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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| October-December  | Volume 15 | Issue 4  
    Online since November 11, 2010

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Pediatric laparoscopy: Facts and factitious claims
V Raveenthiran
October-December 2010, 15(4):122-128
DOI:10.4103/0971-9261.72434  PMID:21170193
Background: Pediatric laparoscopy (LS) is claimed to be superior to open surgery (OS). This review questions the scientific veracity of this assertion by systematic analysis of published evidences comparing LS versus OS in infants and children. Materials and Methods: Search of PubMed data base and the available literature on pediatric LS is analyzed. Results: One hundred and eight articles out of a total of 426 papers were studied in detail. Conclusions: High quality evidences indicate that LS is, at the best, as invasive as OS; and is at the worst, more invasive than conventional surgery. There are no high quality evidences to suggest that LS is minimally invasive, economically profitable and is associated with fewer complications than OS. Evidences are equally distributed for and against the benefits of LS regarding postoperative pain. Proof of cosmetic superiority of LS or otherwise is not available. The author concludes that pediatric laparoscopy, at the best, is simply comparable to laparotomy and its superiority over the latter could not be sustained on the basis of available scientific evidences. Benefits of laparoscopy appear to recede with younger age. Concerns are raised on the quick adoption, undue promotion and frequent misuse of laparoscopy in children.
  8,240 312 1
Partial duplication of vas deferens: How important is it?
Ayse Karaman, Ibrahim Karaman, Beytullah Yagiz, Yusuf Hakan Cavusoglu
October-December 2010, 15(4):135-136
DOI:10.4103/0971-9261.72437  PMID:21170196
This study reports a 1-year-old boy with unilateral partial duplication of vas deferens, diagnosed during surgery for undescended testis. Pediatric surgeons need to be aware of this kind of anomaly in order to avoid injury to this vital structure.
  6,229 130 12
Gastrointestinal stromal tumor: Role of surgery and immunotherapy
Sushmita N Bhatnagar
October-December 2010, 15(4):148-150
DOI:10.4103/0971-9261.72442  PMID:21170201
Report of a gastrointestinal stromal tumor in an 11-year-old girl who presented with a large lump in the upper abdomen. After complete surgical excision and histopathology, postoperative immunotherapy with imatinib led to an excellent outcome and a tumor-free survival of 3 years.
  5,485 126 4
Pediatric foreign body aspiration: How much does our community know?
Aprajita Singh, Dhruv Ghosh, Clarence Samuel, William Bhatti
October-December 2010, 15(4):129-132
DOI:10.4103/0971-9261.72435  PMID:21170194
Aims: Foreign body aspiration (FBA) is one of the main causes of accidental death in childhood. This study was designed to evaluate the level of awareness of FBA and its resultant dangers in the community. Materials and Methods: Sixty-three primary caregivers were interviewed about their awareness of FBA, its attendant dangers, preventive measures taken, and how will they take care of a child in the event of a FBA according to an agreed protocol. Results: Awareness levels about FBA were abysmally low in the population that was studied. Twenty-five percentage of the study population had not heard about this condition, and 46% could not recognize a FBA if it happened. Also, 76% of the study group did not know about the attendant dangers of this condition. Conclusions: There is a dire need to spread awareness about both prevention and treatment of this morbid condition. Health care professionals need to increase their efforts to spread more knowledge in the community about FBA.
  4,919 191 7
Currarino's triad: Intraoperative ultrasound image-guided surgery
CR Thambidorai, Latif K.E Adbel, A Zulfiqar
October-December 2010, 15(4):137-138
DOI:10.4103/0971-9261.72438  PMID:21170197
This is a report on the use of transperineal intraoperative ultrasound imaging in a case of Currarino's triad for the first time in the literature.
  4,860 126 -
Acute acalculous cholecystitis causing gall bladder perforation in children
Parag J Karkera, Gursev Sandlas, Ritesh Ranjan, Abhaya Gupta, Paras Kothari
October-December 2010, 15(4):139-141
DOI:10.4103/0971-9261.72439  PMID:21170198
We report two cases of children who presented with acute abdomen due to gall bladder perforation and biliary peritonitis. Cholecystectomy with peritoneal lavage proved curative.
