Repairs of cleft lip and simultaneous closure of cleft hard palate with vomer flaps are safe in patients with UCLP, and it makes easy the closure of the soft palate later on and decreases the chance of oronasal fistula.

Objective: The aim of this study was to find out the effectiveness of amniotic membrane graft dressing in the treatment of superficial partial thickness burn in children. Methods: The retrospective study was conducted on the patients admitted with superficial partial thickness burn in the burn unit of Dhaka Shishu Hospital age 0-12 years, during the period from January 1999 to December 2011. All of them treated with amnion membrane graft dressing. Results: Total 370 patients were included in this study. Mean age was 2.76 years. Amnion dressing suppresses bacteria in the wound as well as reduced infection. Amnions have good adherent characteristics, which reduced infection as well as reduction of oozing of plasma from the wound, that become dry early. It has a role on burnt pain reduction, Frequency of dressing change, rate of healing, cost, duration hospital stay. Conclusion: Our experience showed that amniotic membrane is one of the effective biological skin substitutes used in burn wounds, with efficacy of low bacterial counts, has advantageous of reducing protein loss, electrolytes & fluids. Decreasing the risk of infection minimizing pain, accelerate of wound healing and good handling properties. It is ready available does not present immunological problem and allergies response. It is cost effective and very helpful for developing countries.

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Introduction: Popular Swenson's pull through (1948) is still the most commonly practiced 'Gold Standard' of operative treatment for rectosigmoid hirschsprung's disease (HD). But minimally invasive transanal endorectal pull through (TERPT) is now being increasingly practiced worldwide for its treatment in many centers. Here we are describing our comparative experience between TERPT and Swenson's pull through, at Dhaka Shishu Hospital to show the per-operative advantages of the former over the latter. Materials and methods: It is a prospective study at Dhaka Shishu Hospital during January 2000 to December 2001 in 32 (age, body weight and resected Rectosigmoid length matched) biopsy confirmed patients of HD divided into two Groups: Gr. A (na = 16) and Gr. B (nb = 16) patients who underwent TERPT and Swenson's pull through respectively. Unpaired 't' and χ2 (with Yate's correction) tests were used for statistical analysis whereas operative duration, volume of blood loss and transfusion requirements were used as parameters of the study. Results: For study Group A (TERPT) - operative time, volume of blood loss and transfusion requirement were significantly lesser (P < 0.01, P < 0.001 and P < 0.001 respectively) than the control Group B (Swenson's procedure). Conclusions: Through this small comparative study, TERPT was found to be more advantageous than the Swenson's pull through procedure in terms of operative duration, blood loss and transfusion requirement. Key words: TERPT; Swenson's; Compare. DOI: 10.3329/bjch.v31i1.6068 Bangladesh Journal of Child Health 2007; Vol.31(1-3): 12-15

Popular Swenson's pull through is still the most commonly practiced • Gold Standard' of operative treannem for rectosigmoid Hirschspnare's disease. Bm minimally invasive renowital endo-rectal pull through (TERPT) is now being increasingly practiced workhrede for its treatment of many centres. Here e.rperiences at Dhaka Shish', Hospital regarding the post-operative advantages of TERPT over Swenson's procedure are compared in terms of three general surgical complication., namely, unary voiding dysfituction. wound sepsis sod anadontoric stenosis. is is a prospecthe study during January 2000 to December 2001 on 32 rege. bock weight, 'erected rectosigmaid length and follow-up duration matched) biopsy confirmed patients of rectosigmoid Hirschspnare's disease. The patients were divided into tire Groups: Group A (a a !E)and Group B pn = 16) who under went TERPT and Swenson's pull through respectively. k; (with Votes correction) test was used for statistical analysis. ln Group A (TERPT) the post-operative urinary voiding dysfunction (retentioreincontinence). wound sepsis and anastomotic stenosis were significantly lesser than the Group B (Swenson' s). Through this short tear post-operative comparative study. TERPT was found to be more advantageous than the Sanson's pull through procedure in trans 4 three general mimic& post-operative complications.