Kathmandu University medical journal (KUMJ)
-
Kathmandu Univ Med J (KUMJ) · Jul 2005
Randomized Controlled TrialAnalgesia after inguinal herniotomy in children: combination of simplified (Single Puncture) ilioinguinal and iliohypogastric nerve blocks and wound infiltration vs. caudal block with 0.25% bupivacaine.
To assess whether simplified ilioinguinal and iliohypogastric nerve block in combination with minimal wound infiltration with local anaesthetic is better than caudal block with local anaesthetic alone in children undergoing inguinal herniotomy for easy transition to safe oral analgesia. ⋯ Simplified ilioinguinal and iliohypogastric nerve blocks described by Dalens in combination with small volume local anaesthetic wound infiltration with its longer mean duration of analgesia offers better safety margin to start oral analgesics than caudal block with local anaesthetic alone in children undergoing herniotomy. Larger studies may further confirm the findings.
-
Kathmandu Univ Med J (KUMJ) · Jul 2005
Case ReportsAncient cystic pelvic schwannoma presenting as a right iliac fossa mass.
Schwannoma is rare in pelvis. Ancient schwannoma is rarer histological subtype of schwannoma. ⋯ The tumour was resected completely with marked clinical improvement. Histopathological examination showed Ancient cystic schwannoma.
-
Kathmandu Univ Med J (KUMJ) · Jul 2005
Case ReportsBilateral simultaneous total knee replacement under combined spinal epidural anaesthesia.
This is a case report of 68 yrs old lady who underwent simultaneous both knee joint replacement for chronic and advanced osteoarthritis. The case was performed solely under combined spinal and epidural anaesthesia (CSE). CSE is a neuroaxial block performed for different types of lower limb and abdominal surgeries.