Novel Presentation of Complete Coronal Urethral Duplication: a Case Report

Urethralduplication is a rare condition occurs as a congenital malformation either independently or in the setting of other congenital malformations such as caudal duplication syndrome. Its prevalence becomes even rarer if it manifests as two side-by-side tracts in coronal plan.Nonetheless, we introduce a unique presentation of complete coronal urethral duplication accompanied by astounding manifestations of gastrointestinal malformations different from what is expected for a normal hind gut or caudal duplication syndrome. A 6-year-old boy with complete coronal duplication of urethra along with duplication of appendix, sigmoid and rectum as well as developmental delay, attracted our attention to report

Aromatherapy with Rosa Damascenes in Apnea, Bradycardia and Spo2 of Preterm Infants; a Randomized Clinical Trial

Background  Apnea is one of the most common problems in preterm neonates. This study aimed to evaluate the effectiveness of aromatherapy on the reduction of apnea, bradycardia, and Pulse Oximetry (SPO2) in premature infants. Materials and Methods In a clinical trial study, 60 preterm neonates randomly divided in two groups and exposed to aromatherapy with Rosa damascenes distillate or distilled water beside the routine treatment. In experimental group, two drops of 10% Rosa damascenes distillate was dropped on the pad eye in second day of birth at 6 Am. The intervention was repeated in 9 AM, 12 Am, 15 PM and 18 PM hours. A same condition applied for control group and distilled water was dropped on the pad eye. The number of apnea attacks, bradycardia and decrease in SpO2 compared between two groups using chi-square test, independent t-test and repeated measure test. Results The overall apnea attacks, bradycardia, and SPO2 in tree studied days were lower in intervention group than control group (0.47±0.13 vs. 2.6±0.41, 0.47±0.13 vs. 2.56±0.41 and 0.70±0.17 vs. 2.77±0.21, respectively). In addition, the repeated measurement test showed that the mean number of apnea attacks, decrease in heart pulse rate, and decrease in SpO2 was statistically lower in intervention group with aromatherapy than controls in first, second, third and sum of three days (P< 0.05). Conclusion Aromatherapy with Rosa damascenes distillate can reduce more and speedy the occurrence of apnea attacks, bradycardia and SPO2 in premature infants, along with other routine treatment

The Role of Cremaster Muscle as a Cause of Ascending Testis after Inguinal Hernia/Hydrocele Repair

Background Ascending testis (AT) is one of the rare but serious complication that may occurs following inguinal hernia/hydrocele repair. We aimed to review our more than 7 years’ experience and discuss the possible mechanism through which the AT possibly occurs following inguinal hernia/hydrocele repair. Materials and Methods A retrospective analysis of 7,212 boys who had undergone inguinal hernia/hydrocele repair between March 2009 and April 2016 was conducted. Exclusion criteria were: undescended testis, misdiagnosed AT, and retractile testis. Two types of surgical procedures were performed based on the medical records: (1) transection of the hernia sac and processus vaginalisalone and (2) isolation of the vas deferens and testicular vessels and a global transection of the remaining structures. Subsequently, post-operative incidence of AT was compared across variables extracted from the medical records. Results Sixteen (0.22%) patients were diagnosed with AT post operatively. AT incidence after inguinal hernia/hydrocele repair was reported in approximately 0.19% of the entire patient sample (in the 8491 hernia/hydrocele repairs). Comparison of AT incidence with the age at initial operation showed significant increase at the age of one year or less (P =0.017). In addition, AT incidence was significantly higher in the patients for whom only the sac/processus vaginalis was transected rather than the patients who underwent hernia/hydrocele repair with isolation of the vas deferens and testicular vessels (0.06% vs. 0.27%, respectively, P =0.023). Other subgroup analyses remained non-significant. Conclusion We conclude that transection of the cremaster muscle might decrease the incidence of ascending testis following inguinal hernia/ hydrocele repair

“Sac Inversion” Or “Organ Dissection” In Childhood Sliding Hernia Surgery: A Comparative Study of The Results of The Two Methods: Comparison of "Sac Inversion" and "Organ Dissection" in pediatric sliding hernia surgery.

Background and aim: Sliding hernia is one of the most common types in children, and its proper treatment is crucial. Therefore, in this study, we compared the results of the children's sliding hernia surgery in bag inversion or organ incision methods. Methods: This study is a retrospective cohort observational study on 153 children with a sliding hernia who underwent surgical treatment with one of the two methods of sac inversion or organ dissection in Hazrat Masoumeh Hospital between 2011 and 2016 it was performed, and the rate of recurrence, length of operation, and complications in the two methods were compared. Results: No complications occurred in any of the two groups. In the sac inversion group, zero percent, and in the sac dissection group, 1.6 percent of the patients had a recurrence, which was not a statistically significant difference (P=0.477). had a statistically significant difference (P=0.001). Conclusion: Finally, based on the results of this study, it can be concluded that the results of children's sliding hernia surgery are similar in the two methods of sac inversion or organ dissection

Comparative study of porting complications by implantation under and on the pectoral muscle in cancer patients at Shahid Beheshti and Hazrat Masoumeh hospitals during the years 2010-2014: Comparative study of porting complications by implantation under and on the pectoral muscle in cancer patients

Introduction: Porting is one of the invasive processes that is usually associated with significant complications in patients. Therefore, this study was conducted to compare the effects of porting in two ways: implanted under the muscle and on the pectoralis muscle of cancer patients. Materials and Methods: In this retrospective cohort study, a comparison was made between patients whose ports were implanted under the muscle and patients whose ports were implanted on the pectoralis muscle. The level of significance was considered to be 0.05. Results: The mean age of the patients was 17.83±19.1 months. 51.2% (42 patients) were boys and 48.8% (40 patients) were girls. Comparison of the average success (percentage) of the ports (P = 0.419), the incidence of infection (P = 0.241), the incidence of skin necrosis (P = 0.077) and the rate of displacement (P = 0.005). P) In patients between the two groups, there was no significant statistical difference in terms of port location. Conclusion: The present study showed that there was no statistically significant difference in the amount of successful porting and comparison of infection, skin necrosis and port displacement in the studied patients, despite the higher incidence of porting group effects on the pectoralis muscle compared to the sub muscular