Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Feb 2020
Multicenter StudyCancer Epidemiology in Lahore, Pakistan - 2010-2015.
To study the cancer incidence rates in Lahore, which has an estimated annual population count of 10.3 million. ⋯ These results warrant expanding cancer registration in the region and sharing statistics with policy-makers to establish hospitals accordingly to manage cancer, along with exploring various risk factors within the population.
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J Coll Physicians Surg Pak · Feb 2020
ReviewTopical Fluorides for Head and Neck Cancer Patients Subjected to Surgical Resection and Radiation Therapy in Resource Restraint Settings.
Patients undergoing surgical resection and ionizing radiations for the treatment of head and cancer may lead a challenging life even after the cure of the disease; because these procedures can adversely affect the oral mucosa, salivary gland, bone, masticatory musculature, and the dentition. Especially, if major salivary glands are exposed to high dose radiation, an irreversible xerostomia may occur that can lead to rampant dental caries. ⋯ The healthcare providers should work together in a team to prevent or manage these complications and improve the lives of the patients. This review paper focuses on the significance of low cost fluoride treatment for salvaging the dentition among patients who have had developed head and neck carcinoma and later got subjected to surgical resection and radiation therapy.
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J Coll Physicians Surg Pak · Feb 2020
Randomized Controlled TrialVacuum-assisted Closure in Integration of Skin Graft Over Scalp Wounds: A Randomised Control Trial.
To compare outcome of split thickness graft with and without vacuum-assisted closure over the scalp soft tissue defects in terms of graft take and complications. ⋯ Outcome of split skin graft over scalp soft tissue defects with VAC dressing is better than simple dressing in terms of graft take and complications rate.
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J Coll Physicians Surg Pak · Feb 2020
Case ReportsExtra-anatomical Cephalic to Internal Jugular Vein Bypass for Central Venous Occlusion.
Extra-anatomical cephalic to internal jugular venovenous bypass is a surgical method of improving the patency of arteriovenous access in patients with central venous stenosis (CVS), which is infrequently performed. It can be more durable compared to percutaneous venoplasty for CVS. We present a 60-year male who developed right subclavian vein stenosis after brachiocephalic arteriovenous fistula. ⋯ He underwent cephalic to internal jugular venovenous bypass with externally supported polytetrafluoroethylene (PTFE) graft. This provided immediate symptomatic relief and also salvaged his fistula, which was patent at his last follow-up visit at six months. Venovenous bypass can be considered earlier in 'selected' patients to deal CVS not amenable to percutaneous interventions.