Mujeeb Abbasi - Academia.edu (original) (raw)

Papers by Mujeeb Abbasi

British Journal of Surgery

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The a... more Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains...

The professional medical journal, Jan 18, 2017

ORIGINAL PROF-3555 ABSTRACT… Objectives: Determine the frequency of bile duct injuries during ope... more ORIGINAL PROF-3555 ABSTRACT… Objectives: Determine the frequency of bile duct injuries during open and laparoscopic cholecystectomy procedures. Study Design: Prospective Observational Study. Place and Duration of Study: This study was conducted at surgical department of multiple hospitals and compares the results Civil Hospital Naushahro Feroze,

The professional medical journal, Feb 14, 2017

To determine the frequency of hepatitis b & c viral infection in surgical patients. Study Design:... more To determine the frequency of hepatitis b & c viral infection in surgical patients. Study Design: Descriptive case series. Place and Duration of Study: This study was conducted at surgical department of multiple hospitals and compares the results, JPMC Karachi, Civil Hospital Naushahro Feroze and Jamshoro, Pakistan from August 2014 to December 2015. Methodology: All 2645 patients were admitted for emergency and elective surgery. All patients taken detail history regarding demographic parameter and risk factors like previous surgery, blood transfusion, barbar, Road Traffic accident, haemodialysis, Tattoos/ body piercing, injecting drug user, family history of hepatitis, previous history of jaundice and Hospitalization. Hospital laboratory was used for screened HBsAg and Anti HCV using immunochromatography (ICT method). Patients excluded who were those did not need the surgery or known case of HBsAg and Anti HCV. Data collected was entered into and analyzed by using statistical package for the social science-20. Results: Out of 2645 patients, male to female ratio were 1.9:1. The mean age was 40.2+6.12years (20 to 60 years). Out of 2645 patients, Anti HCV was positive in 288(10.88%) cases followed by HBsAg was in 152(5.74%) cases. While both positive in 36 (1.36%) cases. We observed Previous surgery was main risk factor in the reactive 156(32.77%) cases followed by Barbar, Blood transfusion were 74(15.54%) and 47(9.87%) respectively. Conclusion: We conclude that preoperatively screening of hepatitis B and C should be performed.

Dow University of Health Sciences, Karachi, Pakistan Abstract Intussusception is an invaginati... more 2) Dow University of Health Sciences, Karachi, Pakistan Abstract Intussusception is an invagination of one segment of the bowel into its adjoining segment. In children, the cause is usually benign, while in adults it is secondary to a mass lesion. Here we present a case in which the preoperative diagnosis of intussusception secondary to colonic mass was made, but no definitive cause was identified by histopathology. A 30-year-old male presented with abdominal pain, altered bowel habits, weight loss, loose motions, bleeding per rectum, and vomiting. The abdomen was distended, firm, mildly tender, and guarded. A vague mass of 15 x 10 cm was palpated on the left upper quadrant. X-ray and ultrasound showed dilated small bowel. A computed tomography scan suggested ileoileal intussusception. Colonoscopy showed a growth at 15 cm of the anal verge. Exploratory laparotomy was performed, showing the presence of ileocolic intussusception with two large perforations. Subtotal colectomy with ile...

Egyptian Journal of Radiology and Nuclear Medicine, 2020

Background Leiomyosarcoma arising from mesentery is a rare tumor associated with worse prognosis.... more Background Leiomyosarcoma arising from mesentery is a rare tumor associated with worse prognosis. The tumor arises from smooth muscles in vascular wall. Ileal mesentery is common site of this tumor origin. Case presentation A middle age female was presented with complain of abdominal distension. A mass was palpable on abdominal examination. CT scan showed large mesenteric cyst. 15 × 10 cm large mass excised with associated mesentery and small bowel segment and on histopathology was found, and it was diagnosed as mesenteric leiomyosarcoma. The patient was discharged and referred to oncology for chemotherapy. Conclusion Leiomyosarcoma is a rare disease with grave prognosis. There is a paucity of literature and proper guidelines for its management; however, surgical excision with healthy margins is a mainstay of management. Close follow-up is recommended post-operatively because there are high chances of recurrence and metastasis.

