background pain control in children is still a therapeutic dilemma. preschool patients are affected from undesirable effects of postoperative pain more than adults. tonsillectomy is associated with a high incidence of postoperative pain, not only complicating the recovery, but also delaying patients discharge. objectives despite employing different surgical and anesthetic strategies in post-ton...

Background: Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method: Randomized c...

OBJECTIVES To determine whether meta-analysis supports the use of corticosteroids to reduce post-tonsillectomy pain for pediatric patients. METHODS A systematic review of currently available randomized controlled trials using a single-dose, intravenous corticosteroid during pediatric tonsillectomy was performed. Visual analog pain scale (VAS) data was extracted with reviewers blinded to resul...

vaginal leiomyomas are uncommon benign tumour with variable clinical presentation. these tumours arise most commonly from anterior vaginal wall. we report a case of 50-year old postmenopausal woman who presented with urinary retention, profuse vaginal bleeding and mass protruding into vagina. local examination revealed a pedunculated mass attached to the posterior vaginal wall with vascular sta...

OBJECTIVES To find the effectiveness of hyaluronic acid in post-tonsillectomy pain relief and wound healing. METHODS Fifty patients were included in this prospective, double-blind, controlled clinical study (20 males, 30 females mean age of 13.56 years). Hyaluronic acid was applied to one side and the other side was used as a control during tonsillectomy. Therefore, the same patient evaluated...

Objective To assess posttonsillectomy hemorrhage (PTH), associated nonoperative readmissions/revisits, and reoperations in children. Data Sources MEDLINE, EMBASE, and the Cochrane Library. Review Methods Two investigators independently screened studies against predetermined criteria and extracted key data. Investigators independently assessed study risk of bias and the strength of the evidence ...

OBJECTIVE To determine the safety of daycare adeno-tonsillectomy in a tertiary care centre. METHOD A retrospective chart review of 207 patients who had undergone tonsillectomy and/or adenoidectomy as daycare procedure in Aga Khan University Hospital, Karachi, between January 2008 to March 2009 was done. Demographic data as well as complications requiring unplanned admissions were recorded. An...

We conducted a prospective, double-blind clinical trial to evaluate the differences in operating time, intraoperative blood loss, postoperative pain at 3 hours and 1 week, and delayed (>24 hr) bleeding associated with ultrasonic harmonic scalpel tonsillectomy and conventional tonsillectomy. The study was carried out on 28 patients with recurrent tonsillitis and/or adenotonsillar hypertrophy who...

Introduction Tonsillectomy is one of the most commonly performed surgical procedures worldwide, with major drawback significant post operative pain.There no consensus regarding topical application or local infiltration anesthetics operatively to reduce pain. The present study was evaluate effect bupivacaine in tonsillar fossae after tonsillectomy. Materials and Methods A double-blinded clinical...