Background: Low back ache, a common orthopedic morbidity caused due to lumbar disc disease. Fenestration discectomy as a surgical procedure is less time consuming, with lesser blood loss, lesser post-operative complications and does not compromise with stability of spine when compared to other procedures. Objectives: To assess the functional outcome in terms of pain relief and the neurological recovery following the procedure of fenestration discectomy among the cases with lumbar disc disease. Methods: Cross sectional study was conducted among the patients admitted with lumbar disc disease in

No abstract

Introduction: We reported performing laparoscopic cholecystectomy (LC), which appeared to be a difficult technique to perform in acute cholecystitis (AC), using singleincisional surgery (SILS) device. Method: Regarding the port setting, two trocars (5 mm and 12 mm) were inserted in the navel port using SILS device. The 5 mm trocar at the navel port was used by the instructing surgeon's right hand. Hemostasis was achieved using soft coagulation, appropriate counter traction, and instruction inside the operative field. We analyzed 275 AC patients who performed LC at our department. Result: Conversion to open surgery was needed in 6.2% of patients, and postoperative complications were occurred in 4.0% of patients in this study. After introducing this technique, there were no conversion to open surgery, intraoperative bile duct injury, and postoperative complications in the surgical trainee group. Conclusion: Early laparoscopic cholecystectomy using SILS device was achievable by a surgical trainee in AC.

Asian neck of femur is smaller in diameter is smaller in diameter when compared to westerners hips, which can accommodate three or four screws. This study was conducted in the aim to establish Asian hips cannot accommodate more than 2 screws. A total number of 20 cases of displaced intracapsular fractures of femoral neck were treated by asnis screw fixation. All the cases were followed up for a period ranging from 6 months to one year. The results were analysed clinically and radiologically. In 14 cases fractures united as evidenced by trabcular growth across fracture site. 6 cases went for non-union.

No abstract