Michael J Ramdass

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Rectus muscle haematoma is a well documented clinical entity, but its diagnosis remains elusive. A haematoma within the rectus sheath produces a painful, tender swelling that can mimic an intraperitoneal mass with features of an acute abdomen. Two patients with rectus haematomas presenting after bouts of prolonged coughing are reported. In both cases,(More)
Obturator hernia is a rare condition with few reports in the world literature. There appears to be no consensus on the ideal approach and repair for such a condition. We report a simple, quick technique via a lower midline incision using an autogenous peritoneal fold. It is ideal for the contaminated case and in settings where mesh is not readily available.
Sir, I was delighted to read your recent electronic publication of the study concerning early onset of breast cancer in a group of British black women by Bowen et al (2008) from Barts and The London/ Homerton Hospital. In 2002, I carried out a similar retrospective analysis of 2 years of breast cancer data concerning 299 patients treated at The General(More)
Fracture of the penis can be managed conservatively or surgically. Conservative management is associated with a high morbidity, and early surgical repair of the fracture is usually recommended in order to prevent complications. Because a fractured penis is swollen throughout its length, it is difficult to identify the fracture site accurately, so a(More)
Paraphimosis usually develops when a tight foreskin is retracted over the glans penis for a prolonged period. Many esoteric aetiologies have been implicated in the development of paraphimosis including piercing the foreskin, Plasmodium falciparum infection, application of celadine juice to the foreskin, chancroid, pessaries and the implantation of pearls.(More)
BACKGROUND In less than ideal situations wounds have to be closed without extensive cleaning using sterile adhesive strips (Steristrips). This prospective analyses the efficiency of this technique and compares it to the more conventional approach. METHODS Altogether 147 lacerations were closed with sterile strips with no wound cleaning. Patients were(More)
W e report the unusual case of a 60-year-old-man presenting with left lower limb venous gangrene caused by an aorto-caval fistula. There was associated bilateral lower limb and scrotal oedema. In this case a ruptured aortic aneurysm with acute fistulation into the vena cava (fig 1) was repaired in the conventional manner. However, the patient underwent(More)