Laparoscopic assisted pancreatico-duodenectomy – Temperature variations.

We have evaluated the incidence of hypothermia during laparoscopic assisted pancreatico duodenectomy in twenty patients. The intravenous infusions, irrigation fluid and CO2 insufflated were not warmed and we lack facilities for patient warming. A mean drop of 1.9 c during laparoscopy over five hours and mean drop of 0.8 0C during the open phase were observed. Therefore warming the infusion and irrigation fluids and warming the patient are recommended to reduce the degree of temperature drop.

Lung resection for extensive lung injury causing severe hemorrhage.

We have presented here a case of a twenty three year old male who successfully recovered of a massive right lung injury by rapid transport, insertion of inter costal drain, emergency thoracotomy for resection of upper and middle lobes and post operative intensive care.

Minimal access esophagectomy: Review of technique.

Minimal access esophagectomy reduces the Post-operative morbidity associated with open procedure. We presented our technique which includes using double lung ventilation and a capnothorax to collapse the lung and using an adopted prone position for thoracoscopic mobilization.

Management of a patient with a bile leak from hepatico-jejunostomy performed for bile duct injury.

Bile leak is a known complication following hepatico-jejunostomy performed for bile duct injury. We presented a case history where a leak was successfully managed with an open abdomen which allowed sepsis to settle and facilitate natural healing.

Estudo botânico, fitoquímico e fisico-químico de Euphorbia hirta L. (Euphorbiaceae) / Botanical, phytochemical and physicochemical study of Euphorbia hirta L. (Euphorbiaceae)

Euphorbia hirta L., popularmente conhecida por erva andorinha, tem sido utilizada no tratamento de distúrbios respiratórios e como antiespasmódico. Esse trabalho foi realizado com a finalidade de determinar as características macroscópicas e microscópicas das folhas, caule e raiz dessa planta, uma vez que estas são as partes usadas popularmente. Algumas características de valor na sua diagnose foram apontadas e ilustradas por fotomicrografias. Reações de fitoquímica e a determinação do conteúdo de água e de cinzas foram realizadas no pó obtido da planta inteira, parte essa utilizada na fitoterapia Ayuverda. Na prospecção fitoquímica foram encontrados flavonóides, mucilagem, resinas e cumarinas. Na determinação do teor de água, de cinzas totais e de cinzas insolúveis em ácido, os valores encontrados foram 8,99%, 9,35%, 0,75%, respectivamente. Com o desenvolvimento deste trabalho foi possível obter parâmetros para o controle de qualidade das folhas, caule e raízes de E. hirta.

The Euphorbia hirta L. has been used in the treatment of respiratory disorders and as an antispasmodic. This work was carried out to determine the macroscopic and microscopic characteristics of the leaves, stems and roots of this plant, as these parts are commonly used. Some features of value in their diagnosis were identified and illustrated by photomicrographs. Phytochemical reactions and determination of water and ash contents were carried out in the powder obtained from the whole plant, the part used in Ayurveda phytomedicine. In phytochemical screening, we found flavonoids, mucilage, resins and coumarins. The values of water content, total ashes and acid insoluble ashes were 8.99%, 9.35%, 0.75%, respectively. The data obtained are important for the quality control of the leaves, stems and roots of E. hirta.