Papers by DR SAJID RASHID
Journal of Rawalpindi Medical College, 2021
Objective: To study the role of topical papaya application in managing deep burn wounds in terms ... more Objective: To study the role of topical papaya application in managing deep burn wounds in terms of proteolytic enzymatic debridement for wound bed preparation.Material and Methods: This was a descriptive study carried out at Rawalian burn centre holy family hospital Pakistan from 12-10-2019 to 11-1-2020 over a period of 03 months. A total of 30 patients were included in the study (n=30). A convenient non-probability sampling technique was used for allocating patients to the study after getting written informed consent. For patients included in the study, papaya dressing was used for debridement and wound bed preparation of deep burn wounds.Results: There were 19 (63.3%) female and 11 (36.7%) male patients. The age range of patients was 10y to 50y with a mean of 28 years and SD ± 8.06 Patients included in the study had TBSA ranging from 10% to 35% with a mean of 19.8% and SD ± 6.82%. On average 7 dressings (Range 5-7) were required to achieve pink healthy granulation tissue. Out of ...
The Professional Medical Journal, 2021
Objectives: To study the effectiveness of open anterior component separation technique for repair... more Objectives: To study the effectiveness of open anterior component separation technique for repair of large incisional abdominal hernias. To study the effect of addition of polypropylene mesh with open anterior CST in sublay position. Study Design: Experimental study. Setting: Department of Surgery, DHQ Hospital Rawalpindi. Period: January 2016 to November 2016. Material & Methods: Patients (n=19) were admitted through OPD electively by purposive non- probability sampling in accordance with the inclusion/exclusion criteria. patients were operated under general anaesthesia. Anterior CST was done by standard Ramirez technique. Polypropylene mesh was placed in sublay (retrorectus) position. Data obtained was analysed by SPSS-20 software to calculate SSI and Recurrence rate. Results: A total of 19 (n=19) patients were included in the study and operated upon.There were 61% males with average age of 42 years and 39% females of average31 years.Average defect size was 10.11 cm with SD of 1....
The Professional Medical Journal, 2020
Objectives: To measure the effectiveness of addition of LIS with open haemorrhoidectomy in reduci... more Objectives: To measure the effectiveness of addition of LIS with open haemorrhoidectomy in reducing post-operative pain. Study Design: Experimental study. Setting: Surgical Unit of DHQ Teaching Hospital Rawalpindi. Period: Jan-2016 to Nov-2017. Material & Methods: This study was conducted on total number of 60 patients (n=60) with 4th degree haemorrhoids. Patients were divided into two equal groups of 30. In group 1 open haemorrhoidectomy with LIS was done and group 2 open haemorrhoidectomy without LIS was done. Results: Mean pain score of 2.53 with SD of 0.681 was found in group 1 (open haemorrhoidectomy with LIS) as compare to mean pain score of 7.07 with SD of 1.112 in group 2 (open haemorrhoidectomy without LIS) p value was 0.05. T-Test was applied and difference between the two groups was found statistically significant. Conclusion: Open haemorrhoidectomy with LIS reduces post-operative pain in patients.
Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University
Objective: This research study was carried out to see the severity of burnout, identify the facto... more Objective: This research study was carried out to see the severity of burnout, identify the factors leading to its origin and give recommendations for its prevention to save the health of our white army. Methodology: This descriptive study was carried out at RMU from 16th June to 15th August 2020. A total of 50 actively working health personnel were selected by convenient sampling (non- probability). The instrument, Maslach inventory was used for scoring of burnout. It has three psychometric sub scales, Emotional Exhaustion (Total score 0-18), Depersonalization (Total score 0-18), and Personal Accomplishment (Total score 0-18). Higher the score of EE (Emotional Exhaustion) and DP (Depersonalization) more the burnout while higher the score of PA (Personal Accomplishment) less the burnout. P-value was set at 0.05. Pearson test was used for categorical data and t-test for numerical data to see the significance. Results: Total of 50 health personnel (n=50) were included in the study. Th...
