Knotted bladder catheter: A simple removal techniqul with a guide wire [Mesane içinde kateter dügümlenmesi: Kilavuz tel yardimi ile basit çözüm]

We present a 14 months old girl in whom knotted bladder catheter without urinary retention was observed. Catheter knot was successfully untied with a guide wire under floroscopy control. We thought that a guide with stiff body and flexible tip make the procedure easier

Infantile Amyand's hernia: Case report

We report an extremely rare case of an incarcerated and perforated appendicitis within an inguinal hernia in an infant. A 3,5-month-old was admitted with clinical signs of incarcerated right inguinal hernia and localized tenderness and hyperemia in the right inguinal region. He underwent emergency surgery and the operative findings included an in flamed appendix. Although perforated appendicitis in an inguinal hernia was reported as complicated Amyand's hernia in adults, a few cases under one year old with perforated appendicitis in an inguinal hernia have been reported in the literature. We point out the need to consider perforated appendicitis in the differential diagnosis of incarcerated right inguinal hernia in infants. Copyright © 2010 by Türkiye Klinikleri

Testicular biopsy during orchidopexy procedure: Does it have an adverse effect on fertility?

PubMedID: 16215310Introduction: The aim of this study is to evaluate the effect of the gonadal biopsy procedure on fertility and histology of the experimentally created undescended testis. Materials and Methods: Thirty Wistar-Albino rat litters were divided into three groups. In the first two groups, undescended testes were obtained by dividing the right gubernaculum in the first 48 h and the third group constituted the sham group. When the rats were 30 days old, orchidopexy was performed in the first group (O), whereas orchidopexy and testicular biopsy were performed in the second group (OB). After the fertility study all rats were sacrificed at week 11 and testicular weights, mean seminiferous tubular diameters (MSTD) and mean testicular biopsy scores (MTBS) were measured. Results: One testis in the O group and three testes in the OB group were atrophied and these rats were excluded from the study. Testicular weights, MSTD and MTBS values of the operated side in the O and OB groups were lower than those in the sham group. There was a statistically significant difference between the MSTD values of the ipsilateral testes in the OB group and sham group (p 0.05). All the evaluated rats were fertile. While there was no difference in number of fetuses and fertility scores between the O and OB group, however, the differences were significant between each of these groups and the sham group (p < 0.05). Conclusion: Testicular biopsy in the unilateral undescended testis model results in limited histological changes without affecting the fertility. Copyright © 2005 S. Karger AG

Laparoscopy-Assisted Percutaneous Cholangiography in Biliary Atresia Diagnosis: Comparison with Open Technique

Introduction. Biliary atresia is a surgical cause of prolonged jaundice, which needs to be diagnosed with cholangiography that has traditionally been performed via laparotomy. Laparoscopic assistance has lately been introduced to avoid unnecessary laparotomy. We aim to evaluate the benefits of the laparoscopy-assisted cholangiography and compare it to the traditional procedure via laparotomy. Patients and Method. The medical records of the cases who had undergone cholangiography for prolonged jaundice between 2007 and 2014 were analyzed. The patients were grouped according to cholangiography technique (laparotomy/laparoscopy). The laparoscopy and laparotomy groups with patent bile ducts were focused and compared in terms of operation duration, postoperative initiation time of enteral feeding, and full enteral feeding achievement time. Results. Sixty-one infants with prolonged jaundice were evaluated between 2007 and 2014. Among the patients with patent bile ducts, operation duration, postoperative enteral feeding initiation time, and the time to achieve full enteral feeding were shorter in laparoscopy group. Conclusion. Laparoscopic cholangiography is safe and less time-consuming compared to laparotomy, with less postoperative burden. As early age of operation is a very important prognostic factor, laparoscopic evaluation should be an early option in work-up of the infants with prolonged jaundice with direct hyperbilirubinemia, for diagnosis/exclusion of biliary atresia. © 2016 Murat Alkan et al