Recent Advances in Minimally Invasive General Surgery A Retrospective Study

OBJECTIVESTo evaluate the outcomes of minimally invasive general surgery (MIGS) and determine the indications for MIGS and its success rate. METHODS This retrospective study was conducted at the surgery unit of Hayatabad Medical Complex (HMC) Hospital, Peshawar, from January 2021 to December 2022. All the 200 patients who underwent MIGS were included in the study. Data regarding demographic characteristics, clinical presentation, type of MIGS, and intraoperative and postoperative complications were collected from the medical records and analyzed. The outcome of the study was assessed based on the success rate of the MIGS procedure and the occurrence of any postoperative complications. RESULTS The mean age of the patients was 43.3 years (range 10–75 years). The most common indication for MIGS was cholecystectomy (33.5%). Other indications included appendectomy (17.5%), hernia repair (12%), small bowel resection (10%), and gastrectomy (7%). The overall success rate of MIGS was 97.5%. The most common postoperative complication was wound infection (6.5%). There were no deaths due to MIGS. CONCLUSION The study findings suggest that MIGS is a safe and effective procedure for managing various surgical diseases and can be performed with minimal morbidity and mortality. Further randomized controlled trials are needed to confirm the safety and efficacy of MIGS in different settings

Frequency of Anastomosis Leak in Primary Repair in Ileal Perforation

OBJECTIVES: To determine the frequency of anastomotic leak in primary closure patients presenting with enteric perforation. METHODOLOGY:  Through a Descriptive case series Study Design, 253 patients with the perforated ilium and subjected to primary closure were included and followed up post-operatively to determine the anastomosis leak. RESULTS: The mean age of our sample was 42.2 years with a standard deviation of 8.6 years. Out of 253 patients, 70.8% were males, and 29.2% females were. The mean BMI of the study sample was 24.6 + 2.2kg/m2. 61.3% of patients belonged to urban settings, 41.1% were from lower socioeconomic class, and 36.4% had a middle school level education. On follow up, the anastomotic leak was recorded in 18.2% of patients. CONCLUSION: Ileal perforation subjected to primary defect closure is the most performed surgery for treatment, with a significant number of patients developing the anastomosis leak. The frequency of anastomosis leaks is high, and other treatment strategies must be researched to reduce the burden of these complications

Frequency of Surgical Site Infection in Mesh Repair for Inguinal Hernias

OBJECTIVES To determine the frequency of surgical site infection in mesh repair for inguinal hernias. METHODOLOGY This Descriptive observational study was carried out at the Surgical B unit of Hayatabad Medical Complex Peshawar from November 2021 to October 2022. A total of 179 patients were included in the study were given a single dose of antibiotics, i.e.1, gm Ceftriaxone, one hour before inguinal hernia mesh repair.RESULTS A total of 179 patients aged between 30-60 years with a mean age of 45 years were enrolled. There were 98(54.7%) male while 81(45.3%) females. The frequency of wound infection was noted in 23 (12.8%) patients following mesh repair for inguinal hernia. Out of 23, most of the patients, 10(43.5%) had Medical redness & tenderness, 8(34.8%) patients had pus discharge from the wound side, and 5(21.7%) patients had wound site abscesses.CONCLUSION Surgical site infection after mesh repair was higher than the internationally reported incidence. Establishing a baseline SSI rate for inguinal hernia repairs offers a useful benchmark for future studies and surgical programs in thes