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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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   2012| April-June  | Volume 17 | Issue 2  
    Online since March 17, 2012

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Thoracoschisis with limb agenesis
Nirmal C Bhattacharyya, Manoj Gogoi, Pradip K Deuri
April-June 2012, 17(2):78-79
A rare case of thoracoschisis, diaphragmatic and supraumbilical abdominal wall defect with right upper limb agenesis in a neonate is reported.
  45,184 141 -
Tessier 30 facial cleft
Nirmal C Bhattacharyya, Kabita Kalita, Manoj Gogoi, Pradip K Deuri
April-June 2012, 17(2):75-77
A case of midline cleft of the lower lip with cleft of the mandible and complete duplication of the tongue is reported here. Median cleft of the lower lip, mandible and bifid tongue with ankyloglossia is reported in the literature, but complete duplication of the tongue as part of the Tessier 30 cleft is not yet reported.
  5,673 132 -
Regenerative urethroplasty in reoperative hypospadias: Buried strip principle revisited
Uday S Chatterjee, Subir K Chatterjee
April-June 2012, 17(2):63-67
Aim : Reporting the feasibility of the Denis Browne (buried strip) principle along with tunica vaginalis (TV) pedicled wrapping of the strip in reoperative urethroplasty in hypospadias. Materials and Methods : Over a period of 5 years, 32 patients presented with failure of previous urethroplasty and the range of failure was between 2 and 6 times; mean 2.5 times. Mean age was 12.9 (range 2 to 26 years) years. "Buried strip" urethroplasty (i.e., without tubularization of urethral plate) and wrapping with TV were done along with supra pubic cystostomy (SPC) for diversion of urine. Mean follow-up was 29.8 (range 12 to 56 months) months. Results : One patient had fistula and vertical slit meatus was possible in 26 patients. The flow of urine was satisfactory in 31 patients and one patient developed pouch in penile urethra. Conclusions : The buried strip along with the additional coverage with TV was found to be simple and effective in salvaging the failed urethroplasty.
  4,425 175 -
Chronic cervical lymphadenopathy in children: Role of ultrasonography
Anand Pandey, Shiv N Kureel, Jigyasa Pandey, Ashish Wakhlu, Jiledar Rawat, Tej Bali Singh
April-June 2012, 17(2):58-62
Aim: To assess the usefulness of ultrasonography in the differentiation of causes of chronic cervical lymphadenopathy in children. Materials and Methods: Children with palpable cervical lymph nodes were included. An ultrasonographic examination was performed to delineate multiple lymph nodes, irregular margins, tendency towards fusion, internal echos, the presence of strong echoes and echogenic thin layer. Results: The total number of patients was 120. Echogenic thin layer and strong internal echoes were specific for tuberculosis. Long axis to short axis (L/S) ratio was more than 2 in most of the tubercular nodes (85.71%). Hilus was present in 50 (73.53%) tubercular lymphadenitis, 12 (40%) lymphoma and 10 (62.5%) cases with metastatic lymph nodes. Hypoechoic center was present in 60 (88.24%) tubercular lymphadenitis cases followed by 62.5% metastatic and 60% malignant lymphoma cases. Conclusions: Ultrasonography is a non-invasive tool for lymph nodal evaluation in children. It may be used to differentiate cervical lymphadenopathy with different etiologies in children. When correlated clinically, it may avoid biopsy in a patient.
  4,352 242 1
Simultaneous acute appendicitis with right testicular torsion
Tanveer Akhtar, Pranjal Kumar Das, Nitin Singh, Haralappa Paramesh
April-June 2012, 17(2):82-83
We present a child with both acute appendicitis and torsion of the right testis presenting at the same time. Testicular torsion possibly occurring due to vomiting in acute appendicitis so far has not been reported in the literature.
  4,380 112 -
Urethral transection following neonatal circumcision using a Plastibell device
Venkat Sripathi, Lazarus R Padankatti, Jimmy Shad
April-June 2012, 17(2):87-87
  4,320 123 -
Pediatric hydrocephalus: Does the shunt device pressure selection affect the outcome?
Arvind Sinha, Anuj Sharma, Charitesh Gupta
April-June 2012, 17(2):54-57
Aim : To compare the efficacy of low- versus medium-pressure shunts in pediatric hydrocephalus in a randomized controlled trial. Materials and Methods: Forty patients of pediatric hydrocephalus were randomized into two groups. The Chhabra differential pressure VP shunt (low or medium) was inserted in every patient. Postoperative follow-up was performed for symptomatic improvement and radiological evaluation (by sonography or computed tomography scan) for ventricle hemispheric ratio (VHR). Comparative analysis of pre- and postoperative VHR and need of redo surgery for shunt malformation were carried out to establish outcomes. Results: Nineteen patients had a low-pressure and 21 patients had a medium-pressure shunt inserted. The age of the patients ranged from 1 day to 10 years. The average preoperative VHR in group A was 55.37%, which reduced to 40% postoperatively (P = 0.00005); likewise, the pre- and postoperative VHR in group B were 61.57% and 42%, respectively, which was statistically significant (P = 0.0006). The complications of shunts and incidence of redo shunt surgery in both groups were not found to be statistically significant (P = 0.5614). Conclusions : The study found no significant difference in the outcome of patients with low- or medium-pressure shunt placement in pediatric hydrocephalus.
