Pseudoaneurysm of the internal maxillary artery is a rare occurrence. A well-organized pulsatile mass that develops after a traumatic event indicates a pseudoaneurysm. Such lesions are commonly misdiagnosed for an abscess or a hematoma. Pulsations and audible bruit are diagnostic features of an aneurysm. Rupture of such false aneurysms cause significant morbidity. Management is either surgical resection or embolization. Endovascular embolization is indicated in deep seated lesions or lesions with high morbidity. Though surgical resection is an invasive procedure, it is considered to be an alternative to embolization.
Aim: To present our experience with use of bipolar cautery in thyroid surgery.
Methods and materials:The study was done between August2011-August2013. Study included all patients undergoing thyroid surgeries for various benign and malignant conditions of thyroid. This study included all age group and both gender. Vascular pedicles were cauterized using conventional bipolar cautery without knot tying. Postoperative outcomes were analyzed. Results: Out of 108 cases, 41 male (37.96%), 67 female (62.04%) patients. M:F 1:1.6. 50(46.29%) cases were malignant and 58(53.70%) benign. Among carcinoma thyroid 56% are papillary, 30% follicular, 10% anaplastic and 4% medullary.52 (48.14%) cases undergone total thyroidectomy, 34(31.48%) lobectomy, 22(20.37%) total thyroidectomy with functional neck dissection. Mean operating time for lobectomy was 20min; total thyroidectomy 35min, total thyroidectomy with functional neck dissection was 90min. Postoperative complications were observed in 11(10.18%) cases. No case of severe bleeding which required re-exploration. 2 (1.85%) surgical site infections. 2(1.85%) cases of unilateral recurrent laryngeal nerve injuries have occurred. Hypoparathyroidism seen in 4(3.7%) cases; 3 transient, 1 permanent due to infiltration by anaplastic carcinoma. Conclusion: Use of conventional bipolar cautery is safe, effective and time saving in thyroid surgeries.
Introduction: Breast cancer is the most common cancer. One in 29 women in India develop breast cancer during their lifetime. Even though
surgery is denitive treatment, Neoadjuvant chemotherapy improves survival and facilitates local therapy. Given the immunosuppressive nature of
the drug, concern about increased risk of wound complications are always present. With this background we conducted a prospective observational
study of the incidence of wound complications in patients who received neoadjuvant chemotherapy and underwent surgery.
Method: Prospective observational study was done on the patients attending our Institute with history of breast lump and histologically proven
malignancy. Data was collected from patients after obtaining their consent. All wound complications were recorded and following results were
formulated.
Results: The study involved 52 patients.At the time of presentation, the average age was 48.17 +/- 10.25 years. Overall, 25% of patients had wound
complications, with wound infection accounting for 11.53 percent, seroma for 5.76 percent, and ap necrosis accounting for 13.46 percent. On
days 1, 5, and 8, the average drain output was 190.3mL, 57.8mL, and 9.7mL respectively. The total number of days spent in the hospital was 7.92 +/-
2.57 days. The incidence of complications were 50% when associated with comorbidities which was signicantly higher at p=0.04 when compared
to patients who had no comorbidities. When compared to other research, the rates of complications were similar.
Conclusion: We believe that adding Neoadjuvant chemotherapy to a patient's treatment plan does not enhance the likelihood of wound
complications.
Herniation of liver through a ventral hernia is a very rare condition. To date only four cases have been reported. Here we present a case of herniation of part of right lobe of liver through a defect due to previous colostomy in the anterior abdominal wall which has been treated successfully by anatomical repair.
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