BACKGROUND RCC is the most frequent primary tumour of the kidney. It constitutes about 3 % of adult malignancies. Worldwide incidence is increasing at an annual rate of about 2%. Recent trends show a gradual increase in the incidence of RCC. We wanted to study the clinical profile of renal cell carcinoma and evaluate the post-op period of radical nephrectomy. METHODS A retrospective descriptive study of all patients diagnosed with renal cell carcinoma, from 2013 to 2018, were studied in all clinical aspects and evaluated. RESULTS The study showed male preponderance, most common age group being 60 to 70 years. Most patients were from rural background and presented with flank pain. Triad of mass per abdomen, flank pain and hematuria was present in 8 % cases. 65% patients were hypertensive, 55% were smokers, 55% were alcoholics, 40% were diabetic. Most tumours are left sided. CECT Abdomen predicted resectability in all cases. Radical nephrectomy is a relatively safe surgery with less morbidity of 10 to 14 days of hospital stay post operatively. Mortality was 10%, common cause of mortality was pulmonary infection. Clear cell type is the most common histological variant CONCLUSIONS Males above 50 years, with flank pain should be evaluated with RCC as a differential diagnosis. Screening for RCC plays an important role in diagnosing early tumours leading to better prognosis. Populations with risk factors like hypertension, smoking and diabetes, in their 5 th decade should be screened for RCC. Trans-peritoneal approach for RCC is safe. Radical nephrectomy has relatively low mortality with an average postop stay of 10 to 14 days. Proper pre-operative evaluation and addressing the cardiac, pulmonary issues decreases the post-operative mortality.

BACKGROUND With the advances in technology, electrical injuries are becoming more common and are the leading cause of work-related traumatic death. One third of all electrical traumas and most high-voltage injuries are job related and more than 50% of these injuries result from power line contact. The management of the major burn injury represents a significant challenge to every member of the burns team. Most of electrical burns present with gangrene of toes and limbs with eschar over body parts. Their presentation is mostly due to contact with high-voltage electricity at their work places. MATERIALS AND METHODS A retrospective study was made to study the clinico-social profile of patients suffering electric burns admitted into Department of General Surgery. RESULTS 92 cases were evaluated and studied. Majority of patients developed gangrene of limbs and toes. Amputations and skin grafting was done. Most patients who suffered electric burns were males of age group 21 to 40 years. All cases are accidental and mostly occurred at work places. Most electric burns are high-voltage based and caused deep burns. Major complications like acute renal failure and septicaemia were encountered. Most of them suffered 16 to 30% burns. Most commonly isolated organism from wounds is pseudomonas. Most of them suffered a hospital stay of 1 to 2 months.

BACKGROUNDBurn injuries are of global concern. In India, over 10,00,000 people sustain burns every year. Most of them succumb to death, and the rest suffer with varying degrees of morbidity. A better understanding of the burden can help formulate appropriate steps aiming at prevention of these burn injuries. We wanted to study the socio-cultural aspects, causes, modes of injury, and outcome in thermal burn injuries and their preventive aspects. METHODSAn elaborate study of 205 patients admitted into burns unit and casualty, Government General Hospital, over a period of two years from June 2016 to June 2018, was done and analyzed accordingly. RESULTSIn the study, 67.6% were females, 77.6% were from the rural areas, 76.6% were illiterates, and 69.4% were of class 5 socioeconomic status. Accidental burns were 57.1%, and suicidal burns were 42.9%. Suicides were common between 21 to 40 years age group and mostly were literates and involved more TBSA. Most accidental burns occurred at their residence. Mortality was 73.2% overall and highest in patients with age greater than 60 years and in suicidal than accidental. Mortality was 100% if TBSA was >70%. Most deaths occurred in their 1 st to 5 th post burn day. The most common bacteria isolated in burn wound culture swab was klebsiella. CONCLUSIONSPersonality development programs targeting illiterate females of age group 21 to 40 years can reduce suicidal burns. Patients with injuries involving head and neck and TBSA> 50% should be the priority as they have high mortality. Education regarding safety against dry flame burns, their prevention, and steps used in early control of dry flame burns, can control accidental injuries. Early resuscitation, nutrition, and wound management should be focused on managing burn victims. Deformities and contractures affect the normal functioning of the individual, and every step should be taken to prevent them.