Pakistan Journal of Chest Medicine <blockquote id="yui_3_16_0_1_1432718173461_3154"> <div id="yiv2612723415yui_3_16_0_1_1432320294730_24183" dir="ltr"><strong>ISSN:2224-9710 (Print)</strong> <strong>ISSN: 2309-9844 (Online)</strong></div> <div dir="ltr"> </div> <div id="yui_3_16_0_1_1432718173461_3153"> <div dir="ltr">The "Pakistan Journal of Chest Medicine" (PJCM) is the official journal of Pakistan Chest Society. The PJCM publishes original articles, reviews and case reports on the clinical aspects of pulmonology, and on community aspects, with its emphasis on lung heath in Pakistan and other developing countries. The PJCM encourages submissions that programmes for tuberculosis control and the promotion of lung health.</div> <div id="yiv2612723415yui_3_16_0_1_1432320294730_24183" dir="ltr">The PJCM welcomes articles on all aspects of lungs health, including public helath related issues such as epidemiology and intervention studies. This site contains the full text of all articles published in the PJCM. <p>Pakistan Journal of Chest Medicine is</p> <ul> <li><strong>Approved &amp; Recommended by</strong> Pakistan Medical Commission (PMC), Pakmedinet, Open Access</li> <li><strong>Indexed &amp; abstracted in</strong> Directory of Research Journal Indexation (DRJI), Google Scholar, EBSCO, Crossref, EuroPub, Reviewer Credits, Advanced Sciences Index (ASI), Asian Research Index (ARI), IPIndexing </li> </ul> </div> </div> </blockquote> en-US Pakistan Journal of Chest Medicine 2224-9710 Complications and pitfalls of Tube Thoracostomy at a Tertiary care hospital <p><strong>Background: </strong>A significant number of patients are treated by doctors in the emergency room due to the rising incidence of catastrophic chest injuries. For the treatment of pneumothorax, hemothorax, and hemopneumothorax resulting from chest trauma, a tube thoracostomy is a vital life-saving procedure. This study was conducted to outline potential issues with Thoracostomy tube insertion and typical pitfalls in managing the underwater seal system.</p> <p><strong>Methodology</strong>: This retrospective study was carried out at General / Thoracic Surgery Department of Hayatabad Medical Complex Peshawar between July 2019 and June 2021. Total 300 patients were included in this study. Complications related to the thoracostomy tube insertion and mistakes practiced by the medical staff regarding the management of thoracostomy tube and its system were documented and analyzed.</p> <p><strong>Results: </strong>There were 22 (7.3%) complications were related to tube insertion, 13 (4.3%) iatrogenic lung injuries occurred during the insertion process, followed by diaphragmatic injury 4 (1.3%), intercostal vessel injury 3 (1%) &amp; liver injury 2 (0.7%) respectively. There were total 118 (39.3%) pitfalls were observed, amongst which the most common was clamping the chest tube 29 (9.7%), followed by intrathoracic malposition 22 (7.3%), loose fixation 18 (6%), improper handling of suction system 15 (5%), vent covering 12 (4%), improper filling of the bottle 9 (3%), subcutaneous position 7 (2.3%), improper insertion site 6 (2%) respectively. </p> <p><strong>Conclusion</strong>: The trocar was the cause of all chest tube insertion-related issues. It is common to make mistakes when working with the tube and its system. All surgeons, especially general surgery residents and paramedical staff should complete specialised training in chest tube management and care.</p> <p>Keywords: Thoracostomy tube; Complications; Pitfalls</p> Musarat Hussain Imran Tahir Abid Khan Abdul Baseer Uzma Wahid Copyright (c) 2022 2022-02-06 2022-02-06 28 2 55 59 A comparison of Open Surgery and minimum Invasive Surgery in terms of recurrence of Hydatid Cyst in Lung and Liver <p><strong>Background</strong></p> <p>The recurrence of hydatid cyst in liver and lung, after open and minimum invasive surgery, is most commonly reported. In this study, the patients who underwent open surgery (OS) or minimum invasive surgery (MIS) for hydatid cyst in the liver and lung prospectively followed to assess their comparative recurrence.</p> <p><strong>Methodology</strong></p> <p>This prospective cohort study was conducted between February 2018 and July 2020 at Hayatabad Medical Complex, Peshawar, Pakistan. The patients who underwent open surgery (OS) or minimum invasive surgery (MIS) for hydatid cyst in the liver and lung and having age greater than 18 years was included in the current study. A regular postoperative follow-up plan was implemented. The outcome of variables for the current study was the recurrence of the hydatid cyst. Statistical analysis was carried out using a statistical package for social science (SPSS v26).</p> <p><strong>Result </strong></p> <p>A total of 63 patients were recruited for the current study. The mean age of the patient in the OS group was 43.83 ± 6.21 years, while in the MIS group was 46.75 ± 5.32 years. The liver cyst was high in both groups (p=0.37). There was no significant difference in the recurrence in both groups. (p=0.47). The reoccurrence rate was higher in the MIS group than in the OS group. Most of the cysts recurred within two years.</p> <p><strong>Conclusion </strong></p> <p>This study showed that the frequency of recurrent hydatid cyst was higher in the MIS than in the OS. Most of the hydatid cysts reoccurred within two years in the current study.</p> <p><strong>Keywords:</strong> Open surgery; Minimum invasive surgery; hydatid cyst</p> Alam Jamshed Khalil Sufyan Copyright (c) 2022 2022-06-02 2022-06-02 28 2 60 64