Bücher von Syed Asmat Ali

Cholecystektomia laparoskopowa zostäa po raz pierwszy wykonana przez francuskiego chirurga Phillipe Mouret w 1987 r. Jest to obecnie jedna z najcz¿stszych planowanych operacji chirurgicznych. Cieszy si¿ on powszechn¿ akceptacj¿ jako leczenie z wyboru kamicy ¿ó¿ciowej, poniewä wi¿¿e si¿ z minimaln¿ zachorowalno¿ci¿ i wcze¿niejszym powrotem do pracy. Deksametazon jest d¿ugo dziäaj¿cym (t pó¿> 36 godz.) Glukokortykoidem.Jest wänym modyfikatorem pooperacyjnej fizjologicznej odpowiedzi zapalnej, humoralnej i immunologicznej poprzez regulacj¿ mechanizmu humoralnego wywo¿anego urazem. do¿ylne podanie deksametazonu zmienia rokowanie chirurgiczne u chorych poddawanych niepowik¿anej cholecystektomii laparoskopowej.

Necrotizing fasciitis represents a diverse disease process, the term encompassing a range from simple pyoderma to life threatening infections. It is one of the most lethal and virulent forms of surgical soft tissue infections requiring extensive therapy .Different anatomical locations, tissue levels, offending organisms and predisposing factors along with host factors result in the varied presentations and subsequent clinical course and prognosis. The multiple predisposing factors , disease presentations ranging from asymptomatic to florid sepsis, diverse flora of organisms involved, makes the disease complex. Clinical acumen aided with histopathological evaluation yield a relative accurate diagnosis. All patients with spreading Cellulitis should be presumed to be suffering from necrotizing fasciitis until proved otherwise. In the present study, increasing annual incidence of the disease has been noted with most of the cases occurring from July to September over the study period.

Laparoscopic cholecystectomy was first done by a French surgeon, Phillipe Mouret in 1987.It is one of the most common elective surgical procedure now-a- days. It has gained widespread acceptance as treatment of choice for cholelithiasis as it is associated with minimal morbidity and earlier return to work.Dexamethasone is well known for its anti-inflammatory, immune-modulating and anti- emetic effect. Dexamethasone is long acting (t half >36hrs) glucocorticoid.It is important modifier of the post-operative physiological inflammatory, humoral and immunological response by the regulation of the trauma induced humoral mechanism.I undertook present study to investigate in what way pre-operative intravenous administration of dexamethasone alters the surgical outcome in patients undergoing un- complicated laparoscopic cholecystectomy.