Biomedical subjects

M M Harjai

Publications and source records attributed to M M Harjai.

21 records · Page 2Linked to original sources

PubMedDate not supplied

Hirschsprung's disease: revisited.

The diagnosis and therapy of Hirschsprung's disease has changed in recent times and a firm diagnosis of the entity can be made pre-operatively by immunohisto-chemistry. There has been a recent trend of switching over from the conventional staged surgical procedures to primary pull-through procedures. In this article the newer concepts referring to its aetiology, pathogenesis, and the current technical advancements like stapler anastomosis, laparoscopic assisted pull-through and single one stage operation without colostomy are discussed along with a brief mention of current concepts in intestinal neuronal dysplasia, enterocolitis and total colonic aganglionosis.

Colonic Diseases↗

PubMedDate not supplied

Intra-abdominal needles: an enigma (a report of two cases).

Ingested sharp metallic bodies perforate the gut surprisingly rarely. Perforation and migration of such a foreign body may be silent. Patients may present with unrelated symptoms and the discovery of foreign body on radiological examination of the abdomen may come as a surprise. History of ingestion is usually difficult to obtain. Foreign bodies after perforation have been reported to migrate to almost any intraabdominal or rarely to even extra-abdominal sites. Migration to the liver, mesentery or the anterior abdominal wall, however, is extremely rare. We report two cases of young women with two ingested needles in each which perforated silently and in one case migrated to the liver and the anterior abdominal wall while in the other they migrated to the mesentery of the small intestine and the anterior abdominal wall.

Abdominal Pain↗

PubMedDate not supplied

Laparoscopic orchiopexy: is closure of the internal ring necessary?

BACKGROUND: Narrowing of the internal ring around the pulled through spermatic cord in cases of laparoscopic orchiopexy is the norm. AIM: To carry out a prospective study to see if closure of the internal ring is really necessary, hypothesis being that mobilization of the impalpable testis leaves a raw surface, which, coupled with the presence of the spermatic cord results in effective closure of the internal ring. METHODS AND MATERIALS: 51 patients with 65 impalpable testes underwent laparoscopic orchiopexy between July 1998 and June 2003. An impalpable testis was present in 21 cases on the left, 16 cases on the right and bilateral in 14 cases. Following complete mobilization required for orchiopexy, all testes with adequate length of spermatic cord were pulled down into the scrotum through the inguinal canal. No suture was applied to narrow the internal ring around the pulled through spermatic cord. Five testes were pulled down by an opening in the medial end of the inguinal canal due to inadequate length of the spermatic cord. In these cases the internal ring was closed by a suture. RESULTS: Follow up of all cases ranged between 1.5 years to 6.5 years. Not a single case has reported with recurrence of a hernia. CONCLUSION: The results suggest that narrowing of the internal ring around the pulled through spermatic cord may not be necessary.

Child↗