Tonsillectomy under local anesthesia: is it safe, feasible and practicable?

Background: Tonsillectomy is one of the most common ENT surgeries

Objective: The study was done to evaluate the feasibility of tonsillectomy under local anesthesia

Subjects and Methods: A total number of 80 consecutive patients whose tonsillectomy was performed under local anesthesia with systemic analgesic injections were included in this cross- sectional study. Peroperative difficulties and problems were noted. Similarly in post-operative period, the rate of complications was noted to conclude upon the feasibility of tonsillectomy under local anaesthesia

Results: A total of 80 patients were included in this study, with 36 females. Following complications were noted, Trismus [5%], difficult dissection [10%], primary hemorrhage [3.7%], reactionary hemorrhage [2.5%] and throat pain [10%]

Conclusion: We concluded that the procedure is safe, feasible and practicable but should be done with certain precautionsi

Management of oesophageal foreign bodies

The aim of the study was to evaluate the management of foreign bodies in the oesophagus and to determine the association with socioeconomic status. This cross-sectional analytical study was carried out in the Department of Ear, Nose and Throat and head and neck surgery of Bahawal Victoria Hospital affiliated with Quaid-i-Azam Medical College, Bahawalpur, Pakistan, between December 2012 and May 2013. The medical records of 34 consecutive cases of foreign body ingestion were searched, and the data were recorded on a questionnaire prepared for this purpose. The average age of the patients was 10.38 years; 29 cases [85.2%] were in children under 12 years. There were 18 females [52.9%] and 16 males [47.1%]. Thirty patients [88%] presented with a history of dysphagia, and 25 [73.6%] had vomiting. The site of impaction was the post-cricoid region in 22 patients [66%], the lower oesophagus in 5 [15%], the mid-oesophagus in 4 [13%], the posterior pharyngeal wall in 1 [3%] and the pyriform fossa in 1 patient [3%]. Coins were the most common foreign body [61.8%]. Socioeconomic analysis showed that 18 patients [52.9%] were in the low socioeconomic class, 12 [35.3%] in the middle class and 4 [11.8%] in the upper class. The presence of a foreign body in the oesophagus is a serious condition, and early removal is recommended. Foreign body lodgement is commoner among poor families

Different clinical presentations of breast cancer: an overview of 100 patients

To describe different modes of presentation of carcinoma breast in patients presenting at Bahawal Victoria Hospital Bahawalpur. It was a descriptive case series study, conducted in surgical units, Bahawal Victoria Hospital Bahawalpur. The duration of study was from January 2009 to December 2009. 100 female patients of proven carcinoma breast with informed consent were included in this study. All the data was collected on pre designed proforma and results were analyzed using SPSS 10,0 version, The commonest age group developing carcinoma breast was 31-50 years [59%]. Seventy six patients came from rural areas of Bahawalpur and nearby districts. Eighteen patients completed 10 years of schooling while only 5 patients were post-graduate. Twelve patients [12%] were un-married, Total 81% patients presented with lump in the breast. Left breast was involved in 56% of cases and right in 43% cases, One patient had bilateral carcinoma of breast. The duration of illness was ranged from 1 month to 5 years. The commonly observed stage of presentation was Stage III with 46 cases and 16 patients presented in stage IV. Infiltrating ductal carcinoma was the most common histological type 87% cases proved on histology to be infiltrating ductal carcinoma, Breast cancer is very common in the females, when diagnosed at an earlier stage have a more favorable prognosis compared to those at late stage. The females try to hide this problem and present at more advance stage