  3,866 256 -
Completely isolated enteric duplication cyst associated with a classic enterogenous duplication cyst
Nitin Pant, Jitendra K Grover, Neha K Madan, Rajiv Chadha, Kiran Agarwal, Subhasis R Choudhury
April-June 2012, 17(2):68-70
This report describes an 18-month-old boy with a completely isolated duplication cyst (CIDC) of the ileum associated with another classic enteric duplication cyst in the adjacent bowel and presenting as an acute abdomen due to torsion of the pedicle of the CIDC. Cysts excision was curative.
  3,064 134 1
Duodenal atresia in association with situs inversus abdominus
Raghu Shankar, Sadashiva P Rao, Kishan B Shetty
April-June 2012, 17(2):71-72
We report a rare association of duodenal atresia with situs inversus abdominus in a newborn. The infantogram revealed "reverse double-bubble sign" without dextrocardia. The sonography and echocardiography confirmed the diagnosis of situs inversus abdominus with multiple cardiac anomalies. Laparotomy and a duodenoduodenostomy were carried out.
  3,075 123 1
Unilateral ureteric obstruction: Role of renin angiotensin system blockade on renal recovery: An experimental study
Anand Sinha, Minu Bajpai, Shashank Panda, Saumya Ranjan, Meher C Sharma
April-June 2012, 17(2):49-53
Aims: To study and compare the effects of angiotensin II antagonist (Losartan) and angiotensin converting enzyme (ACE) inhibitor (Enalapril) on renal recovery following reversal of iatrogenic unilateral upper ureteric obstruction. Materials and Methods: Unilateral upper ureteric obstruction was created in 96 adult Wistar rats that were reversed after predetermined intervals. Losartan and Enalapril were given to different subgroups of rats following relief of obstruction. Rats were sacrificed and kidneys were subjected to planimetric and histopathological analysis. Results: Dorsal lumbotomy approach provided a rapid and safe approach to kidneys in rats. The planimetric and histopathological changes were most severe in the group of rats in whom obstruction was not relieved before sacrifice. Addition of Enalapril and Losartan significantly hastened the reversal of renal changes following relief of obstruction as compared with the group in which no treatment was given following reversal of blockade. Conclusions: Renin angiotensin system (RAS) is the major pathway responsible for renal damage following outflow obstruction. However, this damage can be reversed with the use of drugs acting on the RAS.
  2,892 213 2
Hydatid cyst of liver: Spontaneous rupture and cystocutaneous fistula formation in a child
Raashid Hamid, AH Shera, Nisar A Bhat, Aijaz A Baba, Abdul Rashid, Afrozah Akhter
April-June 2012, 17(2):73-74
A case of spontaneous formation of cutaneous fistula from rupture of an infected hydatid cyst of liver in a female child is reported.
  2,770 126 1
Pyloroduodenal duplication cyst
Venkatesh M Annigeri, Harihar V Hegde, Preetam B Patil, Anil B Halgeri, P Raghavendra Rao
April-June 2012, 17(2):80-81
A 4-year-old girl presented with non-bilious vomiting and loss of appetite and weight. At laparotomy, a non-communicating pyloroduodenal duplication cyst was present. Subtotal excision of the cyst and cauterization of the mucosal lining of the common wall was performed. The post-operative recovery was uneventful.
  2,715 115 -
Response to "Interventional sialendoscopy for treatment of juvenile recurrent parotitis"
Poramate Pitak-Arnnop, Kittipong Dhanuthai, Alexander Hemprich, Niels C Pausch
April-June 2012, 17(2):91-93
  2,665 82 1
Proceedings of tumor board meeting
Sushmita Bhatnagar, Manish Madhav
April-June 2012, 17(2):84-86
The Tumour Board Meeting was held on August 16, 2011, in the Seminar Hall at B.J. Wadia Hospital for children. The panelists of the meeting were Dr. S. Ranganathan, Pediatric Pathologist from Children's Hospital of Pittsburgh; Dr. Archana Swami, Consultant Pediatric Oncologist at Wadia Children's Hospital; Dr. Sajid Qureshi Onco-surgeon (Pediatric) at Tata Memorial Hospital and Dr. Sushmita Bhatnagar.
  2,495 92 -
Amyand's hernia
Vipul D Yagnik
April-June 2012, 17(2):88-88
  2,051 114 2
Pediatric Surgery: Resident Handbook
Prema Menon
April-June 2012, 17(2):97-97
  1,955 172 -
Reply: Congenital pouch colon with ileovesical and colovesical fistulae: A new variant
Bilal Mirza, Lubna Ijaz, Maham Zaman, Afzal Sheikh
April-June 2012, 17(2):91-91
  1,988 81 -
Bananas and neonatal gastric perforation
Arpit Mathew, Lurstep Wanshnong, Susil Longtrai, Dhruv Ghosh
April-June 2012, 17(2):88-89
  1,903 92 -
Newer variant of congenital pouch colon with double colovesical fistulae
Archana Puri, Monica Nanda, R Chadha, S Roy Choudhary
April-June 2012, 17(2):89-90
  1,874 89 -
Response to: Hydronephrosis due to pelviureteric junction narrowing: Utility of urinary enzymes to predict the need for surgical management and follow up
V. V. S. Chandrasekharam, Harish Jayaram
April-June 2012, 17(2):94-95
  1,827 96 -
Authors' reply
Kirtikumar J Rathod, Ram Samujh, Sumeet Agarwal, Ravi Kanojia, Ujjawal Sharma, Rajendra Prasad
April-June 2012, 17(2):95-96
  1,639 75 -
Authors' reply
Celeste Gary, Evelyn A Kluka, Barry Schaitkin, Rohan R Walvekar
April-June 2012, 17(2):93-94
  1,485 58 -
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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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