The necessity of drains after thyroidectomy remains debated, especially for large goitres. Our random controlled trial, conducted in a high-volume endocrine surgery unit and specifically evaluating drainage after thyroidectomy for large (>6 cm) goitres, demonstrated that routine drain placement does not significantly reduce post-operative haematoma nor seroma formation in our setting.Trial RegistrationCTRI/2021/03/031992.
Melioidosis, caused by Burkholderia pseudomallei, is an under-recognised tropical infection that often produces visceral abscesses. Hepatosplenic involvement is less commonly described and can mimic pyogenic or tubercular disease and commonly affects patients with diabetes, alcohol use, or immuno-compromised conditions. We report a retrospective series of 10 culture-confirmed patients from a tertiary care centre in India presenting with liver or splenic abscesses diagnosed by imaging and culture. Treatment comprised intravenous meropenem or ceftazidime followed by oral trimethoprim-sulfamethoxazole. Close follow-up is essential to ensure eradication and reduce relapse.
Remote-access thyroidectomy techniques aim to address patient concerns regarding visible cervical scars but are often limited by cost, equipment, and learning curves. We describe a novel open technique thyroidectomy via an infraclavicular open scar-concealing approach that re-locates the incision to a clothing-concealed infraclavicular site while preserving the principles of conventional open thyroidectomy.
Hand, foot, and mouth disease (HFMD) is a common viral illness predominantly affecting children, but atypical presentations can occur, especially in areas of reduced resistance, such as burn scars. We present two cases with atypical HFMD lesions localised to a previously healed scald burn area, with classic lesions on the hands and feet. This unusual presentation highlights the role of immune dysregulation in healed burn scars, predisposing them to infection.
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