Inguinal herniotomy is perhaps the most commonly performed elective surgical procedure, either alone or as the first stage of a herniorrhaphy. During this procedure the peritoneal cavity is breached, and this may give an opportunity to the surgeon to diagnose a concurrent intra-abdominal pathology. The following three cases were taken to the operating theatre for routine herniorrhaphy by the au...

There is paucity of literature regarding the anaesthetic management of patients with thalassaemia intermedia. In this case study, the anaesthetic management and concerns in two children with thalassaemia intermedia aged eleven and nine years undergoing herniotomy and splenectomy respectively is reported. Both children had unanticipated difficulty in airway management and high intraoperative blo...

A 3-month-old male child underwent uneventful inguinal herniotomy under general anesthesia. After extubation, airway obstruction followed by pulmonary edema appeared for which the baby was reintubated and ventilated. The baby made a complete recovery and extubated after about 2 h. A post-operative computed tomography scan revealed a posterior mediastinal cystic mass abutting the tracheal bifurc...

Objective: To compare the efficacy of intravenous paracetamol and rectal diclofenac combination with caudal block using 1ml/kg 0.25% bupivacaine in management post-operative pain following paediatric inguinal herniotomy. Methodology: This quasi-experimental study was conducted at Department Anesthesia, Holy Family Hospital, Rawalpindi, from February 2020 to August 2020. A total 342 children age...

The report describes the herniation of a huge migrated cervical disc, which was treated by a combined anterior approach. A 50-year-old man presented with radiculopathy and myelopathy. Radiological images revealed the herniation of a huge disc which had migrated superiorly from the C6-7 disc to the C5-6 disc. We tried to combine an anterior cervical discectomy and fusion (ACDF) and transcorporea...