Chittagong Medical College Hospital

About: Chittagong Medical College Hospital is a healthcare organization based out in Chittagong, Bangladesh. It is known for research contribution in the topics: Population & Malaria. The organization has 676 authors who have published 601 publications receiving 7040 citations.

Management of large mandibular ameloblastoma: a case report

Abstract: Keywords: ameloblastoma; hemimandibulectomy; disarticulation DOI: http://dx.doi.org/10.3329/jcmcta.v22i1.9112 JCMCTA 2011; 22(1): 39-42

Comparison of Surgical Outcomes with Time Interval of Operation among extradural haematoma (EDH) Patients

Abstract: Background: Post-operative outcome of extradural haematoma (EDH) patients depends on the time interval of operation. Objectives: The purpose of the present study was to evaluate the role of time interval and surgical intervention in EDH. Methodology: This interventional study was carried out in the Department of Neurosurgery at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2001 to July 2003 for a period of two (02) years. Patients with the history of head trauma admitted in Neurosurgery unit of Dhaka Medical College and Hospital which were being diagnosed as EDH both clinically and radiologically were included as study population. All patients were treated surgically and haematoma was evacuated. Outcome regarding neurological status, functional recovery, associated morbidity and mortality were assessed in each case as per Glasgow Outcome Scale and was compared between the two groups of patients who were treated surgically within 3 rd day and 4 th to 7 th day after infliction of injury. The study population was devided into 4 groups on the basis of the consciousness level on admission of the patients. The EDH patietns who had GCS <5, 5 to 8, 9 to 12 and 13 to 15 were categorized as group I, II, III and IV respectively. On the basis of pre operative time interval, surgical intervention was done within 3 days of injury and from 4 th to 7 th day of injury. Craniotomy and craniectomy were done depending on patient’s condition and situation of haematoma. Result: A total 63 patients were included. During admission out of 63 patients majority of the patients were in the group III which was 29(46%) cases. During pre-operqative period out of 63 patients majority of the patients were in the group III which was 30(47.6%) cases. Out of 63 cases a total number of 40 cases were performed the surgery within 72 hours and the rest 23 patients were from 4 th day to 7 th day of injury. In group I at 8 th POD, 3 death cases were recorded at 3 rd day operation group and 2 cases at 4 th to 7 th cases. In group IV at 8 th POD follow up good recovery was reported in 6 cases at 3 rd day and 3 cases at 4 th to 7 th day. In group I after 1 month, 3 death cases were recorded at 3 rd day operation group and 2 cases at 4 th to 7 th cases. In group IV after 1 month follow up good recovery was reported in 6 cases at 3 rd day and 3 cases at 4 th to 7 th day; however, moderate disability was reported in 2 cases at 4 th to 7 th day. Conclusion: In conclusion mortality rate is reduced in patients with EDH who are treated in the earliest possible time after head injury Journal of National Institute of Neurosciences Bangladesh, 2018;4(1): 33-39

Ureterorenoscopy and pneumatic lithotripsy in the management of ureteral calculus

Abstract: Key words: ureterorenoscopy; pneumatic lithotripsy; ureteric stone; spinal anaesthesis doi: 10.3329/jcmcta.v19i1.3844 Journal of Chittagong Medical College Teachers' Association 2008: 19(1):11-14

Presentation and Immediate Outcome of Surgical Treatment of Patients with Carcinoma of the Stomach - A Comparative Study between Young and Elderly patients

Abstract: Carcinoma of the stomach is a common malignancy and have a high mortality. Incidence under the age of 45 is comparatively low but appear more aggressive then elderly group. This study was designed to describe the presentation and operative findings in the two groups of patients and to record the outcome of surgical management in these patients. A total of 86 cases were included in this study. 14 were from below 40 years (young group) and 72 were above 40 years (elderly group). Young patients had less definitive symptoms than elderly group. Pain (85.71%) and vomiting (78%) were the most prominent symptoms in both the groups. But in elderly a significant number 54(75%) of cases had anorexia. Lump and visible peristalsis were present in both groups in approximately similar proportion. Histopathologically younger patients had more aggressive disease than the elderly group. The operability in carcinoma of the stomach was more in young group probably due to physical fitness of patient. In both the groups antrum was the commonest site of malignancy. The incidence of malignancy in body was more in young patients. In young group tumor status was T 4 in 54.5% and in elderly group 56% was in T 4 stage. 80% had lymph node involvement in both the groups. Resection was possible in young group in about 90% and gastrojejunostomy in 9.09% cases. Conversely, in the elderly group resection was possible in 58% and gastrojejunostomy was done in 42% cases. Total gastrectomy was done in 18.18% in young group and 4% in elderly group. Another important finding was partial gastrectomy was done in 72.73% in young but 46% in elderly only. The mortality was more (18.2%) in young group in comparison to (10%) in elderly. Gastric carcinoma was found more aggressive in young with high mortality and morbidity. Efforts should be taken for early diagnosis and prompt surgical treatment. DOI: 10.3329/jbcps.v28i3.6507 J Bangladesh Coll Phys Surg 2010; 28: 145-150

Does reduced oxygen delivery cause lactic acidosis in falciparum malaria? An observational study.

Abstract: Lactic acidosis with an elevated lactate–pyruvate ratio suggesting anoxia is a common feature of severe falciparum malaria. High lactate levels are associated with parasitized erythrocyte sequestration in the microcirculation. To assess if there is an additional contribution to hyperlactataemia from relatively inadequate total oxygen delivery, oxygen consumption and delivery were investigated in patients with malaria. Adult Bangladeshi and Indian patients with uncomplicated (N = 50) or severe (N = 46) falciparum malaria or suspected bacterial sepsis (N = 27) and healthy participants as controls (N = 26) were recruited at Chittagong Medical College Hospital, Chittagong, Bangladesh and Ispat General Hospital, Rourkela, India. Oxygen delivery (DO2I) was estimated from pulse oximetry, echocardiographic estimates of cardiac index and haematocrit. Oxygen consumption (VO2I) was estimated by expired gas collection. VO2I was elevated in uncomplicated median (IQR) 185.1 ml/min/m2 (135–215.9) and severe malaria 192 ml/min/m2 (140.7–227.9) relative to healthy persons 107.9 ml/min/m2 (69.9–138.1) (both p < 0.001). Median DO2I was similar in uncomplicated 515 ml/min/m2 (432–612) and severe 487 ml/min/m2 (382–601) malaria and healthy persons 503 ml/min/m2 (447–517) (p = 0.27 and 0.89, respectively). The VO2/DO2 ratio was, therefore, increased by similar amounts in both uncomplicated 0.35 (0.28–0.44) and severe malaria 0.38 (0.29–0.48) relative to healthy participants 0.23 (0.17–0.28) (both p < 0.001). VO2I, DO2I and VO2/DO2 did not correlate with plasma lactate concentrations in severe malaria. Reduced total oxygen delivery is not a major contributor to lactic acidosis in severe falciparum malaria.