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Sion, India

Dhabalia J.V.,LTMGH and LTMMC | Kumar V.,LTMGH and LTMMC | Nelivigi G.N.,Institute of Urology and Nephrology | Gokhale A.,KEM Hospital
Scandinavian Journal of Urology and Nephrology

Urethral duplication is a rare congenital anomaly and presents as a spectrum of varying severity. This report present three cases of duplication of urethra whose presentation ranged from prepubic sinus to a complete urethral duplication. They were investigated using ultrasonography, retrograde urethrography and cystoscopy. They were treated depending on the severity of the anomaly. The management of these cases is discussed and the current literature on this rare entity reviewed. © 2010 Informa Healthcare. Source

Jivnani S.,LTMGH and LTMMC | Iyer S.,LTMGH and LTMMC | Umakumar K.,LTMGH and LTMMC | Gore M.A.,LTMGH and LTMMC
Journal of Emergencies, Trauma and Shock

Background: A prospective study of 50 patients of trauma was carried out at a tertiary level trauma center in Mumbai. The aim was to study the hypermetabolic response to trauma and the effect of early enteral feeding and nutritional supplementation in blunting this response in these patients. Methods: Early enteral feeding was started within 72 h in most patients. The caloric requirement was calculated as per the body weight and a 150 : 1 ratio of nonprotein calories to protein was maintained. A 24-h urinary nitrogen loss was estimated and nitrogen balance was calculated on days 1, 3 and 7. Results: The correlation between the injury severity and the severity of catabolism was also analysed. Urinary nitrogen loss and nitrogen balance were used as parameters to evaluate the hypermetabolic response. Conclusions : Early (within 72 h) enteral nutritional support blunts this hypermetabolic response to some extent in these trauma patients. Source

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