iosr-JDMS   Volume-9 ~ Issue-4

Abstract: Armored tubes are an integral part of the anaesthesiologist's arsenal of equipments. Its special quality to resist kinking makes it an extremely useful device for use in neurosurgical procedures where extreme positioning is needed. But incidences of tube kinking have been reported.Immediate diagnosis and management is essential in avoiding lethality. We describe a similar incidence of armored tube kinking and its successful management without re-intubation. We highlight the fact that just the use of armored tubes is not a fool-proof way of a secure and patent airway, extreme precaution has to be taken in patient positioning and vigilance throughout the procedure.

Keywords: Armored tube, Flexometallic tube, Kinking, Neurosurgery.

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Abstract: Aim and objectives: To evaluate simple manoeuvres and techniques to control catastrophic bleeding from major abdomino-pelvic major vessels. Material and methods: This study was conducted between 2003 to 2013. A total of 15 cases were considered in this study. Patients had iatrogenic injuries during dissection or were diagnosed during operation, as sudden gush of profuse bleeding started in trauma patients. Simple indigenous techniques and manoeuvres are discussed to save life of patients, when operating room is not ready to deal with such surprising catastrophic events. Results: Bleeding was controlled effectively in all patients. All patients required ventilator and inotropic supports. We had one mortality. Remaining 14 patients did well and discharge on 13-18 days postoperatively. Conclusion: Simple manoeuvres and techniques to control catastrophic bleeding from major abdomino- pelvic major vessels are effective in emergency situations.

Keywords: Major vascular injuries, Abdomino-pelvic surgery, IVC injury, Aorta injury, Portal vein injury

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Abstract: Adenoma malignum is a rare variant of cervical adenocarcinoma. A woman of 26 years with complains of profuse mucoid discharge per vaginum on speculum examination per vaginum showed multiple cauliflowers like growth hanging within the introitus. Punch biopsy gave a report of endocervical glandular polyp with squamous metaplasia. On excision, the mass was found to arise from the cervix and external Os was separately identified. On histopathological examination the final diagnosis was adenoma malignum. Adenoma malignum of the uterine cervix is difficult to diagnose because of the deceptively benign appearance. To make a correct diagnosis, it is necessary to find a characteristic pathological feature such as multiple irregular lobulations of distorted glands demonstrating a ''hair-pin'' shape. Despite the presence of well-differentiated histopathological features, the prognosis of adenoma malignum is known to be poor because of early dissemination into the peritoneal cavity and early distant metastasis.

Key word: Adenoma malignum (AM)

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Abstract: Non surgical therapy remains the cornerstone of periodontal treatment. Clinical trials are still needed to objectively evaluate adjunctive periodontal therapy. Frequent re-evaluation and careful monitoring allows the practitioner the opportunity to intervene early in the diseased state, to reverse or arrest the progression of periodontal disease with meticulous non-surgical anti-infective therapy. Keywords: Host modualation, Periodontal therapy, Lasers.

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