Journal of the College of Physicians and Surgeons Pakistan, 2020

Journal of Liaquat University of Medical & Health Sciences, 2019

OBJECTIVE: To assess effectiveness of chewing gum in women undergoing cesarean section (C-Section... more OBJECTIVE: To assess effectiveness of chewing gum in women undergoing cesarean section (C-Section) on return of bowel movements. METHODOLOGY: Randomized clinical trial was conducted at a tertiary care hospital, Karachi from January 2013 to January 2016. Total 218 participants, who were planned for Cesarean section, were randomly allocated into two groups, 109 participants in each group. In Group-I, patient's received chewing gum as routine and group II was control group. Data of all subjects were analyzed using SPSS version 20. RESULTS: The mean age of participants was 22.68±6.31 years. There was no significant difference between both groups in terms of age, Body Mass index, duration of surgery, parity, number of miscarriages and type of cesarean section whether elective or emergency. Significant reduction was found in terms of onset of defecation (P<0.001), onset of first flatus passed (P<0.001) and feeling of hunger (P<0.003) between two groups. CONCLUSION: The current study identified that routine use of chewing gum as postoperative order impacts positively on time of passing flatus, defecation, and feeling of hunger. Eventually, it will reduce suffering resulting from ileus fostering early feeding. Since it is non-expensive and easy to use method therefore, it can be included as a routine post-operative management for women undergoing cesarean section. However, it is recommended to investigate impact of using chewing gum in other abdominal surgeries.

Cureus

Introduction Necrotizing soft tissue infection is potentially life-threatening and involves subcu... more Introduction Necrotizing soft tissue infection is potentially life-threatening and involves subcutaneous fascial planes, later involving overlying skin and, eventually, underlying muscles. Early diagnosis and prompt treatment are necessary for this disease's management to avoid significant morbidity and fatality. After resuscitation and optimization, early surgical debridement is followed by serials of dressing. Various materials like Edinburgh University's solution of lime (EUSOL), normal saline, povidone-iodine, and honey have been used as dressing solutions for necrotizing fasciitis. This study is based on comparing the effects of honey and EUSOL as dressing solutions in necrotizing fasciitis wounds. Methods A randomized clinical trial was conducted at the Civil Hospital Karachi, from March 2020 to July 2021. This study has been approved by the ethical review committee of the institution and registered at clinicaltrial.gov. Based on the dressing solution for necrotizing fasciitis, patients were divided into two groups, The honey group (intervention group) contains 90 patients, and the EUSOL group (control group) has 85 patients. Results A total of 175 patients' data were analyzed, 90 in the honey group and 85 in the EUSOL group. Patients presented to the hospital with symptoms of 6.20 ± 2.72 days in the honey group and 6.67 ± 4.08 days in the EUSOL group. The days required for clearance of slough in the honey group were 2.83 ± 0.79, while 2.48 ± 0.82 days in the EUSOL group with a p-value of 0.005. The duration of hospital stay was 4.96 ± 1.31 days in the intervention group and 9.33 ± 1.45 days in the control group, with a p-value of 0.007. Wound healing days were 20.23 ± 4.45 in the intervention group while 28.38 ± 7.06 days in the control group, with a significant p-value of 0.000. Conclusion While managing necrotizing soft tissue infection wounds with honey. Honey promotes faster wound healing and shorter hospital stays compared to EUSOL.

