Pancreatic pseudocysts persisting beyond six weeks needs decompression, specially when they are larger than 6cm and symptomatic. Cysto-gastrostomy is the treatment of choice. This may be done by open, laparoscopic or endoscopic methods. Endoscopic cystogastrostomy has the least morbidity. Ultrasound guided aspiration causes lesser morbidity but has a higher incidence of recurrence. We compare six patients with pseudocysts treated by aspiration and cystogastrostomy; open, laparoscopic and endoscopic.
Conclusion:Periodic review and formulation of antiobiotic policy are needed for control of acquisition of drug resistance. Further studies on better understanding of interaction of different virulence factors at molecular level are necessary as most urovirulent strain express multiple virulence factors simultaneously.
In normal people there are considerable inequalities of the ventilation and perfusion in the lung which can be further changed by position. Thus different V/Q mismatches will ultimately have an impact on arterial oxygenation. This study was designed to detect whether the lung functions are changed by adopting the patient's normal sleeping posture and the arm position during sleep.
A pancreatoduodenectomy involves the removal of a tumour of the peri ampullary region and head of the pancreas. It is a technically difficult procedure requiring experienced anaesthesia and surgical teams. We report the peri-operative management of a patient undergoing laparoscopic pancreaticoduodenectomy.
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