RESUMEN
Total gut irrigation (TGI) is a safe method of bowel preparation in children. Many solutions are used but none is ideal. This study has been done to compare household common salt solution prepared by dissolving 10 g of pure NaCl salt (Active Reagent Quality) in 1 l of tap water, polyethylene glycol with electrolytes (PEG) and ringers lactate for TGI in children. We prospectively evaluated the three solutions in terms of efficacy, safety, rapidity, tolerability and cost effectiveness in patients undergoing a variety of colorectal procedures. Patients (126) were randomly assigned into one of the three groups; Group I, household common salt solution, 40; Group II, Peglec, 55; Group III, Ringer lactate, 31. TGI with PEG is the most rapid method of bowel preparation but is least tolerable. Household common salt solution is inexpensive and most tolerable of the three preparations. All three are similar in safety and effectiveness in bowel preparation. Household common salt solution is effective, safe, cost effective and the most tolerable method of bowel preparation.
Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo , Soluciones Isotónicas , Polietilenglicoles , Cuidados Preoperatorios , Cloruro de Sodio , Irrigación Terapéutica/métodos , Análisis de Varianza , Preescolar , Electrólitos , Humanos , Lactante , Soluciones Isotónicas/efectos adversos , Polietilenglicoles/efectos adversos , Complicaciones Posoperatorias , Lactato de Ringer , Cloruro de Sodio/efectos adversos , Irrigación Terapéutica/efectos adversosRESUMEN
UNLABELLED: Aim/Purpuse: To evaluate our experience of 19 patients of lymphangioma who were treated by intralesional Bleomycin. MATERIALS AND METHODS: Nineteen patients of lymphangioma aged between 16 days to 11 years were managed in the department. The male-female ratio was of 2:1. Commonest sites were in the neck (58%) followed by axilla (21%). The patients were treated by intralesional bleomycin injection. Bleomycin was given at a dose not exceeding 0.5 unit/kg/dose at interval of 2 weeks. Reduction in size of the mass was noted in between 2 weeks to 16 weeks and number of injections required for each patient varied from 1 to 6. Follow up ranged from 1- 7 Year. RESULT: In injection group, significant reduction of mass was noted in 84% (n=l6) and 57% (n=11) of them showed complete disappearance. No serious complications were noted in any patient. CONCLUSION: Our experience showed that Bleomycin in aqueous solution is a good sclcrosing agent in the management of lymphangioma.