Objective: Cryptorchidism affects 1 % of male births. The majority of patients with undescended t... more Objective: Cryptorchidism affects 1 % of male births. The majority of patients with undescended testis are identified and treated in childhood, but a significant proportion of them especially in third-world countries are neglected and present late. Herein, we present our initial experience of managing impalpable testis in older children and adults with laparoscopic assistance. Patients and Methods: This study was conducted from 2003 through 2008 at LUMHS Jamshoro. Thirty-two patients with 40 impalpable testes were included in this study. Diagnostic laparoscopy was performed in 32 anesthetized patients. Laparoscopic-assisted orchiopexy or orchiectomy was performed in patients with intraabdominal testis. Testicular vessels and vas deferens were mobilized

Peritonitis is quite common cause of surgical emergency and surgical intervention. The increased ... more Peritonitis is quite common cause of surgical emergency and surgical intervention. The increased acceptance of laparoscopy due to its proven benefits of less pain, short hospitalization and decreased

Pakistan Journal of Medical Sciences, 2013

Objective: Laparoscopy has gained clinical acceptance in many subspecialties in the last decade. ... more Objective: Laparoscopy has gained clinical acceptance in many subspecialties in the last decade. The conventional open surgery for peritonitis carries significant morbidity and mortality. The present study was done to extend and evaluate benefits of minimally invasive surgery in this subset of patients. Methods: This was a prospective study spanning over a period of four years. All those patients diagnosed as having peritonitis on clinical assessment and preoperative investigations and those who were stable enough haemodynamically were included in this study. After initial resuscitation for few hours, they underwent diagnostic and therapeutic laparoscopy to identify the cause of peritonitis and to confirm the pathology. All cases were done under general anesthesia, using three standard ports at appropriate sites according to pathology. Patients were treated by different procedures either laparoscopically or with laparoscopic assistance after diagnosis. Operative and post operative data was collected and analyzed. Results: Ninety two cases of peritonitis underwent diagnostic and therapeutic laparoscopy. Mean age of patient was 46.5 years. 24 patients were diagnosed as perforated duodenal, in 14 (58.3%) patients laparoscopic suture repair was done and in 8 (33.3%) small upper midline incision was given and perforation was repaired. Out of 32 patients having perforated appendix, 25 (78.1%) patients laparoscopic appendectomy was done while in 7 (21.8%) perforation was dealt by laparoscopic assistance. Out of 14 patients of ileal perforation 6 (42.8%) with minimal contamination laparoscopic suture was applied, while in 8 (57.1%), perforated loop was brought out by making small window and perforation was closed. All 22 patients with pelvic sepsis needed only aspiration of pus and peritoneal lavage. Only one patient died post operatively and 2 (2.1%) patients developed fistula. 6 (6.5%) patients developed port site infection. Conclusion: Laparoscopic management is feasible, safe and effective surgical option for patients with peritonitis due to different abdominal emergencies in properly selected cases with higher diagnostic yield and a faster postoperative recovery.

JSLS : Journal of the Society of Laparoendoscopic Surgeons, 2011

Introduction: Closed and open techniques for creation of pneumoperitoneum are being used simultan... more Introduction: Closed and open techniques for creation of pneumoperitoneum are being used simultaneously with varying frequencies. Some studies analyzing slight modifications to both approaches have been published and others are under way. We conducted this study to eliminate some of the disadvantages of the open technique, an already proven safer technique. Patients & Methods: In a total of 1250 consecutive patients, who underwent various laparoscopic procedures, a modified open technique was used. This technique involves identification and incision of a point at a junction of the umbilical stalk and linea alba infraumbilically. With this technique, penetration of a blunt trocar was possible under direct vision with minimal and controlled axial force. Time needed to induce pneumoperitoneum, intraoperative (vascular and other organ injury) and postoperative complications were recorded, and data were analyzed. Results: Intraabdominal access was successfully achieved in all cases without any vascular or solid organ injury except in 3 (0.24%) cases. In these 3 cases, the procedure failed due to severe adhesions, because of previous abdominal surgeries. Mean time taken to induce pneumoperitoneum was 4.0 minutes (range, 2 to 9.5), while time required to close the first access port was 4.5 minutes (range, 3 to 8). Enterotomy occurred in 2 (0.16%) cases, while a postoperative port-site hernia occurred in 2 (0.16%) cases. Port-site infection occurred in 6 (0.48%) cases, and port-site hematoma in 4 (0.32%) cases. Gas spillage was recorded in only 6 (0.48%) cases. Conclusion: We recommend a modified open technique as the technique of choice in all cases requiring laparo-scopic surgery in general and developing countries in particular where intraabdominal adhesions are not uncommon.

