Pleomorphic Lipoma of the Neck in an Infant: A Rare Clinical Entity.

Lipomas are rare in the pediatric age group. A 10-month-old male child presented with an asymptomatic neck mass which was evaluated and excised completely. Histopathology was consistent with pleomorphic lipoma, not previously reported in children.

Role of Perioperative Surgical Safety Checklist in Reducing Morbidity and Mortality among Patients: An Observational Study.

BACKGROUND: Safe Surgery Saves Lives. Patient safety is a fundamental of good quality health care, and complications due to the health-care system are well-documented and constitute an important public health problem. Implementation of the checklist in medicine and surgery can help to decrease the risk of adverse events thus can improve patient safety. MATERIALS AND METHODS: After the Institutional Ethical Committee clearance, a total of 500 patients were enrolled and divided into two equal groups. In Group 1 (n = 250), patients underwent surgery before regular implementation of the World Health Organization (WHO) surgical safety checklist (SSC), whereas in Group 2 (n = 250), patients underwent surgery after the WHO SSC was regularly implemented. All the patients were followed up after the surgery, and patients were looked for and compared for the postoperative complications. RESULTS: We found that 27 patients (10.8%) in Group 1 and 13 patients (5.2%) in Group 2 developed major wound disruption (P < 0.05). There were 73 patients (29.2%) in Group 1 and 34 patients (13.6%) in the Group 2 who developed an infection of the surgical site (P < 0.05). There were five patients (2%) in Group 1 while none of the patients in Group 2 developed sepsis during the study (P < 0.05). CONCLUSIONS: We found that implementation of the WHO SSC significantly reduces surgical site infections, major disruptions of the wound, and sepsis.

Superinfection of mature ovarian cystic teratoma in a child: An unusual presentation.

Mature cystic teratoma is the most common type of ovarian germ cell tumor. The presentation ranges from its asymptomatic nature to various complications such as torsion, rupture, and malignant change. The present case summarizes the rarest complication in the form of superinfection in a young girl without preexisting risk factors.

Bursa over K nail presenting as pseudo tumor in gluteal region.

We present a case of enlarged bursa with calcified/ossified walls presenting as pseudo tumor in the left gluteal region over an indwelling protruded tip of a K nail implanted 18 years back in a 35 years old male. The patient had received initial treatment from a quack and subsequently from a qualified physician before coming to us and was referred to us with a provisional diagnosis of some soft tissue tumor. Removal of the nail and the bursa resulted in complete recovery and full function.

Repair of the torn distal biceps tendon by endobutton fixation.

BACKGROUND: A number of techniques have been described to reattach the torn distal biceps tendon to the bicipital tuberosity. We report a retrospective analysis of single incision technique using an endobutton fixation in sports persons. MATERIALS AND METHODS: The present series include nine torn distal biceps tendons in eight patients, fixed anatomically to the radial tuberosity with an endobutton by using a single incision surgical technique; seven patients had suffered the injuries during contact sports. The passage of the endobutton was facilitated by using a blunt tipped pin in order to avoid injury to the posterior interosseous nerve. The patients were evaluated by Disabilities of the Arm, Shoulder and Hand (DASH) score and Mayo elbow score. RESULTS: The average age of the patients was 27.35 years (range 21-42 years). Average follow-up was 41.5 months (range 24-102 months). The final average flexion extension arc was 0°-143°, while the average pronation and supination angles were 77° (range 70°-82°) and 81° (range 78°-85°), respectively at the last followup. All the patients had a Disabilities of the Arm, Shoulder and Hand (DASH) score of 0 and a Mayo elbow score of 100 each. All the seven active sports persons were able to get back to their respective game. There was no nerve injury or any other complication. CONCLUSIONS: The surgical procedure used by us is a simple, safe and reproducible technique giving minimal morbidity and better cosmetic results.