A prospective randomized comparative study of vicryl rapide versus chromic catgut for episiotomy repair.

Background And Objectives: A significant number of women experience perineal trauma following vaginal deliveries and they require stitches. This may result in perineal pain, dyspareunia and faulty healing. The type of suture material which is used, will influence these factors.

Peripheral insensate neuropathy-is height a risk factor?

Introduction: Peripheral insensate neuropathy is one of the most commonest and the earliest forms of peripheral neuropathy. It is one of the leading causes of the disability in working population who are at risk.

Methods: A study was conducted in Kasturba medical college (Manipal university) in the year 2009-12, which included examination of 818 people of more than 30yrs of age by random sampling method who were attending the outpatient clinic.

[Balloon stent: simple and efficient drainage in hypospadias repair].

The authors describe an original technique of hypospadias drainage with the combined advantages of balloon catheter and simple stent without the disadvantages of these modes of drainage.

[Extra-corporeal lithotripsy in children].

Extracorporeal shock-wave lithotripsy (ESWL) constitutes the reference treatment for renal and ureteric stones in adults, but its use and development in children have been accompanied by a certain degree of caution and reticence. A large number of paediatric series have been published since 1986, confirming the efficacy and minimally invasive nature of this technique. Modification of the nature of the shock waves and release onto the market of second and third generation apparatuses have simplified the management of urinary stones in children.

[Urinary lithotripsy in children. Multicenter study of the Pediatric Urology Study Group].

The authors present the results of a survey conducted among French paediatric urologists belonging to the Groupe d'Etudes en Urologie Pédiatrique (GEUP) (Paediatric Urology Study Group). This study, based on 122 cases observed in 13 centres, is not exhaustive, but is nevertheless statistically significant. The preoperative assessment confirms the usual findings of urinary stones in children: pyelonephritis, haematuria and abdominal pain, the usual presenting complaint, concomitant malformative uropathy (10% of cases) and a predominance of calcium stones.

[Persistent müllerian duct syndrome (males with uterus): a pediatric problem].

Background: The persistent müllerian duct syndrome (PMDS) is characterized by the persistence of the uterus and Fallopian tubes in otherwise normally virilized boys. Its diagnosis is usually made during a surgical procedure for inguinal hernia or cryptorchidism. We report six recent cases of PMDS, in which we have studied anti-Müllerian hormone (AMH) serum levels.

[Adrenal fetus in fetus. A case shown by prenatal echography. Review of the literature].

The authors report the first case of fetus in fetu situated in the adrenal gland where the diagnosis was suggested by prenatal ultrasound. The anatomo-pathology, the aetiology, the antenatal ultrasound picture and the treatment of this abnormality of embryonic development are described.

[A rare cause of neonatal occlusion by a palpable abdominal mass: Meckel's diverticulum].

The authors report an unusual case of newborn obstruction by Meckel's diverticulum. Symptoms were repeated vomiting and a rounded mass was palpated in right lower quadrant. This mass looked like a fecalith on X Rays which also showed dilated gas filled loops of intestine.

[Supernumerary liver. A case with a particular location in an omphalocele].

The authors report one case of a supernumerary liver lobe contained in the omphalocele of a new born. An accessory hepatic lobe was attached to the liver by a pedicle. Its histological structure was that of an immature liver.

[Simple cysts of the testis in children. Apropos of 2 cases].

Reporting two cases of simple testicular cysts in children, the authors analyse these rare benign tumors (9 other cases in literature). The cystic dilatation first affect the rete testis, it can be partial (simple cyst) or extensive (multicystic dysplasia). The primitive perturbation would affect the mesonephrotic formations, with a defect of junction between the two different embryologic formations of the testicle and its excretor system.

[Testicular autotransplantation in children. Apropos of 2 cases].

The authors presents 2 observations of testicular autotransplantation at 11 and 13 years age; the 2 boys had bilateral cryptorchism. Analysis of the literature allows good conclusions for the liability of this technique with less than 20% of secondary atrophies. Particularly interesting to note 2 successful operation on children 2 years old.

[Benign cystic tumors of the testis in children].

Benign cystic testicular tumors are very uncommon in childhood. These tumors can be dysplasic or teratomatous forming two peculiar groups. First electively affect the rete testis cells realizing simple cysts or multicystic dysplasia.

[Left diaphragmatic agenesis with digestive duplication and extra-lobar pulmonary sequestration (author's transl)].

The association of a diaphragmatic hernia and a pulmonary sequestration is known, though very rare. The authors present one singular observation because it were involved in aplasia of the homolateral pillar and a digestive duplication. They insist about the gravity of the reflux inherent to the malformation; they suggest its differed cure in spite of nutritional difficulties.