Continuing with only clinically indicated circumcisions, I occasionally used the foreskin as a flap to cover degloved digits (anchoring the hand to the thigh with sutures and strapping it for a few days) and also as a free skin graft and in hypospadias repair. The foreskin was used most dramatically in scrotal elephantiasis. Here the mass is lifted by assistants and a tourniquet is wound severa...

BACKGROUND Lymphatic obstruction by Wuchereria bancrofti is thought to be the mechanism for development of tropical hydrocele in men and for elephantiasis, mostly in women. Hydrocele prevalence is used to determine the effectiveness of para site eradication programs. METHODS We maintained a prospective log of operations performed at 1 Canadian Field Hospital during its relief mission to Léogâ...

The authors report the case of a 13-year-old patient with neurofibromatosis (NF-I), who suffered blunt trauma to the left tibia in 1993. The diagnosis of subperiosteal hematoma was made. Treatment consisted of temporary rest. There was a recurrence in 1996, and the subperiosteal hematoma was drained. In 1997, a shortening osteotomy of the left tibia was performed. However, massive gigantism wit...

L'éléphantiasis scrotal(LO) est une augmentation considérable du volume des bourses s'observant surtout en zones d'endémie filarienne mais pouvant être d'origine primitive ou secondaire à la destruction de ganglions lymphatiques pelviens et/ou inguinaux ou à une compression par certains cancers génitaux ou lymphomes. Les complications induites sont fonctionnelles, esthétiques et infectieuses re...

Sparganosis is an infection with a parasitic tapeworm larva that occurs by eating infected foods or drinking contaminated water. The larvae can migrate to a tissue or muscle in the chest, abdominal wall, extremities, eyes, brain, urinary tract, pleura, pericardium, spinal canal, or scrotum. Herein, we report a 5-month old infant with scrotal sparganosis who was initially suspected to have a scr...