A surgeon by profession, I am part of faculty of surgery at Foundation University Medical College Islamabad, Pakistan. Address: Islamabad, Islamabad Capital Territory, Pakistan
Background: All students cannot be individually trained in physical examination skills due to fac... more Background: All students cannot be individually trained in physical examination skills due to faculty and time limitations. Peer-assisted learning (PAL) can solve this dilemma if it is used in undergraduate curriculum. Empirical effectiveness of horizontal peer-assisted learning model has not been reported previously.
Journal of Ayub Medical College, Abbottabad : JAMC
Presentation of jeujunoileal diverticulosis in young age is virtually unknown. It is associated w... more Presentation of jeujunoileal diverticulosis in young age is virtually unknown. It is associated with middle or old age. It is usually asymptomatic but may present with vague abdominal pain and episodic nausea, vomiting or diarrhoea. It can lead to complications like bleeding, perforation and obstruction. We had 3 cases of jejuno-ileal diverticulosis presenting in their teens. They had resection and anastomosis resulting in improved health.
Background: Although literature does not provide a level-1 evidence to support either method of
c... more Background: Although literature does not provide a level-1 evidence to support either method of closure, various studies have shown a reduced frequency of superficial surgical site infection with delayed primary closure (DPC) as opposed to primary closure (PC). Nevertheless, PC is still preferred by most surgeons to avoid a second procedure. This study was conducted with the objective to compare the frequency of wound infection and duration of hospitalization among patients undergoing primary and delayed primary closure of the skin wound following laparotomy for peritonitis. Methods: A randomized controlled trial comprising 70 patients: Thirty-five patients underwent PC (Group-A) and 35 DPC (Group-B). Frequency of wound infection during follow up period and duration of hospital stay was noted in both groups. Results: In group-A, 18 (51.43%) patients showed wound infection while in group-B, it was 9 (25.71%) with p=0.027. Mean hospital stay recorded in group-A was 7.03 days±1.81, and for group-B, it was 6.34 days±4.14 (p=0.372). Conclusion: DPC for surgical wounds is better than PC technique as it decreases the frequency of wound infection during follow-up period without any significant increase in duration of hospital stay. Keywords: Peritonitis, primary closure, delayed primary closure, surgical site infection
Background: All students cannot be individually trained in physical examination skills due to fac... more Background: All students cannot be individually trained in physical examination skills due to faculty and time limitations. Peer-assisted learning (PAL) can solve this dilemma if it is used in undergraduate curriculum. Empirical effectiveness of horizontal peer-assisted learning model has not been reported previously.
Journal of Ayub Medical College, Abbottabad : JAMC
Presentation of jeujunoileal diverticulosis in young age is virtually unknown. It is associated w... more Presentation of jeujunoileal diverticulosis in young age is virtually unknown. It is associated with middle or old age. It is usually asymptomatic but may present with vague abdominal pain and episodic nausea, vomiting or diarrhoea. It can lead to complications like bleeding, perforation and obstruction. We had 3 cases of jejuno-ileal diverticulosis presenting in their teens. They had resection and anastomosis resulting in improved health.
Background: Although literature does not provide a level-1 evidence to support either method of
c... more Background: Although literature does not provide a level-1 evidence to support either method of closure, various studies have shown a reduced frequency of superficial surgical site infection with delayed primary closure (DPC) as opposed to primary closure (PC). Nevertheless, PC is still preferred by most surgeons to avoid a second procedure. This study was conducted with the objective to compare the frequency of wound infection and duration of hospitalization among patients undergoing primary and delayed primary closure of the skin wound following laparotomy for peritonitis. Methods: A randomized controlled trial comprising 70 patients: Thirty-five patients underwent PC (Group-A) and 35 DPC (Group-B). Frequency of wound infection during follow up period and duration of hospital stay was noted in both groups. Results: In group-A, 18 (51.43%) patients showed wound infection while in group-B, it was 9 (25.71%) with p=0.027. Mean hospital stay recorded in group-A was 7.03 days±1.81, and for group-B, it was 6.34 days±4.14 (p=0.372). Conclusion: DPC for surgical wounds is better than PC technique as it decreases the frequency of wound infection during follow-up period without any significant increase in duration of hospital stay. Keywords: Peritonitis, primary closure, delayed primary closure, surgical site infection
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Papers by Inam Shah
closure, various studies have shown a reduced frequency of superficial surgical site infection with
delayed primary closure (DPC) as opposed to primary closure (PC). Nevertheless, PC is still
preferred by most surgeons to avoid a second procedure. This study was conducted with the
objective to compare the frequency of wound infection and duration of hospitalization among
patients undergoing primary and delayed primary closure of the skin wound following laparotomy
for peritonitis. Methods: A randomized controlled trial comprising 70 patients: Thirty-five
patients underwent PC (Group-A) and 35 DPC (Group-B). Frequency of wound infection during
follow up period and duration of hospital stay was noted in both groups. Results: In group-A, 18
(51.43%) patients showed wound infection while in group-B, it was 9 (25.71%) with p=0.027.
Mean hospital stay recorded in group-A was 7.03 days±1.81, and for group-B, it was 6.34
days±4.14 (p=0.372). Conclusion: DPC for surgical wounds is better than PC technique as it decreases the frequency of wound infection during follow-up period without any significant
increase in duration of hospital stay.
Keywords: Peritonitis, primary closure, delayed primary closure, surgical site infection
closure, various studies have shown a reduced frequency of superficial surgical site infection with
delayed primary closure (DPC) as opposed to primary closure (PC). Nevertheless, PC is still
preferred by most surgeons to avoid a second procedure. This study was conducted with the
objective to compare the frequency of wound infection and duration of hospitalization among
patients undergoing primary and delayed primary closure of the skin wound following laparotomy
for peritonitis. Methods: A randomized controlled trial comprising 70 patients: Thirty-five
patients underwent PC (Group-A) and 35 DPC (Group-B). Frequency of wound infection during
follow up period and duration of hospital stay was noted in both groups. Results: In group-A, 18
(51.43%) patients showed wound infection while in group-B, it was 9 (25.71%) with p=0.027.
Mean hospital stay recorded in group-A was 7.03 days±1.81, and for group-B, it was 6.34
days±4.14 (p=0.372). Conclusion: DPC for surgical wounds is better than PC technique as it decreases the frequency of wound infection during follow-up period without any significant
increase in duration of hospital stay.
Keywords: Peritonitis, primary closure, delayed primary closure, surgical site infection