10 research outputs found
Case Report - Isolated cleft sternum: Neonatal surgical treatment
Isolated cleft sternum is a rare congenital defect of the anterior
chest wall and is the result of failed ventral midline fusion of
sternal bands. We present two cases operated 18 and 24 days after birth
with satisfactory results. Surgery is indicated to protect the heart
and mediastinal contents
Robotic Assisted Vesicoscopic Cohen's Reimplantation in Pediatric Patient: Nuances of Technique, Experience, and Outcome
Thoracoscopic Transdiaphragmatic Excision of Hepatic Hydatid in Patients with Synchronous Pulmonary Hydatid: A Novel Operative Approach
Delayed presentation of anorectal malformations
Aims and Objectives: Delayed management of anorectal malformation (ARM)
increases the surgical and functional complications for the patient. We
defined "delayed presentation of ARM" and reviewed our patients with
ARM to find out the incidence and causes of delayed presentation.
Materials and Methods: Patients satisfying the criteria of "delayed
presentation of ARM" were involved. Detailed information of each
patient including the mode of presentation, associated anomalies, plan
of management and follow-up was obtained from the hospital records.
Results: Between 2003 and 2006, 43 patients satisfied our criteria of
"delayed presentation of ARM". There were 21 males and 22 females.
Seventeen of these males presented with low-type ARM. Eleven of them
were managed by a single-stage procedure. These "delayed presenters"
had to live with constipation, inadequate weight gain and parental
anxiety for a greater time. Analysis of the outcomes showed more
functional complications in patients who had undergone failed perineal
surgery previously. In females with low ARM, the procedure of choice
was anterior sagittal anorectoplasty (ASARP). Single stage surgery
provides good outcomes for most of low type of ARMs. High-type ARMs in
males and females were managed by a staged procedure. Conclusion:
"Delayed presentation of ARM" is a major group of ARM in our setup. The
management and results of their treatment are not different from those
of the early presenters. The most common cause of delayed ARM is wrong
advice given by the health care providers followed by inadequate
treatment elsewhere. Corrective surgeries taking second attempt in
perineum always produces poor outcomes
Unusual Cause and Association of Gastrointestinal Bleed in a Young Boy
A 4-year old child, previously operated case of tetralogy of Fallot present with recurrent episodes of massive lower gastrointestinal bleed of one year duration. Endoscopic evaluation revealed multiple bluish vascular lesions in the duodenum and proximal jejunum and a single rectal polyp. Histology of the lesion was suggestive of venous malformation consistent with blue rubber bleb nevus syndrome (BRBNS). Child underwent endoscopic snaring and surgical resection with end to end anastomosis. At six months’ follow-up child was asymptomatic without any bleed episodes
Vesicoureteral reflux: Endoscopic therapy and impact on health related quality of life
Aim: To evaluate the health related quality of life (HRQOL) after endoscopic injection treatment for vesico ureteral reflux (VUR) in children. Materials and Methods : Fifty four children received treatment and were prospectively evaluated for their quality of life scores, according to resolution of reflux on cystograms and status of renal scars. Results: Of the 81 refluxing units, 72 (89%) had resolution of reflux whereas 9 (11%) did not resolve. The total average QOL was higher for the patients in the resolved group as compared to the non resolved group. Comparison of pre and post procedure renal DMSA scans in 44 patients showed status quo in 26, regression of scars in six, progression in two and formation of new scars in 6.The total increase in HRQOL was highest in regression group (67.91), and lowest in progression group (36.45). Conclusions: Successful endoscopic treatment of VUR is associated with improved quality of life, as indicated by higher HRQOL scores in the resolved group