THE PROFESSIONAL MEDICAL JOURNAL, 2017

Journal of Pharmaceutical Research International, 2021

Objective: Is it necessary to perform pre operative upper gastrointestinal endoscopy in elective... more Objective: Is it necessary to perform pre operative upper gastrointestinal endoscopy in elective symptomatic cholelithasis? Study Design: Prospective observational study. Place and Duration of Study: This study was conducted at surgical departments of Services Hospital, Ruth PFAHU, Civil Hospital Karachi, Shaheed Benazir Bhutto Medical College, Lyari Karachi and Liaquat University Of Medical and Health Sciences, Jamshoro from July 2018 to December 2019. Methodology: Study consisted of 382 patients. All patients were subjected to Upper Gastrointestinal Endoscopy 24 to 48 hours before cholecystectomy followed by biopsy were obtained for histopathology if required. Those patients not willing for surgery, General anesthesia problem, pregnant ladies due to risk of foetal loss, carcinoma of gall bladder, stone in CBD and obstructive jaundice were excluded. Results: Out of the 382 patients, 66(17.27%) males and 316(82.72%) females with mean age of study population was 46.10 ± 6.31 years...

The Professional Medical Journal, 2015

Objective: To compare laparoscopic TEP Inguinal hernioplasty with & withoutdissection balloon. St... more Objective: To compare laparoscopic TEP Inguinal hernioplasty with & withoutdissection balloon. Study Design: Observational study. Setting: Minimal Invasive SurgicalCentre Jamshoro and General Surgical Department at Dow University Hospital, Ojha CampusKarachi. Period: May 2011 and Dec 2012. Subjects and methods: Twenty (20) male patientswith uncomplicated unilateral or bilateral inguinal hernia were prospectively randomized in twogroups; group A Commercially available dissection balloon & group B. Telescopic dissectionfor creating TEP working space. Results: We had 20 male patients for this study. The averageage was 43.6 & ranging between 17 to 64 years. Only 2 patients 10% had bilateral groin hernia,4 patients 40% had direct inguinal hernia in group A & 5 patients 50% had direct hernia in groupB. Peritoneum was breached in 5 (50%) patients with telescopic dissection. One patient (10%)with bilateral groin hernia in group B had large tear in peritoneum converted to TAPP whileother gro...

European Journal of Medical Case Reports, 2020

The Professional Medical Journal, 2019

Objectives: The objective of this study is to determine the frequency of post-operative complicat... more Objectives: The objective of this study is to determine the frequency of post-operative complications of thyroidectomy. Study Design: Observational study. Setting: LUMHS Jamshoro at the Surgery Department. Period: January 2016 to December 2017. Material and Method: During these two years all the patients visiting surgery department with thyroid swelling were assessed. Assessment of thyroid swelling was done by detailed history and clinical examination. For further assessment of the swelling thyroid function tests (serum T3, T4, TSH level), ultrasound, isotope scanning and FNAC was performed. Assessed post-operative complications of thyroidectomy. Results: After assessment thyroidectomy was performed in 143 patients. Among them there were 37 males and 106 females. The ages of patients were in the range of 15-55 years and mean age was found to be 38 years. All of these patients have visited us due to complain of thyroid swelling. After complete assessment it was found that most commo...

The Professional Medical Journal, 2019

The objective of this study is to determine the frequency of umbilicus port site hernia after lap... more The objective of this study is to determine the frequency of umbilicus port site hernia after laparoscopic procedure. Study Design: Prospective study. Setting: Minimal Invasive Surgical Centre and General Surgery Department LUMHS Jamshoro. Period: March 2015 to February 2017. Materials and Methods: During these two years all the patients visiting surgery department for laparoscopic Procedure. All patients regardless of age and both were undergo base line investigation and preoperative anesthetics fitness done were included. We identified 539 cases that matched our inclusion criteria. 10mm trocar was used for umbilical side and closed with J shaped vicryl #1. After surgery, these patients were followed-up for two years and assessed regularly for complications. Results: In our setup, laparoscopic procedures were performed in 539 patients. There were 83.48% (n=450) females and 16.51% (n=89) males who had laparoscopic procedures done. Among these, there were 442 cholecystectomies, 43 ap...

