Transvesicoscopic repair of vesicovaginal fistula.

Introduction. Vesicovaginal fistula has been a social and surgical problem for centuries. Many surgical techniques have been developed to correct this abnormality, including transabdominal, transvaginal, and endoscopic approaches.

Profile of inborn errors of metabolism in a tertiary care centre PICU.

Objective: To study the clinico-investigative profile and outcome of patients with inborn errors of metabolism (IEM) presenting to the pediatric intensive care unit (PICU).

Methods: Records of all patients admitted in tertiary care centre PICU between August 2007 and September 2008 with a diagnosis of IEM were retrieved the details of clinical presentation, laboratory results, treatment and outcome were noted and analysed.

Results: Eleven (2.

Seasonal postpartum hypernatremic encephalopathy with osmotic extrapontine myelinolysis and rhabdomyolysis.

Background: Neurological manifestations secondary to extrapontine myelinolysis and rhabdomyolysis caused by hypernatremia are infrequently reported. Occurrence of neurological manifestations due to spontaneous hypernatremia during postpartum period producing rhabdomyolysis and cerebral parenchymal MRI changes has not been previously reported.

Objective: Evaluation of clinical and radiological profile of postpartum hypernatremia.

Vascularized tunica vaginalis interposition flap for the treatment of recto-urethral fistulas.

Introduction : Recto-urethral fistula is a rare complication of pelvic surgery, trauma, or inflammation. The many techniques for repairing these fistulas vary in their success rates. We describe the use of vascularised tunica vaginalis flap interposition in the repair of a recto-urethral fistula.

Familial early onset of type-2 diabetes mellitus and its complications.

Background: Globally, the prevalence of chronic, non-communicable diseases is increasing at an alarming rate. Furthermore, approximately 197 million people worldwide have impaired glucose tolerance. Consequently, diabetes is rapidly emerging as a global health problem that threatens to assume a pandemic level by 2030.

Aortopulmonary fistula: a rare complication of an aortic aneurysm.

In a patient with degenerative disease of the thoracic aorta, an aortopulmonary fistula with an aortic aneurysm after trauma is a rare occurrence. Few cases of successful surgical management have been reported. Aortopulmonary fistula should be suspected in a patient who has an aortic aneurysm and exhibits signs of congestive heart failure.

Locked intramedullary nailing versus dynamic compression plating for humeral shaft fractures.

PURPOSE. To compare functional outcomes, union and complication rates in patients treated with locked intramedullary nailing or dynamic compression plating for humeral shaft fractures. METHODS.

Bladder exstrophy in adulthood.

Background: We report our experience with the treatment of classic exstrophy of the bladder in a small series of seven adult males. There are very few documented cases of adults presenting with exstrophy of bladder in literature.

Materials And Methods: Adult males presenting with classic exstrophy of the bladder and complete epispadias underwent detailed evaluation including psychological assessment and counseling.

Acquired recto-urethral fistula in children: long-term follow-up.

Objective: Acquired recto-urethral fistula is an uncommon entity in children and occurs as a consequence of pelvic disorder, including trauma, iatrogenic injury, inflammatory bowel disease, pelvic neoplasm and infection. We have reviewed our experience with treatment of recto-urethral fistula and focussed on the outcome of the repair.

Patients And Methods: Data collected included demographics, cause, procedure type, presentation, operative details and morbidity.

Complications of laparoscopic pyeloplasty in children.

Introduction: Laparoscopic pyeloplasty in children has been proven to be safe and effective, with comparable results to open surgery. Due to the extension of laparoscopic indications from ablative to reconstructive procedures requiring endoscopic suturing, most centres have plateaued within their learning curve. Based on our own experience with a little more than 100 cases, we focus on the complications and the definitive learning curve of laparoscopic pyeloplasty in children.

Correlation of colposcopy using Reid colposcopic index with histopathology- a prospective study.

Objective: To estimate the diagnostic efficacy of colposcopy & determine the strength of correlation between colposcopic impression using the Reid Colposcopic Index (RCI) and histopathology.

Material And Methods: This was a prospective cross sectional study carried out in the colposcopy clinic at KLES Dr. Prabhakar Kore Hospital & Medical Research Centre, Belgaum from January 2008 to June 2009.

Renal artery stenosis with hyponatremic hypertensive syndrome in a 7-year-old child.

Hyponatremic hypertensive syndrome is a combination of renovascular hypertension and hyponatremia. Although reported in adults, it is rare in children. We report a 7-year-old boy having renal artery stenosis associated with hyponatremic hypertensive syndrome.

Genitourinary tuberculosis in pediatric urological practice.

Objective: Genitourinary tuberculosis is a form of secondary tuberculosis with vague symptoms and presentation, and is rare in children. Antitubercular therapy is the cornerstone of treatment, although surgical intervention is required in a minority of the cases. We retrospectively evaluated our series of children with this disease, with special emphasis on the role of surgery.

