Gastric teratoma in a female infant

Gastric teratoma is a rare lesion seen most often in male infants. This patient, aged one year, female was having a massive benign gastric teratoma. The size of the tumour was 22 cm x 10 cm x 8 cm and weighted 2.250 kg making it one of the largest gastric teratoma. The tumour was removed by surgery. Histopathology revealed presence of all 3 elements in the form of skin, cartilage, fibrofatty tissue, blood vessels and gland with tall columnar epithelium. Postoperative period was uneventful.

Outcome of colostomy closure with different skin closure techniques in a developing country

BACKGROUND

Colostomy site, which is a potentially contaminated wound, is traditionally closed with interrupted skin stitches and placement of intraperitoneal or parietal or both drains; often with poor cosmetic outcome in our country. This study aims at prospective evaluation of colostomy closure wounds by different techniques.

PATIENTS AND METHODS

This study was carried out in all infants and children with colostomy (for different pathologies) admitted for colostomy closure in our institute from August 1, 2006 to February 29, 2008. Patients were divided into two groups: Group A with colostomy closure without any drain and subcuticular skin closure and Group B with colostomy closure with both intraperitoneal and parietal drain and interrupted skin closure. Patient's details, including age, sex, body weight, diagnosis, preoperative bowel preparation, peroperative antibiotics, postoperative wound infection, anastomotic leaks, duration of hospitalisation and postoperative follow-up for wound assessment, were recorded. By the end of February 2008, 151 cases of colostomy closure were recorded, 70 in Group A and 81 in Group B.

RESULTS

Statistical analysis of the data showed no statistically significant difference in wound infection and anastomotic leak between the two groups. On postoperative follow-up, wound assessment showed significantly better cosmesis in the no drain subcuticular group.

CONCLUSION

This study shows that closing colostomies without any drain and subcuticular skin closure does not result in any increased incidence of wound infection and has better cosmetic results.

Emergency separation of a xipho-omphalopagus twin in a developing country

Female conjoined twins (thoraco-omphalopagus) were delivered by emergency caesarean section in a private nursing home. On examination, one of the twins was dead and was threatening the survival of the surviving twin (twin A). An emergency separation was performed to salvage the surviving twin.

Widespread infestation of the exotic mealybug species, Phenacoccus solenopsis (Tinsley) (Hemiptera: Pseudococcidae), on cotton in India

A survey was conducted in 47 locations in nine cotton-growing states of India to identify the composition of mealybug species occurring on cotton. Results of the taxonomic study showed that two mealybug species, the solenopsis mealybug, Phenacoccus solenopsis (Tinsley), and the pink hibiscus mealybug, Maconellicoccus hirsutus (Green), were found to infest cotton plants from all nine cotton growing states of the country. However, P. solenopsis was found to be the predominant mealybug species, comprising 95% of the samples examined. P. solenopsis, which was hitherto not reported to occur in India, now appears to be widespread on cotton in almost all cotton-growing states of the country. P. solenopsis is an exotic species originated from the USA and was reported to damage cotton and crops of 14 families. This report discusses the implications of the introduction of this exotic polyphagous pest species and the necessary steps to mitigate its potential threat to agriculture in India.