Total thyroidectomy; frequency of hypocalcemia after total thyroidectomy

Objective: To find out frequency of hypocalcemia after total thyroidectomy

Study design: Descriptive study

Methods: 60 patients undergoing total thyroidectomy for multinodular goiter from January 2010 to December 2010. Evaluation of results was done by analyzining the data in SPSS V-17

Results: In 60 patients undergoing total throidectomy, only one patient [1.67%] developed permanent hypocalcemia and 11 patients [18.3%] developed transient hypocalcemia

Conclusions: Total thyroidectomy can safely be performed in patients with multinodular goiter with very low risk of permanent hypocalcemia

Laparoscopic cholecystectomy in cirrhotic patients

It was conducted to evaluate laparoscopic cholecystectomy in cirrhotics in terms of procedural safety and better outcome with decreased morbidity. A retrospective, multicenteric study. Surgical Unit-III and IV DHQ Faisalabad. Jan 2000 to Dec 2009. 2610 patients undergoing laparoscopic cholecystectomy from January 2000 to December 2009 for cholecystitis and symptomatic gallstone disease. 61 of the patients being cirrhotics falling in child's class A and B. Evaluation of results was done by analyzing the data in SPSS V-17. Of the 2610 patients who underwent laparoscopic cholecystectomy, 61[2.3%] were cirrhotic. Of these 61, 47[77%] belonged to Childs group A and 14[23%] were group B. Hepatitis C was the major cause of cirrhosis [72%]. Morbidity in cirrhotics was 11.4% in the form of ascities leakage [57%] and port site infection [43%]. Mean hospital stay was 2 +/- 1 days and the mean operative time as 60 +/- 20 minutes in cirrhotics. Laparoscopic cholecystectomy offers a better post op recovery and decreased morbidity in Childs group A and B cirrhotics as it does in non cirrhotic patients

Veress needle related complications in laparoscopic surgery: our experience

A retrospective analytical, multicenteric study conducted to evaluate closed technique for creating pneumoperitoneum in terms of procedural safety. 5244-patients undergoing laparoscopic surgery from January 2001 to December 2009 for different indications in which pneumoperitoneum was created using closed technique by veress needle. Evaluation of results was done by analyzining the data in SPSS V-17. Only 31 [0.6%] patients developed complications like small bowel injury [0.04%], liver injury [0.02%],omental vascular injury [0.13%], omental emphysema [0.19%] and extra peritoneal emphysema [0.2%] while using the closed method for primary access. Only one patient required major intervention while all the rest were managed by simple measure laparoscopically. Closed technique using veress needle for creating pneumoperitoneum is as safe as Hasson's technique and no method has advantage over the other