Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Jun 2021
Observational StudyInitial Ca 125 Value as a Predictive Marker for High-grade Serous Ovarian Cancer.
To determine the relevance between the cut-off level of cancer antigen 125 (CA 125) level and long-term prognosis in high-grade serous ovarian cancer (HGSCs). ⋯ Initial CA 125 level appeared to be of beneficial clinical predictive value for HGSC. Key Words: Initial CA 125, Tumor marker, High-grade serous ovarian cancer, Disease-free survival, Overall survival, Predictive value.
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Urology has been separated from its parent generic specialty at different times during the last 150 years in different countries. In Pakistan, from 1947 to 1970s, urology was part of surgery and was done by general surgeons. There were only two urology units from late 1950s to early 1960s. ⋯ At present, there are 11 specialised kidney centres and institutes of urology in the country and 25 recognised urology centres for FCPS. More such centres and replication of the SIUT model is expected in Pakistan. Key Words: Urology, Endourology, Transplantation, Pakistan.
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J Coll Physicians Surg Pak · Jun 2021
Oxidative Stress in Intoxıcation Type Inborn Errors of Metabolism using Thiol-Disulfide Ratio.
To determine the relationship of oxidative stress status with follow-up parameters, metabolic control status, and treatment compliance evaluation in patients diagnosed within toxication type inherited metabolic disease (IMDs). ⋯ Metabolic control status and compliance with treatment are related to oxidative stress level, showing thiol/disulfide balance in urea cycle defects, phenylketonuria, and galactosemia patients. Key Words: Thiol / disulfide, Metabolic diseases, MSUD, Galactosemia, Hyperammonemia.
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J Coll Physicians Surg Pak · Jun 2021
Observational StudyRelationship between Pleth Variability Index and the Occurrence of Hypotension during Epidural Anesthesia for Cesarean Section.
To determine the predictive effect of pleth variability index（PVI）before anesthesia on hypotension after epidural anesthesia in cesarean section parturient women. ⋯ The PVI and HR values before anesthesia have certain value in predicting hypotension after epidural anesthesia in cesarean section. PVI value before epidural anesthesia has more clinical significance than the HR. Key Words: Pleth variability index (PVI, Heart rate (HR), Epidural anesthesia, Cesarean, Hypotension.
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J Coll Physicians Surg Pak · Jun 2021
Comparison of Balloon Trocar versus Telescopic Dissection Method for TEP Inguinal Hernia Repair.
To compare the outcomes between two methods of dissection (balloon trocar vs. telescopic dissection) used in total extra-peritoneal (TEP) inguinal hernia repair. ⋯ Telescopic dissection was cheaper than balloon dissection. The bleeding values and operating time were similar between the two methods, but telescopic dissection caused more postoperative pain. Key Words: Inguinal hernia, Telescopic dissection, Balloon dissection, Total extra-peritoneal (TEP) surgery.