The presence of situs inversus (SI) causes difficulty in the repair of esophageal atresia with tracheoesophageal fistula (EA/TEF). We report two cases: the first infant had situs SI abdominis with a right-sided aortic arch and the second had situs inversus totalis. To our knowledge, these are the first reported cases of repair of EA/TEF in a patient with SI.
Diagnostic laparoscopies are a very useful diagnostic tool especially in rural areas. However, the very high costs of the current diagnostic equipment make them unavailable to most of the rural centres. We describe a low-cost laparoscope that does away with the telescope and rod lens system and offers very good quality pictures for diagnostic laparoscopy at small fraction of the cost of current laparoscopic surgical instruments.
Introduction: Wiring is the earliest forms of internal fixation. A loop of SS (Stainless steel-316L) wire is passed around the fragments or through the drill holes and the ends are twisted together. It is used in Fractures of patella, olecranon and malleolus, greater trochanter of femur, greater tuberosity humerus, lateral end clavicle. In the present study, tension band wire technique was used which include use of 2 K wires and SS wire. The 2 K wires used, anchors to the TBW loop made by the SS wires and prevents tilting/rotation of fragments and holds the reduced fracture fragments in place till union. Aims and Objective: To study the technique of TBW and its principle as a modality of treatment. To clinically evaluate the results and efficacy of this principle and technique. We did prospective study of 30 patients of various fractures requiring K wire and TBW surgery for those fractures between October 2016 to October 2018. Results: We observed patella fracture is the most common constituting 33%, medial malleolus 30%, olecranon 17%, greater trochanter femur 7% and is followed by lateral one third clavicle, greater tubercle humerus, distal end ulna and non-union medial malleolus which is 3%. Superficial infection in 1(3.3%) case of medial malleolus fracture, joint stiffness in 3 (10%) cases (1 each of fracture patella, fracture olecranon, fracture bimalleolus), migration of K wire in 1(3.3%) case of fracture patella and osteoporosis in 1(3.3%) case of greater tuberosity humerus. Time for radiological union in weeks was 7.84, with 9 for fracture patella, 8 for medial malleolus, olecranon and distal end ulna, 6 for Greater Trochanter femur and 4 for lateral end clavicle and greater tuberosity humerus. Conclusion: TBW is a simple, inexpensive technique and effective means of fixing fracture based on biomechanical principle with minimum complication.
Primary lymphedema of the penis (PLP) is a rare disease. We report a case in a 2-year-old, uncircumcised boy where the uninvolved inner preputial skin was unfurled to cover the penile shaft. The uninvolved inner preputial skin is often elongated, and provides a suture-free cover of sufficient length for the small penile shaft of pediatric patients.
Lasers have extensive application in medical sciences today but unfortunately the cost of medical Lasers is exorbitant and it is beyond the capacity of an average doctor to afford it. To solve this problem, I did my own research and developed low cost medical Laser which most of the doctors can afford.
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