Bracka verses Byar's two-stage repair in proximal hypospadias associated with severe chordee: a randomized comparative study.

Introduction: Proximal hypospadias associated with severe chordee represents a major surgical challenge and the debate over its optimal treatment is ongoing. The objective of this study is to compare the outcome of two-stage Bracka and Byar's repair in proximal hypospadias.

Materials And Methods: This study was conducted from January 2013 to February 2018 in a tertiary care centre.

Congenital midureteric stricture: challenges in diagnosis and management.

Background. Congenital midureteric stricture (MUS) is a rare malformation. We report our experience with five cases seen over a period of 4 years from 2010 to 2014.

Bloodless, sutureless circumcision.

Background: W e present our experience of sutureless and bloodless elective circumcision in neonates and infants with Gomco clamp.

Patients And Methods: From March 2008 to May 2011, 200 babies with age ranging from 2 weeks to 7 months underwent Gomco circumcision. All patients were given chlorohydrate 50 mg/kg, paracetamol suppository 15 mg/kg, and local anesthesia.

Esophageal anastomosis medial to preserved azygos vein in esophageal atresia with tracheoesophageal fistula: restoration of normal mediastinal anatomy.

Objective: We intended to prospectively study the technical feasibility and advantages of esophageal anastomosis medial to the preserved azygos vein in neonates diagnosed with esophageal atresia with tracheoesophageal fistula (EA/TEF). The results were compared to the cases where azygos vein was either not preserved, or the anastomosis was done lateral to the arch of preserved azygos vein.

Material And Methods: A total of 134 patients with EA/TEF were admitted between January 2007 and July 2008 of which 116 underwent primary repair.

Proximal hypospadias with skin-covered shaft of penis and absent urethral plate: An unknown variant and its management.

We report a case of proximal hypospadias with an absent urethral plate having intact ventral shaft skin with hooded dorsal prepuce and a good glans groove. Such a variant of hypospadias has not been reported in the literature.

Hydatid cyst of the pancreas mimicking choledochal cyst.

Primary hydatid cyst of the pancreas represents a rare clinical entity. The clinical presentation depends on the location of a hydatid cyst in the pancreas. A hydatid cyst located in the head of the pancreas usually manifests as obstructive jaundice due to the extrinsic compression of the common bile duct.

Neonatal pneumoperitoneum: a critical appraisal of its causes and subsequent management from a developing country.

Background: The diagnosis and management of neonatal pneumoperitoneum revolves around necrotizing enterocolitis (NEC) in most of the published literature. Although NEC remains the major cause of pneumoperitoneum in a neonate, there are several other causes leading to free air in the peritoneal cavity. A number of case reports have appeared describing pneumoperitoneum in a newborn due to rupture of one particular organ, but there have been only few collective reviews on the subject.

Traumatic diaphragmatic injuries in children: do they really mark the severity of injury? Our experience.

Purpose: Diaphragmatic injuries have been reported to be a predictor of serious associated injuries in trauma and a marker of severity. Because of its rarity in children, the diagnosis is often delayed for months and years, due to overshadowing injuries. Perhaps due to the elasticity of their tissues, traumatic diaphragmatic rupture is uncommon in children.

Diagnosis and management of congenital bladder diverticulum in infancy and childhood: experience with nine cases at a tertiary health center in a developing country.

Objectives: The purpose of the study is to present the authors' clinical and surgical experience with congenital bladder diverticula in nine pediatric patients at a developing world tertiary care center.

Patients And Methods: Records of nine patients diagnosed and treated as congenital bladder diverticula from 2000 to 2007 were retrospectively reviewed for age, sex, chief complaints, associated anomalies, investigative work-up, operative notes, and postoperative follow-up.

Results: All were males.

Tubularized trapezoid flap neoumbilicoplasty--simple technique for umbilical reconstruction in bladder exstrophy.

Objectives: Umbilical preservation or reconstruction of a neoumbilicus has now become a part of exstrophy repair. We describe an easy method of umbilicoplasty concurrent with the initial bladder closure or at subsequent stages and present our experience with this technique in 36 patients during the past 5 years.

Methods: Umbilical reconstruction using this technique was done in 36 patients (23 boys and 13 girls), with mean age of 1.

Congenital duodenal obstruction with situs inversus totalis: Report of a rare association and discussion.

This report is to present and discuss an extremely rare association of situs inversus with duodenal atresia in an 11-day-old male neonate born full term and weighing 1.9 kg. The baby presented with recurrent bilious vomiting.

Esophageal atresia: Factors influencing survival - Experience at an Indian tertiary centre.

Objective: To study the clinical profile of the cases of esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) and various factors affecting the surgical and early postoperative management and their outcome.

Materials And Methods: A prospective analysis of 127 cases of EA from February 2004 to May 2006 was performed. Waterston prognostic criteria were used for grading.

Congenital anterior penile isolated urethrocutaneous fistula: a case report.

Urethrocutaneous fistula is a common complication after hypospadias repair. If congenital, it is usually associated with other genitourinary and gastrointestinal anomalies. Isolated congenital urethral fistula is a very rare anomaly.