Jawad Abbasi

Holy Family Hospital

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Mudassar Fiaz Gondal

Holy Family Hospital

Noor Ul Sabah Butt

Holy Family Hospital

Muhammad Omer Fraz

Holy Family Hospital

Usama Iftkhar

Holy Family Hospital

Navira Javed

Holy Family Hospital

Danish Nadeem

National University of Medical Sciences

Faisal Aziz

Medical University of Graz

Khan Sa

B.P. Koirala Institute of Health Sciences

Sajeel Saeed

Rawalpindi Medical University

Laraib Rasul

Holy Family Hospital

Cooperative Institutions

Holy Family Hospital

Rawalpindi Medical University

Pakistan Institute of Medical Sciences

Benazir Bhutto Hospital

National University of Medical Sciences

Wayne State University

Jinnah Postgraduate Medical Center

Medical University of Graz

Penn State Milton S. Hershey Medical Center

Hormel (United States)

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Type 4 Ileal Atresia and Anorectal Malformation in a Neonate: A Rare Association

Cureus (2022)

Munema Khan Jawad Abbasi Noor ul Sabah Mudassar Fiaz Gondal Jawad Basit

Anorectal malformations and jejunoileal atresias are common causes of intestinal obstruction in neonates. Both have their own set of associated anomalies but it is extremely rare for the two to co-occur in the same patient. In this case report, we detail and describe this unusual incidence in a three-day-old neonate who was provisionally diagnosed with a case of simple imperforate anus. Per-op findings showed a type 4 Ileal atresia and an ileostomy was then created. Our experience stresses the importance of timely antenatal diagnosis and the presence of a high index of suspicion when encountering such patients. Both factors are key and crucial in determining the outcome and post-op course of the patient.

Imperforate anus

Anal atresia

Anus

Intestinal atresia

Ileostomy

10.7759/cureus.24295

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Citations (1)

Prevalence of diabetes and its correlates in urban population of Pakistan: A Cross-sectional survey.

PubMed (2016)

Jamal Zafar Danish Nadeem Khan Sa Jawad Abbasi Faisal Aziz

To determine the prevalence of diabetes mellitus and its associated risk factors in urban population.The cross-sectional study was carried out at four union councils of Rawalpindi, Pakistan, from May to September 2014, and comprised members of the general public.A questionnaire was administered to obtain information about demographic characteristics and risk factors. Anthropometric and blood pressure measurements were obtained from the participants. Venous blood samples were taken for measuring glycated haemoglobin. SPSS 20 was used for data analysis.Of the 404 participants, 181(44.8%) were men and 223(55.2%) were women. The overall mean age was 42.3±13 years. Overall prevalence of diabetes was 133(32.9%) and that of pre-diabetes was 151(37.4%). The prevalence of diabetes was 203(50.3%) in 50-65 years age group and 143(35.4%) among obese subjects. Diabetes was significantly associated with increasing age (35-49 years (p<0.05); 50-65 years (p<0.01), positive parental (p<0.05) and sibling (p<0.05) history of diabetes, hypertension (p<0.01) and central obesity (p<0.05).The prevalence of diabetes and pre-diabetes was very high. Prevalence increased with increasing age and body mass index. Major independent risk factors were increasing age, central obesity, and family history of diabetes and hypertension.

Cross-sectional study

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Ruptured Duplication Cyst of Transverse Colon

African Journal of Paediatric Surgery (2021)

Laraib Rasul Navira Javed Naeem Liaqat Shoaib Tarrar Jawad Abbasi

Duplication cysts of gastrointestinal tract are rare congenital abnormalities found in 0.2% of children. We report a rare case of a ruptured duplication cyst of transverse colon in a 7-year-old female child who presented with abdominal pain and mass in the right iliac fossa. We assumed it as an appendicular mass; however, it turned out to be a ruptured duplication cyst of transverse colon. Only two cases of duplication cyst of transverse colon have been reported yet in the literature.

Transverse colon

Iliac fossa

10.4103/ajps.ajps_81_20

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Citations (3)

Beyond conjoined: A tale of successful separation of pyopagus twins

Global Pediatrics (2024)

Mudassar Fiaz Gondal Noor Ul Sabah Butt Usama Iftkhar Hamna Atique Jawad Abbasi

Conjoined twins, a rare anomaly in which same-sex fetuses are partially or completely joined, present unique challenges in diagnosis and management. This article reports the first successful operative separation of pyopagus conjoint twins in Pakistan, an achievement in a low-resource setting. The female twins, diagnosed prenatally, underwent a planned cesarean section at 37 weeks. The initial physical examination revealed an 18 cm conjoined area with a shared anal opening. Postnatal monitoring in the neonatal intensive care unit detected abdominal distension, leading to pelvicdivided colostomies. A multidisciplinary team, including gynaecologists, anesthesiologists, pediatric medicine specialists, neurosurgeons, and pediatric surgeons, collaborated on the operative procedure of the six-month-olds. The process involved bone removal, dural incision, and anorectoplasty. Postoperatively, one twin experienced cerebrospinal fluid leakage, which was managed conservatively. The twins were discharged after a week with a one-month follow-up.

Conjoined twins

Abdominal distension

Multidisciplinary team

10.1016/j.gpeds.2024.100226

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Temporal Trends and Spectrum of Pediatric Surgical Conditions Operated In A Tertiary Care Teaching Hospital In Pakistan

Proceedings of Shaikh Zayed Medical Complex Lahore (2023)

Noor Ul Sabah Butt Mudassar Fiaz Gondal Jawad Abbasi Sajeel Saeed Omer Fraz

Introduction: Knowing the temporal trends as to when and how many pediatric surgery patients present and are operated on in a newly developed unit is crucial in the allocation of resources and policy making in health care center. Aims & Objectives: The aim of this study is to describe the spectrum and pattern of operated pediatric surgery patients in a newly developed pediatric surgical unit of Pakistan. Place and Duration of Study: This study was conducted at Pardiatric Surgery Unit of Holy Family hospital, Rawalpindi between January 2020 and September 2021. Material & Methods: This was a retrospective descriptive study conducted on all patients that were operated under Pediatric surgery unit over a period of 20-months. Data regarding age, sex, diagnosis, and procedure performed were obtained. Diagnoses were categorized based on organ system. SPSS version 22 was used to perform the data analysis., a p-value of ?0.05 was considered significant. Results:898 procedures were performed in total with a male to female ratio of 2.03:1. Most of the patients fell under 2-8 years of age. Digestive system disorders (164, 18.3%) and genitourinary (377, 42%) made most of the cases observed, with inguinal hernias making up to 15.0% of all cases. Oddsratio was calculated for different variables which showed that male patients , patients with gastrointestinal problems had greater odds of being operated. Conclusion: The expected number of operated cases in a newly developed unit is comparable to other units that have been established for a long time.More focus research needs to be done on different aspects of pediatric surgery in our region and to try for integration of pediatric surgery into public health programs including primary and secondary health centers to meet the increasing demand of pediatric surgical patients presented to tertiary care.

Tertiary care

Odds

10.47489/szmc.v37i4.407

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Citations (0)