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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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   2010| January-March  | Volume 15 | Issue 1  
    Online since September 9, 2010

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Vaginal agenesis: Experience with sigmoid colon neovaginoplasty
Jiledar Rawat, Intezar Ahmed, Anand Pandey, Tanvir R Khan, Sarita Singh, Ashish Wakhlu, Shiv N Kureel
January-March 2010, 15(1):19-22
DOI:10.4103/0971-9261.69136  PMID:21180499
Aim: Objective of this study is to report our experience with sigmoid vaginoplasty in adolescents. Materials and Methods: A retrospective study of children with vaginal atresia and Mayer-Rokitansky-Kuster-Hauser syndrome. The sigmoid segment was used for vaginoplasty in all the cases. Results: Eight children were studied over a period of 7 years. The postoperative complications were ileus in 2, mucosal prolapse of the neovagina in 1, and minor wound infection in 1 patient. Seven patients are on regular follow-up. All the neovaginas were patent and functional. One patient had unacceptable perineal appearance, that is, badly scarred perineum as a late complication. None of the patients had vaginal stenosis or excessive mucus discharge, during follow-up visits. Out of the 7 patients, 2 patients are sexually active and satisfied. Conclusions: Sigmoid vaginoplasty is a safe and acceptable procedure for vaginal agenesis with good cosmetic results and acceptable complications rate. Sigmoid colon vaginoplasty is the treatment of choice because of its large lumen, thick walls resistant to trauma, adequate secretion allowing lubrication, not necessitating prolonged dilatation, and short recovery time.
  13 11,761 238
Recurrent plunging ranula
Pavai Arunachalam, Nithya Priyadharshini
January-March 2010, 15(1):36-38
DOI:10.4103/0971-9261.69143  PMID:21180506
We report two cases of plunging ranula, which had recurred after marsupialization. Both were successfully treated by removal of the ipsilateral sublingual gland. A brief review of the literature regarding the treatment options is presented.
  6 5,263 190
Surgical management and outcome analysis of stage III pediatric empyema thoracis
Prema Menon, K.L.N. Rao, Meenu Singh, MA Venkatesh, RP Kanojia, R Samujh, AK Saxena, YK Batra
January-March 2010, 15(1):9-14
DOI:10.4103/0971-9261.69134  PMID:21180497
Aim: Report of 125 pediatric patients of empyema thoracis treated by open decortication, highlighting the presentation, delay in referral, operative findings, the response to surgical intervention and follow-up. Materials and Methods: All the children who underwent open decortication for stage III empyema thoracis during the study period were included. Preoperative workup included hemogram, serum protein, chest radiographs and contrast-enhanced computed tomographic (CECT) scan of the chest. Results: One hundred and twenty-five patients (81 males, 44 females) (age 3 months-12 years, mean 4.9 years) were operated during a 4.5-year period. Among them, two children underwent bilateral thoracotomies. Also, 81.6% patients were referred 3 weeks after the onset of disease (mean duration 9 weeks). Intercostal chest drainage (ICD) had been inserted in (119) 95% cases. Thickened pleura, multiloculated pus and lung involvement were invariably seen on CECT scan. Bronchopleural fistula was present in 10 patients and empyema necessitatis in 2. Decortication, removal of necrotic tissue and closure of air leaks was performed in all the patients. Necrotizing pneumonia was seen in (35) 27.5% cases. Mean duration of postoperative ICD was 7 days. Follow-up ranged from 3 months to 4 years (mean 12 months). There was no mortality. Six patients had proven tuberculosis. Conclusions: The duration of the disease had a direct relationship with the thickness of the pleura and injury to the underlying lung. Delayed referral causes irreversible changes in the lung prolonging recovery. Only 18% presented within the early period of the disease. Meticulous open surgical debridement gives gratifying results. The status of the lung at the end of surgery is a major prognostic factor.
  6 4,760 320
Psychosocial burden and quality of life in parents of children with anorectal malformation
Gavneet K Pruthi, Anup Mohta
January-March 2010, 15(1):15-18
DOI:10.4103/0971-9261.69135  PMID:21180498
Aim: To assess the psychosocial burden and quality of life in parents of children with anorectal malformation. Subjects and Methods : This is a prospective study conducted in a tertiary care specialty hospital. Sample consisted of 50 parents (care givers), having children with anorectal malformation in the age group of 0-14 years. Data were collected through a semi structured interview with the care givers, using Zarit Burden Interview for assessing extent of burden and WHOQOL-BREF for assessing different aspects of quality of life. Statistical analysis used: frequencies, percentages, mean and standard deviations were calculated for analyzing the data. Results : The study reveals greater psychosocial burden and poor quality of life, in terms of the psychological and environmental aspects as compared to the physical and social aspects, among the care givers. Conclusions: The study found increased psychosocial burden and negative impact on the quality of life of parents, which varies with the stages of management and proper continuous counseling is recommended.
