Online Journal of Health and Allied Sciences

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/151077

Chief Editor: B. S. Kakkilaya
ISSN: 0972-5997

Frequency: Quarterly

Language: English

Open Access Peer-reviewed journal

Web site: https://www.ojhas.org/

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Browsing Online Journal of Health and Allied Sciences by Author "Alfehaid, M."

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    Delayed Presentation of Posttraumatic Diaphragmatic Hernia.
    (Light House Polyclinic, 2024-12) Rather, AA; Salati, SA; Rather, SA; Alfehaid, M.
    Introduction: Posttraumatic diaphragmatic hernias (PTDH) with delayed presentation are rarely encountered in clinical practice. They may be asymptomatic and detected incidentally or else lead to respiratory and gastrointestinal symptoms. Here, we present an experience of PTDHs at a general surgical division of a medical college in Kashmir valley. Methods: Retrospective analysis was conducted on all the patients treated for PTDH between 2010 and 2024. Results: There were 7 patients (5 females and 2 males) with a mean age of 37.7 years. The index abdominal injury was blunt in 6 and penetrating in 1 case. The interval between index injury and presentation of PTDH ranged from 5 months to 7 years (mean 4.6 years). Abdominal pain was the most common symptom. All the patients were definitively diagnosed with imaging and managed surgically. The postoperative phase was uneventful, and there were no recurrences. Conclusion: Posttraumatic diaphragmatic hernias with delayed presentation are rare; they can manifest even years and decades after trauma. Successful diagnosis requires a high index of suspicion and proper utilization of imaging modalities. Following diagnosis, PTDH must undergo a surgical operation to reduce the risk of further problems.
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    Post-Cholecystectomy Surgical Re-intervention for Cystic Duct Remnant - An Experience.
    (Light House Polyclinic, 2022-12) Rather, AA; Salati, SA; Alfehaid, M.
    Background: In laparoscopic cholecystectomy, cystic duct is typically separated closer to the gallbladder to prevent iatrogenic common bile duct damage, leaving behind a long cystic duct remnant that can potentially lead to postcholecystectomy syndrome. Methods: A retrospective analysis of the data from 2010 to 2021 was undertaken at SKIMS Medical College, Srinagar, Kashmir, India, of all the cases who had been surgically re-explored for cystic duct remnants post-laparoscopic cholecystectomy. Results: Twenty cases of both genders underwent surgical reintervention for cystic duct remnant. The mean time of presentation after an index cholecystectomy was 2 years. Surgical operations were conducted through an open approach in 17 (85%) and by laparoscopy in 3 (15%). 95% of patients were symptom-free in the follow-up period. Conclusions: Cystic duct remnants should be considered if a patient report with symptoms suggestive of postcholecystectomy syndrome. The condition once diagnosed, can be managed safely by surgical reintervention.