A 47-year-old man underwent colonoscopy due to chronic diarrhea. A polypectomy of three polyps of less than 7mm in the sigmoid was performed without complications. Shortly after the procedure, the patient complained of pain in the right iliac fossa, which was increasing in intensity. Examination of the patient revealed peritoneal irritation, leukocytosis, and elevation of C-reactive protein. Du...

One hundred traumatic skin wounds were sutured under topical anaesthesia using a solution of lignocaine, adrenaline, and cocaine, and the effectiveness of the anaesthesia produced was assessed on a behavioural scale. The procedure was tolerated well by 63 patients, poorly by 11, and in 26 the response was uncertain. The response correlated well with age and with the field of anaesthesia measure...

STUDY OBJECTIVE We have previously described a prospective, randomized, multicenter, clinical trial comparing the hair apposition technique, a new technique of treating scalp lacerations with tissue adhesives, with standard suturing. We found the hair apposition technique to be a better technique for closing suitable scalp lacerations. In this study, we aim to compare the cost-effectiveness of ...

Ulnar nerve transposition at the elbow is recommended to diminish nerve gaps during neurorrhaphy. We undertook a cadaver study to determine the gap distance that can be overcome by subcutaneous transposition at the elbow, evaluating lacerations 2.0 cm distal to the medial epicondyle and 2.0 cm proximal to the wrist crease. With a 100-g load on each nerve stump, gaps that could be overcome were ...

Background: Lacerations are a common presenting complaint in the acute care setting. Current guidelines recommend the use of sterile technique for the exploration and closure of these wounds in order to reduce the risk of subsequent infection. Research in other medical specialties has cast doubt on the effectiveness of sterile gloves in lowering infection rates for uncomplicated procedures. The...

In a retrospective study, one hundred corneosclerallaceration (CSL) cases were managed at Zahedan Ophthalmic Center from 1988-1990. Our findings showed that CSL is more commonly seen in young and male patients. Seasonal variation in CSL frequency with higher prevalence in the fust half of the years was evident. Also it was found that cataract was more common in corneal lacerations while hyp...

Aim: To compare mean per operative pain and mean operative time of steri strip vs suture closure of facial lacerations. Methods: A total of 190 children of either sex between 05-12 years of age with laceration less than 12 hours old and Laceration less than 3cm in length were included in the study from Trauma Centre Combined Military Hospital Rawalpindi during 2014 while the children with lacer...

External fixation combined with colostomy is a traditional management of the pelvic fractures associated with perineal lacerations. However, malunion and dysfunction caused by malreduction and loss of reduction are common. One-stage definitive fixation without soft tissue harassment is requisite for the treatment. The purpose of this study was to assess the outcome of 1-stage definitive fixatio...

OBJECTIVE To compare the anaesthetic properties of conventional intradermal 1% plain lignocaine with a topical gel preparation of adrenaline (1:2000) and cocaine (4.7%) for use in treatment of children's lacerations. METHODS Children aged 3-16 years with lacerations (not of the digits or mucous membranes) were consecutively assigned to receive either adrenaline and cocaine (AC) or lignocaine....

A series of 36 Black and Coloured patients, presenting during a 1-year period with life-endangering intrathoracic trauma secondary to assault, is presented. Penetrating wounds of the heart were documented in 32 of these patients, 6 of whom died almost immediately after having been brought into the Resuscitation Unit of Tygerberg Hospital, Parowvallei, CP. The remaining 26 patients had clinical ...