Long-term follow-up of keystone perforator island flap in reconstructed myelomeningocele defects.

Myelomeningocele (a type of spina bifida) is the most common congenital condition that causes lifelong physical disability and requires multi-system surgical procedures. Therefore, it is paramount to reconstruct them using a stable and robust method that heals with minimal wound issues and produces maximum durability. We published a case series on reconstruction of myelomeningocele defects using keystone perforator island flap in the in 2016.

A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman.

Intraneural perineurioma (IPN) is a rare benign neoplasm of the peripheral nerve sheath, most commonly affecting the sciatic nerve of adolescents or young adults. We present a rare case of perineurioma in a 67-year-old man with an infiltrative clinical presentation affecting his ulnar nerve. Complete excision required resection of the ulnar neurovascular bundle from mid-forearm to mid-palm with sural nerve and saphenous vein grafts used to reconstruct the ulnar nerve and artery, respectively.

A rare case report of small bowel obstruction following colonoscopy.

Bowel obstruction following colonoscopy is very rare. We present a case of a 53-year-old female who underwent elective colonoscopy and haemorrhoidectomy. She developed generalized abdominal pain and distension with CT findings suggestive of small bowel obstruction.

Increasing detection of significant prostate cancer in younger men - ten year trends in prostate cancer risk profile in the Mid-West of Ireland.

Introduction: Although PSA (prostate specific antigen) based screening for prostate cancer (PCa) is controversial, an increasing number of men are undergoing Transrectal Ultrasound Guided prostate biopsy (TRUSPB) through primary care-based PSA testing and referral to hospitals. The aim of our study was to investigate presenting risk profiles of PCa over the last decade in a cohort of men in Ireland and to examine any change in the same over this time period.

Material And Methods: The hospital patient administration system was analysed for patients who underwent TRUSPB from January 2005 to December 2015.