RESUMO
Tubercular splenic abscess is an uncommon entity. It has been reported in association with immunodeficiency states. Tubercular splenic abscess in an immunocompetent patient is extremely rare. A 24 year old female who had already received a complete course of anti-tubercular therapy (ATT) for pulmonary tuberculosis was diagnosed as having tubercular splenic abscess. She was successfully managed by performing splenectomy. Operative findings and histopathological examinations confirmed the diagnosis.
Assuntos
Abscesso Abdominal/diagnóstico , Feminino , Humanos , Hospedeiro Imunocomprometido , Índia , Esplenectomia , Tomografia Computadorizada por Raios X , Tuberculose Esplênica/diagnósticoRESUMO
Male sterilisation is less popular because of fear of loss of virility and loss of physical strength. No scalpel vasectomy is a surgical attempt to reduce complications and thereby allays the fear in the minds of the couples. Despite the introduction of the advanced technique the acceptance of male sterilisation has not gone up. Though with aggressive IEC compaign has failed to produce the desired result, but a camp based approach was successfully adopted in some states of India. Technique of no scalpel vasectomy has been summarised in the article with diagrams. Some postoperative instructions should be given to the client after discharge. No scalpel vasectomy is the gold standard for vasectomy today. Training is mandatory for experienced surgeons. Government of India funds and supports both the training and service activity.
Assuntos
Guias como Assunto , Humanos , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Período Pós-Operatório , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação , Vasectomia/instrumentaçãoRESUMO
Twenty high risk children aged 5-12 years with various voiding problems were studied prospectively by urodynamics to evaluate the function of their urinary bladder and its continence mechanism. None of them had neuropathic bladder or any obstruction distal to bladder neck. Fourteen out of twenty (70%) had abnormal findings on urodynamics evaluation; 8 (40%) had non-neurogenic neurogenic bladder (NNNB); 3 (15%) had small capacity hypertonic bladder (SCHB); 2 (10%) had atonic bladder (AB) and 1 (5%) had hyperreflexic bladder (HB). We conclude that urodynamic abnormalities are as frequent in high risk Indian children as they are in developed countries. The high risk children should be subjected to urodynamic studies more frequently than being done hitherto and be directed to proper therapeutic modality.