Non-operative management of splenic injuries in adults: clinico-radiological criteria of failure

This study was carried out on 45 patients treated conservatively and underwent abdominal CT for grading of splenic injuries. Patients were followed clinically for criteria of failure of conservative management. Twenty-nine patients had been operated upon due to failure of non-operative management [group A], whereas it was successful in the remaining 16 [group B]. In group A, CT grading for splenic injury was grade m or higher and patients needed more than one unit of blood transfusion for resuscitation; while in group B, CT grading was grade II or less and patients needed one unit of blood or less for resuscitation. The correlation between CT and operative grading of splenic injuries was identical in 82.7% of the cases

Role of intraoperative ultrasonography and color flow imaging as a neuronavigation tool during oeprative neurosurgical procedures in developing countries

The aim of this study was to assess the value of the use of intra- operative ultrasonography [IOUS] and color flow imaging [CFI] as a cheap simple neuronavigation tool during operative neurosurgical procedures. IOUS coupled with CFI was used during operative neurosurgical procedures performed for 23 patients. Both IOUS and CFI were useful during all the 23 neurosurgical procedures. They helped to define the site of all lesions to avoid unnecessary resection or manipulation to healthy neural tissues away from the lesion and to evaluate the extent of lesion removal. They showed the need to increase the extent of resection in three sub-cortical lesions. IOUS and CFI were useful adjunctive tools during operative neurosurgical procedures. They did not significantly increase the operative interference time and gave valuable operative data, such as the site of lesions and the extent of their resection and localization of the site of insertion of VP shunt and depth EEG electrodes