Background: Pain is an unpleasant subjective sensation which can only be experienced and not expressed, especially in children. The primary reason to treat or prevent pain is humanitarian. Aim and objectives: To assess Ultrasound Guided Ilioinguinal / Iliohypogastric nerve block versus Caudal block for post-operative analgesia in children undergoing unilateral groin surgery in ASA grade I and I...

The late results after surgical treatment of hiatus hernia are scarcely commented upon in the literature, and most re-examinations do not state if radiological examinations have been performed on all the patients during the period of follow-up. We find this to be indispensable. The purpose of this investigation has been to assess the late results in a group of patients suffering from hiatus her...

To cite: Shankar B, Narayanan R, Paruthikunnan SM, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-204404 DESCRIPTION A 1-year-old male child with type II Chiari malformation who underwent ventriculoperitoneal (VP) shunt placement 11 months ago presented with right scrotal swelling. Frontal radiograph of the chest and abdomen (figure 1) showed the shu...

Studies of the effects of preoperative starvation on blood glucose levels in children have produced apparently conflicting results. The study which we conducted, investigated the incidence of hypoglycaemia and hypoglycaemic signs in the children fasted for various periods. It also studied the hemodynamic responses in the perioperative period in relation to the duration of fasting and reliabilit...

U NTIL ABOUT 15 years ago an abnormal proliferation of tissue mast cells was observed only as a cutaneous manifestation. Described originally by Nettleship in 1869, this was named " imrticaria pigmentosa " about 20 years later by Sangster.1'2 The natural course of this disease is highly variable,3 since the cutaneous manifestations represent only one stage of a systemic disease which may not on...

INTRODUCTION Presence of vermiform appendix (non-inflamed or inflamed) in inguinal hernia is called Amyand's hernia in honor to surgeon C. Amyand who published the first case of perforated appendicitis within inguinal hernia in a boy caused by ingested pin. This presentation of foreign body Amyand's hernia appendicitis is very rare, and here we present such a case. CASE PRESENTATION A 6-year-...

One of the most frequently performed operative procedures in pediatric age group is inguinal herniotomy. The traditional surgical approach is an exploration of the inguinal canal, dissection of the hernia sac from the spermatic cord and the hernia sac is closed at the level of the internal inguinal ring.1 To evaluate contra lateral defects during open inguinal hernia repair, laparoscopic telesc...