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2.  Inferior vena cava thrombosis in a pediatric patient of amebic liver abscess 
Amebic liver abscess (ALA) in pediatric age group is rare. We describe a successful thrombectomy and open drainage of a large left lobe ALA associated with thrombus in the hepatic veins and inferior vena cava extending into the right atrium in a 6-year-old boy.
doi:10.4103/0971-9261.107016
PMCID: PMC3628244  PMID: 23599583
Amebic liver abscess; Budd–Chiari syndrome; inferior vena cava thrombus
3.  Soft tissue covers in hypospadias surgery: Is tunica vaginalis better than dartos flap? 
Aim:
To compare tunica vaginalis with dartos flap as soft tissue cover in primary hypospadias repair.
Materials and Methods:
25 cases (age range: 12-132 months; all fresh cases) of primary hypospadias were prospectively repaired by tubularized incised plate (TIP)/TIP + graft urethroplasty using tunica vaginalis flap (TVF) as soft tissue cover to urethroplasty (group A). Their results were compared with another set (group B) of age- and anatomy-matched controls (25 patients operated during the previous 3 years) who had undergone TIP repair using dartos flap as soft tissue cover. Statistical analysis of results was done with Fischer's exact test.
Results:
Group A: No fistula, skin necrosis, meatal stenosis, urethral stricture. One case had partial wound dehiscence that resolved on conservative treatment with no sequelae. One case required catheter removal on 3rd day because of severe bladder spasm. There was no testicular atrophy/ascent. Group B: 3 fistulae – all required surgery. There were three cases of superficial skin necrosis that healed spontaneously without sequel. There was no meatal stenosis/urethral stricture. The difference in fistula rate between both the groups, however, was not statistically significant (P = 0.4).
Conclusion:
TVF may have an edge over dartos fascia for soft tissue coverage of the neourethra.
doi:10.4103/0971-9261.91080
PMCID: PMC3263032  PMID: 22279358
Dartos fascia; hypospadias; tunica vaginalis flap; urethrocutaneous fistula
4.  Obstructive jaundice due to pancreatic pseudocyst in a pediatric patient 
Journal of Surgical Case Reports  2012;2012(11):rjs009.
Obstructive jaundice solely due to pancreatic pseudocyst is rare in pediatric patients. Successful management of a case by internal drainage is being described here. The role of intra-operative cholangiogram is being highlighted for deciding whether a simple drainage procedure would be required instead of a hepatico-jejunostomy.
doi:10.1093/jscr/rjs009
PMCID: PMC3853804
5.  Chylothorax after Primary Repair of Esophageal Atresia with Tracheo-esophageal Fistula: Successful Management by Biological Fibrin Glue 
A neonate, who had undergone primary repair of esophageal atresia with tracheo-esophageal fistula, developed right pleural effusion in the postoperative period. It was initially misdiagnosed as an anastomotic leak, but later confirmed to be chylothorax. Conservative treatment failed. Application of biological fibrin glue (sealant) on the mediastinum through a thoracotomy was curative.
PMCID: PMC3468335  PMID: 23061032
Esophageal atresia;  Tracheo-esophageal fistula;  Chylothorax;  Fibrin glue
6.  Bilateral Congenital Diaphragmatic Hernia 
Bilateral congenital diaphragmatic hernia (CDH) is a rare birth defect, with a poor prognosis. We describe a case of bilateral CDH discovered while repairing the right sided CDH. Diaphragmatic defect was repaired and a silo was applied on the abdominal wound to avoid abdominal compartment syndrome. The patient however died postoperatively due to severe pulmonary hypertension.
PMCID: PMC3468339  PMID: 23061036
Bilateral congenital diaphragmatic hernia;  Pulmonary hypertension;  Silo
7.  Intraperitoneal Rupture of Hepatic Hydatid Cyst Following Blunt Abdominal Trauma 
Peritonitis due to rupture of liver hydatid cyst secondary to blunt abdominal trauma can present with fatal consequences. Timely diagnosis and appropriate surgical management can be life saving. We report a case of ruptured liver hydatid cyst in the peritoneal cavity following trauma and its successful operative management in a preadolescent previously asymptomatic boy. Importance of detailed physical examination and early diagnosis by using appropriate radiological investigations is highlighted.
PMCID: PMC3418044  PMID: 22953304
Hepatic hydatid cyst;  Peritonitis;  Trauma
8.  Use of pre and intra-operative bronchoscopy in management of bronchial injury following blunt chest trauma 
Blunt chest trauma resulting in right bronchial tear in an 8-year-old girl is reported. Use of bronchoscopy in the management of such an injury is highlighted.
doi:10.4103/0971-9261.83498
PMCID: PMC3160053  PMID: 21897575
Blunt trauma chest; bronchoscopy; lobectomy; tracheo-bronchial injury

Results 1-8 (8)