Post turbinectomy hemorrhage - a study of 50 cases

The aim of the study is to know clearly about the major complications of a commonly performed nasal operation i.e. partial inferior turbinectomy. The current study is a randomized control trial and retrospective research work regarding 50 cases that underwent partial inferior turbinectomy and its major complication i.e., hemorrhage. The said operation is performed to open up the nasal cavities that were previously blocked due to the hypertrophied inferior turbinates. The study was conducted in ENT Unit II, Mayo Hospital, Lahore. The patients were randomly selected belonging to all age groups and to both sexes and to rural and urban areas. They got admitted in the wards. Base line investigations were done for all the patients e.g. HBs-Ag, Anti HCV, HIV, Bleeding Time, Clotting Time, Blood and Urine C/E. The patients were made fit for general anesthesia. Other investigations such as X- rays paranasal sinuses and CT scan were done to look for associated disease processes in the neighborhood. The occurrence of bleeding is divided into per operative, primary just after the surgery, reactionary during pack period and at the time of removal of nasal packs and secondary when the patients are sent home and got post operative infections. With careful surgical interference, effective nasal packing, gradual removal of packs and regular suction clearance in postoperative follow up, only one patient created nuisance and needed readmission and revised nasal packing and blood transfusion. 5 cases [10%] got noticeable per operative bleeding, while one patient [2%] got primary bleeding, 3 cases [6%] got reactionary, while one patient [2%] got secondary bleeding. The conclusion drawn from the study is that although the operation of partial inferior turbinectomy gives immediate relief regarding nasal obstruction but it has the hazards of hemorrhage

Cervical spine tuberculosis

We present a case that showed extensive tuberculous cervical, first thoracic and fifth lumbar vertebrae involvement. The involvement was non-contiguous with relative sparing of the inter-vertebral discs and involvement of posterior element. Diagnosis was made on histology. Patient received anti-tuberculosis treatment and showed remarkable response

Role of hydrocarbons in non-neoplastic renal disease

The term hydrocarbon refers to any aliphatic, alicyclic, aromatic, halogenated hydrocarbons [carbon tetrachloride, chloroform], glycols [ethylene glycol, diethylene glycol, dioxane, glycerol] and organic solvents. Hydrocarbons commonly find their use as solvents in the industrial manufacturing practices because of their lipid solubility. Hydrocarbons have long been known to be neurotoxicants, affecting both peripheral and central nervous systems. Although benzene and its derivative have a known association with uroepithelial tumours there is now a considerable body of evidence suggesting a possible role for hydrocarbon exposure in the development of non-neoplastic renal diseases. This article presents an epidemiological case for such an association and critically reviews the literature

How to insert a temporary peritoneal dialysis cannula

Acute peritoneal dialysis may be used in the treatment of acute renal failure in the absence of facilities for haemodialysis or haemofiltration. It is a relatively simple technique, its mechanical success depends vitally on the care devoted to all aspects of the procedure. The procedure described has evolved over many years of clinical application in the Liverpool Regional Renal Unit and has been found satisfactory to meet most eventualities