THE PROFESSIONAL MEDICAL JOURNAL, 2017

JSLS : Journal of the Society of Laparoendoscopic Surgeons, 2010

Objective: Cryptorchidism affects 1% of male births. The majority of patients with undescended te... more Objective: Cryptorchidism affects 1% of male births. The majority of patients with undescended testis are identified and treated in childhood, but a significant proportion of them especially in third-world countries are neglected and present late. Herein, we present our initial experience of managing impalpable testis in older children and adults with laparoscopic assistance. Patients and Methods: This study was conducted from 2003 through 2008 at LUMHS Jamshoro. Thirty-two patients with 40 impalpable testes were included in this study. Diagnostic laparoscopy was performed in 32 anesthetized patients. Laparoscopic-assisted orchiopexy or orchiectomy was performed in patients with intraabdominal testis. Testicular vessels and vas deferens were mobilized and after obtaining sufficient length were brought through the posterior wall of the inguinal canal by creating a neo-inguinal ring medial to the epigastric vessels after a small inguinal incision. Results: Of 40 impalpable testis, ultrasound localized 16 (40%) of them, and on laparoscopy, 36 (90%) were localized, 30 (75%) as intraabdominal and in 6 (15%) cases vas and vessels were entering into the internal inguinal ring (intracanalicular). The remaining 4 patients were diagnosed as having vanishing testis (anorchia). Laparoscopic orchiectomy was performed in 14 (35%) of these testes, while single-stage laparoscopic-assisted orchiopexy using Prentiss' maneuver was performed in 16 (40%) testis. No major complications occurred. Seven testes were associated with ipsilateral hernias and were simultaneously repaired laparoscopically. Conclusion: Laparoscopic-assisted single-stage orchio-pexy is a safe and successful procedure for intraabdominal testis in adolescents and older patients. The additional benefit of shortening the usual course of spermatic cord was beneficial to fix the testis in the scrotum without tension.

British Journal of Surgery

The professional medical journal, Jan 18, 2017

The professional medical journal, Feb 14, 2017

Dow University of Health Sciences, Karachi, Pakistan Abstract Intussusception is an invaginati... more 2) Dow University of Health Sciences, Karachi, Pakistan Abstract Intussusception is an invagination of one segment of the bowel into its adjoining segment. In children, the cause is usually benign, while in adults it is secondary to a mass lesion. Here we present a case in which the preoperative diagnosis of intussusception secondary to colonic mass was made, but no definitive cause was identified by histopathology. A 30-year-old male presented with abdominal pain, altered bowel habits, weight loss, loose motions, bleeding per rectum, and vomiting. The abdomen was distended, firm, mildly tender, and guarded. A vague mass of 15 x 10 cm was palpated on the left upper quadrant. X-ray and ultrasound showed dilated small bowel. A computed tomography scan suggested ileoileal intussusception. Colonoscopy showed a growth at 15 cm of the anal verge. Exploratory laparotomy was performed, showing the presence of ileocolic intussusception with two large perforations. Subtotal colectomy with ile...

Egyptian Journal of Radiology and Nuclear Medicine, 2020

Journal of the College of Physicians and Surgeons Pakistan, 2020

Journal of Liaquat University of Medical & Health Sciences, 2019

Cureus

Pakistan Journal of Medical Sciences, 2013

JSLS : Journal of the Society of Laparoendoscopic Surgeons, 2011

THE PROFESSIONAL MEDICAL JOURNAL, 2017

Journal of Pharmaceutical Research International, 2021

The Professional Medical Journal, 2015

European Journal of Medical Case Reports, 2020

The Professional Medical Journal, 2019

THE PROFESSIONAL MEDICAL JOURNAL, 2017

JSLS : Journal of the Society of Laparoendoscopic Surgeons, 2010