A one year prospective study to compare and evaluate diagnostic accuracy of modified Alvarado score and ultrasonography in acute appendicitis, in adults.

Objectives: To compare and evaluate diagnostic accuracy of modified Alvarado score and ultrasonography in co-relation to histopathology report for diagnosis of acute appendicitis.

Methodology: A prospective study of the patients who underwent appendectomy for suspected acute appendicitis at K.L.

Dentistry and Ayurveda - IV: classification and management of common oral diseases.

This article, the fourth in the series titled 'Dentistry and Ayurveda,' describes in brief the panchakarma therapy, which is a distinctive feature of the Ayurvedic method of detoxifying the body. The various therapies and medicines used in Ayurveda have been elaborated. Further, an attempt has been made to correlate dental diseases in Ayurveda with the modern-day classification, clinical features, and management.

Supernumerary nostril with complete unilateral cleft lip: a case report and review.

The supernumerary nostril is an extremely rare congenital anomaly of duplication. A review of the literature shows that only 17 cases have been reported in the world. The supernumerary nostril in association with facial clefting is even more rare, with only three cases reported so far.

Laparoscopic bladder (Boari) flap ureteroneocystostomy.

Iatrogenic ureteric injuries in gynecologic surgery are quite common. The laparoscopic spectra of treatment gives a wide range of application. We present the case of a 40-year-old female who underwent total abdominal hysterectomy with bilateral salpingo-oopherectomy for dysfunctional uterine bleeding.

Laparoscopic pyeloplasty compared with open pyeloplasty in children.

Background And Purpose: Open dismembered pyeloplasty by a retroperitoneal approach remains the reference standard for correcting ureteropelvic junction (UPJ) obstruction in children. We prospectively compared the results of laparoscopic and open pyeloplasty in children with UPJ obstruction.

Patients And Methods: During the period April 2003 to March 2005, 15 children underwent laparoscopic pyeloplasty and 14 children underwent open pyeloplasty.

Laparoscopic adrenalectomy for large pheochromocytoma.

Objectives: To determine the feasibility and safety of laparoscopic adrenalectomy for large adrenal pheochromocytomas as although the safety and efficacy for small pheochromocytomas is relatively well documented its use for large pheochromocytomas is controversial because of a perceived increased risk of malignancy.

Patients And Methods: All pheochromocytomas (>8 cm) managed prospectively using a laparoscopic approach between January 2002 and April 2006 were included. Blood loss, operative duration, complications, and hospital stay were assessed.

Dentistry and Ayurveda--III (basics-ama, immunity, ojas, rasas, etiopathogenesis and prevention).

This article of the series Dentistry and Ayurveda describes in brief, the basic principles and unique concepts involved in Ayurveda namely the concepts of Ama, Ojas, Rasas (tastes-types and the factors affecting the choice of the drug/medicine etc.), immunity, etiopathogenesis and prevention of diseases in Ayurveda in general.

Factors that impact symptomatic diabetic peripheral neuropathy in placebo-administered patients from two 1-year clinical trials.

Objective: The purpose of this study was to evaluate the change in neuropathy symptoms and disease progression in placebo-administered patients from two 1-year studies in which the impact of ruboxistaurin (RBX) in mild diabetic peripheral neuropathy (DPN) was tested.

Research Design And Methods: Data from 262 placebo-administered patients from two identical phase 3, randomized, double-blind trials were combined and analyzed.

Results: After 1 year, change in the neuropathy impairment score of lower limbs [NIS(LL)] (-0.

Penile metastasis from primay mucinous adenocarcinoma of bladder.

Primary adenocarcinoma of the urinary bladder is not common. Though penile metastases from transitional cell carcinoma are reported, such metastases from adenocarcinoma of urinary bladder is unknown. We report a 55-year-old male having penile metastasis from primary mucinous adenocarcinoma of bladder.

Severe hypospadias with micropenis, case of confused sex, psychosocial changes and treatment.

Disorders such as severe hypospadias presenting as ambiguous genitalia have serious and potentially life-long consequences for affected individuals and, depending on the underlying cause, are likely to entail surgery in childhood and in later life, psychosocial and psychosexual support, and possible fertility treatment including assisted conception. Genetic males with severe hypospadias who were wrongly brought up as females formed the study group. They were reassigned as males and underwent surgery for correction of hypospadias.

Dissecting sub-epicardial haematoma: a rare complication with the use of Octopus suction mechanical stabiliser.

Mechanical heart stabilisers are the most important method of anastomotic field immobilisation in off pump coronary artery bypass (OPCAB) surgery. The new generations of stabilisers are small, versatile and relatively free of complications. We report a patient who developed a dissecting sub-epicardial haematoma following OPCAB using the OCTOPUS 3.

PCR confirmation of cutaneous manifestation due to Brucella melitensis.

Human brucellosis, a zoonotic disease, is endemic in the Belgaum district, Karnataka, India. A male patient presented with a generalized itchy rash. Blood was sent for venereal disease research laboratory testing.