Distal migration of ventriculoperitoneal shunt is rare. We present this unusual complication in 5 patients. The lower end of the shunt was extruded from right lumbar region, cervical area, umbilicus and rectum. The cause of such extrusion is not known. The patients were managed by shunt removal followed by shunt replacement on the opposite side.
AIMS AND OBJECTIVES Delayed management of anorectal malformation (ARM) increases the surgical and functional complications for the patient. We defined "delayed presentation of ARM" and reviewed our patients with ARM to find out the incidence and causes of delayed presentation. MATERIALS AND METHODS Patients satisfying the criteria of "delayed presentation… (More)
Symptomatic Mullerian duct cyst is a rare entity in children. A 9-month-old male infant presented with bowel and urinary obstructive symptoms. Imaging investigations revealed a cystic mass in the rectovesical pouch compressing bladder neck and rectum. At laparotomy, a Mullerian duct cyst was found. Most of the cyst was excised and the remaining cyst mucosa… (More)
Thoracoscopy has major advantages over thoracotomy. We report a successful management of foregut duplication cyst thoracoscopically in a child with review of literature.
DEAR SIR Long gap esophageal atresia with or without tracheo-esophageal fistula may require feeding gastrostomy as a part of staged reconstruction . We have devised a technique to se-cure/anchor the feeding gastrostomy (Stamm gastrostomy) more easily and safely. Five neo-nates underwent feeding gastrostomy by this technique. Out of five patients, four… (More)
BACKGROUND Transanal pull-through with laparoscopic assistance is gaining popularity. How much rectal dissection to do laparoscopically and how much transanally is not clear. Laparoscopic rectal mobilization is akin to open pelvic dissection of Swenson's operation - the most physiological procedure. Through this comparative study, we aim to evolve a… (More)
Pediatric surgeons need precise and advanced energy sources for performing procedures on neonates. The technologies have also advanced and industry is continuously upgrading to develop solutions that perform precise and effective action and at the same time is safe and reliable to both the patient as well to the theatre personnels . The major energy… (More)
We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking through a rent in the major right intra-hepatic duct at the apex… (More)
Duplication of penis has been reported to occur once in every 5 to 6 million live births. It presents as duplication of only glans to complete duplication of the phallus and usually associated with other anomalies like bifid scrotum, double bladder, verte-bral anomalies and ano-rectal malformations etc. With this backdrop, herein we present a newborn… (More)
Neonatal transport is associated with complications, more so in sick and unstable neonates who need immediate emergency surgery. To circumvent these problems, surgery in Neonatal intensive care unit (NICU) is proposed for these neonates. This article reviews the literature regarding feasibility of this novel concept and based on the generated evidence,… (More)