Gastroschisis

We present three cases with a rare congenital anomaly called gastroschisis. One was born with whole midgut protruding out of the abdominal wall; the eviscerated gut was nonviable for which resection was done. Two cases had staged reduction by prosthetic silo made of new material. First case died after the operation, second case has survived with a big ventral hernia and third case died 8 hours after operation due to prematurity

comparative study of incidence of post spinal headache with different bore spinal needles

The study was designed to know the incidence of Headache during seven days after spinal anaesthesia. Disposable spinal needles of two standard gauges [No. 22 and No. 20] were used on two groups of patients. It was found that incidence of post spinal headache is more in that group of patients, in which wide bore needles [No. 20] were used for the dural puncture and subsequent analgesia

True Hermaphrodite

A rare case of true hermaphrodite is presented. He was brought up as a male and his bar bodies were negative

Prune Belly syndrome

We present two patients suffering from a rare congenital anomaly of Prune Belly Syndrome [P.B.S]. The first was seen at the age of 1 1/2 year, when he was operated and excision of redundant ureters and reduction cystoplasty was done. He was followed upto the age of 6 years. Second presented at the age of 7 years and was operated for ureters and bladder, and the testes were brought down in the scrotum. He was followed up for 24 months. The first case got a little improvement in the urinary symptoms but no much change in tortusity of the ureters on I.V.P. The second case had no clinical improvement after the operation. So the authors are of the view that a better prognosis can be expected in these children if more conservative approach to their management is followed

Injuries during Afghanistan civil war

Our experience of injuries during recent Afghanistan civil war is presented. These were more bomb, missile and mine blast injuries and less gun shot and stab injuries. Lower limb injuries were most common. Small intestine was commonly injured viscera. There were less amputations due to availability of the vascular surgeon. External fixatures were found to be the most useful for the fixation of long bone fractures

Penetrating colonic injuries treated by primary repair

15 cases of penetrating colonic injuries treated by primary repair irrespective of shock, degree of contamination and damage and site of injury, are presented: 13 cases had repair of perforated colon, two had right hemicolectomy for extensive injury to the ascending colon., 11 had other associated visceral injuries. All were aggressively resuscitated and were given, third generation of cephalosporine [cefotaxime] with metronidazole as prophylactic antibiotics. One got foecal fistula, one had urinary fistula due to associated ureteric injury. Out of 15 cases one died 19 days after operation due to gastric fistula and empyema thoracic due to associated stomach and lung injuries. In view of our above experience, primary repair is advocated for all the colonic injuries

Perineal prostatectomy for benign enlargement of prostate

A series of fifty four medically high risk patients with prostatic obstruction on whom surgery was performed by the perineal approach is presented. Its advantages, disadvantages and technique are discussed. Prostatectomy by the perineal route is strongly recommended for the medically unfit patient who may be condemned to a "catheter life" owing to poor general health

Abdominal trauma

Abdominal injuries due to traffic accidents, fall from roofs, factory accidents and gunshot could be either blunt or penetrating. Usually, it has a high mortality which depends on initial management and number of organs involved in such cases. This article discusses the immediate First Aid measures, clinical features, investigations at various stages and treatment of blunt abdominal trauma as well as penetrating abdominal injuries particularly of spleen, Liver, GIT, Pancreas, retroperitoneal haematoma and treatment of associated injuries

internal male pseudohermaphrodite [hernia uteri inguinale]

The case history of 2 adult patients with male pseudohermaphroditism presenting normal external appearances and hernia uteri inguinale are described. The etiology and treatment of such cases is discussed

Hydatid cyst: a 16 year experience

A personal experience of 24 cases of hydatid disease of different organs seen in 16 years is presented.67% had involved the liver. Whilst no organ appears to be immune, in this series none were found in the C.N.S., heart, pancreas, bones and muscles

Hydatid disease treated by benzimedazole compounds

Nine cases of hydatid disease were treated with benzimedazole compounds with or without surgery. Given alone, the effects are unpredictable and eradication uncertain