Cases of cystic hygroma are rare and this report highlights the need for further research into treatment options. A 24-year-old Lithuanian woman was referred for further investigation of a painless but restricting right-sided neck swelling. This case report discusses the differential diagnosis and up-to-date management of cystic hygroma in the adult.

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Abstract:Traditional practice of postoperative starvation after abdominal surgery recently has been changed. Early enteral feeding has been shown benefits in reduction of postoperative ileus and hospital stay by various clinical trials. In this study postoperative outcome was analized after colostomy closure in paediatric patients in relation to early vursus traditional enteral feeding. This is a prospective comparative study done in Dhaka Shishu (children) Hospital between January 2009 to December 2013. Total 125 patients were included and divided into two groups. Group-A (n=55) and Group-B (n=70) underwent traditional enteral feeding and early enteral feeding in post-operative period respectively. Unpaired 't' test were used for statistical analysis. Post-operative hospital stay and complications such as vomiting, diarrhoea, wound disruption were assessed. Lower gastro-intestinal bleeding, urinary tract infection (UTI), upper respiratory tract infection (URTI) and unspecified fever >48 hours were used as parameters of study. In group-B, post-operative hospital stay and complications such as vomiting, diarrhoea, wound disruption, lower G.I bleeding, UTI, URTI and unspecified fever >48 hours were significantly lesser than group-A. Parents were satisfied with early enteral feeding in post-operative period. By this study early enteral feeding patients found to be more advantageous than the traditional feeding patients undergoing colostomy closure.

BackgroundThe cardinal area of managing fire wounds is guided by adequately evaluating the burn-induced lesion's profundity and size. Superficial second-degree burns are often treated through daily reinstating with fresh sterile bandaging with appropriate topical antimicrobials to allow rapid spontaneous epithelialization. Around the world, a wide variety of substances are used to treat these wounds, from honey to synthetic biological dressings. ObjectiveThis study intended to determine honey's therapeutic potential compared with 1% silver sulfadiazine (Ag-SD) in arsenal-caused contusion medicament fulfillment. MethodsA total of 70 cases were evaluated in this research work after fulfilling the required selection criteria during the study period of January 2014 to December 2014 and January 2017 to December 2017. Purposive selection criteria were adopted in the study to select research patients. The patients in Group-1 (n = 35) relied on honey as medication, while patients in Group-2 (n = 35) relied on 1% Ag-SD. ResultsIn Group-1, exudation (68.4%) and sloughing (82.9%) were substantially reduced by Days 3 and 5 of therapeutic intervention, respectively. However, in Group-2, a reduction of exudation (17.1%) and sloughing (22.9%) occurred after Days 3 and 5 of treatment, respectively. Completion of the epithelialization process was observed among Group-1 and Group-2 cases. It was detected after Days 7 and 10 of treatment at 36.3% and 77% (Group-1) and 27% and 67% (Group-2), respectively. Around 3 ml of 1% honey was required per body surface area per dressing in Group-1. On the other hand, in Group-2, 2 gm Ag-SD was needed per body surface area per dressing. ConclusionPatients treated with honey found better clinical outcomes in managing superficial partial-thickness burns.

Abstract:Lymphangiomas are benign hamartomatous lymphatic tumours characterized by multiple communicating lymphatic channels and cystic spaces. Cystic lyphangiomas may be seen anywhere in the body but are common in neck, axilla, mediastinum and groin. Treatment options are surgical resection, radiation, sclerotherapy etc but have got high recurrence rate and complications. In the present study we hypothesized that complete surgical resection along with keeping a drain for 2-3 wks, may reduce recurrence rate. This prospective study was performed from July 2008 to June 2013. Total 21 children treated during this period by the technique of complete surgical excision with keeping drain tube in situ for 2 to 3 weeks. Ultrasound performed in all patients, CT scan and Duplex study performed in some patients, histopathology done in all patients. Patients with intra-abdominal lymphangioma not included in this study. Twenty one patients were operated during the study period and average duration of keeping drain tube was 18.57 days. Among the 21 cases 2 (9.52%) patients developed mild infection, 1 (4.76%) patient developed infection with pus formation and 1 (4.76%) patient developed recurrence. Our success in the treatment warrants further verification of potential benefits of keeping drain tube in situ for 2-3 weeks after surgical excision of lymphangiomas.