iosr-JDMS   Volume-13 ~ Issue-11 ~ November-2014

Abstract: The anastomoses between radial and ulnar arteries in the palm play a significant role in diseases of the palm through collateral circulation. During routine dissection of the upper limb of a 45-year-old male cadaver, we observed the superficial palmar arch (SPA) formed exclusively by the superficial branch of the ulnar artery. The superficial palmar branch of the radial artery entered the hand above the thenar muscles and provided palmar digital branches to the radial side of the index finger and the ulnar side of the thumb, without any contribution to the SPA. However, the radial side of the thumb was supplied by a branch from the deep palmar arch. The superficial branch of the ulnar artery gave origin to three common palmar digital arteries to supply the contiguous sides of the index, middle, ring and little fingers. It also provided origin to a digital branch to the ulnar side of the little finger.

Keywords: Radial artery, Superficial palmar arch, Ulnar artery

[1]. Willams PL, Bannister LG, Berry MM. Gray's Anatomy. 38th ed. New York: Churchill Livingstone; 2000. p. 1544.

[2]. Moore KL, Dalley AF. Clinically Oriented Anatomy. 10th ed. Philadelphia: Lippincott, Williams and Wilkins; 1999. p. 751.

[3]. Coleman SS, Anson BJ. Arterial patterns in the hand based upon a study of 650 specimens. Surg Gynecol Obstet. 1961; 113:409–24.

[4]. Ikeda A, Ugawa A, Kazihara Y, Hamada N. Arterial patterns in the hand based on a three-dimensional analysis of 220 cadaver hands. J Hand Surg Am. 1988;13:501–9.

Abstract: Background: different methods like clipping, ligation and cauterization were used to control the cystic artery during laparoscopic cholecystectomy, each of them has its own advantages and disadvantages in this prospective study we focused on the use of monopolar diathermy to control the cystic artery. Patient and methods: prospective study of 142 case of laparoscopic cholecystectomy due to gall stones non of them was complicated, done by 2 surgeons in Al-Imamain Al-Kadhumien medical city basically we tried to control the cystic artery by monopolar diathermy of its small branches adjacent to the wall of gall bladder without need to dissection of calot's triangle to control the main cystic artery. Results :the cystic artery (all varieties)and its branches was found in calot's triangle , effective control of the artery by the cautery alone was possible in 103 cases while classical clipping needed in 39 cases. Conclusion :careful use of diathermy is a safe and efficient method to control the cystic artery during laparoscopic cholecystectomy.

Key words: laparoscopic cholecystectomy , monopolar diathermy .

[1]. Hu¨ scher CG, Lirici MM, Di Paola M, Crafa F, Napolitano C,Mereu A, Recher A, Corradi A, Amini M. Laparoscopic cholecystectomy by ultrasonic dissection without cystic duct and artery ligature. SurgEndosc 2003; 17:442–451.
[2]. Bessa SS, Al-Fayoumi TA, Katri KM, Awad AT. Clip less laparoscopic cholecystectomy by ultrasonic dissection. JLaparo endosc AdvSurg Tech a 2008; 18:593–598.
[3]. Kandil T, El Nakeeb A, El Hefnawy E. Comparative study between clip less laparoscopic cholecystectomy by harmonic scalpel versus conventional method: A prospective randomized study. J Gastro intest Surg 2010; 14:323–328.
[4]. Lichten JB, Reid JJ, Zahalsky MP, Friedman RL .Laparoscopic cholecystectomy in the new millennium.SurgEndosc2001; 15:867–872.
[5]. Grace PA, Quereshi A, Coleman J, Keane R, McEntee G, BroeP, Osborne H, Bouchier-Hayes D. Reduced post operative hospitalization after laparoscopic cholecystectomy. Br J Surg1991; 78:160–162.

Abstract: OBJECTIVE: In this study, we aimed to evaluate maternal & foetal outcome in cases of pre-labour rupture of membranes. STUDY DESIGN: This was a prospective study of 200 cases of pre-labour rupture of membranes coming to the Dept. of Obst & Gynae, SMS Medical College, Jaipur METHOD: The cases included were singleton pregnancies with gestational age of 28 weeks or more with spontaneous rupture of membranes. Cases with severe PIH / Eclampsia / severe anemia, with any medical disorder and absolute indication of LSCS were excluded from study. Mother observed for maternal morbidity i.e. PPH, retained placenta, puerperal pyrexia, subinvolution of uterus, wound infection, phlebitis& endometritis

Keywords: Maternal, Morbidity, PROM, Puerperal pyrexia, Vaginal swab.

[1]. Gunn G.G., Mischell Morton: "PROM A review", AM. J. Obstet. Gynaecol 1970; 106:409.
[2]. Duff P. Premature rupture of membranes at term. N Eng. J Med. 1996; 334:1053.
[3]. Honnah ME, Ohlsson A, Farine D, Hewson SA, Hodnett ED, MyGr TL et. al. Induction of labour with expectant management of PROM at term. N Eng. J. Med. 1996; 334: 1005-10.
[4]. Pandey Swati, DavaAnupama, Bandi S. "Maternal and Foetal Outcome in cases of PROM". J. of Obstet. and Gynaecol India 2000; 50: 63.
[5]. Vermillion ST, SoperDE,Chasedunn-Roark J. Neonatal sepsis after betamethasone administration to patients with preterm premature rupture of membranes. Am J Obstet Gynecol 1999; 181: 320-327.

Abstract: Lateral end clavicle fractures in children are relatively rare which due to the displacement are often considered for surgical management Distal third fractures with posterior displacement which entraps trapezius often requires open reduction to realign the fragment by removing the interposed soft tissue .We report an injury in a 7 years old child after fall on to outstretched hand which resulted in posteriorly displaced and rotated distal third junction clavicle fracture with trapezius interposition. Considering the age, and significant deformity ,open reduction without internal fixation was done under general anaesthesia.

Keywords: lateral end clavicle , trapezius

[1]. Sarwark JF, King EC, Luhmann SJ. Proximal humerus, scapula and clavicle. In:Rockwood Jr CA, Wilkins KE, editors. Fractures in children. 6th ed., Philadelphia:Lippincott, Williams & Wilkins; 2006. p. 724–8.
[2]. M Itokazu, M Yoshida, Y Itoh, M Hukuta, K Kikuike.Trapezius interposition of a distal third clavicular fracture in a child: A case report.Journal of Orthopaedic Surgery 2001, 9(1): 67–69
[3]. Havranek P. Injuries of distal clavicular physis in children. J Pediatr Orthop
[4]. 1989;(9):213–5.