SONOGRAPHICALLY GUIDED TRANSVAGINAL NEEDLE ASPIRATION AND DRAINAGE FOR TREATMENT OF POSTOPERATIVE COMPLICATIONS IN GYNECOLOGY

Background: Peritonsillar abscess is the most common complication of acute tonsillitis.Methods: A retrospective review was conducted to identify the cause, microbiology, management and outcomes of the peritonsillar abscess. Over a period of 4 years from September 2014 to September 2018, patients presenting with peritonsillar abscess to the Department of ENT, SMVMCH, Puducherry, who underwent wide bore needle aspiration at least once were included in this study. 45 patients were included in the study. Exclusion criteria were retropharyngeal and parapharyngeal abscess. Results: Among 45 patients, 18 were males and 27 were females. Two patients presented with bilateral peritonsillar abscess. 40 patients responded well with initial wide bore needle aspiration and IV antibiotics, with no postoperative complications. 5 patients needed incision and drainage under local anaesthesia.Conclusions: Wide bore needle aspiration is easy and cheap, less invasive, effective method of management in emergency situations of peritonsillar abscess. Early wide bore needle aspiration and iv antibiotics will prevent complications and reduce the need for incision and drainage.

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Ultrastructural diagnosis of plasmacytoma on a fine-needle aspirate

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100084818 ◽

1991 ◽

Vol 49 ◽

pp. 102-103

Author(s):

S. Siew ◽

W. deMendonca-Calaca

Keyword(s):

Mononuclear Cells ◽

Fibrous Tissue ◽

Needle Aspiration ◽

Focal Lesions ◽

Diffuse Infiltration ◽

Fine Needle ◽

Cytoplasmic Vacuolation ◽

Chest Mass ◽

Mitotic Figures ◽

Microscopy Examination

A 36 year old man presented with a mass in the chest and multiple “hot” focal lesions were identified on bone scan. Fine needle aspiration was performed of the chest mass. Routine histology showed the presence of some bundles of dense fibrous tissue and a diffuse infiltration of mononuclear cells, which varied in size and nucleo-cytoplasmic ratio. The smaller cells had eccentric hyperchromatic nuclei. Nucleoli were noted in the larger cells. There was well marked cytoplasmic vacuolation of some of the cells. Mitosis was present. A small fragment of tissue was received for electron microscopy. Examination of 1 μm sections showed trabeculae of medium-large polygonal cells with eccentric nuclei and occasional nucleoli. Some irregularly shaped cells had well marked cytoplasmic vacuolation. Mitotic figures were present.

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Aspiration cytology and transmission electron microscopy (TEM): A novel tissue-collection technique with useful diagnostic applications

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100110751 ◽

1984 ◽

Vol 42 ◽

pp. 90-93

Author(s):

J.A. Maksem ◽

C. VanDyke ◽

H.W. Carter ◽

C.F. Galang

Keyword(s):

Electron Microscopy ◽

Transmission Electron Microscopy ◽

Diagnostic Technique ◽

Needle Aspiration ◽

Large Series ◽

Aspiration Cytology ◽

Fine Needle ◽

Transmission Electron ◽

Diagnostic Applications ◽

Microscopic Slide

In the last decade fine needle aspiraration biopsy has gained recognition as a valuable diagnostic technique, and its benefits have been demonstrated in large series of patients with almost every type of tumor (1,2). The usual way to collect cellular material from needle-aspiration biopsies is to discharge the needle and syringe contents onto a microscopic slide and smear the material with another slide. The entire specimen is contained on the slides prepared at the time of biopsy. Serious technical difficulties are inherent to this method. 1) Inconsistent fixation, 2) drying artifact, 3) loss of tissue fragments, 4) inability to confirm impressions by a “second method”, and 5) retention of significant diagnostic material in the needle hub. Our technique avoids these difficulties.

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