Background: To assess Biliary Enteric Anastomosis in Benign Biliary Disorders.Materials & methods: A total of 100 patients were evaluated. Only those patients were included which were affected by BBDundergoing biliary enteric anastomosis were enrolled. The procedures used were choledochoduodenostomy (CDD),choledochojejunostomy (CDJ), and Roux-en-Y hepaticojejunostomy (HJ). All the patients were pre-informed about the entire studyprotocol. Complete biochemical profile of all the patients was evaluated.Follow-up was done and occurrence of complications, if any,was recorded separately. All the results were recorded and analysed using SPSS software.Results: Out of 100 patients with BBD, Choledochoduodenostomy (CDD), Choledochojejunostomy (CDJ) and Roux-en-Yhepaticojejunostomy (HJ) were carried out in 41 percent, 29 percent and 30 percent of the patients respectively. While evaluating thecomplications, it was seen that leak and strictures were seen in 2 percent and 1 percent of the patients respectively.Cholangitis wasseen in 3 percent of the patients.On assessing the Uni-variate analysis for risk factors associated with complications, it was seen thatalbumin levels of less than 3.5 g/dL were significant risk factors for occurrence of complications.Conclusion: Biliary enteric anastomosis is a safe and effective method for the management of BBD

Background: Comparative evaluation of the efficacy of Interval Cholecystectomy and Early Cholecystectomy Among Patients of AcuteCholecystitis.Materials & methods: A total of 100 patients with presence of acute cholecystitis were analysed. All the patients were broadly andrandomly divided into two study groups as follows: Group A: 50 patients who were schedule to undergo interval cholecystectomy,andGroup B: 50 patients who were schedule to undergo early cholecystectomyComplete history of all the patients was obtained. Allpatients were subjected to detailed history including, chief complaints, history of present and past illness, personal history, familyhistory, treatment and drug history. All the operative procedures were carried out under the hands of skilled and experienced surgeons.Follow-up was done and complications (if any) were recorded separately. All the results were recorded in Microsoft excel sheet andwere analysed by SPSS software.Results: Occurrence of postoperative wound infection and biliary leaks was higher among the patients of group B in comparison topatients of group A.Mean hospital stay among the patients of group A and group B was 5.6 days and 9.1 days respectively. Whilecomparing statistically, significant results were obtained.Conclusion: Interval Cholecystectomy shows better results in comparison to Early Cholecystectomy among patients of AcuteCholecystitis in terms of occurrence of postoperative complications and shorter duration of hospital stay.

Background: Diabetes has proved itself to be a silent killer disease. It has been estimated that there are more than two hundred million diabetics in the world. The present study was conducted to assess surgical management of diabetic limb complications among patients.Materials & Methods: 62 cases of diabetic limb of both genders were enrolled. Parameters such as causes of diabetic limb, family history, type of bone involvement, type of lesions, and treatment modalities were recorded.Results: Out of 62 patients, males were 38 and females were 24. Precipitating causes were trauma in 18, infected nail bed/Fissure in 8, spontaneous in 36. In 22 cases, there was bone involvement, type of lesions was septic in 46 and ischaemic in 16. Site was leg in 20, thigh in 10 and foot in 32. Appearancewas ulcer in 30, abscess in 14, cellulitisin 8 and gangrene in 10 cases. The difference was significant (P< 0.05). Treatment modality used was incision &drainage in 12, debridement in 26, above knee amputation in 5, below knee amputation in 4, disarticulation of the toes in 6 and grafting in 9 cases. The difference was significant (P< 0.05).Conclusion: Most common appearance of diabetic limb was ulcer and the most commonly involved site was foot. Precipitating causes were trauma, infected nail bed/Fissure and spontaneous.