A missing kidney and a hidden congenital diaphragmatic hernia.

Congenital intrathoracic kidney (ITK) is a rare condition, which is usually discovered incidentally in asymptomatic children who do not need any intervention. However, it may be associated with congenital diaphragmatic hernia (CDH), in which case it requires urgent surgical intervention. We present a case of prenatally diagnosed ITK associated with a left CDH that was operated on day 5 of life.

Incidental inguinal hernias on laparoscopy.

Objective: Laparoscopic examination of the contralateral inguinal ring has been advocated to exclude contralateral hernia in young children. We used the size of the open internal ring and the depth of the patent processus vaginalis as a parameter to decide whether laparoscopic herniotomy was indicated.

Methods: Records of all laparoscopic procedures in children performed in a large tertiary care hospital over a 2.

Single scrotal incision orchiopexy for palpable undescended testis.

Objective: To prospectively evaluate the Bianchi single scrotal incision technique for orchiopexy in boys with palpable undescended testis.

Methods: A total of 35 orchiopexies were performed in 28 patients. The patent processus vaginalis was dissected and cut high without ligation, while in Bianchi's original procedure, the patent processus vaginalis is dissected up to the external inguinal canal, ligated high and divided.

Laparoscopic orchiopexy: is closure of the internal ring necessary?

Background: Narrowing of the internal ring around the pulled through spermatic cord in cases of laparoscopic orchiopexy is the norm.

Aim: To carry out a prospective study to see if closure of the internal ring is really necessary, hypothesis being that mobilization of the impalpable testis leaves a raw surface, which, coupled with the presence of the spermatic cord results in effective closure of the internal ring.

Methods And Materials: 51 patients with 65 impalpable testes underwent laparoscopic orchiopexy between July 1998 and June 2003.

Isolated mediastinal lymphangioma herniating through the intercostal space.

Lymphangiomas are congenital malformations of the lymphatic system, and 90% have manifested by the end of the second year of life. While 75% of these are located in the cervical region, only 2% to 3% are associated with an intrathoracic extension. An isolated mediastinal lymphangioma without a cervical component is an uncommon occurrence.