To assess the safety, acceptability, efficacy, feasibility and complication of immediate PPIUCD insertion. METHODS: Cu T 380A was used for PPIUCD insertion immediately following delivery of placenta during caesarean section or within 48 hours following childbirth. RESULT: The study was conducted in obstetrics and gynecology department in MLB Medical College Jhansi. The total number of deliveries during the study period was 4695, among these 1941 women were eligible for PPIUCD insertion.423 women accepted PPIUCD insertion(21.77%), while 1518 women (78.23%) declined insertion. In those 100(8.92%) of normal delivery women had a post placental insertion and 27(2.4%) women had post-partum insertion. 296 women had transcaesarean insertion. The PPIUCD inserted women were followed-up at six weeks.274 women's were followed. CONCLUSION: The acceptance of PPIUCD was high in the parturient, who had aged less than 19 years, was primiparous, had last childbirth between 0-2 years. The total 1518 parturient declined the use of PPIUCD. The reason for acceptance of PPIUCD were due to its long term effects; safety and reversibility. Few complications in the form of irregular bleeding, increase duration of bleeding, missed the thread, infection, removal and expulsion were noted.

ABSTRACT:We report a 64 year old female who presented with epigastric pain and intractable vomiting not respond to treatment and we were not able to pass nasogastric tube. Chest x -ray shows eventration of left sided hemi diaphragm, upper gastro intestinal contrast study conform the diagnosis of gastric volvulus. Plication of left hemidiaphragm with anterior gastropexy was performed through an abdominal approach. Postoperatively the patient's symptoms improved. Acute gastric volvulus carries a mortality rate of 42-56%, secondary to gastric ischemia, perforation or necrosis. 1 Emergency physicians should have suspicion about gastric volvulus when treating patients with abdominal pain and persistent vomiting. The patient should go for surgical consultation as early as possible.

To study the comparative result of hypospadias repair by dividing the patients in two groups (a) hypospadias repair with waterproofing layer by one of the technique of hypospadias repair.(b) hypospadias repair without waterproofing, and evaluate the complication rates between these two groups especially in reference to incidence of urethrocutaneous fistula. MATERIAL AND METHODS: A prospective study done in the regional institute of surgery and pediatrics, M.L.B. Medical College, Jhansi during 2010 to 2013 with complain of location of urethral meatus on undersurface of penis i.e. hypospadias on 18 cases. RESULT: In the present study, most of our cases (83.33) were of less than 8 years of age. Most common type was middle hypospadias (50%), followed by proximal (27.77%) and distal (22.22%). Chordee was present in 66.66% of our cases.11.11% cases had penile torsion in pre-operative period. Asopa technique was used in cases with significant chordee and Snodgrass technique used in cases without significant chordee. Urethral plate was well formed and grooved in 66.66% cases, shallow in 27.77% cases and distorted in 5.55% cases. Waterproofing of neourethra was done in 55.55% cases, 44.44% cases were without Water proofing layer. Without Water proofing group had better cosmetic results(87.5%) than with Water proofing (70%) but more chances of metal stenosis and skin flap necrosis that leads to urethrocutaneous fistula formation. So Waterproofing decrease the chances of metal stenosis and skin flap necrosis with poor cosmetic results.

Pregnancy in a non-communicating rudimentary horn is rare and the outcome almost always unfavorable, usually ending in rupture during the first or second trimester with significant morbidity and mortality. Despite the availability and advances on imagiologic procedures, recognition of this ectopic pregnancy is frequently made at laparotomy after abdominal pain and collapse. Full term pregnancy in rudimentary horn is rarely reported. We report a case of full term unruptured intrauterine pregnancy of a dead fetus in a non-communicating horn in a multigravida 37 weeks 4 days which was diagnosed pre-operatively as dead intra-abdominal pregnancy The diagnosis was missed by prenatal ultrasonography and was made only at laparotomy. Extraction of intrauterine dead fetus weighting 3kg with excision of non-communicating rudimentary horn was carried out. In the literature, few reports of a horn pregnancy reaching the viability of full term are described, enhancing the clinical importance of this case.