Comparison between dissection and bipolar diathermy method tonsillectomy

To compare dissection method and diathermy method tonsillectomy in terms of intraoperative mean blood loss, time taken for surgery and frequency of post operative bleeding. It was a grass experimental study carried out at Liaquat National Hospital, Karachi from January 2004 to January 2005. Patients of ages between 5 years and 25 years were selected from the out patient department. Sampling technique was convenient sampling. Sample was of 100 patient. First 50 patients were selected for dissection method [Group A] and the last 50 patients for bipolar method tonsillectomy [Group B]. Data collection procedure was interview and observational facts. Data was analyzed by using SPSSS version 10. For mean comparison, student's test was used. Significance of the test was taken at p<0.05. The difference in result between dissection method tonsillectomy and diathermy method tonsillectomy was statistically significant [P<0.001] in terms of intraoperative blood loss and time taken for surgery. Regarding postoperative hemorrhage, the difference between diathermy and ligation was insignificant. Tonsillectomy with bipolar diathermy was a better and safer technique as compared to ligation method especially in terms of intraoperative blood loss and time taken for surgery. The frequency of postoperative bleeding was similar in both methods

Fractured tracheostomy tube in the tracheo-bronchial tract: a rare occurrence. Case report

We report a very rare occurrence of fracture of a metallic tracheostomy tube that lodged in the tracheo-bronchial tract of our male patient and caused him a great deal of distress, anxiety with minimal of respiratory embarrassment, if any. The tracheostomy was done earlier as the patient presented in the emergency department with stridor and was found to have a supraglottic growth! After the emergency tracheostomy, admission was offered with subsequent direct laryngoscopy and biopsy he was discharged with a metallic bivalve tracheostomy tube in place to return with the histopathology report but he never returned becoming a treatment defaulter only to present with the broken tracheostomy tube in the airway, later

Cystic hygroma: an unusual presentation in adult

We report a case of a 22 years old male patient suffering from cystic hygroma [CH] probably post-traumatic in origin. He presented with an asymptomatic, cosmetically disfiguring and a painless swelling involving the right side of the neck