Long-term outcome for children with bacterial meningitis in rural Papua New Guinea.

This study was undertaken to evaluate the long-term neurological outcome for survivors of bacterial meningitis in rural Papua New Guinea. Children who were discharged from Nonga Base Hospital in Rabaul with a diagnosis of bacterial meningitis between 1992 and 2000 were evaluated in their home villages or on review at hospital. Neurological and developmental complications were documented.

Long-term results of intramedullary pinning of forearm fractures in a developing country.

Background: Patients with fractured forearms who were treated with intramedullary Rush pins/nails at Port Moresby General Hospital (Papua New Guinea) were studied.

Methods: Sixteen patients were reviewed 24 months after insertion of the pins/nails.

Results: The results indicate that good outcomes could be achieved by the use of intramedullary pins in developing countries.

Oesophageal varices due to idiopathic portal vein thrombosis: a new surgical approach.

Life-threatening bleeding oesophageal varices due to idiopathic portal vein thrombosis occurred in a five-year-old male. Diagnosis was made by endoscopy and ultrasonography and decompression of the portal system performed by splenorenal shunt using the end renal vein to side splenic vein. This avoided the difficult mobilization of the splenic vein from the pancreatic bed in the conventional distal splenorenal shunt.