ABSTRACT
Sialolipoma of the parotid gland is very rare. We report a case of a 38-year-old woman who presented with a painless, slowly growing, mobile lump of the parotid gland. Computed tomography revealed lipoma of the superficial lobe of the parotid gland. Superficial parotidectomy was performed with uneventful postoperative course. The histology showed sialolipoma. Review of the 25 reported cases [including our case] of parotid sialolipoma shows that this tumor is more common in the fifth decade of life, on the left side and the superficial lobe. It has a slight preference for men. Its clinical presentation mimics the standard [pure] parotid lipoma and other more common benign parotid tumors particularly pleomorphic adenoma and Warthin's tumor. Surgical excision is curative with minor complications and small recurrence rate. Histological examination is necessary to establish the diagnosis and to exclude malignancy
ABSTRACT
Background: Surgery in patients with schistosomal liver disease is usually associated with high risks of morbidity and mortality. Bilateral paravertebral block [BPVB] has been advocated as a useful technique for ventral abdominal hernias' repairs
Aim of the study: To compare the efficacy of BPVB with general anesthesia [GA] for anterior abdominal wall hernias in advanced schistosomal liver disease patients
Patients and Methods: Sixty patients were randomly allocated into two groups to receive either GA or BPVB. Variables were hospital stay, hemodynamic stability, postoperative nausea and vomiting [PONY], postoperative pain measured on a visual analogue scale [VAS] with assessment of the hepatic cell integrity using glutathione S transferase alpha [GSTA] and other liver enzymes
Results: The main significant finding was an apparently significant shorter length of hospital stay following BPVB as compared with GA in patients [P < 0.005]
Conclusions: BPVB was superior to GA following abdominal ventral hernia repair in schistosomal liver fibrosis patients