Diaphragmatic injuries after blunt or penetrating abdominal trauma

Traumatic diaphragmatic injuries are consequently associated in severely injured patients. It may result from blunt or open injury and it is commonly found on the left side of the diaphragm. Missing such injury when the patient is first seen is due to either delayed rupture or delayed detection. This study was done on 20 patients with blunt or peneterating diaphragmatic injuries seen at Al Azhar University Hospital and Al Azahraa Medical Center in Saudi Arabia, aiming that we can identify the pit falls in diagnosis and management. On exploration the diaphragm should be inspected, palpated and if there is diaphragmatic defect it should be immediately repaired with unabsorbable suture

Post-operative deep vein thrombosis: a comparison between spinal and general anesthesia

One hundred patients undergoing prostatectomy or surgical correction of fractured neck of femur, received either subarachnoid blockade [SAB] or general anesthesia [GA]. Post operative deep vein thrombosis [DVT], assessed by venography was found to be 6% in SAP group, which was significantly lower than the 18% incidence in group GA. Intra- operative blood loss was significantly lower in SAP group. Spinal anaesthesia offers a considerable advantage over general anesthesia in addition to other appropriate thromboprophylactic measures, in patients undergoing operations associated with a high risk of thrombolytic complications