  5 3,791 223
Minimally invasive surgery in neonates and infants
Tiffany Lin, Ashwin Pimpalwar
January-March 2010, 15(1):2-8
DOI:10.4103/0971-9261.69133  PMID:21180496
Minimally invasive surgery (MIS) has significantly improved the field of surgery, with benefits including shorter operating time, improved recovery time, minimizing stress and pain due to smaller incisions, and even improving mortality. MIS procedures, including their indications, impact, limitations, and possible future evolution in neonates and infants, are discussed in this article.
  4 4,524 263
Epidermoid cyst of clitoris mimicking clitoromegaly
Satish Kumar Aggarwal, Vivek Manchanda, Nitin Pant
January-March 2010, 15(1):23-24
DOI:10.4103/0971-9261.69137  PMID:21180500
Clitoromegaly in pediatric and adolescent age group is usually indicative of a disorder of sexual differentiation. We report a girl child presenting with clitoral enlargement due to an epidermoid cyst. The cyst was excised with complete cosmetic recovery.
  3 33,095 172
Acute gastric volvulus in operated cases of tracheoesophageal fistula
Milind Joshi, Sandesh Parelkar
January-March 2010, 15(1):28-29
DOI:10.4103/0971-9261.69139  PMID:21180502
A report of two neonates of esophageal atresia with tracheoesophageal fistula who had acute gastric volvulus in the postoperative period and required gastropexy after correction of the volvulus. Such postoperative complication has not been reported in the literature so far.
  2 3,303 122
Portal hypertensive biliopathy: Can we prevent it?
K.L.N Rao, BR Thapa
January-March 2010, 15(1):1-1
DOI:10.4103/0971-9261.69132  PMID:21180495
  2 2,709 203
Gastric, pancreatic, and ureteric duplication
Anindya Chattopadhyay, SK Mitra, Soumitra Dutta, Hema Chakraborty
January-March 2010, 15(1):25-27
DOI:10.4103/0971-9261.69138  PMID:21180501
We report a case of an 8-month-old, asymptomatic child who was incidentally detected to have two cystic structures in the abdomen. Surgical exploration revealed a gastric and pancreatic duplication cyst along with a blind-ending duplication of the right ureter. Excision of the duplications was relatively straightforward, and the child made an uneventful recovery. This constellation of duplications has not been reported before.
  1 3,205 117
Spontaneous duodenal fistulization of pseudocyst of pancreas: A rare entity in children
Sunil Kumar Yadav, Vipul Gupta, Ashhad Ali Khan
January-March 2010, 15(1):32-33
DOI:10.4103/0971-9261.69141  PMID:21180504
The spontaneous resolution of pseudopancreatic cyst due to internal fistulization into the duodenum in a 4-year-old male child is described here. This is rare and the child presented initially with features of duodenal obstruction. Upper gastrointestinal endoscopy and computed tomography scan confirmed the diagnosis and the unusual mode of resolution of this entity.
  1 3,174 117
Esophageal perforation following bite of inner tube of automobile tyre: An unusual cause of barotrauma
YS Kadian, S Agarwal, KN Rattan, Nityasha
January-March 2010, 15(1):34-35
DOI:10.4103/0971-9261.69142  PMID:21180505
An 8-year-old child presented with severe chest pain and respiratory distress after he accidentally bit an automobile tyre tube which burst into his mouth. The chest radiograph revealed left-sided pneumothorax. Both esophagogram and computed tomogram (CT) scan revealed a perforation of the distal third of esophagus with extravasation of contrast on left side. The patient was treated conservatively with gastrostomy feeds and antibiotics for 5 weeks with a good response.
  1 3,151 127
Esophageal atresia with tracheo-esophageal fistula
Subir K Chatterjee
January-March 2010, 15(1):42-42
DOI:10.4103/0971-9261.69145  PMID:21180508
  1 2,323 132
Undergraduate medical education and pediatric surgery
P Madhok
January-March 2010, 15(1):42-42
DOI:10.4103/0971-9261.69146  PMID:21180509
  1 2,083 125
3D multidetector CT angiographic evaluation of intralobular bronchopulmonary sequestration
Ruchira Marwah, Jaykumar R Nair, Arbinder Singal, Inder Talwar
January-March 2010, 15(1):39-41
DOI:10.4103/0971-9261.69144  PMID:21180507
We report a case of intralobar pulmonary sequestration with special emphasis on computed tomography (CT) angiography in determining the arterial supply and venous drainage, thus providing a detailed knowledge of the vasculature, which is of vital importance in surgery. The 3D volume rendering technique and maximum intensity projection images provide the vascular road map for the surgeon.
  - 4,385 131
Coeliac disease in a child with anorectal malformation: The importance of considering other causes of diarrhea
Milan Gopal, Shawqui Nour, Wren Hoskyns
January-March 2010, 15(1):30-31
DOI:10.4103/0971-9261.69140  PMID:21180503
We present the case of an Indian child with a high anorectal malformation (ARM) who postoperatively had troublesome fecal incontinence. Based on a dietary history, weight loss, and diarrhea, a duodenal biopsy was performed that revealed coeliac disease. Since being on a gluten-free diet, her symptoms have improved dramatically. To the best of our knowledge this is the first report in the English literature of such an association between ARMs and coeliac disease. Dietary modification alone can dramatically improve symptoms in these children.
  - 2,819 108
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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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