This rare malignancy affecting the viscera can be diagnosed only with high index of suspicion and awareness regarding its presentation can help surgeons deal with it.
Background: Thyroidectomy is a surgical procedure indicated as elective treatment for symptomatic thyroid swellings or neoplasms. Today most of the complications of thyroid surgery are related to either metabolic derangements or injury to the recurrent laryngeal nerve injury. Other complications include superior laryngeal nerve injury, infection, airway compromise, and bleeding. Hence, before any thyroid surgery patient must be precisely informed the possible complications and their remedies. The present study aims to evaluate post-operative complications after thyroid surgery.Methods: In a tertiary care hospital based longitudinal study patients presenting with clinically and sonographically diagnosed thyroid swelling who underwent surgical intervention were enrolled in the study. These patients were evaluated for thyroid profile test, fine needle aspiration cytology (FNAC), pre-operative and post-operative indirect laryngoscopy, serum calcium level and histopathology. Intra operative and post-operative assessment was done for bleeding, hematoma, and surgical site infection.Results: A total of 53 patients were enrolled. Thyroid swelling was more common in females (F: M =5.6:1) mostly presenting in 3rd and 4th decades with mean age of 38.1 years. Hemithyroidectomy was the most common procedure performed (63.6%) followed by total (27.3%) and near total thyroidectomies (5.5%). On histopathological examination most common finding was nodular goiter (49.1%) followed by multinodular goiter (28.3%), follicular adenoma (16.9%) and malignancies (5.7%). The post-operative complications after thyroidectomies were hypocalcemia (16.9%), recurrent laryngeal nerve (RLN) injury (5.7%), and surgical site infection (1.9%).Conclusions: Careful evaluation of post thyroidectomy complications will help in reducing these complications and patient’s safety.
Gall bladder injuries are seen in 2% of patients undergoing laparotomy for blunt trauma abdomen. Isolated gall bladder injury is a rare event with associated presence of stones is even rarer. The associated visceral injuries lead to intraoperative identification in most cases. Here we present a case of 30 years old male with isolated gall bladder laceration following blunt abdominal trauma. The diagnosis of gallbladder perforation after blunt injury may be suspected in patients with signs of an acute abdomen and hypotension that is not explained by blood loss. Early suspicion and prompt exploration is imperative. Cholecystectomy is an adequate treatment for the condition.
BACKGROUNDObjectives-Chronic rhinosinusitis is a chronic disease that involves long-term inflammation of nasal and paranasal sinus mucosa (Benninger et al 2003). It is extremely a common condition affecting about 15% population. The maxillary sinus is one of commonest sinus to affect. Aetiology of chronic maxillary sinusitis is either rhinogenous or dental origin as proposed. The evidence of chronic maxillary sinusitis in the population was 0.02% and dental cause was found in 40.6% of cases. Nowadays, we perform endoscopic sinus surgery to eradicate the pathology and widening of ostiomeatal complex, but there are so many hidden area of maxillary sinus which cannot be reached by ESS alone. To overcome these shortcomings, canine fossa puncture with endoscopic sinus surgery is a useful procedure to fully visualise maxillary antrum and to deal with pathology in it. So we have conducted this study in our Institution to see the impact of Canine Fossa Puncture (CFP) with clearance of the maxillary sinus during endoscopic sinus surgery in severely diseased maxillary sinus. Study Design -Retrospective.
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