Penile incarceration with encircling metallic objects is a rare presentation and requires urgent intervention according to trauma grade to prevent complications.

We report a rare case with herniation of the uterus, fallopian tube, and ovary in a femoral hernia. A female patient was admitted with complain of the painful lump in the left groin. Clinical examination indicated strangulated femoral hernia, which necessitated an emergency surgery. During surgical procedure, the uterine tube, left fallopian tube and left ovary, were observed as the contents of the hernia. The contents were reduced back into the pelvic cavity, and the hernia was repaired. The patient made good recovery postsurgery.

Background: This study was aimed to compare laparoscopic with open appendicectomy and ascertain the therapeutic benefit, in the overall management of appendicitis. Laparoscopic appendicectomy though widely practiced has not gained universal approval. Laparoscopic appendicectomy in India is relatively new and the literature is exiguous.Methods: The study group consisted of 100 patients suffering from appendicitis. 40 patients underwent laparoscopic appendicectomy (LA) and 60 patients underwent open appendecectomy (OA). Comparison was based on length of hospital stay, operating time, postoperative morbidity, postoperative complications, duration of convalescence and operative cost in terms of their medians.Results: The rate of infections and overall complications (LA: 5%, OA: 11.66% were significantly lower in patients undergoing LA. The median length of stay was significantly shorter after LA (45% discharged 2nd day) than after OA (36% discharged on 4th day). VAS WAS 0-2 IN 60% cases LA and9-10 in 00% cases as compared to OA VAS Was 0-2 in15% and 9-10 in 3.33% cases.Conclusions: LA is associated with increased clinical comfort in terms of fewer wound infections, faster recovery, earlier return to work and improved cosmesis. Hospital stay for LA is significantly shorter and the one-time operative charges appear to be almost the same.

Ileal perforation peritonitis is a common surgical emergency in the Indian subcontinent and in tropical countries. It is reported to constitute the fifth common cause of abdominal emergencies due to high incidence of enteric fever and tuberculosis in these regions. METHODSThis study included 94 patients diagnosed with ileal perforation, admitted and treated in the Department of General Surgery from February 2011 to January 2012 in an Educational Institute of Central India. RESULTOut of the 94 patients studied, 72 (76.59%) were males and 22 (23.4%) were females; 8 patients had hypertension, 6 patients had diabetes and 8 patients both HT and DM; 48 patients were diagnosed to have typhoid fever and received antibiotics prior to hospitalization for perforation; 7 patients were taking ATT from DOT'S centre. All the 11 patients who died had symptoms for more than 24 hours. Seven of the 83 survivors had symptoms for more than five days. The surgical intervention was initiated within the first 24 hours of admission in 68 (72.34%) of the patients. The overall mortality rate was 11.7% (11 patients). CONCLUSIONEarly recognition, timely surgical intervention, appropriate antibiotics and surgical technique, pre-operative, post and perioperative care play a key role in reducing mortality in ileal perforation.

ABSTRACT:Introduction : Urinary tract infection is a common contagion among men and women but incidence is quite high among women due to their anatomy. The incidence of the infection is higher among sexually active women and the possibilities of encountering the infection after a sexual intercourse is higher. Identified risk factors for such infections include sexual activity, spermicide-based contraception, delayed postcoital micturition, and a history of previous UTIs. OBJECTIVES : 1. To assess socio demographic factors among patients of urinary tract infection. 2. To assess risk factors contributing to urinary tract infection. Material and methods Total 91 female patients, who were diagnosed to have urinary tract infection were selected in our study. Data regarding socio-demographic and various risk factors was collected and frequency distribution tables were prepared. RESULTS : Majority females (68%) were between 18-45 years old. About 64% patients belonged to rural area, and 90% patients belong to lower, or lower middle class. About 68% patient's education was below high school and about 74% patients were married. Among risk factors for UTI, we found that sexual activity (in 83%) was most common risk factor for UTI. CONCLUSION: Patient who are exposed to risk factors, should be given special attention by the visiting clinicians, so that early diagnosis can be made and early treatment can be started. Early diagnosis and treatment leads to less complications, morbidities and mortality.