Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2022
Case ReportsSalvage Intrapartum Splenectomy for the Treatment of Transfusion-refractory Anaemia in a ß-thalassemia Intermedia Patient.
Thalassemia intermedia (TI) patients may need a transfusion during physiological stress conditions, such as pregnancy. We present a case of a female TI patient with emerging transfusion-refractory anaemia during pregnancy, which resolved after splenectomy performed simultaneously with cesarean delivery. A 26-year pregnant woman at 29th gestational weeks was referred with a diagnosis of TI due to emerging anaemia which was refractory to transfusion. ⋯ Postoperative follow-up was uneventful. To the best of our knowledge, the present case is the first open splenectomy performed during cesarean delivery as a salvage option for the management of transfusion-refractory anaemia. Key Words: Thalassemia intermedia, Splenectomy, Pregnancy, Hemolytic anaemia.
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J Coll Physicians Surg Pak · Oct 2022
The Importance of Mapping Vagus and Laryngeal Nerves Monitoring During Thyroid Surgery.
To determine the location of thyroid-related nerves by nerve monitoring and demonstrate the usefulness of Nerve Integrity Monitor in thyroid surgery. ⋯ Laryngeal nerves, Nerve mapping, Nerve monitoring, Nervus vagus, Thyroid surgery, Zuckerkandl tubercles.
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J Coll Physicians Surg Pak · Oct 2022
Observational StudyEffect of Local Use of Rifampicin on the Development of Surgical Site Infection after Lumbar Microdiscectomy.
To investigate the effect of local use of rifampicin (RIF) on the development of postoperative surgical site infection (SSI) after lumbar microdiscectomy. ⋯ Infection, Lumbar microdiscectomy, Rifampicin, Local infection, Deep infection.
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J Coll Physicians Surg Pak · Oct 2022
Role of Ondansetron in Reducing Methotrexate Intolerance in Patients with Inflammatory Arthritis.
To determine the frequency of intolerance to Methotrexate (MTX) in patients with inflammatory arthritis by using MTX intolerance severity score, and evaluate the effects of Ondansetron in reducing MTX intolerance. ⋯ Rheumatoid arthritis, Methotrexate, Ondansetron, Nausea, Arthritis juvenile.