Patients with CCM have definite ANS dysfunction as compared to healthy age- and sex-matched controls. There is significant improvement in 30:15 ratio after surgery. HRV indices are also impaired and there is a trend for change in total power and root-mean-square differences of successive RR intervals suggesting loss of HRV.

We describe a case of postoperative stroke in a patient undergoing anterior cervical discectomy caused by a combination of intraoperative retraction of an atherosclerotic carotid vessel and arterial hypotension.

BACKGROUND Ileal perforations are a common occurrence in our hospital setup with a majority of cases having an aetiology of typhoid. The aim of this study is to assess the presentation and management of ileal perforation with special reference to typhoid, nonspecific and traumatic perforations. The study also aims to assess the outcomes in these patients and the factors affecting prognosis. MATERIALS AND METHODS Fifty cases of ileal perforation were included in this study from the period between August 2013 to February 2015. Factors were tabulated and statistically analysed to study their contribution. RESULTS Typhoid was the most common cause of ileal perforation in this study followed by nonspecific perforations. Patients presented primarily in the second and third decades of life with a male preponderance. Patients had a 68% complication rate with wound infection and dehiscence and faecal fistula. Mortality was 14% with fistula and septicaemia being the commonest causes. CONCLUSION We found typhoid fever as the most common aetiology for ileal perforation. Ileal perforations have a significant morbidity and mortality despite adequate operative intervention and postoperative care. Age, lag period, typhoid perforations and hypoalbuminaemia were found to be significantly contributing to morbidity. Mortality was influenced by age and shock on presentation.

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BACKGROUND The aim of the study is to study the most common organisms encountered and their sensitivity and resistance to antibiotics in postoperative wound infection and to study relation of emergency and elective surgery to postoperative wound infection and to study efficacy of different modes of preoperative preparation on postoperative wound infection and to study distribution of postoperative wound infection among different surgeries based on bacterial contamination such as clean, clean-contaminated, contaminated and dirty. MATERIALS AND METHODS Seventy five cases of postoperative wound infection were analysed. Appropriate history and examination was done. Culture and sensitivity reports were reviewed. RESULTS Most common organism encountered is E. coli (32%), most sensitive antibiotic is amikacin (69.3%) and most resistant antibiotics are cephalexin (73.3%) and erythromycin (73.3%). Postoperative wound infection was commonly encountered in emergency cases (69.3%) and dirty type of cases (62.7%). Postoperative infection is most commonly found in patients prepared by shaving (76%) in >24 hours before surgery (64.0%) and patients not taken preoperative bath (77.3%). CONCLUSION Most common organism in postoperative wound infection is E. coli. Most sensitive antibiotic is amikacin and most resistant antibiotics are cephalexin and erythromycin. Postoperative wound infection is more in emergency case, dirty type of cases and patients prepared by shaving in >24 hours before surgery and who have not taken bath.