ABSTRACT: In a prospective study a single stage urethroplasty using prepucial flaps was done on 25 consecutive cases of children having hypospadias with chordee during 1994-1995. All the children had their meatus on the shaft of penis after chordee correction. Based on Barcat classification there were 19 anterior penile, 4 mid penile and 2 posterior penile hypospadias. Two types of repair, described by (a Duckett and (b) Asopa were used with certain modifications. Of the 25 patients 10 had major complications, 9 had fistula (8 single and 1 multiple) and in one child the entire flap necrosed and sloughed off. Four children had stricture. In all there were 60 percent success rates with good functional results. The final appearance was acceptable to the parents.

ABSTRACT: An isolated bowel segment (IBS) was created in 10 rats by a two staged procedure: (1) Co-optation of the omentum to the submucosa of the bowel segment and (2) division of the mesentery of this segment 6 weeks later. Fluorescein angiography was done in 5 rats and showed that the IBS was sustained by collateral from the omentum. Histological evaluation in 5 other rats showed no adverse changes in the wall or mucous of the IBS. Stomal stenosis has been shown to be of potential advantage for the use of IBS in bowel elongation procedures.

ABSTRACT: The problem of postoperative pain in children has become an important issue today. Numerous techniques are available for the relief of postoperative pain. In spite of the introduction of such techniques as regional blocks and patient-controlled analgesia, there is considerable scope and need for advances in pain therapy in infants and younger children.

ABSTRACT: Pancreatic ascites in the Pediatric age group is a rare condition. Here two cases are presented. They were successfully managed with the use of subcutaneous octreotide. One of the cases was a haemorrhagic ascites and the other was a leaking pseudocyst. After a poor response to initial conservative treatment and repeated paracentesis, octreotide therapy was institutes. Octreotide has been found to be an important and effective agent both as an adjunct to surgery and in cases where initial conservative treatment has been unsuccessful.

ABSTRACT: Ramstesdt's pyloromyotomy has proved beyond doubt that it will stay as a standard operation for infantile pyloric stenosis. Re-exploration for this problem is a rarity. The author has a chance to explore two patients operated for infantile pyloric stenosis. The findings at exploration are given with causes of repeat obstruction, which may force a surgeons to re-explore the patient.

ABSTRACT: A girl aged 10 years, diagnosed to be suffering from beta-thalassaemia, presented with recent increase in blood transfusion requirement, Pre-operative abdominal ultrasonography screening revealed a splenic cyst. This was effectively managed by splenectomy.

ABSTRACT: A 5 year-old girl was presented with intestinal obstruction and on exploration a trichobezoar of the terminal ileum was detected. Isolated Ileal trichobezoar is a rare presentation especially in presence of surgically untampered normal gut. The patient was managed by ileo-ileal resection anastamosis and had a smooth uneventful postoperative recovery.

ABSTRACT: A case of imperforate anus in a 3 day-old male baby associated with a malroated short colon, duplex appendix and Meckel's diverticulum is reported.

ABSTRACT: In the present communique, a neonate with a large ovarian cyst that was detected antenatally is reported. Large ovarian cysts are in the neonatal period. Widespread use of ultrasound examination has however led to increased detection and surgical removal.