Experience with vesicostomy in children

Between November, 1983 and June, 1985 nine patients underwent Vesicostomy. In seven there was advanced obstructive uropathy, due to urethral valves. In the only female patient, the obstruction was at bladder outlet due to mucosal flap accompanied by an interureteric bar. One patient had severe urinary tract infection causing dysuria and urinary obstruction. Infection did not respond to the catheter drainage and antibiotics. There was one post operative death, due to septicemia related to improper functioning of the vesicostomy. In all the surviving patients, there was remarkable improvement in their general condition and their urinary tract

Bacterial wound infections

The organisms commonly colonising burns and causing wound infections and their sensitivity to antibiotics in vitro is described

Removal of impacted blunt esophageal foreign bodies by Foley catheter

A Foley Catheter has been used to remove blunt impacted foreign bodies of the oesophagus. Nine cases were dealt with in the Paediatric Emergency Department of the National Institute of Child Health, Jinnah Postgraduate Medical Centre, Karachi. On X-Ray the foreign bodies coins of different sizes. In 8 out of 9 patients, they were removed successfully by the Foley Catheter. One was removed at oesophagoscopy. The success rate was 88.9%

Opsite strapping for the treatment of infantile umblical hernia

A study was conducted to evaluate the efficacy of "Opsite" strapping for the Umblical Hernia. Opsite is a low allergy adhensive membrane, used during Surgical Operations. It also has advantages over commonly used sticking plaster, for being resistant to water and urine and also allows inspection of hernia. "Opsite" strapping was found to be effective in keeping the hernia reducea till the ring closed in 70% children below 2 years of age with umbilical ring defect of O.5 cm and above. In 11% there were skin complications of strapping. In some patients who developed minor skin abrasions, strapping was continued till the closure of ring. The abrasions healed as the strapping continued

Case Report: partial nephrectomy for adenocarcinoma in pediatric age group

Partial nephrectomy was performed on a patient of twelve years, having adencoarcinoma of kidney with duplex ureter. The two segments of kidney had independent blood supply. Operation was based on the evidence that if adenocarcinoma is localized to the kidney, then removal of the involved kidney alone is associated with long term survival