ABSTRACT
Historically it was recommended for emergency thoracotomy in thoracic trauma as the last resort when there was cardiopulmonary arrest. Nowadays, the only indications are lung transplantation and huge mediastinal masses. We report the use of a clamshell thoracotomy in a 7-month-old boy with a large anterior mediastinal mass extending into the bilateral thoracic cavities.
ABSTRACT
BACKGROUND: Common salt is a safe, effective and cheap home-made remedy for umbilical granuloma. The aim of this scoping review is to identify and summarize the available evidence and examine the research conducted on salt treatment for umbilical granuloma. METHODS: A literature search was performed in the second week of September, 2022 using Google scholar, PubMed, MEDLINE and EMBASE databases using the keywords 'umbilical granuloma' and 'salt treatment' to identify all English articles pertaining to salt treatment for umbilical granuloma. Tables were made to summarize the methodological characteristics, results and the dosage regimens of salt used by different authors. The Cochrane Collaboration's tool was used for assessing risk of bias in RCTs. The indexing statuses of the journals publishing these studies were also noted. The overall efficacy with the use of common salt was calculated by adding the success rates mentioned in each study. RESULTS: Twenty-four articles (2 systematic reviews, 6 Randomized Controlled Trials, 11 prospective cohort studies, 1 case control study, 3 retrospective case series and 1 case report) were included. An overall 93.91% success rate (1033/1100) was seen with common salt application, without any reports of complications/recurrences. CONCLUSION: Topical application of common salt for umbilical granulomas is simple, effective and inexpensive. This scoping review provides a broader outlook at the existing level of evidence and may help in planning interventional comparative studies, so that recommendations can be formulated. It also highlights a lack of properly designed randomized controlled trials on this topic. LEVEL OF EVIDENCE: I.
Subject(s)
Granuloma , Sodium Chloride , Humans , Infant , Case-Control Studies , Prospective Studies , Retrospective Studies , Granuloma/drug therapy , Granuloma/etiology , Sodium Chloride/therapeutic useABSTRACT
Adrenal cystic lesions are rare and may be associated with both complete and incomplete Beckwith syndrome (BWS). Because the adrenal gland often houses malignant lesions, differentiation between benign and malignant lesions of the gland, although usually difficult, is very necessary from the point of view of management. Here we present our experience in a case of incomplete BWS with adrenal cystic lesion and review of the literature.
Subject(s)
Adrenal Gland Diseases/congenital , Beckwith-Wiedemann Syndrome/diagnosis , Beckwith-Wiedemann Syndrome/therapy , Cysts/congenital , Adrenal Gland Diseases/complications , Adrenal Glands/pathology , Beckwith-Wiedemann Syndrome/complications , Beckwith-Wiedemann Syndrome/pathology , Cysts/complications , Cysts/pathology , Humans , Infant , Infant, Newborn , MaleABSTRACT
Diphallus is a very rare condition. We report a case of a newborn with absent anal opening and duplication of external genitalia. Examination of the external genitalia showed two well formed penises with fully descended testis within each of the separate hemiscrotums along with soft tissue mass resembling accessory buttock behind the hemiscrotum. Staged reconstruction of duplicated genitalia and anorectal malformation was done. We achieved excellent cosmetic and functional external genitalia.
Subject(s)
Anus, Imperforate/surgery , Meckel Diverticulum/diagnosis , Penis/abnormalities , Plastic Surgery Procedures/methods , Urethral Diseases/diagnosis , Urinary Fistula/diagnosis , Abnormalities, Multiple/diagnosis , Abnormalities, Multiple/surgery , Anus, Imperforate/diagnosis , Combined Modality Therapy , Follow-Up Studies , Genitalia, Male/abnormalities , Genitalia, Male/surgery , Humans , Infant, Newborn , Male , Meckel Diverticulum/surgery , Penis/surgery , Recovery of Function , Risk Assessment , Treatment Outcome , Urethral Diseases/surgery , Urinary Fistula/surgeryABSTRACT
Complete excision of a prostatic utricle through posterior sagittal rectum retracting approach is reported in an infant.
