RESUMO
CASE: A 59-year-old woman with a history of left knee pain exacerbated by lymphatic filariasis underwent successful total knee replacement (TKR) for advanced osteoarthritis. Postoperatively, diligent adherence to compression bandaging, physiotherapy, and lymphatic flow promotion resulted in no lymphedema progression. During the 5-year follow-up, the patient showed improved Knee injury and Osteoarthritis Outcome Score and stable implant. CONCLUSIONS: Currently, there are no established protocols or formulated guidelines for TKR in patients with chronic filariasis. The preoperative lymphedema prevention must be tailor-made for each patient in the context of advanced osteoarthritis based on the functional lymphatic vessel status.
Assuntos
Artroplastia do Joelho , Filariose Linfática , Humanos , Feminino , Pessoa de Meia-Idade , Filariose Linfática/cirurgia , Filariose Linfática/complicações , Osteoartrite do Joelho/cirurgia , Osteoartrite do Joelho/complicações , Doença CrônicaRESUMO
Continuous ambulatory peritoneal dialysis is a new modality of treatment for end stage renal disease. Although this procedure is largely underutilised in India, in Manipur this procedure is routinely offered to patients of end stage renal disease. Continuous ambulatory peritoneal dialysis catheter implantation was started in Manipur in May, 2001. Till now continuous ambulatory peritoneal dialysis catheter has been implanted in 116 cases. Out of this 3 patients had associated inguinal hernia. Inguinal hernia is a relative contra-indication for continuous ambulatory peritoneal dialysis. Still the inguinal hernia was repaired in the same sitting with the catheter implantation. The procedure is described along with the outcome.
Assuntos
Cateteres de Demora , Hérnia Inguinal/cirurgia , Falência Renal Crônica/terapia , Diálise Peritoneal Ambulatorial Contínua , Idoso de 80 Anos ou mais , Hérnia Inguinal/complicações , Humanos , Falência Renal Crônica/complicações , Masculino , Fatores de TempoRESUMO
A 35 years old lady presented with fever, biliary colic, mild jaundice, indigestion and flatulence. The upper abdominal ultrasonography revealed cholecystitis with sludge and a round worm in the common bile duct. Laparoscopic cholecystectomy and exploration of the bile duct for the removal of round worm was performed. The post-operative period was uneventful and the patient was discharged fit on the 4th post-operative day.
