http://www.jiaps.com/currentissue.asp J Indian Assoc Pediatr Surg 2009 - 14(2) Journal of Indian Association of Pediatric Surgeons Medknow Publications0971-9261 M Bajpai Editorial Journal of Indian Association of Pediatric Surgeons 2009 14(2):47-49doi:10.4103/0971-9261.55150 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55150 http://www.jiaps.com/text.asp?2009/14/2/47/55150 http://www.jiaps.com/text.asp?2009/14/2/47/55150142 47 49 http://www.jiaps.com/text.asp?2009/14/2/47/55150 M Bajpai

Journal of Indian Association of Pediatric Surgeons 2009 14(2):47-49

]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/47/55150 RB Trobs Review Article Journal of Indian Association of Pediatric Surgeons 2009 14(2):50-54doi:10.4103/0971-9261.55151 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55151 http://www.jiaps.com/text.asp?2009/14/2/50/55151 http://www.jiaps.com/text.asp?2009/14/2/50/55151142 50 54 http://www.jiaps.com/text.asp?2009/14/2/50/55151 RB Trobs

Journal of Indian Association of Pediatric Surgeons 2009 14(2):50-54

Wilms tumor surgery requires meticulous planning and sophisticated surgical technique. Detailed anatomical knowledge can facilitate the uneventful performance of tumor nephrectomy and cannot be replaced by advanced and sophisticated imaging techniques. We can define two main goals for surgery: (1) exact staging as well as (2) safe and complete resection of tumor without spillage. This review aims to review the anatomical basis for Wilms tumor surgery. It focuses on the surgical anatomy of retroperitoneal space, aorta, vena cava and their large branches with lymphatics. Types and management of vascular injuries are discussed.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/50/55151 Avinash De Sousa Shibani Devare Jyoti Ghanshani Review Article Journal of Indian Association of Pediatric Surgeons 2009 14(2):55-58doi:10.4103/0971-9261.55152 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55152 http://www.jiaps.com/text.asp?2009/14/2/55/55152 http://www.jiaps.com/text.asp?2009/14/2/55/55152142 55 58 http://www.jiaps.com/text.asp?2009/14/2/55/55152 Avinash De Sousa, Shibani Devare, Jyoti Ghanshani

Journal of Indian Association of Pediatric Surgeons 2009 14(2):55-58

Vocational and social issues affect rehabilitation and development of patients with cleft lip and cleft palate. However, psychological problems like lowered self esteem and difficulties in social interaction have also been noted in them. Not many pediatric reconstructive surgery teams have a psychiatrist on their panel. It is likely that psychological problems are higher in incidence than literature actually suggests. Hence it is very essential that such cases are identified by the surgical team to maximize positive outcome of surgery and rehabilitation. This study discusses psychological issues revolving around cleft lip and cleft palate along with lacunae in many psychological research studies.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/55/55152 Mehrdad Memarzadeh Ardeshir Talebi Masod Edalaty Mehrdad Hosseinpour Nasrin Vahidi Original Article Journal of Indian Association of Pediatric Surgeons 2009 14(2):59-62doi:10.4103/0971-9261.55153 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55153 http://www.jiaps.com/text.asp?2009/14/2/59/55153 http://www.jiaps.com/text.asp?2009/14/2/59/55153142 59 62 http://www.jiaps.com/text.asp?2009/14/2/59/55153 Mehrdad Memarzadeh, Ardeshir Talebi, Masod Edalaty, Mehrdad Hosseinpour, Nasrin Vahidi

