR 
Published: February 2020

Ectopic thyroid tissue has been found from the tongue to the diaphragm. Ninety percent of the reported cases of ectopic thyroid are found in the base of the tongue Total numbers of 1895 cases were included in this study. Patients were sending to CNMU-Rajshahi during the period of January’2006 to June 2009 for thyroid scanning as well as evaluation of thyroid functional status. Radio-active iodine drink / Tc99m pertachnatate I/V were given to the patients for thyroid scan. Biochemical analyses were done for the ectopic thyroid patient. Among them 17.85% patients had hypothyroidism. Only 1.5%(28) patients have diagnosed as ectopic thyroid majority of the cases had lingual thyroid (10), sub-lingual thyroid in 06, over cricoid cartilage in 05 and others were seen in sub-mandibular and sub-mental region.. This study aims to find out the incidence of ectopic thyroid tissue and its functional status.
TAJ 2010; 23(1): 18-21
Functional Status of Maternal Thyroid Gland in Eclampsia
Authors: Rahman M Hafizur , Chowdhury Mahbub Ara , Mahmuda Shahin 
Published: February 2020

Marked changes in maternal thyroid activity occur in pregnancy. During pregnancy bodily hormonal changes and metabolic demands result in complex alteration in the bio-chemical parameters of thyroid activities. Besides these, thyroid enlargement, increased thyroid capability for iodine uptake and increase in basal metabolic rate are evidential though these findings are not usually associated with symptoms of hyperthyroidism in pregnancy. Serum concentration of thyroid hormone thyroxine and triiodothyronine in complicated pregnancy like eclamptic toxemia is another field of controversy. To evaluate the changes in thyroid function in normal pregnancy and eclamptic toxemia, a study was undertaken in Rajshahi Medical College Hospital. We collected serum specimens from non pregnant but married women, normal 3rd trimester pregnant women and patients with eclampsia at 3rd trimester of pregnancy and measured serum concentrations of total and free thyroxine (TT4 & FT4) and total and free triiodothyronine (TT3 & FT3 ) by using RIA. Among the study subjects, 10 women were married but non pregnant, 12 women were in their 3rd trimester of normal pregnancy and 32 patients of eclamptic toxemia with 3rd trimester of pregnancy. In normal pregnancy, FT4 and FT3 levels remained normal while TT4 and TT3 levels were elevated. In patients with toxemia of pregnancy, the mean serum TT3 concentration was significantly lower than that of normal pregnancy and the serum FT3 concentrations were below the normal pregnancy range. The mean serum TT4 and FT4 concentrations in patients with eclampsia were however, significantly higher than those in normal pregnant women.
TAJ 2018; 31(1): 9-14