Large Cavernous Hemangioma of the Kidney Mimicking a Renal Cancer: A Diagnostic Challenge

A 69-year-old man presented with a 9-months intermittent macroscopic painless hematuria. He had a previous left kidney surgery for renal lithiasis 24 years ago. There were no particular physical findings, such as flank pain.

Routine laboratory tests including hematology, biochemistry, urine analysis and coagulation tests showed no abnormalities. Urine cytology studies and cultures were negative.

Renal ultrasound depicted an enlarged left kidney with heterogeneous solid mass. An enhanced computed tomography (CT) revealed a 10 × 9 × 8, 5 cm, low-density, large heterogeneous renal mass.

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Proximal Tibial Epiphyseal Fracture, Complete Separation: A Rare Occurrence

Dislocation of the knee joint and fractures about the proximal tibia are extremely rare occurrences in the paediatric age groups.

Based on the Salter and Harris classification system, we present a case of Type 1 fracture of the proximal tibia with complete separation of the epiphysis.

The case also highlights the presence of other concomitant injuries that accompany the trauma around the knee.

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Effects of Bariatric Surgery on Weight Loss and Quality of Life

Bariatric surgery is the most effective treatment for severe obesity. The mean weight loss is approximately 30-40 kg/11-15 BMI units or approximately 60 % of excess body weight.

Many patients pursue bariatric surgery for improvement in their physical image and self-esteem rather than somatic health improvement.

Health-related quality of life improves after bariatric surgery and the long-term improvements are positively associated with the long-term amount of weight reduction.

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Problems and Possibilities in Tissue Engineering

Organ and tissue transplantation in developed countries is in steady increase. We are living in fast changing world with path-breaking technological advancements as a norm of the day.

Development of the field of organ and tissue transplantation has accelerated remarkably since the human major histocompatibility complex (MHC) was discovered.

The major histocompatibility complex (MHC) contains a set of cell surface molecules responsible for binding peptide fragments derived from pathogens and display them on the cell surface for recognition by the appropriate T cells.

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Prevalence of Surgical Site Infections in Non-Diabetic Patients Undergoing Major Surgery at St. Francis Hospital Nsambya

Surgical site infection (SSI) is an infection occurring in an incision wound within 30 days of surgery and significantly effects patient recovery and hospital resources.

 To determine the prevalence of SSI among non-diabetic patients undergoing major surgery at St.Francis hospital Nsambya. This was a Cross-section prospective study, the study was carried out at St. Francis Hospital Nsambya in Kampala.

This is one of the tertiary level referral and teaching hospital for MKPG Nkozi University. It has a bed capacity 342 beds. Approval to conduct the study was obtained from the institutional review board prior to commencement of data collection.

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PRF in Oral Surgery: A Literature Review

The research of adjuvant surgical to promote the healing is a challenge. A lot of processes were done especially the PRF (platelet rich fibrin) that owes its action to its slow polymerization which permits to pick up the growth factors inside the fibrin mesh.

These factors and due to a slow release permit a local stimulation of the healing time as well. Nowadays, with the use of the PRF, the oral surgery undergoes a lot of controversies.

The clinical observations are in advance in regard to the scientific evidence. In spite of the encouraging results, research is to be depending to get a complete scientific validity.

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Pilon Fractures of Middle Phalanx Managed with Lag Screw and Early Mobilisation

Proximal interphalangeal (PIP) joint injuries are commonly seen in athletes and especially the pilon fractures are quite common due to axial loading injuries.

It is associated with volar lip fragment with dorsal subluxation of middle phalanx with varying degree of comminution of the base of middle phalanx.

Varied treatment options have been described ranging from extension block splint, external frame finger distraction and open reduction internal fixation. The key is in restoring the joint congruity with early controlled mobilisation thereby preventing joint stiffness or deformity.

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