Laparoscopic removal of urachal sinus.

Disorders of urachal origin are rarely encountered in adults. Traditional treatment consists of a classic laparotomy and total excision of the urachal structure. We report a case of laparoscopic urachal sinus removal that was performed synchronously with laparoscopic cholecystectomy and ovarian cyst excision.

The treatment of gynaecological and intra-abdominal infections: a comparative study of cefotetan versus netilmicin plus clindamycin.

In a prospective randomised study 60 patients with gynaecological or intra-abdominal infections were given either 2g iv every 12 hours of cefotetan or a combination of netilmicin (150mg iv every 12 hours) and clindamycin (600mg iv every 8 hours). The clinical condition of nearly half the patients (26 of 60) was characterized as serious and surgical manipulation and drainage were performed in 57 of the 60 patients. The clinical response was similar in both groups with 21 of 29 patients in the cefotetan group and 29 of 33 patients in the netilmicin plus clindamycin group.

The superior laryngeal nerve in thyroidectomy.

In a clinical prospective study, three cases of superior laryngeal nerve injury were detected after 54 classical high ligations of the superior thyroid artery. On the contrary no injury of the nerve was noted in 227 cases in which the technique of separate ligation of the superior thyroid artery's branches was used. Voice changes secondary to thyroid gland operations, without injury to the recurrent laryngeal nerve, are commonly attributed to laryngeal trauma or tracheitis.