No abstract

Background: The postoperative complications of urethroplasty in hypospadias surgery still remain a great challenge to Paediatric urologists. The aim of the study was to find out the cause and incidence of meatal stenosis and stricture urethra following urethroplasty and to solve the postoperative complication. Materials and methods : This Prospective study was carried out in the department of Paediatric Surgery, Chittagong Medical College Hospital from April 2013 to October 2014 for a total of 19 months. A total of 50 hypospadias patients were selected for this study. After urethroplasty, outcome was assessed in terms of meatal stenosis and stricture urethra in the study period. Results : Meatal stenosis occurred in 5 patients in first follow up, which responded to regular dilatation in 3 patients in second follow up and till the end of third follow up, 2 patients were continuing regular meatal dilatation. In this study, urethral stricture occurred in 2 patient (4%) in second follow up, which was treated with regular urethral dilatation under general anaesthesia. Conclusion : It is evident from this study that, meatal stenosis is not very uncommon after urethroplasty which can very easily be treated by regular meatal dilatation. Urethral stricture, though not common, can also be treated by regular urethral dilatation under General Anaesthesia (GA). JCMCTA 2017 ; 28 (1) : 13 - 16

Intussusception is a common cause of intestinal obstruction in young children and is a common emergency in infants and children. Hydrostatic reduction of intussusception is a less invasive procedure for both diagnosis and treatment of it. We describe our experience with hydrostatic reduction of intussusception. A retrospective review of the patients of Intussusception admitted in the department of Pediatric Surgery Chittagong Medical College Hospital (CMCH) Chittagong, Bangladesh from January 2009 to December 2013 was done. Patients underwent hydrostatic reduction were evaluated separately. Data were analyzed with regard to success and failure of hydrostatic reduction, necessitating laparotomy, complication and mortality. There were 231 patients of Intussusception. Age range was lmonth to 15 years with median age of 8 months. Male to Female ratio was 2.9:1. Mean duration of presentation was 40 hours after onset of symptoms. Hydrostatic reduction was attempted in 142 patients and was successful in 107 patients, 35 patients needed surgery in whom per-operative manual reduction was done in 28 patients and intestinal resection anastomosis was done in in 7 patients. There were 2 cases of recurrence following hydrostatic reduction and no case of perforation due to hydrostatic reduction. 2 patients died following JCMCTA 2015 ; 26 (1) : 9-13

Midgut volvulus with gangrene is not a rare event. With normal rotation, the mesentery is broad and fixed, but the narrow pedicle formed by the base of the mesentery in malrotation of the gut predisposes the midgut to clockwise twisting from the duodenum to the transverse colon. Excessive length of the mesentery, or a point of adhesion at the convexity of the loop may act as an axis for the loop .The actual inciting mechanism is unknown but various possibilities, including unusual movement of the torso, abnormal intestinal peristalsis, or segmental bowel distention, have been suggested. This is a grave surgical emergency to save the life of the patient. We are reporting a case of midgut volvulus with herniation of the ileum into the right paraduodenal recess after blunt abdominal trauma (BAT). A 8 years old boy complaints of abdominal pain, vomiting, and distension of the abdomen following diving to a pond. Abdominal x-ray and USG, CBC, Serum Electrolyte were carried out to evaluate the child. The patient was first treated conservatively but later on, he deteriorated and needed urgent laparotomy. JCMCTA 2013 ; 24 (2): 40-43

Appendicitis is a common clinical condition worldwide. Differences in incidences, age, sex and seasonal variations have been reported widely. To assess the trends in percentage (%) and variation with age, sex and seasons of the year. A review of the 5 years records (January 2008 to December 2012) of all patients with appendicitis treated in pediatric Surgery ward of Chittagong Medical College Hospital (CMCH) was evaluated. The age, sex and months of admission for all the cases of appendicitis were analyzed. There were 576 cases of appendicitis during the study period. Male to female ratio was 2.8:1. A continuous increase in number was noticed over the years and the number in 2012 was almost one and half times that of 2008. There were fewer cases in 2-5 years age group (38) and more in 6-12 years age group (538). Percentages of cases were higher in the period between October and December with peaks in October and March; and declining from the month of July. There is an increasing number of appendicitis in children in Chittagong Medical College Hospital. Appendicitis occurs more in early winter. Boys suffer more than the girls and 6-12 years is the commonest age of appendicitis. JCMCTA 2013 ; 24 (2): 26-29