On page 572, Anahita
Pandole et al from LTMG Hospital, describe a comparative study between
Tramadol and Pethidine as a form of labour analgesia, which is a hot topic
worth discussing with modern women, when they come for delivery. Their
study shows that Tramadol is superior to Pethidine.
Jignesh Kansaria and SV Parulekar, from Seth GS Medical College, on page
576, describe the role of lignocaine jelly application to alleviate vaginal
pain during first trimester MTP done under local anaesthesia.
Caesarean Section is being done more often than ever in private practice
now. On page 579, Meghana Joshi et al from LTM Medical College, describe
their .ndings to show whether Caesarean Section is justi.able for very
low birth weight preterm babies.
Meenesh R Juvekar from KJ Somaiya Medical College, on page 596, has reviewed
common ENT infections in India, though there are very few references to
support this data.
On page 613, Minakashi Jambhulkar et al from LTMG Hospital, report an
interesting case having obstruction of third part of duodenum due to tuberculous
lymphadenitis. After reading this article, it will be worth remembering
that in our country tuberculosis can present in any part of the body.
Hansen's disease should be treated vigorously because results are very
satisfying. On page 616, Shukla and Dalal from BYL Nair Hospital, report
a case of pregnancy in a patient of Hansen's disease.
Imperforate Anus should be looked for in every newborn baby. On page 618,
Jamma and Ganpule from VM Medical College, Solapur, report a case of imperforate
anus with recto vaginal stula in a 16 year old female.
Though CT cerebral angiography can on occasion miss the diagnosis of subarachnoid
haemorrhage, at other times it can be so useful that conventional angiography
is not required. The article 'CT Cerebral Angiography-Utility as a Screening
Tool in Patients with SAH' by Bhatt et al from LTMG Hospital, on page
620 proves the point. Here they detected multiple intracranial aneurysms
as the cause of subarachnoid haemorrhage.
Finally, patients having foreign bodies in the rectum, vagina and penis
have been described before, but Punam Satpute et al from LTMG Hospital,
on page 630 describe a case, where they recovered a linear foreign body
from a paediatric vagina and describe how to remove such a foreign body
without damaging the hymen.