Background: Excisional haemorrhoidectomy engenders considerable pain and has popularly been managed as an in-patient procedure. There has been anxiety over a major complication occurring in the community instead of in the hospital which is still pervasive in the developing world despite evidence to the contrary. Aim: It compared the post operative complications, time to bowel action, and post-o...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

BACKGROUND 400 cases undergoing surgery for cataract under local anaesthesia were studied. Peribulbar anaesthesia involves injecting a mixture of 2% lignocaine, bupivicaine 0.5% and hyaluronidase into the peripheral space of the orbit through a single infero-lateral point. Sodium bicarbonate has been shown to reduce the time of onset of anaesthesia and pain perception when mixed with local anae...

General anaesthesia is usually recommended for the most painful part of long-term transvenous pacemaker implantation, viz., the pulling subcutaneously of the end of the electrode from the neck incision to the site of pacemaker implantaition. The ability to perform this step, and therefore the whole procedure, under local anaesthesia is an advantage. We descrilbe a simple, inexpensive device whi...

Epidural anaesthetics are another group of drugs implicated in causing arachnoiditis. Vandermeulen ( [i] ) includes arachnoiditis as a "mishap"... "solely due to ... epidural anaesthesia". Haisa et al ( [ii] ) state that lumbar adhesive arachnoiditis should be considered for differential diagnosis of back and leg pain after epidural anaesthesia. Furthermore, epidural anaesth...

OBJECTIVE The aim of this study was to describe the successful operative management of a patient with superior semicircular canal dehiscence syndrome, using the transmastoid approach under local anaesthesia. METHODS The transmastoid approach was used to plug the superior semicircular canal. RESULTS Post-operatively, the patient experienced significant improvement in his symptoms of sound- a...

The appendix is an under-appreciated source of chronic pelvic pain. Laparoscopic evaluation of the appendix is limited without intra-operative patient feedback on the presence and absence of pain. New techniques using local anaesthesia with conscious sedation have enabled us to perform operative laparoscopic surgery while the patient is awake. We report the first two cases of microlaparoscopic ...

BACKGROUND Several local anaesthetic techniques are available for cataract surgery. Recently, topical anaesthesia has gained in popularity. A randomized trial was designed to compare patient discomfort and intraoperative complications following routine cataract surgery under topical or sub-Tenon's anaesthesia. METHODS A randomized double-blinded placebo-controlled clinical trial of 210 patien...

on the cadaver and practical demonstrations. The first two chapters deal with the local anaesthetic drugs used, the types of local anaesthesia, the advantages and disadvantages of local anaesthesia, the preparation of the patient, instruments, and of the solution. Separate chapters describe the various methods in the head, neck, thorax, abdomen, subperitoneal organs, upper extremities and lower...