Tonsillectomy is one of the most common surgical procedure performed world wide by the ENT Surgeons.Various methods of tonsillectomy have been practiced over the century aimed at reducing or eliminating intraoperative and postoperative morbidity. Coblation tonsillectomy is a recently introduced surgical technique. Tonsillectomy over blunt dissection tonsillectomy in respect of operative time, intraoperative blood loss, postoperative pain, rate of healing of tonsillar fossa and  other postoperative complications. This prospective randomized study was done at Maleka Nursing  Home, Bogra and Bangladesh ENT Hospital, Dhaka for 36 months from 1st January 2008 to 31December 2010. 200 children were divided into two groups of equal number. In one group, the tonsillectomy performed by Coblation method and in the other group the tonsillectomy Age ranged from 3-12 years with mean age 5.6 in coblation group and 4-14 years with mean age 7.2 in dissection group. Number of male patients were slightly more than female with male female ratio was 3:2 in coblation group and 3.7:2 in dissection group. Operative time and amount of blood loss is significantly reduced in the coblation group (10-25 min, mean 12 min in coblation group, 18-35 min, mean 25 min in dissection group. Tonsillectomy by using coblation have shown less intraoperative bleeding (5ml-100 ml, mean 15 ml compared with 50-230 ml, mean 65 ml in dissection method).During post operative follow-up on day 8, children of coblation group experienced mild to moderate  pain with maximum pain on day 2 and no pain on day 8. On the other hand dissection group  experienced moderate to severe pain with maximum pain on day 4 and little or no pain on day 8.Children of coblation group returned to normal diet on day 3 and children of dissection group on  day 8.On 8th post operative day, coblation group showed smooth healing without any granulation tissue in tonsillar fossa whereas granulation tissue is observed in dissection group. No major complications were noted in any group except one secondary haemorrhage in dissection group. Coblation tonsillectectomy offers less operative time, minimum blood loss, less post operative pain,early return to normal diet and rapid healing of tonsillar fossa. DOI: http://dx.doi.org/10.3329/akmmcj.v4i1.13681 AKMMC J 2013: 4(1): 25-29

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Objective: This study aimed to compare the efficacy of diode laser and coblation tonsillectomy in paediatric patients in relation to operative time, amount of blood loss, post operative pain, healing of tonsillar fossa and returns to normal diet. Methods: A total of 200 patients ,100 for coblaton and 100 for diode laser, aged 3-12 years with recurrent tonsillitis with or without snoring and sleep apnoea were recruited. Participants were prospectively randomised to diode laser and coblation tonsillectomy. Operative time and blood loss were recorded. Pain was recorded by VAS or assessed by using analgesic. Results: The operative time were recorded 07-15 minutes,mean 10 minutes in coblation group and 12-20 minutes ,mean 14 minutes in laser group., Blood loss was recorded 0-15 ml mean 8 ml in coblation group and 10-25 ml mean 13.5 ml in diode laser group . However, at post-operative day seven, the diode laser tonsillectomy group had significantly higher pain scores compared with coblationtonsillectomy groups.Coblation group started normal soft diet on day 5 whereas diode laser started on day 8 Conclusion: Coblation tonsillectomy is associated with less operative time and blood loss, early returns to normal diet and less pain score in comparison to Diode laser tonsillectomy Bangladesh J Otorhinolaryngol; October 2017; 23(2): 140-145

The term 'acute abdomen' is widely used but poorly defined. Essentially it represents a rapid onset of severe symptoms that may indicate a life threatening intra-abdominal pathology. This observational study was carried out at Combined Military Hospital (CMH) Ghatail (n=87) and CMH Momenshahi (n=63) from June 2006 to June 2007. A total of 150 patients admitted in the surgery ward clinically diagnosed as acute abdomen were studied. The goal of evaluating the patient with acute abdominal pain was to establish an early, efficient, and accurate diagnosis. When evaluating a patient with acute abdominal pain, the most important elements in making an accurate early diagnosis were the patient's history and physical examination. Acute abdominal pain was more common in the age group 21 to 30 years (50%) with female predominance (72.67%). Some patients presented without any associated symptoms other than abdominal pain, other presented with vomiting and fever in addition to abdominal pain. Sixty two (41.33%) patients had no positive findings in laboratory investigation; radiology and ultrasonography. Most of them did not require any surgical intervention. Large fraction of cases (40%) was diagnosed as non specific abdominal pain. Maximum patients (59.33%) responded with conservative management and 40.67% patient required operative treatment. Key words: Acute abdomen, conservative management, non specific pain abdomen. DOI: 10.3329/jafmc.v5i2.4582 JAFMC Bangladesh Vol.5(2) (December) 2009, pp.36-39

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