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President & Chief Editor
Prof. Khalid Masood Gondal

General Secretary &
Managing Editor
Prof. Abdullah-el-Muttaqi

Prof. Saleem Khan
Prof. M. Najeeb-ur-Rab Ansari

Editor Emeritus
Prof. Zakiuddin G. Oonwala

Associate Editors
Dr. Abid Jamal
Dr. Tanvir Ahmed Raazi
Dr. Haris Rasheed

Assistant Editors
Dr. Irfanuddin Khattak
Dr. Mahmood Khan
Dr. Aurangzeb
Dr. Jabbar Mirani

Prof. Abdul Majeed Chaudhry
Prof. Ahmed Fawad
Prof. Faiz Mohammad
Prof. Imtiaz Rasool
Prof. Khalid Masood Gondal
Prof. Mustafa Kamal Pasha
Prof. Riaz Hussain Dab
Prof. Tariq Mahmood
Prof. Ali Akbar Ghoomro
Prof. Sher Mohammad
Prof. Amjad Siraj
Dr. Aijaz Jabbar
Dr. Iftikhar Yousuf
Dr. Saeed Abdallah Al Ghamidi
Dr. Faisal Ghani
Dr. Irfan Mirza
Dr. Farooq
Dr. Waseem Iqbal Shaikh
Dr. Zafarullah Khan
Dr. Sahibzada Azizuddin

The editors and members of the editorial board will not be held responsible for statements or opinions expressed by any contributor nor will they necessarily reflect the official policy of the Society of Surgeons of Pakistan.

Annual Subscription Rates
Pakistan.................... Rs. 2000
India ....................... Rs. 3000
U. K...............................£ 75
USA ..............................$ 125

Current Address:
The Editor
Pakistan Journal Of Surgery,
Office No.301, 3rd Floor
C-30-C/11, Shahbaz Lane 4,
DHA Phase VI,

Contact Nos:
Prof. Saleem Khan, Editor

Dr. Abdullah El Muttaqi, Managing Editor
Cell: 0300-2212206

The Articles are in PDF format
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October - December 2015, VOL. 31, NO. 4

220 Metabolic surgery
Masood Raza Khan

224 Role and eff ectiveness of Bupivacaine as pain management in patients
who underwent laparoscopic cholecystectomy in post operative period

Lal Shehbaz, Bashir Ahmed, Shua Nasir, Saqib Basr, Ahmed Ali

227 Evaluation of antioxidant and cell death status in people with acute
appendicitis: a preliminary study

Elroy Saldanha, Arnadi Ramachandrayya Shivashankara, Leo Francis Tauro, Ashwin
Alva, Joseph Alukal, Ashwin D A Lobo, Sucharitha Sureshd, Muktha Ramesh
Paie, Manjeshwar Shrinath Baligaf

232 Accuracy of prognostic factors in detecting one month mortality for
perforated peptic ulcer disease

Ahmad Din, Waqas, Shaukat Hussain, Muhammad Shah, Yousaf Jan

238 Comparison of autologous blood injection and corticosteroid injection in
treatment of plantar fasciitis, randomized controlled tria
Sardar Sohail Afsar, Afsar Khan, Mohammad Idrees

242 Diagnostic accuracy of joint line tenderness in medial meniscal tears using
magnetic resonance imaging as gold standard

Muhammad Saqib, Muhammad Siraj, ShakirUllah, Muhammad Ayaz Khan,
Muhammad Imran Khan

248 Comparison of closed intramedullary nailing and percutaneous plating in
distal tibia metaphyseal fracture

Syed Muhammad Khalid Karim, Zaki Idrees, M.Kazim Rahim Najjad

252 Bowel injuries during gynaecological surgery – Still a challenge
M. Afzal, Nargis Iqbal

260 Comparing eff ectiveness of metformin versus insulin in gestational
diabetes mellitus

Khadija Bano, Shazia Naseeb, Shereen Zulfi qar Bhutt a

265 Adult Intestinal Malrotation; a significant surgical entity
Fatima Mannan, Maaz Zuberi, Roger Christopher Gill, Rehman Alvi

269 Etiological agents of burn and its associated mortality - a five year study
Syed Mukarram Ali, Syed Zubair Ahmed Tirmizi, Abdul Haq, Roohi Ehsan,
Syeda Fizzah Tirmizi

279 Acute mesentric ischemia presented with mild abdominal pain, vomiting
and diarrhea

Medhat Mostafa, Fawzy Nasser, Yasser Khalifa, Saeed Alghamdi, Saleem Abdul

The Editors and the Members of the Editorial Board will not be held responsible for statements or opinions
expressed by any contributor nor will they necessarily reflect the official policy of the Society of Surgeons of Pakistan.