Online ISSN: 2515-8260

Keywords : Congenital


EVALUATION OF CONGENITAL TALIPES EQUINOVARUS BY SONOELASTOGRAPHY

Dr. Sarthak Gupta; Dr. S.V. Deshpande; A.R. Narkhede

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1868-1872

Background: Congenital talipes equinovarus is a paediatric congenital deformity with an occurence of 1 in 1,000 live births, it is distinguished with the development of equinus and varus deformity in the hind foot, cavus in the middle of the foot, forefoot adduction. Clubfoot assessment is essential to assess the initial severity of the clubfoot, to monitor treatment progress and to identify relapses. Currently, there is no measurement tool available to measure the extent of the deformity or control the treatment and it is difficult to do so using measures such as Pirani scoring and Dimeglio classification, as observer bias is susceptible. With Real Time Sonoelastography we can test changes in the properties of CTEV-affected Soft tissues. 
Objective :1)To evaluate initial properties of the tendons of Tibialis Anterior and Tendo Achilles by real time sonoelastography in CTEV.2) To compare changes in tendon substance of Tibialis Anterior and Tendo Achilles with Real time elastography in patients with Clubfoot after serial Ponseti’s cast correction.3)To evaluate sonoelastographic properties of normal Tibialis Anterior and Tendo Achilles in cases of unilateral club foot.
Methods and Material: A total of 30 unilateral clubfoot children who are less than 2 years old visiting the out patients department of AVBRH would be recruited. In this study, we will use a Real time sonoelastography, Real time sonoelastography will be performed using the (Hitachi Aloka ;Model: Arietta S 70) and the ultrasound probe ( MSK liner probe 12 to 18 MHz).
Results – The result will be compiled after the results of elastography, in well tabulated manner.
Conclusion – The conclusion will be based on the findings for study.

Laparoscopic Repair Of Arare Symptomaticgiant Hernia Of Bochdalek In An Adult – A Case Report

Sudarshan.P. B; Agil Selvam; Kumaran. K; ShruthiKamal. V; Sundaravadhanan.B. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3631-3637

The incidence of Congenital Diaphragmatic hernias 1:2000 to 1:12500 amongst all live births. (1,2) It is rare adults with a incidence of 0.17%. (3) Presentation in adults is usually asymptomatic and are detected incidentally during imaging studies.Somepatients present when complications occur. Otherwise when symptoms are present, it is usually more of GI symptoms or rarely with respiratory symptoms. Here we report a case of a 39yr old female patient who presented with respiratory symptoms and had a Left side Bochdalek hernia which was treated successfully by laparoscopic mesh repair. Patient is fine after 1 year of follow-up.