Background: Inguinal hernias are the common causes of surgical admissions and referral of patients from primary physicians. Although we have made a great progress in treating hernia the management of its complications has progressed only a little. The aim of study was to determine the various modes of presentation, clinical features, diagnostic and therapeutic strategies and to evaluate the post-operative outcome in obstructed hernia surgeries.Methods: After obtaining written and informed consent from the patients, cases for the study were randomly selected from patients admitted to this tertiary care hospital for surgical intervention of inguinal hernias during the period between 2015 and 2017. Cases with inguinal hernias which had signs of obstruction and inability to reduce the hernia are taken up for emergency surgical intervention within 6-8 hours.Results: 53 obstructed inguinal hernia patients were evaluated and found that, incarceration was the commonest complication seen in 92.45% of cases followed by strangulation (7.54%). Viable bowel was seen 88.67% of cases. Bowel resection and end-to-end anastomosis was done in all cases of non-viable bowel. The commonest post-operative complication encountered in the study was wound infection (9.43%) and scrotal seroma (9.43%).Conclusions: The most common content was small bowel followed by omentum (52.8% and 35.8% respectively). Wound infection and seroma were the most common complications (9.43%) and mortality was observed in two patients (3.7%) and the causes of death were sepsis and acute respiratory distress syndrome.

Seborrheic dermatitis is a common, chronic inflammation of the skin, characterized by the appearance of red, flaking, greasy areas of skin, most commonly on the scalp, nasolabial folds, ears, eyebrows and chest. The incidence of the disease has two peaks: one in newborn infants up to three months of age, and the other in adults of around 30-60years of age. The exact causes of seborrheic dermatitis are not completely understood, multiple factors appears to be involved in the pathophysiology of the disease. The principle three factors involved are: sebum secreted from sebaceous gland, presence of Malassezia yeast, and the immune response of the host. Currently allopathic treatment and prophylaxis regimens usually include antifungal agents, most often azoles, mild topical steroids, immunomodulatory activity of topical calcineurin inhibitors such as tacrolimus and pimecrolimus and other agents such as selenium sulfide, sulfur, metronidazole and coal tar. Homeopathy offers an excellent treatment for seborrheic dermatitis during all stages. Various homeopathic medicine used to treat seborrheic dermatitis are kali sulphuricum, thuja occidentalis, natrum muriaticum and more. The objective of this review is to discuss and provide information about seborrheic dermatitis and its epidemiology, etiology, pathogenesis, symptoms, diagnosis and its treatment in allopathy and homeopathy.

BACKGROUND Neck swelling is a common presentation in the course of number of diseases. Since neck swelling is not a manifestation of a single disease, diagnosis becomes very difficult and it requires a strong knowledge about the differential diagnosis of neck swellings. The present study is undertaken with an aim of finding the common aetiologies of neck swellings in a surgical outpatient setting and also assess the usefulness of Fine Needle Aspiration Cytology (FNAC) and ultrasonography in swellings of neck. MATERIALS AND METHODS The study includes 100 patients with neck swelling attending the surgical outpatient department of a tertiary care hospital. Inclusion criteria-Patients of age > 15 yrs. presenting with asymptomatic/ symptomatic neck swellings to the surgical outpatient department of a tertiary care Government General Hospital. Samples of FNAC were taken from the swelling and sent for cytology. Ultrasonography was performed for the neck swelling and the results were interpreted in correlation with cytology. RESULTS Thyroid lesions accounted for the majority (57%) followed by lymph node enlargement (27%). Benign lesions were most common, of which thyroid goitres were more common in female sex. The most common lymph node lesion is tuberculous/ granulomatous lymphadenitis. In toto malignant lesions accounted for 23% of cases and their incidence rose sharply after 4 th decade. CONCLUSION The most common benign lesion was nodular goitre, inflammatory lesion was thyroiditis, most common malignant lesion was metastatic secondaries of neck and papillary carcinoma thyroid which was more common in young females.