Laparoscopic cholecystectomy with choledochoduodenostomy in a patient with situs inversus totalis.

A 50-year-old female presented to us with features of obstructive jaundice. Investigations revealed cholelithiasis with single large impacted calculus in the common bile duct (CBD) and significant dilatation of extrahepatic biliary tree. Incidentally, the patient was also detected to have situs inversus totalis (SIT).

Use of a Macintosh blade in extrahepatic portal vein obstruction with difficult intubation: two case reports.

Background: We report the management of two patents from the Indian subcontinent with extrahepatic portal vein obstruction presenting with anticipated difficult airway. A Macintosh blade was used to secure the airway after using various instruments designed for difficult airway. To the best of our knowledge, no case has previously been reported in which a Macintosh blade was used successfully in patients with extrahepatic portal vein obstruction with a difficult airway.

Echocardiographic parameters in clinical responders to surgical pericardiectomy - A single center experience with chronic constrictive pericarditis.

Background: Chronic constrictive pericarditis (CCP) is the end result of chronic inflammation of the pericardium. Developing countries continue to face a significant burden of CCP secondary to tuberculous pericarditis. Surgical pericardiectomy offers potential cure.

Simultaneous transcatheter closure of ruptured sinus of Valsalva aneurysm and stent implantation for aortic coarctation.

Ruptured sinus of Valsalva aneurysm is a rare anomaly and an associated coarctation of aorta is even rarer. A combination of such defects is traditionally treated surgically. The surgery is necessarily staged and done through different approaches.

Direct "Cystoscopic" Approach for Arthroscopic Decompression of an Intraosseous Ganglion of the Lunate.

Intraosseous ganglion cysts (IOGs) are uncommon lesions of the carpal bones and can present with persistent pain and stiffness of the wrist. Surgical decompression is recommended, and a variety of approaches to decompress symptomatic IOGs of the wrist have been described. We describe an arthroscopic approach that can be performed with only 2 portals and offers excellent access for visualization and instrumentation.

Laparoscopic adrenalectomy for large tumours: Single team experience.

Background: Laparoscopic adrenalectomy (LA) has become the procedure of choice to treat benign functioning and non-functioning adrenal tumours. With improving experience, large adrenal tumours (> 5 cm) are being successfully tackled by laparoscopy. This study aims to present our single unit experience of LA performed for large adrenal masses.

Bilateral vasculopexy of anomalous vertebral arteries causing cervicomedullary compression: case report and technical note.

Introduction: The authors report an extremely rare cause of cervicomedullary cord compression by anomalous ectatic vertebral arteries.

Material: A 50-year-old male patient presented with a 9 month history of progressive quadriparesis. Investigations revealed that the vertebral arteries on both sides had a mirror-like course and caused a deep indentation into the high cervical cord.

Analysis of the anatomy of the Papez circuit and adjoining limbic system by fiber dissection techniques.

Fiber dissection techniques were used to study the limbic system, in particular the Papez circuit. The course, length and anatomical relations of the structures that make up the Papez circuit were delineated. Ten previously frozen and formalin-fixed cadaveric human brains were used, and dissected according to the fiber dissection techniques of Klingler et al.

Posterolateral extrusion of C7-D1 intervertebral disc associated with intradiscal hematoma.

A case of an extruded cervical intervertebral disc at C7-D1 level with intradiscal hematoma in a 68-year-old male patient is presented. MR imaging showed a posterolateral extradural hemorrhagic lesion at C7-D1 level. It was suggestive of an epidural hematoma or a bleed within a neoplasm.

Thoracoscopic removal of impacted denture: Report of a case with review of literature.

Impacted foreign bodies in the oesophagus are common. Because of their large size, rigidity and pointed edges, dentures get frequently impacted in the oesophagus and are difficult for endoscopic retrieval. Traditional thoracotomy for retrieval of impacted foreign bodies in the thoracic oesophagus is associated with significant morbidity.

Rhabdomyoma of the right atrium: report of a case.

Rhabdomyomas are the most common primary cardiac tumors in childhood, and are considered to be congenital lesions. They are uncommon in adolescents and adults due to their tendency for spontaneous regression. Majority of them are located in the ventricular chambers, and are also associated with tuberous sclerosis.

Transmastoid repair of superior semicircular canal dehiscence.

Objective: The aim of this study was to describe the successful operative management of a patient with superior semicircular canal dehiscence syndrome, using the transmastoid approach under local anaesthesia.

Methods: The transmastoid approach was used to plug the superior semicircular canal.

Results: Post-operatively, the patient experienced significant improvement in his symptoms of sound- and pressure-induced dysequilibrium, autophony and imbalance.

Glioblastoma multiforme of the conus medullaris with holocordal spread.

Glioblastoma multiforme of the conus medullaris is rare. It spreads both locally to contiguous structures and also by cerebrospinal seeding. The disease is aggressive and the ultimate prognosis is dismal.

Trigeminal neurinoma associated with Chiari malformation and syringomyelia.

We report a 36 year-old woman who presented with headaches and hypoesthesia of the face. MRI revealed a large dumbbell shaped trigeminal neurinoma extending into both the middle and the posterior cranial fossae. In addition, there was a Chiari I malformation and syringomyelia.

Prognostic factors in obstetric patients admitted to an Indian intensive care unit.

Objectives: Obstetric patients form a significant proportion of intensive care unit admissions in countries like India, where maternal mortality is high (440 per 100,000 deliveries). We studied the diseases requiring intensive care and prognostic factors in obstetric patients.

Design: Retrospective chart review.