ABSTRACT
To compare the effect of preservative free lidocaine 1% anterior chamber irrigation [intracameral] with topical anesthesia, continuous retro-bulbar anesthesia and standard retro-bulbar anesthesia in cataract surgery. 81 patients were subject to cataract extraction, with or without glaucoma surgery. Patients underwent full systemic and ocular examination prior to surgery. Blood analysis, liver and kidney function were also done. The first group included 25 eyes and were operated with preservative free lidocajne 1% anterior chamber irrigation [intracameral] after Benoxinate topical anesthesia. The second group included 22 eyes and were operated with continuous retro-bulbar anesthesia using retro-bulbar cannula. The third group included 34 eyes and were operated with standard retro-bulbar anesthesia. Patients in the first group experienced minimal discomfort and good tolerance to microscope light. Patients in the second group experienced some distress by the continuous touch of the retro-bulbar cannula, which was mal-directed in a few cases. Patients in the third group experienced some anxiety and pain with prolongation of surgical time. Preservative free lidocaine 1% anterior chamber irrigation after topical anesthesia seems to be an excellent method comparable to the standard retro-bulbar anesthesia in anterior segment ocular surgery. Continuous retro-bulbar anesthesia offers pain free post-operative period especially required for qat withdrawal effect
Subject(s)
Humans , Male , Female , Anterior Chamber/drug effects , Lidocaine , Anesthesia, Conduction/methods , Cataract Extraction , Comparative Study , Treatment OutcomeABSTRACT
Neoplasms of the chest wall are not uncommon. Majority of the tumours occurring in the chest wall are benign. The tumours may arise from the soft tissues,connective tissues or bone. Metastatic tumours can arise as a result of direct infiltration or haematogenous spread. The management of these tumours is challenging. Resection of the chest wall with or without the excision of ribs, require reconstruction not only for aesthetic reasons but also for providing the stability to the chest wall which is of prime importance in maintaining the respiratory functions. In this article, 46 cases of the primary malignant chest wall tumours seen over a period of 5 years are reviewed.