Introduction: Hemorrhoidectomy is an operation for third and fourth degree haemorrhoids.

Aim: The objectives of this study was to study the various microorganisms causing surgical site infection, to study their antibiotic sensitivity and resistance pattern. Setting: Department of Surgery of a tertiary health care centre with an attached medical college. Material and methods: A total of 89 patients with post operative surgical site infection occurring within 30 days of surgery or 1 year of implant were included as subject material after they satisfy inclusion and exclusion criteria. Results: E.coli is the commonest organism isolated in SSI wounds. Overall Imipenem and Amikacin are the most sensitive antibiotics. Over all gentamycin, cefotaxime and clindamycin are the most resistant antibiotics noted. Conclusion: The most common organisms associated with SSI are E. coli and Pseudomonas. Most of the organisms were sensitive to imipenem, amikacin. Sensitivity pattern of the of the organism is changing with time. The common organisms are now no longer sensitive to routinely used cheaper antibiotics. Newer antibiotics, which are more costly, are required to treat the infection which is a burden to the patient.

Aim: The objectives of this study was to study the various micro-organisms causing surgical site infection, to study their antibiotic sensitivity and resistance pattern. Setting: Department of Surgery of a tertiary health care centre with an attached medical college. Material and methods: A total of 89 patients with post operative surgical site infection occurring within 30 days of surgery or 1 year of implant were included as subject material after they satisfy inclusion and exclusion criteria. Results: E.coli is the commonest organism isolated in SSI wounds. Overall Imipenem and Amikacin are the most sensitive antibiotics. Over all gentamycin, cefotaxime and clindamycin are the most resistant antibiotics noted. Conclusion:The most common organisms associated with SSI are E. coli and Pseudomonas. Most of the organisms were sensitive to imipenem, amikacin. Sensitivity pattern of the of the organism is changing with time. The common organisms are now no longer sensitive to routinely used cheaper antibiotics. Newer antibiotics, which are more costly, are required to treat the infection which is a burden to the patient.

Head injury is one of the commonest emergencies in surgical practice. It is one of the most common cause of death and disability among the young population between the age of 15 to 25 years. This is a cross-sectional study among 100 patients with head injury at a medical college and tertiary care hospital. Aims and Objectives: To study the clinical profile and outcome of patients with head including the role of the Glasgow Coma Scale in their prognosis. To study the CT scan findings of the brain and the clinical outcome. Materials and Methods: This is a prospective observational study conducted at a Medical college and tertiary care hospital. 100 patients with head injury were enrolled in this study. Duration of the study was between December 2009 to November 2011. Conclusion: The commonest cause of head injury is road traffic accidents. Head injury is common in the young age of group of 21-30 years. Male: Female ratio of the head injury is 3:1 Almost one third of the patients had history of alcohol ingestion prior to the head injury. The commonest lesion in head injury is subdural hematoma. It is also the most lethal. Most of the head injuries were of mild type and only 5% patients required surgery. Only 10% of the patients had poor clinical outcome. Glasgow Coma Scale is very helpful in predicting the severity and clinical outcome of head injury patients..

Background: Acute intestinal obstruction is one of the most common surgical emergencies. There are many causes of acute intestinal obstruction like bands and adhesions, neoplasms, strictures etc. Aims and objectives: In this study we have tried to find out common clinical presentation, aetiology and treatment of acute intestinal obstruction. Materials and Methods: This is a prospective study conducted at