Welcomed triplets following gestation with retained intrauterine device.

Multiple gestations with concurrent intrauterine devices (IUDs) are rare events. We handled the case of a woman who discovered she was pregnant with triplets after the 12th week of gestation. Upon the mother's request the IUD was removed immediately and the pregnancy led a normal course until the planned caeserean delivery of three baby girls. This is the first report of triplet births after an early sharing occupancy of the narrow uterine cavity with an IUD. Such a gestation upon discovery should not automatically be presumed undesirable. Especially when faith issues are predominant such cases may end with satisfied parents as demonstrated in this case.

Modified sleeve method treatment of ingrown toenail.

BACKGROUND: Ingrown toenail is a common problem that causes inconvenience, pain, and limitation of daily function. Current conventional treatment methods are not satisfactory and have a high recurrence rate. OBJECTIVE: To evaluate a modification of an existing, although uncommonly used, method for treating ingrown toenail. METHODS: Patients with ingrown toenail were treated under local anesthesia by insertion of a flexible narrow plastic tube under the toenail along its lateral border. Tube fixation was performed with silk or nylon 2-0 sutures passed through the toenail. Granulomatous and inflamed tissue was removed by electrocautery or local excision. RESULTS: Twenty-eight procedures were performed in 25 patients. In 20 procedures (71.4%), no recurrences were recorded; the other 8 procedures (28.6%), were symptomatic. CONCLUSION: This method for the treatment of ingrown toenail was found to be simple and efficient, with a relatively low recurrence rate. Therefore we currently advocate this procedure as the treatment of choice.