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Introduction:Surgical site infection (SSI) comes as third most common healthcare related infection which produces morbidity and deaths at large. Still many authors believe that it is better not to use prophylactic antibiotics in simple and uncomplicated cases. Laparoscope, now-a-days is a much used instrument for abdominal surgeries. Even after new aseptic techniques SSI remains to be a major problem.Aims and Objectives:To study the effect of antibiotics on superficial SSI in the cases of open and laparoscopic cholecystectomy.Observation and Results:One hundred patients were enrolled for cholecystectomy. The patients were divided into two groups, A and B. Group A consisted of patients in whom laparoscopic cholecystectomy was done and group B in whom open cholecystectomy was done. The male female ratio was 1: 2.23. The mean age of patients in Group A was 46 years and in Group B was 44; Standard deviation (SD) for age was 14.8% and 13.8% in groups A and B respectively; t-value was 0.654 and P value was 0.515 and they were not significant. The number of males and females was 16 and 26 respectively in Group A and 11 and 31 in Group B. The Chi square X2 = 1.36 and P value was 0.248 and both were insignificant. The rate of superficial surgical site infection was 2.63% in both the groups.Conclusion:Our study concludes that there is no difference in the outcome of patients in cases of open as well as laparoscopic cholecystectomy. There is no significant difference in the surgical site infection rate in cases of open as well as laparoscopic cholecystectomy.

admissions process, encounters with physicians, nurses, lab personnel, and other service providers and their respective physical locations, including patient rooms and the care they receive while in their room, the discharge process, and finally the billing/payment process. There is any number of factors that could impact the patient's perception of the care provided throughout an inpatient stay. Patient satisfaction is as important as other clinical health measures and is a primary means of measuring the effectiveness of health-care delivery. The current competitive environment has forced health-care organizations to focus on patient satisfaction as a way to gain and maintain market share. If you don't know what your strengths and weaknesses are, you can't compete effectively. Mismatch between the patient expectation and the service received is related to decreased satisfaction. [1] Therefore, Background: Patient satisfaction is an important measure as it is a primary means of measuring the effectiveness of health-care delivery and success of health-care facility. Objective: To evaluate the satisfaction level of the patients admitted in surgical wards. Materials and Methods: It was a hospital-based cross-sectional questionnaire based study carried out at Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi (Meghe), Wardha, Maharashtra, India. The study was conducted from February 2014 to May 2014 among the patients admitted in surgical wards of AVBRH with a minimum hospital stay of 2 days. The study was conducted for 4 months involving 210 patients. Results: The total number of patients involved in the study was 210 and male-to-female ratio was 2.6:1. The mean satisfaction level for admissions and discharge services was 130 ± 28.80104 (SE = 12.88022) and it was statistically significant (p = 0.00148). The mean satisfaction level for physician services was 128.50 ± 30.94484 (SE = 15.47242) and for nursing services was 95.3333 ± 16.16581 (SE = 9.33333). The overall level of satisfaction (75.24%) was good. Conclusion: Assessments of patient satisfaction and evaluation of the factors for dissatisfaction are relevant to strengthen the bonding between the health-care facility and the faith of a community. The cost effectiveness of the services provided would also go a long way to maintain the bond between the doctor and the patient for the achievement of the optimal level of health of the people.

The objective is to report a rare case of extragonadal seminoma over the manubrium sterni on the chest wall. A 42-year-old male patient, a chronic alcoholic for 10 years presented with a firm mass of approximate size 10 cm × 12 cm overlying the manubrium part of the sternum. A clinical diagnosis of soft-tissue tumor was made. All relevant preoperative workup was done. Fine-needle aspiration cytology of the mass was suggestive of serous cystic lesion with chronic inflammation. Wide local excision of the mass and primary closure of the wound was done, followed by histopathological examination. Unanticipatedly, on histology, the mass turned out to be extragonadal seminoma. Postoperative wound healing was satisfactory. Subsequently, the patient underwent adjuvant chemotherapy. Primary extragonadal seminoma itself is a rare tumor that affects mainly young people with mediastinum as the most commonly involved site and has higher chances of metastasis. This case of extragonadal seminoma (extragonadal germ cell tumour) over manubrium sterni without any mediastinal involvement in a patient in early forties presenting as soft-tissue tumor, itself is a rarer entity and perhaps one of the kinds. Hence, the case needs to be reported and further progression and prevention have to be discussed.

BACKGROUND In recent times serum albumin has been considered as a very important factor in determining the clinical outcome of a patient undergoing major surgery. Patients with low serum albumin pre-operatively have been encountered with poor outcome postoperatively. This study was conducted to assess the association between serum albumin concentration and postoperative outcome (morbidity / mortality). METHODS This prospective observational study was carried out in JNMC and AVBRH, Sawangi, Wardha, from September 2018 to September 2020. All patients undergoing emergency / elective major surgeries were included in the study. Detailed history of patients was recorded including chief complaints and any other previous medical history. RESULTS 104 patients were included in the study of which maximum number of patients were seen in the age range of 35 – 64 years. The mean age being 48.19 ± 15.60 years. The gender distribution with more male predominance with 59.62 % participants being males and 40.38 % participants being females. Total 68 patients had postoperative complications, 40 being males and 28 being females. Highest number of complications in this study were seen in age group 55 - 64 years. 50 out of 73 patients with benign diseases developed complications and 18 out of 31 patients with malignant diseases developed complications. CONCLUSIONS Serum albumin has become an important modality to define the clinical outcome of a patient. Surgeons have started using it as a marker to define the post-operative outcome of a patient undergoing surgery. Exogenous albumin administration has also showed promising results in improving the outcome of a patient in the post-operative period. KEY WORDS Hypoalbuminaemia, Serum Albumin, Postoperative Mortality, Postoperative Morbidity