ABSTRACT
Aim: To improve the results of tubularized plate urethroplasty by adding de-epithelized flap. Patients and Methods: Twenty-five cases of hypospadias who underwent Snodgrass urethroplasty using de-epithelialized flap were studied. The minimum period of follow-up in this series was 1 year. Results: The resultant neo-meatus was vertically oriented and slit like. Glans was conical which is cosmetically well accepted. Penile raphe was in the midline. None of the patient had residual chordee; penile torsion; or glans dehiscence. Excellent cosmetic results were observed in all cases. The complication rate in our series was 8(two cases). Two patients developed fistula. Conclusion: De-epithelialized flap is a simple method to provide additional covering to the constructed neourethra after Snodgrass urethroplasty. It achieves our goal of noncrossing suture lines and providing maximum vascularity
Subject(s)
Hypospadias , Urethra/surgeryABSTRACT
Distinction between true and pseudo trail in lumbo-sacral region is important since treatment and prognosis are different. Fewer than 40 cases have been reported in literature. The authors report a case of true tail in a neonate, a rare event.
Subject(s)
Humans , Infant, Newborn , Male , Sacrococcygeal Region/abnormalitiesABSTRACT
Spina Ventosa is a rare condition. A rare case of disseminated tuberculosis of bones and skin without primary foci is presented. Gross sclerosis of the short bones of hand and leg were noted.
Subject(s)
Bone and Bones/pathology , Child, Preschool , Female , Humans , Sclerosis/pathology , Tuberculosis, Cutaneous/pathology , Tuberculosis, Osteoarticular/pathologyABSTRACT
We report a 3-year-old child with jejunal duplication with localized perforation and bleeding in the adjacent normal intestine. The entire duplicated jejunum was lined by gastric mucosa. This was successfully treated by mucosal excision of the duplicated intestine and resection of a short segment of normal jejunum.
Subject(s)
Abdominal Pain/diagnosis , Anastomosis, Surgical , Child, Preschool , Choristoma/diagnosis , Follow-Up Studies , Gastric Mucosa , Humans , Intestinal Mucosa/pathology , Intestinal Perforation/diagnosis , Jejunal Diseases/diagnosis , Jejunum/abnormalities , Laparotomy/methods , Male , Risk Assessment , Treatment OutcomeABSTRACT
Two cases of pulmonary gangrene involving left lower lobe in an 18-month and 4-year-old female children are reported. The patients looked like having empyema following Klebsiella pneumonia. The diagnosis was made following computerized tomography scan and during decortication respectively.
Subject(s)
Child, Preschool , Diagnosis, Differential , Empyema, Pleural/diagnosis , Female , Gangrene/pathology , Humans , Infant , Klebsiella Infections/pathology , Klebsiella pneumoniae , Lung/pathology , Pneumonia, Bacterial/pathologyABSTRACT
This article reports two patients with perineal canal (anovestibular fistula) who were treated at Dept. of Pediatric Surgery, LTMG Hospital, Mumbai. Both the patients had normal anus and a fistula between the anal canal and the vestibule. They were treated by vestibulo anal pull through procedure. The pathogenesis of this condition and the pertinent literature is reviewed.