Fifty children undergoing inguinal herniotomy were allocated randomly to three groups to receive a caudal injection of either 0.25% bupivacaine 1 ml kg-1 with or without ketamine 0.5 mg kg-1 or ketamine 0.5 mg kg-1 with normal saline 1 ml kg-1. There was no significant difference in quality of pain relief, postoperative behaviour or analgesic requirements between the ketamine group and the two ...

A 10-month-old male infant presented with bilateral inguinal hernia and left un-descended testis. During right herniotomy, both gonads were found on same side with mullerian duct structures. On naked eye examination, both gonads were normal looking. Excision of mullerian duct remnant and fixation of ectopic testis was made. Histopathological examination revealed that gonads were testicles. Pres...

Repair of congenital groin hernia/hydrocele and orchidopexy for the undescended testis are the most common surgical procedure performed by pediatric surgeons. Up to 1% of all men have been reported to have a congenital unilateral absence of the vas deferens (CUAVD).1 Previous studies have suggested that ipsilateral renal anomalies are present in up to 91% of men with a congenital unilateral abs...

BACKGROUND Hydrocoele is an abnormal quantity of serous fluid within the tunica vaginalis. It can be primary or secondary. The primary can in turn be congenital or acquired. Objective of this study was to see the frequency of primary hydrocoeles in children presenting to Ayub Teaching Hospital, Abbottabad. METHODS This prospective study was conducted in Surgical 'B' Unit, Ayub Teaching Hospit...

A clinical case of acquired unilateral cryptorchidism after herniotomy was described. Extensive degenerative changes were histologically observed not only in the cryptorchid testis but also in the scrotal one, and were regarded as underlying processes of sterility in the case of unilateral cryptorchidism . In experimental unilateral cryptorchidism in dogs, histologically demon strable spermatog...

INTRODUCTION The role of fixation of the mesh is especially important in the endoscopic technique. The fixation of mesh through penetrating techniques using staples, clips or screws is associated with a significantly increased risk of developing a post-herniotomy pain syndrome. AIM To demonstrate the safety and efficacy of the self-fixating anatomical Parietex ProGrip laparoscopic mesh (Sofra...