Incidental appendectomy with cholecystectomy

Opinions vary considerably among surgeons as to the advisability of incidental removal of the appendix during laparotomy for some other indications including cholecystectomy [Zbar et al., 1993], jejunoileal bypass for morbid obesity [Kelly, 1902], right inguinal herniorrhaphy [Ring-Morzik et al., 1993], cesarean section, hystrectomy, post partum tubal ligation [Wilson et al., 1973] and exploratory laparotomy. The frequent notation of abnormal pathologic findings in an apparently normal appendix support its elective removal [Lowery and Lenhardt, 1962]. 30% of these appendices had significant histopathological changes. The incidental removal of the appendix cause no increase in the incidence of wound infections in patients who underwent cholecystectomies [Arango et al., 1994]. If the patient in good general condition with an average surgeon, incidental appendectomy when tempered carefully appears to be innocuous favorable cases seems to be indicated

Dyslipidaemia in childhood nephrotic syndrome

There is substantial evidence that supports the importance of determination of the distribution of cholesterol [Chol.] in lipoproteins as well as the plasma total cholesterol and triglycerides [TG] concentrations in predicting the risk of atherosclerotic heart diseases. Abnormal lipid and lipoprotein patterns are common in patients suffering from nephrotic syndrome [NS]. Plasma lipids and lipoproteins were measured in 20 children with NS and 20 healthy children as controls. Serum total chol., TG., low-density lipoproteins [LDL] and apolipoprotein B. [apo. B] were all significantly elevated in patients than controls [P <0.001]. By constant, the high-density lipoproteins [HDL] were significantly lowered in nephrotics than controls [P <0.001]. These results suggested that children with NS may represent a risk group for the development of premature ischemic heart diseases. Long-term follow up investigations and studies are recommended in such patients to define the effect of their dyslipidaemia

Eosinophilic distribution pattern in nasal secretions of patients with nasal allergy [in children and adults]

The distribution of eosinophils within the nasal cavities in 20 patients with perennial allergic rhinitis was compared to 10 healthy control subjects by taking nasal smears from 3 sites in each side of the nose: middle and inferior turbinates and post nasal space. Serum IgE levels were estimated and those above 100 IU/ml were only chosen for comparison with the level of Eosinophilia. Smears were significantly correlated with the serum IgE. Post-nasal space has been proved statistically to be the site of choice [p > 0.001] for detection of representative sampling for more accurate eosinophil expression