  4,649 178 9
The role of nitric oxide in portal hypertension caused by extrahepatic portal vein obstruction
P Goel, K Srivastava, N Das, V Bhatnagar
October-December 2010, 15(4):117-121
DOI:10.4103/0971-9261.72433  PMID:21170192
Aims : Nitric oxide (NO) in peripheral venous blood has been shown to be elevated in experimental portal hypertension. This study aims to determine the serum NO levels in patients with extrahepatic portal venous hypertension (EHPVO) pre- and postoperatively and to analyze whether these can serve as a reliable and early indicator of shunt blockage or malfunction. Materials and Methods: During the period 2006-2010, 48 children with EHPVO were included in this prospective study; 40 underwent porto-systemic shunt and eight underwent splenectomy with devascularization. NO was evaluated preoperatively, 14 days after surgery, at 3 months and then 6 monthly thereafter. The median follow-up duration was 21 months. Shunt patency was confirmed with Doppler and computed tomography portography. Forty-eight age-matched children with hypospadias served as controls. Results : NO was higher in EHPVO patients as compared with controls (43.16 ± 16.27 vs. 5.76 ± 2.62 μmol/l) (P = 0.0001). There was a significant decline in the NO levels (4.64 ± 3.18 μmol/l) following shunt surgery (P = 0.0001), and it continued to remain low till the shunt was patent. A shunt block was indicated by rising NO levels in all five patients. The devascularization group also demonstrated a significant decline in the NO levels (27.06 ± 3.56 μmol/l) (P = 0.002), but it was less as compared with the shunted patients. The decline in the portal pressure after shunt surgery was found to correlate with the decline in the serum NO levels. Conclusions : The blood levels of NO can be used in the diagnosis of portal hypertension, and are useful for monitoring the patency of the shunt.
  4,570 186 3
Pedicled omental split skin graft: A novel method for reconstruction of full-thickness abdominal wall defect
Anindya Chattopadhyay, Sumitra Kumar Biswas, Meghnad Dutta
October-December 2010, 15(4):142-144
DOI:10.4103/0971-9261.72440  PMID:21170199
Although rare in children, aggressive fibromatosis or desmoid tumors require wide surgical excision for durable relief. The resultant defect poses many challenges for reconstruction. The authors report reconstruction of such a wound using a pedicled omental split skin graft, which resulted from the excision of a locally recurrent desmoid tumor.
  4,017 95 1
Neonatal carrier: An easy to make alternative device to costly transport chambers
Milind Joshi, Sangram Singh, Anupama Negi, Tanmay Vyas, Vigya Chourishi, Anvesh Jain
October-December 2010, 15(4):133-134
DOI:10.4103/0971-9261.72436  PMID:21170195
The transport of sick neonates to the surgical centers or transportation within the center is an essential requirement of neonatal surgery. Neonatal transport incubators are costly, space occupying, and are not available at many places in the developing countries. We report here a cheap yet effective and easy to make, alternate neonatal carrier device.
  3,574 126 -
Lumbotomy for multicystic dysplastic kidney: A trap for the unwary
Anindya Chattopadhyay, Biswanath Mukhopadhyay, Soumen K Mitra
October-December 2010, 15(4):145-147
DOI:10.4103/0971-9261.72441  PMID:21170200
This is a report of a case of multicystic dysplastic half of a horseshoe kidney (HSK) at surgery for multicystic kidney. During the surgery, through a lumbotomy approach, there was inadvertent injury to a lower polar artery and the pelvis of the normal contralateral half of the HSK, leading to a stormy postoperative course. This report emphasizes the need for accurate preoperative diagnosis before embarking on a lumbotomy, and also reviews the entity of multicystic dysplasia in one half of a HSK.
  3,484 106 1
Indian Association of Pediatric Surgeons-Presidential Address delivered at 36 th annual conference, New Delhi, October 2010
Ashoke K Basu
October-December 2010, 15(4):115-116
DOI:10.4103/0971-9261.72432  PMID:21170191
  3,331 121 -
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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05