Journal of Indian Association of Pediatric Surgeons 2009 14(2):59-62

Background : The diagnosis of Hirschsprung's disease (HD) is based on the absence of ganglion cells. In hemotoxilin and eosin (H and E) as well as acetylcholine esterase staining there are limitations in the diagnosis of immature ganglion cells in neonates. Methods : In this prospective study, 54 biopsies taken from suspected HD patients (five mucosal specimens and 49 full thickness specimens) were studied. In the laboratory, after preparing sections of paraffin embedded tissues, H and E staining slides were compared with immunohistochemical (IHC) staining including: S100, NSE, CD117, CD56, Cathepsin D, Vimentin, BCL2, GFAP, Synaptophysin and chromogranin. Results : The study revealed 30 negative (absence of ganglion cells) cases (55.5%), 17 positive cases (31.04%) and seven suspected cases (12.9%) of ganglion cells on the H and E staining. On IHC staining with CD56 and Cathepsin D, all of the 17 positive cases detected through H and E, were confirmed for having ganglion cells and out of 30 cases reported negative on H and E staining, 28(93.3%) were reported negative and two (6.7%) positive by IHC staining. Of the seven suspected cases H and E staining), IHC staining detectedganglion cells only in five slides; two remained negative. Conclusions : IHC staining using CD56 and Cathepsin D improved the accuracy of diagnosis in HD when used in addition to H and E staining technique, especially for negative or suspicious slides.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/59/55153 Wen-Chan Yeow Richard Pemberton Andrew Barker Original Article Journal of Indian Association of Pediatric Surgeons 2009 14(2):63-65doi:10.4103/0971-9261.55154 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55154 http://www.jiaps.com/text.asp?2009/14/2/63/55154 http://www.jiaps.com/text.asp?2009/14/2/63/55154142 63 65 http://www.jiaps.com/text.asp?2009/14/2/63/55154 Wen-Chan Yeow, Richard Pemberton, Andrew Barker

Journal of Indian Association of Pediatric Surgeons 2009 14(2):63-65

Background: Flexible ureterorenoscopy (FUR) and laser lithotripsy (LL) are techniques used in the management of upper urinary tract disorders. These techniques, so far established in adults, are now being used in children as well. We report our experience with 26 cases of pediatric upper urinary tract disorders treated using these techniques. Methods: In the period from 1997 to 2006, FUR was performed in 26 children (14 males and 12 females) in the age group of three months to 15 years with a mean age of 8.2 years. Twenty five were stented prior to undergoing FUR and 24 presented with suspected upper tract stones (17 pelvicalyceal and seven midureteric). Two cases showed JJ stent migration post-pyeloplasty. Results: Eight cases involved diagnostic procedures. Six excluded the presence of renal calculi, one had focal medullary sponge kidney, and one had calcified papillae. There were 15 cases of therapeutic FUR. Of these, 12 had LL with only one had incomplete stone fragmentation which subsequently passed spontaneously. Other therapeutic procedures included removal of migrated JJ stents and FUR with the basket removal of a midureteric calculus. Three cases failed ureterorenoscopy due to technical difficulties. The overall success rate was 88.5% for FUR. Conclusion: FUR and LL are valuable minimally invasive techniques for the examination and treatment of pediatric upper urinary tract conditions. Preoperative stenting improves passage of the ureteroscope and with progressive miniaturization of instruments, the lower weight limit will decrease.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/63/55154 Veena Kumari Nilay Biswas Nilanjan Mitra Hiralal Konar Dipak Ghosh Sukanta K Das Original Article Journal of Indian Association of Pediatric Surgeons 2009 14(2):66-67doi:10.4103/0971-9261.55155 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55155 http://www.jiaps.com/text.asp?2009/14/2/66/55155 http://www.jiaps.com/text.asp?2009/14/2/66/55155142 66 67 http://www.jiaps.com/text.asp?2009/14/2/66/55155 Veena Kumari, Nilay Biswas, Nilanjan Mitra, Hiralal Konar, Dipak Ghosh, Sukanta K Das

Journal of Indian Association of Pediatric Surgeons 2009 14(2):66-67

Aim: Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. A prospective study was carried out to see if it is actually required based on the fact that any peritoneal defect closes within 24 hours by metamorphosis of the in situ mesodermal cells. Methods: Fifty cases of undescended testis, age ranging from eight months to 12 years were enrolled. All of them underwent standard orchiopexy without ligation of the hernial sac. Results: Follow up of all cases ranged between 1.5 years to three years. Not a single case was reported with evidence of hernia. Conclusions: It is unnecessary to ligate the hernial sac during orchiopexy.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/66/55155 Madhumita Mukhopadhyay Rishavdeb Patra Sima Mondal Asit Ghosh AK Ray Case Report Journal of Indian Association of Pediatric Surgeons 2009 14(2):68-69doi:10.4103/0971-9261.55156 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55156 http://www.jiaps.com/text.asp?2009/14/2/68/55156 http://www.jiaps.com/text.asp?2009/14/2/68/55156142 68 69 http://www.jiaps.com/text.asp?2009/14/2/68/55156 Madhumita Mukhopadhyay, Rishavdeb Patra, Sima Mondal, Asit Ghosh, AK Ray

