Mobile-bearing knee arthroplasty (MBKA) is an alternative to fixed-bearing knee arthroplasty. This was a retrospective study of the Rotaglide Total Knee System. We present the results of the monitoring of 77 patients (85 knees) with a median duration to failure or end of follow up of 8.5 years (range 0.4 to 10
A case of a massive unilocular intra-abdominal cyst arising in a 13-year-old girl is presented. This appeared to be a foregut duplication cyst of gastric origin, and thus one of the largest recorded in the literature.
Objective: To assess the safety of the Mitchelle bank technique for herniotomy in children by comparing its recurrence rate with conventional Ferguson's technique.
Study Design: Quasi-experimental study.
Place and Duration of Study: Paediatric Surgery Department, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Sep 2019.
Methodology: Children below the age of 6 years coming to Paediatric Surgery Outpatient Department with inguinal hernia were included in the study. The patients were divided into two groups. Group-I underwent herniotomy by Mitchelle bank technique (MBT-group) while Group-II by Ferguson's technique (FT-group). The demographic characteristics of the studied population, operative time, and intra-operative and post-operative complications were recorded.
Results: The mean age of the patients was 25.94 ± 17.06 months in Ferguson's technique-group and 24.76 ± 16.63 months in the Mitchelle bank technique-group. The mean operative time was less in the Mitchelle bank technique-group (13.17 ± 1.47 minutes) as compared to Ferguson's technique-group (16.23 ± 1.51 minutes) (p<0.05). Early complications such as hydrocele, seroma and hematoma were seen in 5 (2.3%), 6 (2.6%) and 3 (1.3%) cases in Ferguson's technique-group, and 15 (6.9%), 8 (3.7%), and 9 (4.1%) cases in the Mitchelle bank technique group, respectively. Late complications such as orchitis, testicular atrophy, and recurrence were seen in 5 (2.3%), 6 (2.6%), 2 (0.9%) in Ferguson's technique group, and 6 (2.6%), 4 (1.8%), and 3 (1.3%) in the Mitchelle bank technique group (p>0.05).
Conclusion: Mitchelle bank technique is safe for herniotomy in children with less operative time and no increase in...
Undescended testis is a very common presentation in male paediatric population but testis at ectopic sites is a very rare pathology. One of the ectopic sites is perineum and it accounts for only 1% of all cases of undescended testis. We report a case of an 11yr old boy who presented with an empty left hemiscrotum and detailed examination revealed a soft tissue mass on the corresponding side in the perineum. Surgical exploration was carried out during which it was revealed that mass was actually testis at ectopic site with adequate length of the spermatic cord. Testis was mobilized and fixed in the ipsilateral hemiscrotum.
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