Vesicouterine fistula is the least common of the fistulae involving genitourinary tract. Most common cause being iatrogenic secondary to injury during gynaecologic surgeries like caesarean section, various other causes have been documented. Though rarely reported in the literature previously there has been an increase in the incidence recently secondary to increasing number of caesarean section...

backgrounds: the aim of this study was to determine if preemptive local anesthesia yields better postoperative pain control than infiltration of local anesthesia at the time of wound closure. methods: forty patients aged between 1 and 10 years were randomly allocated to one of the two groups by using a sealed envelope technique. group 1 received 0.5 mg/kg bupivacaine 20 minutes before the incis...

introduction: pilonidal sinus is a common disease in sacrococcygeal area, which mostly caught young people and cause disability, which needs complete rest at home and taking off from work. although the surgical treatment of this problem goes back to the last century, still optimal treatment is a controversy. recent studies have raised different surgical approaches, so that there is no general a...

BACKGROUND Surgical repair of esophageal perforation has been the mainstay of therapy for patients without associated esophageal malignancy or diffuse mediastinal necrosis. However, the leak rate after primary surgical repair is reported to range between 15% and 20% and increases to 45% and 70% in patients whose repair is delayed beyond 24 hours. This analysis reviews patients who experienced a...

background: considering that complications and outcome of each method of pediatric inguinal hernia repair are one of the determinants for pediatric surgeons for selection of the appropriate surgical technique, we compared the early and late complications of two inguinal repair techniques, with and without opening the external oblique muscle fascia. materials and methods: in this double-blind cl...

BACKGROUND Repair of congenital diaphragmatic hernia (CDH) has changed from an emergent procedure to a delayed procedure in the last decade. Many other aspects of management have also evolved since the first successful repair. However, most reports are from single institutions. The lack of a large multicenter database has hampered progress in the management of congenital diaphragmatic hernia (C...

Medial canthal tendon (MCT) laxity is a common condition, usually age related and often causing symptoms of epiphora, discharge, irritation, and redness. MCT repair is more complicated than that of its lateral counterpart because of the intimate relation with the canaliculus (Fig 1). The position and patency of the canaliculus can be affected by any surgery to the canaliculus. Because of the pr...

Laryngotracheoesophageal clefts (LTEC) are rare malformations which involve the upper respiratory and digestive tract. Surgical repair should be undertaken promptly to maintain a secure airway and prevent serious pulmonary aspiration. This paper reports the first case of LTEC type 3 with severe laryngotracheomalacia that was brought to Mofid children's hospital in late infancy with a poor healt...

Background  Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant with prenatally diagnosed left-sided CDH and unexpected transmural bowel perforations developing within the postnatal ...