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Objective: To evaluate the Bogota bag's efficacy in closing abdominal wounds that are open and have severe peritonitis following laparotomies but cannot be closed well using primary closure and in the absence of alternative closure methods. Material and Methods: Following approval from the hospital's ethical committ ee, a randomized control study involving 100 patients was carried out at the Khyber Medical Hospital in Peshawar, Pakistan. Participants had undergone a decompressive laparotomy due to severe peritonitis, and closure was accomplished either using a Bogota bag or an abdominal layer closure in the reverse sequence. Variables were gathered in a Excel sheet along with the pertinent patient data that was retrieved from the medical records in the hospital. Statistics were examined using SPSS 25. Results: This study was conducted on 100 patients divided in two groups. In terms of gender distribution, group A contained 33(66%) male patients, while group B contained 31(62%) male patients. Group A also contained 17(34%) female patients, while group B contained 19(38%) female patients. In comparison to group A [8.84±3.64 days], the mean hospital stay in group B [6.40±3.24 days] was considerably shorter (p = 0.001). The mortality and complication (infection and fistula formation) rates in group B were significantly lower than group A. Conclusion: The use of a Bogota bag to close an open abdominal wound proved successful in avoiding complications associated with open wounds or the ones that were closed under tension. [ABSTRACT FROM AUTHOR]

Objective: To identify factors that influence the risk of death of cervical cancer patients treated in Hospital Universiti Sains Malaysia (HUSM). Design: A retrospective record review. Materials and Methods: A total of 120 patients were diagnosed with cervical cancer between 1st July 1995 and 30th June 2007, treated in HUSM, and also fulfilled the inclusion criteria were included in this study. Information on variables of interest was collected from patients' medical records. The Cox Proportional Hazard Regression Analysis was applied to identify the significant prognostic factors. Results: This study found that histologic type (Hazard ratio [HR] 1.87; 95% confidence interval [CI]: 1.06, 3.30, distant metastasis (HR 2.03; 95% CI: 1.21, 3.41) and stage at diagnosis (stage III-IV) (HR 2.95; 95% CI: 1.51, 5.78) were significant factors affected survival of cervical cancer patients treated in HUSM. Conclusion: The hazards of dying for cervical cancer patients under study were high if patient diagnosed with histologic type of adenocarcinoma, distant metastasis or stage III-IV of cancer. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate current epidemiology of several types of oral clefts among the patients receiving treatment at two tertiary care hospitals, namely University Malaya Medical Centre (UMMC) Kuala Lumpur, and Hospital Kota Bharu / Hospital Raja Perumpuan Zainab II (HKB/ HRPZII) Kelantan. This study evaluated the records of 526 cleft lip and palate (CLP) patients with or without additional malformations, who came for treatment during 2003 to 2007. Of the total 526 patients registered in the study hospital records during the study period, 338 were from HKB/HRPZ II and 188 from UMMC. Majority 86.7% of these patients were in the age group ≤=18years. The results of this study show that 57% females and 43 % males were affected by oral cleft. Out of the total patients, 77.8% were CLP, 13.5% were cleft palate (CP), and 8.7% were cleft lip (CL) patients. Moreover 57.2% patients were with unilateral cleft, 32.7% were left sided and 24.5% were right sided. Total 42.8% patients were with bilateral oral cleft. To best of our knowledge this is the first reported multi-center study on CLP in Malaysia with regard to the proportion of different types of oral clefts. [ABSTRACT FROM AUTHOR]

Background: Cervical cancer is the third most common cancer among women in Malaysia. The objective of this study was to estimate the effect of explanatory variables on survival time of cervical cancer patients receiving treatment at a hospital in Malaysia., Methods: In this retrospective record review study, cervical cancer data obtained from Hospital UniversitiSains Malaysia (HUSM) was analysed. The data comprises of 120 patients who had been diagnosed as cervical cancer between 1(st) July 1995 and 30(th) June 2007, and obtained treatment from the hospital. The outcome variable was survival time (in months) from cervical cancer diagnosis to death. A stratified Weibull model was applied to study the effect of explanatory variable on survival time when there was time-dependent covariate in the model., Results: Stage of disease and metastases were important prognostic variables. However, metastasis had been stratified because this variable did not satisfy the proportional hazard assumption. In without metastasis stratum, patients who were diagnosed at stage III & IV are at 2.30 times the risk of death as those in stage I & II. Meanwhile, in with metastasis stratum, patients in stage III & IV group had 3.53 times the hazard faced by patients in stage I & II., Conclusion: The prognosis of cervical cancer patients was dependent upon the stage at diagnosis, after the stratification of the metastasis variable. A poorer prognosis on survival was observed for patients in stage III & IV than those in stage I & II.