A 72-year-old lady presented with abdominal pain and distention of 3 days duration. She did not pass flatus and stools and had few episodes of bilious vomiting for 2 days. She had no past history of abdominal pain or surgery. Coronal CT scan section of abdomen (Fig. 1) showed classical Rigler’s triad of pneumobilia, dilatation of small bowel loops and ectopic gallstone which is characteristic o...

OBJECTIVE Vesicovaginal fistula (VVF) causes detrimental psychosomatic effects on a woman. It is repaired using open abdominal as well as laparoscopic approach. Here we compare a series of open versus laparoscopic VVF repairs done at a single centre. METHODS Retrospectively data of patients undergoing VVF repair in our department between January 2011 to December 2014 was analyzed. Patients wh...

Mucinous adenocarcinoma associated with an anal fistula is a rare oncologic entity which may pose diagnostic and therapeutic challenges for Surgeons and Medical Oncologists. Few reported cases without definite therapeutic guidelines exist. It represents 2-3% of all gastrointestinal malignancies and arises from chronic anal fistulas, ischiorectal or perianal abscesses. We report a case of perian...

Background: Fistula in Ano is one disease which easy to diagnose but difficult cure as patients report very late phase of the and it leads problems. Aim this study was determine etiology, clinical presentation, efficacy different surgical approach, early post-operative complications, recurrence rate cases fistula Ano.Methods: Prospective Observational Study conducted Department General Surgery,...

BACKGROUND To diagnose and characterize the perianal fistulous disease using Magnetic resonance imaging (MRI) in a hilly and rural area of North India. MATERIAL/METHODS This prospective hospital based study was conducted for a period of one year from April 2014 to April 2015 in the departments of Radiodiagnosis and Surgery of our institute. A total of 50 consecutive patients presenting with p...

Endologix AFX unibody stent graft (AFX) has been shown to be effective for the management of complex aortoiliac occlusive disease (AIOD), as a more minimally invasive option than open repair. Additionally, repair is advantageous compared with kissing iliac stents, maintaining normal morphology. The study examines mid-term and long-term results treatment AIOD. A single-center retrospective revie...

Background: One stage urethroplasty through parameatal foreskin flap (OUPF) available for all types of hypospadias was first described by Tomohiko Koyanagi (1983). High complication rates were reported.   Objective: To evaluate the outcome technique modification using dartos muscle as a 2nd layer because it has high vascularity, very thin, easily elevated, and leaves no complications. Patient...

BACKGROUND Currently there is no guideline for the treatment of patients with Crohn's disease and high perianal fistulas. Most patients receive anti-TNF medication, but no long-term results of this expensive medication have been described, nor has its efficiency been compared to surgical strategies. With this study, we hope to provide treatment consensus for daily clinical practice with reducti...

Objectives: Surgical repair of hypospadias is challenging and the risk complications high, even for most experienced specialists. In this study, we aim to present our experience with management common postoperative in patients who underwent proximal repair. Methods: We retrospectively reviewed data surgery between December 2011 February 2021. Patients were repaired single staged methods divided...

MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. offers some advantages, especially showing the area of spesi and secondary dilatation. Both have high recurrence rate after surgery an important role determining surgical outcomes minimizing complications. This study aims to evaluate fistulas using T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with ...