Objectives: To determine the change in the trend of burn patient epidemiology after the COVID-19 ... more Objectives: To determine the change in the trend of burn patient epidemiology after the COVID-19 pandemic in terms of frequency of burn injury and mortality rate. Material and Methods: This cross-sectional descriptive study was carried out at Rawalian burn center, Plastic Surgery Department, Holy Family Hospital RMU Rawalpindi from 1st March to 31st July over a period of 05 months. All burn patients reporting to the Rawalian burn center during the specified period were included in this study by consecutive sampling. Patients were mainly admitted from emergency and some from OPD following the standard admission, inclusion, and exclusion criteria Results: Mean age of patients in the pre-COVID (Control) period March to July 2019 was 28.84 years with an SD of ±3.73. There were 63% females and 37% males. The total burn surface area range was 8-65% during this period. Whereas in the post-COVID period, March to July 2020 mean age of patients was 29.13 years with an SD of ±4.06. There were ...
The Professional Medical Journal, 2021
Objectives: To study the role of laparoscopy in reducing the incidence of non-therapeutic Laparot... more Objectives: To study the role of laparoscopy in reducing the incidence of non-therapeutic Laparotomies in abdominal trauma, and management of penetrating (PAT) and blunt (BAT) abdominal trauma. Study Design: Prospective Experimental study. Setting: Department of Surgery DHQ Hospital Rawalpindi. Period: January 2018 to June 2018. Material & Methods: All Patients (n=50) were admitted through emergency and were allocated to one of two groups Laparoscopy or Laparotomy group (25 in each) by lottery method according to the inclusion criteria of haemodynamically stable patients with systolic BP>90 mm of Hg. Patients in the Laparotomy group were managed according to the conventional protocol and decision of laparotomy was based on clinical examination, imaging and laboratory investigations. Where as in Laparoscopy group after clinical examination and chemical labortary. Reports diagnostic laparoscopy (screening tool) was done to identify injuries and decide whether patient needs laparoto...
The Professional Medical Journal, 2021
Objective: To compare the outcome of NTT and STT for multinodular goiter in terms of Recurrence r... more Objective: To compare the outcome of NTT and STT for multinodular goiter in terms of Recurrence rate. Study Design: Experimental study. Setting: Department of Surgery DHQ Teaching Hospital Rawalpindi. Period: July 2016 to December 2017. Material & Methods: All patients were admitted through OPD according to the already set inclusion and exclusion criteria. Two groups were made first group was NTT group and second group was STT group. Patients were divided into two groups by lottery method (Probability sampling). Follow up period for recurrence was 1 year. Analysis of data was done by SPSS version -20. Chisquare test was used to see the statistical significance. Value of P was set at 0.05. Results: A total of 63 (n=63) patients were included in the study. Over all there were 71.40% females and 28.60% males. Average age of the female patients was 36.3 years and in males average age was 40.60 years. In NTT group there were 32 patients (n=32) and in STT group there were 31 patients (n=3...
Journal of Shifa Tameer-e-Millat University, 2021
It has been reported from china that burn centers have the highest risk of COVID-19 infection. Th... more It has been reported from china that burn centers have the highest risk of COVID-19 infection. The virus is highly contagious and damaging and mortality rate as high as 61.5% has been reported. Burn patients have low level of immunity, lack skin barrier and are prone to infections. Due to these facts, they have less ability to fight against the corona virus, so surgical practices for management of burn patients should be modified to prevent the spread of infection and decrease mortality. Keeping these facts in mind, we adopted certain changes in the protocols for management of burn patients at Rawalian burn center, Rawalpindi Pakistan. We are presenting new recommendations which were followed at the burn center during COVID-19 pandemic. These are the first ever recommendations from any burn center of Pakistan since the start of recent pandemic. With help of literature search we identified risk factors for infection during the course of treatment of burn patients. These recommendatio...
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Papers by DR SAJID RASHID