Pawan Tiwari

Preference of Small or Large Surgical Incision for Laparotomy in a Rural Teaching Institution in North India

Thirty participants of SGT University Budhera, Gurgaon (Haryana) India including anesthesiologists, surgeons and paramedical staff were surveyed by giving a structured questionnaire regarding their preference for small or large surgical incision for laparotomy and for finding reasons for their preference for a particular incision. Most participants were in favor of small surgical incision. The most common reason for their preference was better cosmetic results.

THE SPECTRUM OF CERVICAL LYMPHADENOPATHY IN CHILDREN: A STUDY IN RURAL NORTH INDIA

INTRODUCTION: Cervical lymphadenopathy (CLA) is a frequently encountered problem in clinical practice in paediatrics patients. Lymphadenopathy is the disease that causes abnormality in size and consistency of lymph nodes. AIM: To determine the causes of persistent lymphadenopathy in children and to test a diagnostic approach in its management. METHODS: This study was performed at our institute, over two year period amongst children between ages of 1-15 years with persistent lymph node enlargement of >1 cm in diameter and >2 weeks duration. RESULTS: 38(76%) had unilateral cervical lymph node enlargement, while in 12 children (24%) the pathology was bilateral. We found that in 24 children (48%) the lymph nodes regressed in size over 2 weeks’ time and in 12 children, (24%) they regressed in 4 weeks’ time as proved by ultrasonography examination. Fever was the commonest systemic manifestation in these children (72%). CONCLUSION: Reactive lymphadenitis is the commonest cause of cervical lymph node enlargement in children. Majority of lymph nodes regress in 4 weeks’ time. Persisting lymph nodes more than 4 weeks warrant histological examination. Tuberculosis is a common cause of cervical lymphadenopathy among Indian patients.

ANAESTHESIA, IN NON-THEATRE ENVIRONMENT: SAFETY CONSIDERATION

DEFINITION OF A NON-THEATRE ENVIRONMENT: Non-theatre environment, where anaesthesiologists may be required to administer anaesthesia or sedation outside the operating theatres, include: Radiology department e.g. cardiac angiography, interventional radiology, CT scan, MRI Endoscopy clinic The dental clinic The burns unit Psychiatric unit for electroconvulsive therapy Renal unit for lithotripsy The gynaecology department for in vitro fertilisation. Radiotherapy and Chemotherapy unit.