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Pelviureteric junction obstruction (PUJO) is the condition where flow of urine from the renal pelvis to the ureter is hindered due to various intrinsic or extrinsic causes. Lower pole renal vessels are mostly associated with this condition. Unlike our case, there have been reports of ureter being kinked around the Veins of Retzius but there has been no case report of ureter being kinked around the superior mesenteric vein directly causing features of PUJO.

With the ever increasing number of Lichtenstein's tension free mesh inguinal hernia surgeries being performed worldwide, we are going to see an increasing number of deep mesh infections. In half of the cases the mesh can be saved with conservative treatment, but in other half it has to be removed ultimately to completely eradicate the groin sepsis. We had a patient with deep seated mesh infection presenting with a pus discharging sinus 8 years after Lichtenstein's tension free hernioplasty. The wound was explored and a piece of polypropylene mesh was removed. The infected wound which opened after few days of surgery was managed successfully with honey application only. In the modern era of antibiotic resistance honey is a boon to the human race which has been ignored for the reasons unknown.

BACKGROUND Cholecystectomy is the universally accepted method to manage symptomatic uncomplicated cholelithiasis and other benign gallbladder diseases, because it can cure the disease and has low morbidity and mortality. The most frequent complication in patients undergoing cholecystectomy is surgical site infection. Cholecystectomy is considered clean-contaminated if the biliary tract is entered without significant spillage during the procedure. Some randomised clinical trials have confirmed that antibiotic prophylaxis in open cholecystectomy is decreasing the risk of surgical site infection. MATERIALS AND METHODS Randomised studies have failed to demonstrate the effectiveness of routinely administered perioperative antibiotics on SSI in these low and moderate risk groups and there is growing consensus against it. Many authors believe that antibiotic prophylaxis may not be necessary for low-risk patients undergoing elective cholecystectomies. RESULTS The present study was aimed to observe if antibiotic prophylaxis is necessary to prevent SSIs in the patients undergoing elective below-risk cholecystectomies. CONCLUSION Our study found no significant difference in the rates of SSI in low-risk laparoscopic cholecystectomies with or without the use of perioperative antibiotics.

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