I am very happy that Dr. MM Begani, Dr. Naresh Row and Dr. Niranjan Agarwal have come out with a special issue on day care surgery for the second time. They have put in a lot of efforts and hard work. I wish them all success on the eve of their conference on Day Care Surgery.
UC Bannuar et al from Newham University, London, on page 247, present their experience on US-guided fine needle aspiration cytological analysis of thyroid lesions. Their conclusion is that US-guided fine needle aspiration cytology is a safe and less expensive outpatient procedure with a high diagnostic yield and accuracy with wide dynamic range in acquiring the samples and it obviates the need for core needle sampling/excision biopsy for majority of the thyroid lesions. In fact, this simple test, which can be conducted so easily, has markedly improved the diagnosis of thyroid lesions.
PP Shroff et al, from Seth GS Medical College and KEM Hospital, on page 251, describe the anaesthetic management of parathyroidectomy, which is based on a 15 year experience. Surgical procedures involving the parathyroid glands pose special problems to the anaesthesiologist. Careful attention to control of hypercalcaemia, perioperative rehydration, and evaluation of renal functions are mandatory. Intraoperative management is usually uncomplicated. All these years, this surgery was being done by many-a-surgeons without proper anaesthetic backup, but in future they can make use of these latest anaesthetic advances.
RR Joshi and S Rao, from BJ Wadia Hospital for Children, on page 257, report the results of their study on precocious puberty in children treated with medroxyprogesterone acetate. They conclude that MPA helps in arresting secondary sexual characters in most patients and controlling menstrual bleeding and is a suitable alternative to GnRH analogues, where cost matters.
MB Tayade et al from Grant Medical College and Sir JJ Group of Hospitals, on page 263, describe their observation on a comparative study of collagen sheet cover versus 1% silver sulphadiazine in partial thickness burns. Their conclusion is that collagen sheet is a better mode of treatment for superficial wounds, provided it is applied early before contamination. It is beneficial to the patient in terms of comfort from pain, early healing and decreased hospital stay.
SB Rao et al from LTMM College and LTMG Hospital, on page 268, relate a prospective cross sectional study on impact of baby friendly hospitals on the knowledge, attitude and practice of breast - feeding. Their study shows that most mothers did follow the modern concept of lactation management. These reassuring trends may be attributed to the outcome of regular training on breast-feeding imparted to medical and paramedical personnel.
V Singh et al from PGIMS, Rohtak, Haryana, on page 273, describe their experience on red cell G6PD levels in patients of chronic myeloid leukaemia before and after chemotherapy. In their study they have shown that red cell G6PD levels can act as prognostic indicator in patients of CML and help in predicting the response to chemotherapy.
We need more and more studies to improve anaesthesia during surgery. RG Bakhshi and M Sarkar from Seth GS Medical College, on page 277, in trying to assess the airways, present a comparative study of bedside screening tests as predictors of difficult intubation. They have shown that SMD had highest sensitivity, TMD had highest specificity; however, SMD strongly correlated for patients with difficult intubation.
A Bhosale et al from LTMM College and LTMG Hospital, on page 283, present their statistics on the mortality rate in patients having hepatotropic viral infection pregnancy. The result showed that HEV alone was responsible for 52% of the mortality, when the overall maternal mortality was 59.2%.
SB Rao et al from LTMM College and LTMG Hospital, on page 286, describe their results in tuberculosis in pregnancy and the impact of directly observed therapy-short course (DOTS). Their results showing that DOTS has emerged as one of the most reassuring tool to improve the challenging situation of pregnancy with TB, are very encouraging.
VR Wabale et al, from Grant Medical College and Sir JJ Group of Hospitals, on page 290, show that out of 257 stool samples of patient with a clinical diagnosis of cholera and gastroenteritis, 11.67% yielded growth of vibrio cholerae. Such cases are missed in private practice because most of the practitioners use modern antibiotics to which all these patients always respond, especially, when their hydration is being looked after much better in modern days.
AS Gupta et al, from Seth GS Medical College, on page 340, report, possibly the first case in world literature, where a full thickness parasitic piece of the sigmoid colon attached to an ovarian tumor was removed surgically. It survived as it received its blood supply from the adjacent ovary.
SS Dubashi and RJ Wani from TNMC Nair Hospital, on page 342, describe a very interesting case report of a bicornuate uterus with primary infertility conception.
JP Choudhari et al from Godrej Memorial Hospital, on page 344, describe the 16th case in world literature of a patient having glenoid neck fracture with an unusual fracture pattern of glenoid bone, and its management.
On page 347, HK Chaudhari and A Gupta from Seth GS Medical College and KEM Hospital describe an unusual case of chronic pain in abdomen having two perforations in upper segment of the uterus at anterior wall and fundus in which omentum was trapped.
Finally, S Moorthy et al, on page 349, from TNMC and BYL Nair Hospital, describe a very rare and interesting case of Non-syndromic Alagille’s syndrome, which is extremely rare in paediatric practice.
OP Kapoor |
