35 research outputs found
ChemInform Abstract: FINE STRUCTURE IN THE A-X SYSTEM OF ALUMINUM MONOCHLORIDE MOLECULE, DETERMINATION OF DISSOCIATION ENERGY BY PREDISSOCIATION
Scrotal abscess with a rare cause
A 4-year-old boy presented with a short history of right-sided acute scrotal pain and swelling. At exploration, pus was found in the hemiscrotum but no local cause could be found. Further exploration showed the pus coming through a patent processus vaginalis from a collection in the right iliac fossa secondary to acute appendicitis
Fine structure in the A – X system of aluminium monochloride molecule, determination of dissociation energy by predissociation
The rotational structure of the A — X system of aluminium monochloride molecule has been photographed in the third order of a 10.6 meter concave grating spectrograph with 0.22 Å/mm dispersion in order to obtain precise molecular constants. The rotational predissociation observed in the bands involving V = 9 and 10 vibrational levels of the excited state has been used to determine the precise value of the dissociation energy which comes out to be 5.26 ± 0.01 eV. The nature of the predissociating state has also been discussed
A rare cause of right iliac fossa pain
A child with torsion of appendix epiploicae presenting as acute right iliac fossa pain in abdomen is reported
Scrotal abscess with a rare cause
A 4-year-old boy presented with a short history of right-sided acute scrotal pain and swelling. At exploration, pus was found in the hemiscrotum but no local cause could be found. Further exploration showed the pus coming through a patent processus vaginalis from a collection in the right iliac fossa secondary to acute appendicitis
Risk of surgical site infection in paediatric herniotomies without any prophylactic antibiotics: A preliminary experience
Background: Different studies underline the use of pre-operative antibiotic prophylaxis in clean surgeries like herniotomy and inguinal orchiopexy. But, the meta-analyses do not recommend nor discard the use of prophylactic pre-operative antibiotics. The scarcity of controlled clinical trials in paediatric population further vitiates the matter. This study assessed the difference in the rate of early post-operative wound infection cases in children who received single dose of pre-operative antibiotics and children who did not receive antibiotics after inguinal herniotomy and orchiopexy. Materials and Methods: This randomised prospective study was conducted in Paediatric Surgery department of PGIMER Chandigarh. Out of 251 patients, 112 patients were randomised to the case group and 139 were ascribed to the control group. The patients in control group were given a standard regimen of single dose of intravenous antibiotic at the time of induction followed by 3-4 days of oral antibiotic. Case group patients underwent the surgical procedure in similar manner with no antibiotic either at the time of induction or post-operatively. Results: The incidence of surgical site infection in case group was 3.73 % and that in control group was 2.22%. The observed difference in the incidence of surgical site infection was statistically insignificant (P value = 0.7027). The overall infection rate in case and control group was 2.89%. Conclusions: Our preliminary experience suggests that there is no statistically significant difference in the proportion of early post-operative wound infection between the patients who received single dose of pre-operative antibiotics and the patients who received no antibiotics after inguinal herniotomy and orchiopexy. The risk of surgical site infection in paediatric heriotomies does not increase even if the child′s weight is less than his/her expected weight for age
Does all small bowel intussusception need exploration?
Small bowel intussusception (SBI) in infants and children are ususally associated with a lead point. With increased use of radiological investigations, more idiopathic SBIs are identified. As reduction by hydrostatic or air enema are less successful in these cases, most of them require surgical exploration in children. However, now many cases of SBI have been found to reduce spontaneously. We report two cases of SBI with spontaneous reduction and review the literature for the management guidelines
Rare case of pediatric cecal volvulus
An 11-year-old female child presented with abdominal pain, vomiting and constipation. An exploratory laparotomy revealed a cecal volvulus due to a congenital band and malfixation of the cecum. This was treated by excision of the band, derotation and decompression of cecum though an appendiceal stump suction
Decision-making in surgical neonatal necrotizing enterocolitis
Aim: To know whether laboratory or clinical parameters can predict
disease progression, need for laparotomy in patients managed with
peritoneal drain and mortality in surgical neonatal necrotizing
enterocolitis patients. Materials and Methods: The study was
retrospectively carried out on 27 neonates over a period of one and a
half year. All neonates who had surgical neonatal necrotizing
enterocolitis in the form of bowel perforation, positive paracentesis,
abdominal wall erythema and abdominal lump were included. Patients with
Bell′s stage I and those developing enterocolitis after surgery
were excluded. The patients were evaluated with parameters, namely,
clinical, laboratory and radiological. These included age and stage at
presentation, primary symptom/sign at presentation with laboratory
parameters of blood counts, pH, base deficit, platelet counts,
electrolytes and random blood sugar levels. A comparison was done
between survivors and nonsurvivors, patients with primary peritoneal
drainage versus those requiring laparotomy after drain, Bell′
stage II versus III patients and operated versus nonoperated patients.
Statistical significance was observed in the above mentioned
comparisons. Results: There were 22 male and 5 females patients with
mean birth weight of 1.85 kg. Age at presentation ranged from 2 to 19
days, mean 9.25 days. Mortality was 37% (10/27). Majority of the stage
II patients presented with feed intolerance and abdominal distension.
The neonates with severe disease had abdominal distension with wall
erythema. Sixty percent of the patients had shock at the time of
admission. In the comparison of peritoneal drain only and patients with
peritoneal drain followed by laparotomy patients, it was observed that
neonates who were acidotic and had higher base deficit had more chances
of requirement of laparotomy. They also had progressive fall in
platelets counts. There was no difference in the birth weight,
gestational age, total counts, serum electrolytes, blood sugar and
other measured parameters; thus, these carry negligible predictive
value to judge deteriorating neonate. In the remaining of the
comparison, patients not presenting with shock were more likely to
survive. Conclusion: In the present study, neonate with persistently
low pH, higher base deficit and presentation with shock predicted need
for laparotomy in drain managed patients as well as chances of
survival