The terms 'osteomyelitis of the temporal bone', 'skull base osteomyelitis' and 'malignant otitis externa' have not been clearly defined, and have in the past often been used interchangeably in the literature. Osteomyelitis of the temporal bone can occur secondary to malignant otitis externa, acute otitis media, chronic suppurative otitis media or trauma. Here, we present the management of an advanced case of osteomyelitis of the temporal bone.
BACKGROUNDWorld over success of laparoscopic surgery has mirrored the success of laparoscopic cholecystectomy and it usually is the first surgical operation performed by a surgeon laparoscopically. Though regarded as safe, the anatomical variations in biliary tree and lack of experience to 3-dimensional view sometimes lead to unforeseen complications. MATERIALS AND METHODSThis case series study was conducted to analyse the overall incidence of various complications of laparoscopic surgery in a mixed setup of senior and junior surgeons in the Department of Surgery in a tertiary care institute of Punjab, India. RESULTSA total number of 327 patients undergoing laparoscopic cholecystectomy were studied in the period from January 2008 to June 2009. Females outnumbered males in this study. The complication rate varied from 5.78% in patients with a diagnosis of cholelithiasis to 13.16% in patients undergoing cholecystectomy for acute cholecystitis. Complications were found to be higher in males and in age group of 60 -69 years. The rate of intraoperative and postoperative complications is 4.59% and 2.1% respectively. CONCLUSIONProper preoperative assessment and pre-anaesthetic assessment can be helpful in prevention of laparoscopic complications. Whenever necessary, the conversion to open should not be delayed.
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