For chronic fissure in ano, surgical excision and suture has been practised with surprisingly good results. A stay suture is inserted at the proximal and distal extremities of the fissure which is made prominent by tension on each stay. The fissure is then easily excised with the subjacent portion of the subcutaneous external sphincter. Two or three figure-of-eight sutures of fine nylon are pla...

Pleural infection is a disease of historical importance and is still a modern menace, with incidences rising in adults and children, and a significant mortality in adults. Basic research is hampered by limitations with in vivo models, and the bacteriology of empyema is complex. The role of thoracic ultrasound in guiding investigation and drainage of empyema is clear. Prompt treatment with appro...

We compared the outcome of children with empyema managed either through thoracotomy with pleural debridment, conventional stiff chest drain, or pigtail chest drain. Compared to conventional drain, children who received either thoracotomy or pigtail catheters had a significantly decreased period of drain in situ, were afebrile earlier, were clinically improved earlier, and were discharged earlier.

Department of Biochemistry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand Division of Cardiology, Department of Medicine, Faculty of Medicine, Chulalongkorn Univers...

For chronic fissure in ano, surgical excision and suture has been practised with surprisingly good results. A stay suture is inserted at the proximal and distal extremities of the fissure which is made prominent by tension on each stay. The fissure is then easily excised with the subjacent portion of the subcutaneous external sphincter. Two or three figure-of-eight sutures of fine nylon are pla...

BACKGROUND Pneumonia, a common childhood infection in Nigerian children with a number of debilitating complications such as empyema thoracis, has been linked to vitamin D deficiency due to its ability to modulate the T lymphocyte of the immune system . OBJECTIVE To determine the relationship between vitamin D and outcome of pneumonia in children. METHODS This was a case-control study involv...