To determine the outcome of polypoidal lesions within gall bladder (PLG) diagnosed by trans-abdominal scanning.A nine-year (1993-2002) retrospective case-note review all patients who underwent ultrasound scanning after referral to a single Upper GI Surgeon at District General Hospital was conducted. Patients were with PLG included in our study. A database constructed and patient details, investigations including scan (USS) findings, treatment histology final diagnosis recorded.Twenty-three...

Introduction Children with clefts have been shown to various nutrient deficiencies including protein energy malnutrition but the levels of vitamin D as compared normal population seldom researched. Materials and Methods Serum Vitamin in children (12 years less), belonging Sub-Himalayan Gangetic Plain regions were age matched using non-parametric tests. Bivariate Logistic regression for estimation odds ratio cleft versus control performed risk insufficiency (less than 30 ng/mL). Results group...

Background. Skin and nipple areola sparing mastectomy (NASM) has recently gained popularity as the management of breast cancer. This study aims to evaluate aesthetic outcome, patient satisfaction, oncological safety NASM. Methods. The prospectively analyzes results NASM immediate reconstruction in 34 women with criteria for inclusion were core biopsy-proven, peripherally located cancer any tumor size "N" status, documented negative intraoperative frozen section biopsy retroareolar tissue,...

Reconstruction of extensive lower lip defects is difficult. The authors describe a new technique one-stage total reconstruction, with the ultimate goal being achievement delicate balance between adequate mouth opening and competent closure, satisfactory aesthetic outcome.The applied their reconstructive in patient defect following excision squamous cell carcinoma. Bilateral inferiorly based nasolabial flaps were used for reconstruction lip. For vermillion bucket-handle mucomuscular flap from...

Background Children with cleft lip and/or palate can be undernourished due to feeding difficulties after birth. A vicious cycle ensues where malnutrition and low body weight precludes the child from having corrective surgery, in absence of which fails gain weight. This study aimed identify proportion malnutrition, including deficiency major micronutrients, namely iron, folate vitamin B12, children thus help finding out what nutritional interventions improve scenario for these children....

Background Deformities or loss of the earlobe may be congenital, acquired due to trauma, bites, burns tumour excision. A variety single-stage and two-stage procedures have been described for reconstruction, which Gavello's procedure was one earliest. Objective To revisit with reference vascular supply flap, discuss relevance technique in current practice. Methods The authors basis describe clinical application diverse situations, including congenital absence earlobe, post-burn deformity...

Rhinosporidiosis is a chronic localized granulomatous disease caused by Rhinosporidium seeberi, an aquatic protistan parasite belonging to clade, Mesomycetozoea. Infestation of the eye and adnexa termed oculosporidiosis, in such cases, conjunctival mucosa mostly involved; however our case, it involved only lacrimal sac deeper periorbital tissue presented as case orbital swelling. Surgical excision lesion was done, postoperatively dapsone therapy given for 6 months, patient responded very...

Background: In brachial plexus surgery, a key focus is restoring shoulder abduction through spinal accessory nerve (SAN) to suprascapular (SSN) transfer using either the anterior or posterior approach. However, no published randomised control trials have directly compared their outcomes date. Therefore, our study aims assess motor for both approaches. Methods: This comprises two groups of patients. Group A: approach (29 patients), B: Posterior patients). Patients were allocated selective...

Summary Laparoscopic R oux‐en‐ Y gastric bypass is the most commonly performed surgical procedure for obesity and, consequently, post‐operative patients are increasingly encountered by all specialties. This a case of patient presenting with abdominal pain, nausea and fever 9 months following surgery caused diffuse large B ‐cell lymphoma ( DLBCL ) in bypassed stomach. It demonstrates well that symptoms may normally be considered ‘red‐flags’ not as obvious or specific an operation. The also...

Angioleiomyomas are benign tumors originating in the vascular smooth muscle. The tumor typically presents as painful, solitary, small (<2 cm), slow growing, subcutaneous nodule. Angioleiomyoma of knee is rare, and only few cases have been reported so far. We described herein a giant angioleiomyoma presenting painless ulcer 22-year-old man. There was no intra-articular extension tumor, total excision curative. This first case report well ulcerative lesion.

INTRODUCTION:A "giant" lipoma is defined as a tumor having dimensions greater than 10 cm. Giant lipomas are rare and giant breast exceptionally uncommon. Only six cases have been described in world literature till date. Herein we describe case of discuss its su rgical management. CASE REPORT:A 43-year-old lady presented with left sided unilateral gigantomastia. Clinical examination, radiology histopathology diagnosed lipoma. Excision the was planned, together correction deformity by...

Squamous cell carcinoma is known to occur as a serious complication of chronic burns, scars, and ulcers, but very rarely has it been reported in long-neglected meningocele. The authors wish present the case 21-year-old man who presented us when previously asymptomatic meningocele developed squamous on sac. was excised toto, followed by excision redundant neural placode closed dural closure done with an artificial patch. Reconstruction defect thus created performed lumbar perforator-based...

Study Design Case series. Purpose To describe paraspinal transposition flap for coverage of sacral soft tissue defects. Overview Literature Soft defects in the region pose a major challenge to reconstructive surgeon. Goals wound reconstruction are provide durable skin and cover adequate even large defects; minimize recurrence; donor site morbidity. Various musculocutaneous fasciocutanous flaps have been described literature. Methods The was applied 53 patients with diverse etiology. Defects...

Extensive electric burn around the chest in children is rare and this type of injury always poses a great challenge for its management. A 12-year-old male child with extensive wall was admitted to hospital. It neglected case 9 days old burn; young boy critical condition having systemic features toxemia widespread necrosis skin, subcutaneous tissues, muscles along exposed bones (ribs sternum) risk impending rupture pleura through intercostal spaces. After initial resuscitation, thorough...

Abstract Collision tumors are two distinct neoplasms seen together in same anatomic site. Management of such rare entity still lacks standardization with unknown prognosis. Here we presenting one case invasive ductal carcinoma breast and squamous cell anterior chest wall a 31‐year‐old lady.

Congenital lateral oral synechia is a very rare anomaly which may be present in association with cleft palate and other facial abnormalities. Infants synechiae usually early the neonatal period restricted mouth opening resultant feeding difficulty, warranting operative intervention. In article authors report 12-year-old child palate, presenting late childhood managed successfully by single-stage surgical correction.

T he reconstructive surgeon is often faced with the task of recon- structing extensive lower lip defects resulting from excision malignant lesions, notably squamous cell carcinoma.A number techniques have been described, choice depending on extent defect in addition to surgeon's expertise.The goals reconstruction are: restoration oral competence; maintenance adequate stoma; preserve sensation; maintain speech; provide both skin cover and lining; vertical height prevent show teeth; produce an...

Background Soft tissue coverage plays a vital role in replacing the vascularity of underlying bone Gustilo type IIIB fractures. The aim this article was to evaluate feasibility local pedicled flaps fractures at tertiary care center.Methods We included all cases open Gustilo-Anderson tibia treated with flap from January 2017 February 2019. carried out retrospective analysis investigate relationships complications, hospital stay, and cost-effectiveness choice flap, infective foci, site size...

Electrical burn injury causing bilateral patellar ligament destruction leading to complete loss of knee extension is a very rare injury. In such situation, surgical repair or reconstruction the becomes necessary restore functions. Here, we present case an 8-year-old boy, whose both ligaments were destroyed throughout its length due high-voltage electrical His left joint cavity was exposed and grossly infected, but right apparently intact. The right-sided reconstructed with ipsilateral looped...