Background: Kite flying is a common hobby and sport in many countries. Injuries related to kites are on the rise, but there is a relative paucity of data and literature on this subject.Methods: A retrospective review of all patients who presented with injuries directly related to kite strings was done. All such cases presenting in January 2018 were included. Other indirect or secondary injuries were excluded.Results: A total of 187 patients were identified. Males were most commonly affected. The most common age group affected was 16-20 years and head and neck was most frequently involved. There were no cases of mortality.Conclusions: A seemingly harmless game of kite flying a kite can cause grievous harm - even death - not only to the flyer, but also to innocent others. This study attempts to highlight these dangers and emphasizes that potential threats have to be understood and addressed adequately.
BACKGROUND: Hirschsprung's disease is one of the most important causes of functional intestinal obstruction in the paediatric age group. The clinical characteristics of patients with Hirschsprung's disease at a tertiary referral centre were studied over a 22-month period. Aims and Objectives: To study the demography, including Age, Sex, various clinical presentations, types, segment involved, surgery, complications and survival in patients with Hirschsprung's disease at a tertiary care referral centre in Rajasthan, India. Materials and methods: This was a prospective observational study between October 2018 and June 2020, over 22 months, at tertiary referral centre in North-Western India. Clinical data were tabulated, various presentations of the disease were studied, intra-operative ndings were noted and post-operative course was studied. Results: 82 cases of Hirschsprung disease were admitted, of which 66 were male and 16 were female. Of these, 10 presented in the neonatal age group, 25 during infancy (1 month to 1 year of age) and the rest – 47 patients presented beyond infancy. The commonest symptoms in infants and older children was chronic constipation, whereas delayed passage of meconium, abdominal distension and bilious vomiting were among the common symptoms in neonates. The patients underwent exploratory laparotomy with multiple biopsies and diversion colostomies. 43 patients underwent the denitive procedure. In all the 43 patients, Martin's modication of Duhamel's procedure, was the surgery performed. Complications included persistence of constipation, enterocolitis, and a few cases of anastomotic leak.
Background: Congenital diaphragmatic hernia (CDH) is a developmental defect, in which there is herniation of abdominal contents into the thoracic cavity. This causes pulmonary hypoplasia and pulmonary hypertension to varying degrees. The clinical prole of CDH neonates at a tertiary care institute were studied over a period of 22 months between October 2018 to June 2020. Aims and objectives: To study the demography, including Age, Sex, birth weight, types, associated anomalies, surgery, complications and survival in CDH patients at a tertiary care referral centre in Rajasthan, India. Materials and methods: This was a prospective observational study between October 2018 and June 2020, over 1 year and 9 months, at tertiary referral centre in North-Western India. Clinical data, radiological ndings, pre-operative conditions were studied, intra-operative ndings were noted and post-operative course was studied. Intravenous Sildenal was administered and their effects on clinical improvement was noted. Results:102 cases of CDH were admitted, of which 62 were male and 40 were female. Of these cases, 78 underwent surgical repair, while the rest died prior to surgery. Majority (99) were left sided CDH. And majority (59) were without sac. Contents which were commonly encountered included Stomach, small and large intestine, spleen, liver. Patients who were administered with intravenous sildenal showed clinical improvement in the pulmonary hypertension. Patients with CDH require urgent management of the respiratory distress and pulmonary hypertension, in order to improve their survival.
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