Journal of Indian Association of Pediatric Surgeons 2009 14(2):68-69

An 11-year-old girl with rapidly enlarging bilateral breast lumps is reported. It was diagnosed as a case of juvenile fibroadenoma following fine needle aspiration cytology and confirmed on histopathological examination of the excised specimens.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/68/55156 Yameen Majid Monali Warade Zarina Aziz GA Karthik Case Report Journal of Indian Association of Pediatric Surgeons 2009 14(2):70-72doi:10.4103/0971-9261.55157 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55157 http://www.jiaps.com/text.asp?2009/14/2/70/55157 http://www.jiaps.com/text.asp?2009/14/2/70/55157142 70 72 http://www.jiaps.com/text.asp?2009/14/2/70/55157 Yameen Majid, Monali Warade, Zarina Aziz, GA Karthik

Journal of Indian Association of Pediatric Surgeons 2009 14(2):70-72

We report a case of double aortic arch in a 12-month-old male infant well delineated on 64 slice computed tomography scan. It formed a complete vascular ring around the trachea compressing it. The symptoms resolved after surgical division of the ring.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/70/55157 Hemonta K Dutta Shree Harsh Case Report Journal of Indian Association of Pediatric Surgeons 2009 14(2):73-75doi:10.4103/0971-9261.55158 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55158 http://www.jiaps.com/text.asp?2009/14/2/73/55158 http://www.jiaps.com/text.asp?2009/14/2/73/55158142 73 75 http://www.jiaps.com/text.asp?2009/14/2/73/55158 Hemonta K Dutta, Shree Harsh

Journal of Indian Association of Pediatric Surgeons 2009 14(2):73-75

Several theories on embryogenesis of esophageal atresia have been proposed, none could explain the whole spectrum of this anomaly. We report a new variant of esophageal atresia in which the two blind pouches were joined by an atretic band. Histology of the atretic part showed groups of striated muscle arranged haphazardly without any lumen. The existing theories on etiology of esophageal atresia cannot explain this variant. However, localized vascular accident during intrauterine life resulting in disturbances in regional microcirculation could be a possible factor as demonstrated by Louw and Barnard in relation to jejunoileal atresia. This is contrary to the current understanding that disproportionate growth of the horizontal esophageal folds results in esophageal atresia.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/73/55158 Lavanya Kannaiyan Sudipta Sen Case Report Journal of Indian Association of Pediatric Surgeons 2009 14(2):76-77doi:10.4103/0971-9261.55159 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55159 http://www.jiaps.com/text.asp?2009/14/2/76/55159 http://www.jiaps.com/text.asp?2009/14/2/76/55159142 76 77 http://www.jiaps.com/text.asp?2009/14/2/76/55159 Lavanya Kannaiyan, Sudipta Sen

Journal of Indian Association of Pediatric Surgeons 2009 14(2):76-77

A five-year-old girl presented with post traumatic urinary incontinence secondary to rupture of the bladder neck into the vagina. Operative repair included a midline exposure with resection of the symphysis pubis, separation of the bladder neck from the vagina, repair of the torn bladder neck and urethral substitution with ileum. Normal continence and voiding was achieved.]]> Sat,22 Aug 2009http://www.jiaps.com/text.asp?2009/14/2/76/55159 AY Kshirsagar KS Shukla YP Nikam RB Garg TU Sholapurkar Images Journal of Indian Association of Pediatric Surgeons 2009 14(2):78-78doi:10.4103/0971-9261.55160 Journal of Indian Association of Pediatric Surgeons 10.4103/0971-9261.55160 http://www.jiaps.com/text.asp?2009/14/2/78/55160 http://www.jiaps.com/text.asp?2009/14/2/78/55160142 78 78 http://www.jiaps.com/text.asp?2009/14/2/78/55160 AY Kshirsagar, KS Shukla, YP Nikam, RB Garg, TU Sholapurkar

Journal of Indian Association of Pediatric Surgeons 2009 14(2):78-78

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