Efficacy Of Intra-Articular Ketorolac And Lignocaine On Post-Operative Pain Relief After Arthroscopic Knee Surgery.

BACKGROUND: Arthroscopy of the knee is preferably done under spinal anaesthesia. The optimal analgesia for effective postoperative pain control is important to permit early discharge, comfort and mobility of the patient. Objective of the study is to assess the efficacy of ketorolac and lignocaine administered intra-articularly for postoperative pain following knee arthroscopic surgery. METHODS: A total of 133 patients were randomized into two groups with one group receiving intra-articular Ketorolac and the other group receiving intra-articular Lignocaine. Postoperative pain was then assessed using the Visual Analog Scale (VAS) at 4, 8, 12 and 24 hours after surgery. RESULTS: Both the groups had effective analgesia at 4 hours. The best analgesia was seen in the group that received Ketorolac Intra-articularly and it was found statistically significant. CONCLUSIONS: Administration of intra-articular Ketorolac injection is safe and effective way of achieving postoperative pain relief after arthroscopic knee surgery.

Left-Sided Appendicitis in a 14-Year Girl with Midgut Malrotation.

We present a case of 14-year girl with left-sided acute appendicitis who presented with lower abdominal pain. Midgut malrotation occurs at a rate of 1 in 500 live births. The condition is incidentally diagnosed during various radiological investigations done for other purposes. However, such patients may present with conditions like acute appendicitis, which poses a diagnostic dilemma if a high index of suspicion is not kept. The purpose of this case report is to increase awareness in the emergency physicians and young surgeons of this rare presentation; and the importance of radiological investigations in the diagnosis of left-sided appendicitis, to decrease morbidity and mortality.