BACKGROUNDThis study retrospectively analyses the initial experience of liver transplantation (LT) in the Indian Armed Forces.

Background: BiSpecteral Index (BiS) monitoring is standard monitoring regimen in anaesthesia practice. It has also been used in cardiac surgery. It is especially important due to the high incidence 01 neurological injury or dysfunction that occurs following CPB. This is a retrospective stody of 33 cases that were monitored with BiS during the course of coronary artery or valvular surgery, including the period 01 CPB. Methods: Thirty three cases monitored with BiS were studied retrospectively. Result: From the recordings it was determined that the value of BiS which was ranging between 40 to 60 oller induction, dropped below 25 at the onset of CPB. This change was statistically significant (p<0.05). Conclusion: This decrease in the BiS value is probably a result of hypo-perfusion and due to clear, oxygen -poor priming flnid reaching the brnin. Other periods 01 hypotension also correlated with the low values of BiS. This cerebral hypoxia which would

AIM:The role of laparoscopy in staging of gastric cancer is widely accepted; however, in Malaysia its usage has been limited. Patients can be classified as resectable or unresectable, which helps in avoiding an unwanted laparotomy and the morbidities associated with it. The aim of this study was to assess the value of laparoscopy in staging of gastric cancer in comparison with CT scan.MATERIALS AND METHODS:Patients with carcinoma of the stomach after a complete preoperative work-up underwent laparoscopy prior to surgical exploration. TNM staging was used to compare laparoscopy with CT, with the histopathological report used as the gold standard.RESULTS:Forty cases were included in this study. The sensitivity of laparoscopy for T3 tumours appears to be significant when compared to that of CT. Laparoscopy detected 90.3% of the cases as against the 58% detected with CT. There was not much difference in the N factor. With regard to M factor, the sensitivity was 100% for laparoscopy in comparison with CT.CONCLUSIONS:Laparoscopy has been shown to be sensitive in detecting metastasis in gastric cancer in comparison to CT, thus helping in avoiding unwanted laparotomy and thus providing a more systemic approach in managing gastric cancers.

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