Background: Choledocholithiasis leads to unconjugated hyper bilirubinemia which is manifested as intermittent jaundice. This type of jaundice is known as obstructive or surgical jaundice. The aim of this study is to evaluate the effectiveness and safety of Biliary Diversions in Choledocholithiasis. Methods: 50 Cases were selected for this study. A suitable biliary bypass was done in each case and the patients were evaluated in the post-operative period by clinical examination, biochemical parameters and ultrasonography. The follow up period was 6 months to one year. The duration of postoperative hospital stay was documented. The relative merits and demerits of each procedure were assessed and the results were documented. Results: Choldochoduodenostomy is a safe and regular procedure done as a biliary diversion in cases of choledocholithiasis. Morbidity and mortality is less associated with this procedure. Duration of hospital stay is less. Hence return to work is early. Conclusion: Choldochoduodenostomy procedure can be considered as a first line surgical management technique in patients of choledocholithiasis.

BACKGROUND Burn is one of the most devastating condition. It is seen in all age groups from a baby to the elderly. Burn injuries pose a big challenge to the medical fraternity. Burn injuries can have an effect on the skin, respiratory, cardio vascular, renal, haematological, G.I, musculoskeletal, eye, immune system, metabolism and nutrition. Burns may be Superficial or partial thickness where the epidermis is involved, full thickness when all the layers of skin are involved and deep burn. MATERIALS AND METHODS Total of 64 patients who have attended the OPD and Casualty with burn injuries and given consent for the study were studied in a period of 2 years duration in the Department of Surgery, S.C.B. Medical College and Hospital, Cuttack. RESULTS Burn injury is a common health hazard. These injurues are seen in low socio economic status because of poverty, overcrowding, poor condition of living and ignorance regarding precautions to be taken during fire accidents Incidence is high in females. Male burns are attributed to. Male burns may be attributed to alcohol, smoking and domestic violence which is seen in our study. Burns can be due to accidents, suicidal or homicidal. The percentage of body surface area in burns is calculated as per Wallace rule of nine's. It helps to estimate the percentage of burn and the fluid estimation is done. Burn injuries produce irreversible cell protein denaturation. Cytoplasmic coagulation, blockage of thermolabile enzymes and cell death. Most burn deaths occur in the developing world particularly in South East Asia CONCLUSION Burn injuries are frequently seen. The contribute to almost 20% of admissions in the tertiary care hospitals. In the present study in S.C.B. Medical College and hospital, Cuttack, Odisha female burn patients in the third decade of life was the commonest. Those patients are mostly house wives and they have a close proximity to the kitchen. Some of the deaths were dowry related and are either suicidal or homicidal .As this hospital where the study has been undertaken is a tertiary care hospital, patients are normally referred later. Hence hypovolaemic and neurogenic shock has not been properly dealt in the primary hospitals which adds to morbidity and mortality in these patients. Burn injuries can have an effect on the skin, respiratory, cardio vascular, renal, haematological, G.I, musculoskeletal, eye, immune system, metabolism and nutrition. Burns may be Superficial or partial thickness where the epidermis is involved, full thickness when all the layers of skin are involved and deep burn.

Background: Hernia is an abnormal protrusion of a peritoneal lined sac through the musculo aponeurotic covering of the abdomen. The study is conducted to compare the post.operative complications in Adult Para umbilical hernia with Open Mayo's repair and Tension free Onlay prosthetic Mesh repair. Methods: A comparative 3 year study was conducted in Department of Surgery. There were 08 male and 50 female patients. They were divided into two groups-1 and 2 .Group 1 constituted 29 patients who underwent Open Mayo's repair and Group-2 constituted 29 patients who had Tension free Onlay prosthetic Mesh repair. The median follow up was 36 months. The study was conducted with special reference to the pre disposing factors, age, sex, type of operation and complications associated with it. Results: Open Mayo's repair is safe and cost effective but tension free mesh repair is also proved cost effective in terms of short hospital stay, lesser use of drugs, patient comfort and satisfaction as well as early return to normal routine work. Conclusion: Mesh repair should be considered as a first line surgical option for adult para umbilical hernias.