No abstract

The incidence of CAIS in girls undergoing hernia repair was 1%. The CAIS patient had a significantly shorter vagina than girls with normal karyotype. Vaginal length is a useful additional clinical tool in screening girls for karyotyping CAIS, especially if abnormalities in the round ligament and contents of the hernial sac are suspected. It is recommended that ovaries and fallopian tubes are searched for if the round ligament is not found to be normal during the hernia operation. If no ovaries or fallopian tubes are found, consent for karyotyping should be sought in cases where the vaginal length is <4 cm in girls older than 4 years and <3 cm in younger girls.

Background and Aims: appendectomy wounds are still commonly closed with non-absorbable sutures. stitch removal has financial costs and causes anxiety in children. our aim was to compare interrupted non-absorbable (Na) and continuous intradermal absorbable (a) sutures in appendectomy wounds to evaluate whether absorbable suturing increases the risk of complications.Material and Methods: 198 children (age 4-18 years) including perforated cases were prospectively randomized into two groups (Na and a skin closure). the wounds and inflammatory markers were evaluated on the first two postoperative days. the appearance of the wound was evaluated one week postoperatively by a district nurse. Follow-up data were obtained from 166 patients (87 in Na group and 79 in a group).Results: in Na group 86 % and in a group 81 % had appendicitis (8 % and 15.6 % perforated and 9.3 % and 25 % gangrenous cases in Na and a groups, respectively). the total wound infection rate was low, 1.8 % (2.3 % in Na Group and 1.3% in a Group). No differences in the inflammatory markers or the appearance of the wound were noted between the groups, but nine children in Na Group (10.3 %) had a partial wound dehiscence after stitch removal.Conclusion: appendectomy wounds in children can be closed with continuous, absorbable sutures, even in complicated cases.

No abstract

No abstract