Introduction: Although shockwave lithotripsy is introduced 3 decades ago still it is the first line surgical management to meet huge burden of urinary stones worldwide, despite availability of other newer modalities of effective treatment. For developing countries like India, it is very helpful and promising to meet demand of huge burden of patients with less number of urologist. Our aim was to study the efficacy and outcome of this procedure in our institute and how it is influencing the guidelines. Materials and methods: A prospective study over a period of two years was conducted in the department of urology in VIMSAR, Burla with patients 15-60 years age having single solitary stone of below 2cm size in the kidney and below 1 cm size for upper ureteric stone. Efficacy and outcome were calculated as rate of stone clearance, percentage of complications. Statistical analysis was performed. Results: A statistically significant 85.3% of patients get cleared and labelled stone free. Whereas 14.7% of patients having incomplete clearance switched over to other modality of treatment. A 20.6% of patients reported transient pain and other complication treated with appropriate medication which gradually subsided in follow-up. Conclusion: ESWL is the first line of management for renal and upper ureteric calculus in properly selected patients as it is non-invasive, economical, efficacious with minimal complication and can be done as day care procedure.

BACKGROUNDVentral Hernia repair remains one of the most commonly performed surgical procedure. Operations for ventral hernia were notorious, because of high failure rate. With continued improvement of the materials and operative procedure, there is decrease in morbidity and overall recurrence rate.

The vermiform appendix is considered by most to be a vestigeal organ, its importance in surgery being only due to its propensity for imflammation that in a clinical syndrome called 'acute appendicitis'. Recently, it has been proposed that an elevated total bilirubin (TB) level could be used as a specific marker for the prediction of perforated appendicitis 7 . The rationale for this proposal is based on the hepatic congestion occurring during bacteria sepsis secondary to Gram negative bacteria. Our purpose of this study is to establish the correlation of total serum bilirubin with the appendiceal perforation in acute appendicitis and to compare the reliability of total bilirubin versus WBC count for suspected perforated appendicitis.

Background: The traditional double layered colonic anastomosis incorporates large amount of ischemic tissue in the suture line causing luminal narrowing and fistula formations. Single layered anastomosis may be done through continuous extramucosal suturing or by interrupted through and through technique using nonabsorbable materials. The single layer of suture has shown to be safe and causes fewer complications.Methods: The study was conducted in the Department of surgery, VIMSAR, Burla during the period from October 2016 to September 2018. All the patients of colonic anastomosis were included in the study. One group consists of extra mucosal continuous prolene repair and other interrupted though and through silk repair. Both groups were followed up and were compared taking different variables.Results: 146 cases of colonic anastomosis were performed, 110 with interrupted through and through silk repair (75.34%) and 36 with continuous extra mucosal prolene repair (24.66%).The mean time taken for silk repair was more (25.67 min) than prolene  (15.5 min). The patients of prolene repair had shorter duration (9 days) of hospital stay than silk (12.4 days). The postoperative ileus was more in silk (16.36%) than prolene (5.56%). Anastomotic leak in prolene is less (2.78%) in comparison to silk (8.18%). The bowel movement appeared earlier with prolene (4.2 days) is less than ssilk (5.3 days).Conclusions: The present study shows single layer monofilament thin diameter prolene for different end to end colonic anastomosis has better prognostic panorama in relation to morbidity and mortality, and had an edge over conventional single or bilayere anastomosis.