Abstract:Objective: The aim of this study is to evaluate the management of inguinal hernias in children as a day case surgery in elective basis. Overall, there were 13 (9.2%) sliding hernias. Among them in five case of boys four (80%) patients contents were cecum and one (20%) patient was sigmoid colon. In case of girls, contents were ovaries in all eight patients.
<p class="Abstract">Total splenectomy is the usual operative practice for children with thalassemia requiring splenectomy. But wherever possible, the surgical community should carefully consider partial splenectomy as an alternative treatment option that may offer few important benefits to the patient with the same indication. Here, we are reporting a case where a thalassemic boy enjoyed six years free from overwhelming post-splenectomy infection after partial splenectomy without any vaccination or prophylactic antibiotic before eventual total splenectomy. So, partial splenectopmy may be considered as a preferable initial treatment option for the thalassemic patient with splenomegally requiring splenectomy.</p>
Megaduodenum is an extremely rare condition in children presenting with features of duodenal obstruction. It may be associated with bands and adhesions. However, when the obstruction is chronic and functional, mere excision of the band and adhesionolysis is not curative. Some form of bypass procedure is required for its successful treatment. Here we are describing polya partial gastrectomy in a 13-year-old girl suffering from megadoudenum for its successful treatment.
Bangabandhu Sheikh Mujib Medical University Journal 2023;16(1): 70-72
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