Outcomes of Infants with Prenatally Diagnosed Congenital Heart Disease Delivered in a Tertiary-care Pediatric Cardiac Facility.

Objective: To report short-term outcomes of infants with prenatally diagnosed Congenital Heart Disease (CHD) delivered in a tertiary-care cardiac facility.

Design: Retrospective study.

Setting: Tertiary-care referral hospital.

Visceral heterotaxy in the developing world.

Background: The challenge of visceral heterotaxy (VH) in the developing world has not been analysed in detail.

Method: Retrospective chart review of 69 consecutive patients over ten years assessed the clinical profile and surgical outcome of VH. Median age: 3 years; median weight: 15kg.

Gangrenous sigmoid volvulus in a pregnant woman.

A rare case of gangrenous sigmoid volvulus in a pregnant woman causing intestinal obstruction is reported. The patient had intrauterine foetal death. Laparatomy for resection of sigmoid colon and hysterotomy for removal of dead foetus was carried out.

Massive rectal bleeding due to jejunal and colonic tuberculosis.

A case of massive rectal bleeding due to colonic tuberculosis in advanced pregnancy with intrauterine foetal death is reported. Patient was treated with resection of the left colon and left transverse end colostomy with closure of the rectal stump. Hysterotomy for the removal of the dead foetus was performed.

Treatment of Chronic Gastric Volvulus by Percutaneous Endoscopic Gastrostomy.

Five adult cases of chronic gastric volvulus were treated by percutaneous endoscopic Gastrostomy (PEG) between October 1992 and September 1997. Four cases were organoaxial volvulus and one was mesentericoaxial volvulus (Fig. 2).

Hepatic trauma: an Indian experience.

Over a five year period, between January 1989 and December 1993, a total of 230 patients with confirmed hepatic injuries were treated at a major urban trauma center. The mechanism of injury was blunt in 154 patients (67%). Nonoperative treatment was given in 18 patients (8%).

Gastrostomy without laparotomy--a percutaneous endoscopic technique: review of 35 cases.

Percutaneous endoscopic gastrostomy (PEG) was performed in 33 patient with head injury, one with laryngeal cancer, and one with gastric volvulus. The gastrostomy tube was prepared from 20 F Foley catheter and a plastic micropipette tip. The complications encountered included peritubal leak in three patients (9%) and abdominal wall hematoma in one patient (3%).

Ambulatory hydrocele surgery: a review of 50 cases.

In a prospective study, 50 cases of hydrocele were treated by ambulatory surgery. Lord's technique was performed under local anaesthesia. A modified simple scrotal dressing was used to facilitate ambulation.

Intra peritoneal rectal tear: delayed presentation in a battered baby.

We report a two and a half year old child who presented with an acute abdomen two days after a spoon was forcefully inserted per rectum. The child recovered after repair of the rectal tear and a temporary sigmoid colostomy.