Fistulae in ano following anorectal abscesses

This study was carried out to determine whether primary fistulotomy should be performed at the time of incision and drainage of anorectal abscesses and what% age of patients would develop fistula-in-ano or recurrent abscess. The record of 77 patients was reviewed who underwent incision and drainage of anorectal abscesses. Out of 77 patients, thirteen [16%] developed recurrent abscesses and 26 [34%] developed persistent fistulain-ano, with combined recurrence rate of 51%. This supports the policy of fistulotomy in the second sitting especially to prevent any complications and also of the fact that 59% would not need it

Total Thyroidectomy: a study of 58 cases

Fifty eight total thyroidectomies were performed from October 1994 to April 1996 using capsular dissection technique. Fifty five operations were carried out for benign and 3 for malignant disease. None of the patients developed recurrent laryngeal nerve damage or permanent hypocalcaemia. This paper addresses total thyroidectomy with reference to the risk of postoperative complications which in the past were considered major deterrents for not performing this percedure for benign diseases