Early release of tourniquet in total knee arthroplasty: Is it worthwhile?

Objective: To compare the effects of duration and timing of tourniquet release on perioperative blood loss, transfusion requirement, duration of surgery, length of hospital stay and early complications in total knee arthroplastywith and without additional anti-fibrinolytic therapy.

Methods: The prospective quasi-experimental study was conducted at the Combined Military Hospital, Rawalpindi, from March to August 2014. The patients undergoing total knee arthroplasty were divided into two groups: in Group A tourniquet was released after closure of surgical wound and applying compressive dressing; and in Group-B tourniquet was deflated after cementation of implants following which closure was done.

Preventing the preventable: role of transamine in total knee arthroplasty.

Objective: To assess the efficacy and safety of perioperative intravenous Tranexamic Acid in reducing blood loss and transfusion requirements in patients undergoing Total Knee Arthroplasty.

Methods: The prospectivedouble-blind randomised control trial was conducted from March to July 2014 at the Combined Military Hospital, Rawalpindi, and comprised patients below 85 years of age undergoing unilateral or bilateral cemented Total Knee Arthroplasty. The patients were divided into control or Transaminegroups.

Clinical and cyto-histopathological evaluation of skin lesions with special reference to bullous lesions.

Aim: Cytopathology of skin has been documented to be useful in the diagnosis of several skin lesions. This study aims to evaluate cytopathology as a quick non-invasive method for early diagnosis of bullous lesions, neoplastic and preneoplastic skin lesions and to correlate the clinical, cytological and histopathological findings of various skin lesions.

Materials And Methods: Eighty five patients of skin lesions were included in the study.

Paramedian technique of spinal anesthesia in elderly patients for hip fracture surgery.

The objective of this study was to observe the success rate, difficulties and complications during the technique of spinal anesthesia through para median approach in elderly frail patients with spinal abnormalities, for femur fracture surgery. Case series study was performed at Pakistan Naval Shifa Hospital, Karachi, Pakistan from August 2002 to July 2003, after approval from Scientific Research Council of the Hospital and consent of the patients. Forty elderly patients with spinal abnormalities, ASA II, age 88+/- 8 years, weight 68.