Search

Indirect inguinal hernia is one of the most common congenital anomalies of infancy and childhood. In female infants, inguinal hernias mostly contain the ovary with or without fallopian tube. The presence of the uterus along with both the fallopian tubes and both the ovaries within hernia sac is an extremely rare condition in infants. Very few cases have been reported in literature. We report such a rare case of left inguinal hernia with uterus, both the fallopian tubes, and both the ovaries within hernial sac in a 2-month infant. [ABSTRACT FROM AUTHOR]

Acute hypokalemic paralysis is a reversible but potentially lethal clinical condition. We report a case of sudden onset of quadriparesis postoperatively following laparoscopic appendectomy for acute appendicitis. On evaluation, he was found to have hypokalemia with normal sodium and chloride levels. This severe hypokalemia-induced quadriparesis was precipitated by pre-op vomiting, loose stools, and repeated loose stools in the postoperative period. Quadriparesis typically recovered when potassium levels returned to normal. Management plan includes appropriate diagnosis and potassium replacement. [ABSTRACT FROM AUTHOR]

Introduction: Pheochromocytomas are rare neuroendocrine tumors of the adrenal medulla that may present with protean manifestations. Surgical resection is the mainstay of therapy and patients are at risk of significant hemodynamic and circulatory complications mainly attributable to catecholamine excess. The mainstay of medical therapy in order to optimize patients for surgery includes: alpha-blockers, beta-blockers, calcium channel blocker and other agents to achieve normal blood pressure, heart rate, as well as normal volume status. Understanding the pathophysiology of pheochromocytoma, the pharmacology of medications used, and recognizing postoperative complications will impact patient outcomes. Conclusion: A multidisciplinary team approach is best throughout the perioperative period to prevent potential complications that arise. The hospital physician, intensivist, anesthetist and cardiovascular specialist play a pivotal role in the management of patients with pheochromocytoma. In addition to the pharmacologic and volume recommendations, a multidisciplinary discussion allows for seamless implementation of an organized plan of care. [ABSTRACT FROM AUTHOR]

Incisional hernias and other ventral hernias are common surgical problems. It is estimated that incisional hernia complicates about 2 % to 10 % of laparotomies. Ventral and incisional hernia repairs are among the common surgeries done by a general surgeon. It is proven beyond any doubt that suture repair of these hernias should not be done as recurrence rates are unacceptably high, some series reporting as high as 54 % on long-term follow-up. A prosthetic mesh should always be used in ventral hernia repair (VHR). Now, the polypropylene mesh (PPM) has become the prosthetic mesh of choice in the repair of hernias, including inguinal hernia. However, with the advent of laparoscopic repair where the mesh is placed intraperitoneally, concerns regarding safety of PPM are raised. Newer meshes are introduced, claiming lesser complication rate. Many types of newer meshes are available now. Newer meshes are invariably costlier than PPM by 15-20 times. Is this extra cost worth? We looked in to available literature for an answer. [ABSTRACT FROM AUTHOR]

Gastrointestinal duplications are rare but interesting clinical entities. They have a varied presentation, with most of them showing up in paediatric population. Clinical features may vary from asymptomatic abdominal masses to bowel obstruction or perforation. This review traces the embryological origin and describes the anatomical types of duplications. An outline of the principles of management is described. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented in response to the article "Ultrasound Guided Hydrostatic reduction of Acute Intussusception in children by saline enema: our Experience," by Debashish Nayak and S. Jagadish in the previous issue.

A case of recurrent acute jejuno-jejunal intussusception presenting in the post operative period of the surgery for acute ileocolic intussusception is presented. Post operative intussusception is defined as intussusception occurring within 30 days of the primary surgery [1]. This is a rare entity. Jejuno-jejunal intussusception is also rare. Recurrent intussusception is uncommon. The present case is a combination of all these rarities. [ABSTRACT FROM AUTHOR]

A letter to the editor is presented in response to an article about surgical operations in small bowel obstruction.

A letter to the editor is presented in response to the article ``Predictive Factors for Conversion of Laparoscopic Cholecystectomy'' by Drs. Atmaram DC and Lakshman K in the December 2011 issue.