Tongue flap as salvage procedure for recurrent and large palatal fistula after cleft palate repair.

Background: Recurrent palatal fistula is a common complication of cleft palate repair. The main causes are poor surgical technique or vascular accidents and infection. Local flaps are not adequate for larger and recurrent fistula.

Intussusception in a premature neonate: A rare and often misdiagnosed clinical entity.

Intussusception is a very rare cause of intestinal obstruction in neonates. It is of extremely rare occurrence among premature neonates. We present a case of 11-day-old premature neonate who presented with abdominal distension, intolerance to feeds, vomiting, significant bilious aspirate and bleeding per rectum.

Neonatal rhabdomyosarcoma: an unusual presentation.

Though rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in the paediatric age group, its occurrence in new born is rare. Often it presents as a large mass arising from anywhere in the body, most common site being head and neck region. Here we are describing a case of neonatal embyonal RMS with multiple subcutaneous nodules.

Minimal access surgery in newborns and small infants; five years experience.

Aims And Objectives: The aim of this study was to assess and present the outcome (initial experience and lessons learnt) of minimally invasive surgery for various indications in neonates and small infants (< 5 kg) at a single medical centre.

Materials And Methods: A retrospective analysis was performed on 65 patients (age day 2 to 10 months) managed with minimal access surgery (MAS) for various indications, between 2005 and 2010. We analyzed demographic information, procedures, complications, outcomes, and follow-up and overall feasibility of the procedure.

Role of hyperbaric oxygen therapy in severe head injury in children.

Aim: A brain injury results in a temporary or permanent impairment of cognitive, emotional, and/or physical function. Predicting the outcome of pediatric brain injury is difficult. Prognostic instruments are not precise enough to reliably predict individual patient's mortality and long-term functional status.

Giant epignathus with midline mandibular cleft: Insights in embryology and management.

A congenital teratoid tumor arising and protruding through the mouth is classified as epignathus or fetus in fetu. On review of literature, we found various reports of midline mandibular and lower lip cleft associated with flexion contracture of neck, midline cervical cord, but there is only one report of association with midline dermoid. We present an unusual case of midline cleft of mandible with an epignathus.

Laparoscopic repair of pediatric inguinal hernia--is vascularity of the testis at risk? A study of 125 testes.

Aim: The aim of this study was to study the effects of laparoscopic inguinal hernia repair on testicular perfusion and size.

Materials And Methods: A prospective study concerning laparoscopic inguinal hernia repair was performed for an 18-month period to evaluate testicular perfusion and size in the preoperative, early postoperative (within 48 hours of surgery), and late postoperative periods (6 months after surgery) using Doppler ultrasound (DUS) (both duplex and power Doppler mode). Laparoscopic closure of the deep inguinal ring was accomplished with a purse string suture (Nylon 3-0) using standard 3-port technique.

Neonatal lingual and gastrointestinal mucormycosis in a case of low anorectal malformation-a rare presentation.

We report a 1.7 kg male infant with a low anorectal malformation treated at an outside facility and referred to us on postoperative day 11. At presentation, his upper abdomen was distended, and he had perianal mucoid discharge.

Early experience with thoracoscopic repair of congenital diaphragmatic hernias in pediatric age group: results and lessons learned.

Purpose: To describe the surgical technique, initial results, and overview indications of thoracoscopic repair of congenital diaphragmatic hernia.

Patients And Methods: A retrospective review was undertaken of patients with CDH who underwent thoracoscopic repair from January 2006 to July 2010, in department of pediatric surgery in a tertiary care institute in India. Patients underwent surgery under general anesthesia.

Early management of mesenteric cyst prevents catastrophes: a single centre analysis of 17 cases.

Background: Mesenteric cysts are rare intra-abdominal masses in the paediatric age group with varied presentation, ranging from an asymptomatic mass to acute abdomen. This study reviews our experience in the diagnosis and treatment of 17 mesenteric cysts in our centre, with especial reference to acute abdominal symptoms.

Patients And Methods: Seventeen patients (age less than 10 years) with mesenteric cysts were managed in our hospital.

Ruptured rectal duplication cyst with classical bladder exstrophy.

A newborn boy was brought to us, 2 hours after birth, with a mucosal-lined left hemiperineal lesion associated with classical bladder exstrophy and an anterolaterally displaced anus. Perineal anatomy was restored by excising the mucosa lined lesion. The bladder closure for classical bladder exstrophy was done at the same time.

Laparoscopic inguinal hernia repair in the pediatric age group--experience with 437 children.

Background/purpose: A retrospective analysis of prospectively collected data of pediatric patients that underwent laparoscopic inguinal hernia repair.

Material And Methods: A retrospective review was performed of the prospectively collected data of 576 laparoscopic internal ring closures in 437 children (age, 30 days-11 years; median, 1.9 years) from June 1999 to February 2009.

Congenital pouch colon with rectal atresia: a case report.

The association of congenital pouch colon with rectal atresia is quite rare with only 2 cases previously reported in literature. We describe the third such case and the second instance to survive. Although the prior survivor was managed by a single-stage procedure, we successfully managed our case by staged procedures.

Laparoscopic management of persistent mullerian duct syndrome.

Persistent mullerian duct syndrome (PMDS), characterized by the presence of mullerian structures in a virilized male, frequently presents as undescended testis, either intraabdominal or within a hernial sac. We describe a 10-month-old infant with PMDS successfully managed by the laparoscopic approach. At the age of 1.

Urethral ratio on voiding cystourethrogram: a comparative method to assess success of posterior urethral valve ablation.

Objective: To develop a simple, objective and reproducible quantitative measurement to assess success of posterior urethral valve ablation.

Method: In 30 patients with posterior urethral valves the diagnosis was confirmed by voiding cystourethrogram (VCUG). Our protocol was to perform valve ablation, and repeat VCUG at 12 weeks postoperatively.

Effect of Candida infection on outcome in patients with perforation peritonitis.

Perforation peritonitis is treated with surgery and antibiotics. This study was conducted to identify bacterial and fungal microorganisms responsible for peritonitis in patients with hollow viscus perforation and to examine the influence of these microorganisms on the outcome. A prospective study was conducted from May 2005 to September 2006 involving 84 consecutive patients with spontaneous gastrointestinal perforation peritonitis, who were referred for surgery.