Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina
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Comparative Study
Postoperative pain in open vs. laparoscopic cholecystectomy with and without local application of anaesthetic.
To evaluate the intensity of postoperative pain and benefits of laparoscopic cholecystectomy compared to open cholecystectomy especially after anaesthetic infiltration of surgical incision. ⋯ Laparoscopic cholecystectomy should be preferred over open cholecystectomy with respect to the intensity of postoperative pain, particularly after the application of local anaesthetic.
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Acute intermittent porphyria (AIP) is a rare autosomal dominant disorder of heme biosynthesis in liver due to deficiency of porphobilinogen deaminase enzyme. Clinically, AIP is dominated by a colicky type pain, which does not subside after taking usual analgesics. ⋯ This paper reported a case of a twenty-five- year-old female patient, who had undergone a period of six days between the first presentation to the medical department and the diagnosis confirmation. It has accentuated possible mistakes in symptomatic therapy administration as well as dangers of a delayed diagnosis.
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The transversus abdominis plane (TAP) block is a new technique for providing analgesia to the anterior abdominal wall. There is ongoing debate regarding access point for TAP block. The aim of this cadaveric study was to compare the spread of 40 mL of dye using three different approaches to TAP: subcostal , via the mid-axillary and via the lumbar triangle of Petit (LTOP). ⋯ This dye injection study in a cadaver model indicates that subcostal approach is associated with a larger area of spread of dye than the mid-axillary approach. Dye injected through subcostal, mid-axillary and LTOP approaches demonstrated different nerve involvement.