Background: Hernia derived from the Latin word, is a protrusion of a viscus or part of a viscus through an abnormal opening in the walls of its containing cavity. Objectives of present study were to evaluate sublay Vs onlay meshplasty in incisional and ventral hernia and to compare and determine duration of operation and hospital stay, post-operative complications and recurrences.Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 years (from July 2015 - September 2017) and is a prospective and comparative randomized type of study using 100 cases (Group A Onlay and Group B Sublay - 50 each). The study was approved by the Institute’s Ethics Committee.Results: 100 patients were operated in our study. In group B, the mean operative time [70.72±18.56], and in group A mean operative time (50.96±12.61). The duration of hospital stay was an of average 7.62±1.78 days in group B, and an average hospital stay of 8.84±1.89 in group A. Suture site infection was18%. group A (26%) and group B (12%). Seroma was seen in 5 patients, group A (8 %) and in group B (2%). Flap necrosis was 8% in group A and in 6% in group B. 10 patients had wound dehiscence, group A (14%) and group B (6%). 4 patients were reported with mesh infection (6%) in group A and (2%) in group B. Recurrence was 1% group A.Conclusions: Sublay meshplasty is good alternative to onlay meshplasty that may be applicable to all forms of ventral and incisional hernias. The mesh related complication rate and recurrence was found to be minimal.

INTRODUCTIONThe post-operative wound complications can be defined as any negative outcome as perceived either by the surgeon or by the patient.1 These complications can be encountered after any surgery, but the key to success is the early detection and the prompt management. Surgical site infections and wound and tissue dehiscence are wellknown postoperative complications in abdominal surgery. The severity of these complications embraces mild cases needing local wound care and antibiotics to serious cases with multiple reoperations and a high mortality rate. In most cases, such complications prolong hospitalization, with a substantial increase in cost of care. ABSTRACT Background:The post-operative wound complications can be defined as any negative outcome as perceived either by the surgeon or by the patient. Objectives were to study the early and late post-operative wound complication of patients undergoing emergency and elective abdominal surgery, to find out and compare the incidence of postoperative wound complications following emergency and elective abdominal surgery and to find out and compare the factors associated with wound complications following elective and emergency abdominal surgery. Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 years (from July 2015-September 2017) and is a prospective type of study using 100 cases (Group A: Elective and Group B: Emergency abdominal surgeries -50 each). The study was approved by the Institute's Ethics Committee. Results: 100 patients were operated in our study. The type of collection from surgical site was seropurulent in 4 (8%) patients and purulent in 1 (2%) patient of Group A whereas it was seropurulent in 5 (10%) patients and purulent in 1 (2%) patient of Group B. The type of collection in Closed Suction Drain was Serous in 12 (24%) patients, Serosanguineous in 10 (20%) patients and Seropurulent in 1 (2%) patient of Group A whereas it was Serous in 13 (26%) patients, Serosanguineous in 10 (20%) patients and Seropurulent in 1 (2%) patient of Group B. The postoperative hospital stay for majority of the patients in Group A was ≤10 days (82%) while it was 11-14 days for Group B (54%). Conclusions: Possible complications following elective surgery and those following urgent/emergency surgery, a debatable issue was the possibility of significant differences between them. The emergency laparotomies are also more common than elective laparotomies especially at peripheral centers. These findings suggest that wound complications do occur in elective abdominal surgeries. These can be reduced to a certain extent by careful case selection, improving Hb levels prior to surgery, using adequate prophylaxis and better surgical practices.

Background: The upper gastrointestinal tract is affected by a spectrum of conditions which span from infectious, idiopathic, inflammatory diseases, polyps, motility disorders and malignancy. Upper gastrointestinal scopy is believed to be the most effective screening modality as it not only allows direct visualization of oesophagus, gastric and duodenal mucosa but to perform biopsies in suspected malignancies. Aim: To evaluate persistent upper abdominal pain by upper gastrointestinal scopy.Methods: A total of 100 patients presented with complains of persistent upper abdominal pain were subjected to upper gastrointestinal scopy. Biopsies in indicated cases were taken from abnormal areas and sent for histopathology.Results: Most common finding in patients according to upper gastrointestinal scopy was gastritis (27%), followed by duodentitis (9%), and gastroduodenitis (7%). Rapid urease test in cases of gastritis and duodenitis to determine H. pylori infection were positive in 53.8% cases.Conclusions: Because of its precision and relatively safe technique upper GI endoscopy can be considered in patients above age of 50 years presenting to surgical OPD with complaints of persistent pain in upper abdomen. Investigating helicobacter pylori should be considered in all patients found to have gastric or duodenal lesions on upper GI endoscopy as its association with these lesions ranges from 50 to 80%.