Bøger af Faruquzzaman

¿Laparoscopic Surgery Unit¿ was established in 250 Beded Razia Naser District Hospital, Bagerhat in August 2023. Up to May 2023, a total 110 cases of different laparoscopic surgery was performed in this hospital with excellent results. Many rare laparoscopic operations were performed in this specialized unit for the first time in south-east zone of Bangladesh. Here, in this paper, we are going to depict these rare and complex laparoscopic operations. It will be certainly a good guideline for the young surgical fellows for orientation of complex laparoscopic operations.

In our experience we have found that surgical site infection is a very troublesome chapter in our surgical practice. Laparoscopic surgery is the most popular modality of surgery now-a-days. We found a special variety of non- tubercular granulomatous infection since long at the surgical site, quite different from common surgical infection. Moreover, most often this infection is refractory to conventional dose and duration of common antibiotics. We have termed this variety of infection as ¿Micro-cluster infection¿. When this occurs as laparoscopic port, we term this as ¿Micro-cluster port site infection¿. Micro-cluster infections are reputation killing situations both for the surgeons and hospitals. This is a leading cause of hospital morbidity and patients usually suffer a lot. This not only increases the treatment cost of the patients, but also increases the cost of the hospital. Our experience suggests that this also has medico-legal aspects. So many obvious and hidden factors are related to this troublesome condition. Therefore, to manage the situation properly, we must have a guideline to reduce the magnitude of the problem.

The ¿Neo-cancer theory¿ is a modified cancer theory regarding the weakness of the conventional theories to the curative direction of cancer. Many unanswered questions need answer. Is cancer a systemic disease/disorder? Is tumour only the local manifestation? Is cancer is not due to genetic mutation or is genetic mutation due to cancer or both? Is organic metastasis due to blood borne spread/route or not? Is lymph node involvement a reservoir of metastasis or not? Or, is lymph node involvement only due to lymphatic reaction? Does loco-regional treatment improve survival or not? Does loco-regional treatment prevent/ prevent metastasis or not? Is it more rational to examine the whole patient, rather to examine the tissue only to profile the patient? Are we in the right direction to diagnosis and treatment of cancer? What should be the ideal management protocol for cancer? A rich atlas of cancer patients is illustrated with this thesis. Cases were taken from Khulna Medical College Hospital (2009-2021) and 09 sub-centre (tertiary academic Hospital).

Mechanical ventilation of lung is an essential part of modern ICU management. Based upon the principle of ¿The theory of relative stability¿, published in 2016, a new pulmonary device can be created. Basically, ¿The theory of relative stability¿ is a very fundamental law of equilibrium. The new mechanical ventilation device has some unique advantage over the traditional mechanical ventilation of lung. The mode of action of the new device is totally different from the conventional one. The new device is intra-vascular access based rather than conventional lung based device. As a result, complete planned de-function of the both lungs can be done using it. Therefore, patients with un- salvable state of lungs (extensive or total pulmonary dysfunction, injury, failure etc.) can be saved. Moreover, extensive pulmonary, thoracic and mediastinal surgery will be possible. Patient will complete cardio-respiratory failure can be saved. As an ICU device precise monitoring and intervention of organ (pulmonary) function can be done. Beginning of a new era of organ support and so on¿

La reparación de la hernia inguinal es un gran reto para los cirujanos. Durante décadas se han intentado diferentes tipos de reparación. Muchas reparaciones originales se han modificado a lo largo de los años. Nosotros, los cirujanos, siempre buscamos una reparación de referencia. Con este objetivo, en nuestro instituto, Khulna Medical College Hospital, Bangladesh, hemos realizado más de 700 casos de hernioplastia inguinal preperitoneal abierta. En este libro se mencionan y analizan los resultados de los 210 casos disponibles de reparación preperitoneal con 200 casos de otros tipos de reparación. Los resultados globales fueron excelentes en contraste con las otras técnicas de reparación de la hernia inguinal. Son comparables a los resultados de las reparaciones laparoscópicas. Además, en muchas situaciones, incluso el resultado es más atractivo que el de las reparaciones laparoscópicas. La hernioplastia inguinal preperitoneal es una técnica de reparación superior en cuanto a la tasa de infección, la tasa de recidiva y otros parámetros operativos. Por lo tanto, se puede afirmar que la reparación preperitoneal es la más resistente, eficaz y sostenible hasta ahora para la reparación de la hernia inguinal. Se trata de un triunfo en el complejo ámbito de la reparación de la hernia inguinal para los cirujanos e investigadores.

¿It is little like using the unexplainable to explain the unexplainable¿ said the legendary Theoretical Physicist Stephen Hawking. Actually, a scientist¿s sight goes very far beyond the sight of an ordinary man. In this theory, I have just tried to express and explain something that I have got in my last 16 years of research. This theory is a very basic and a very fundamental governing rule with universal uses in everywhere in this universe, in every sphere to maintain the stability, balance, establishment, conversion and re-establishment of the structural backbone as well as the functional integrity of the universe. It is being used naturally as the universal essence and as the law of governance. In our hands, by applying this rule knowingly or unknowingly, in technology or medicine, in space and water or on ground, everywhere battle lines are being drawn. Here, I have tried to explain the theory as well as to show some classic examples and explanation and some possible places of future application on the basis of some kind of publishable applicable results based on verifiable empirical data to triumph in this very complex battlefield of universal existence.