No abstract

Abdominal liposarcomas more commonly arise from the retroperitoneum. However, primary mesenteric liposarcoma is a rare neoplasm. Primary mesenteric liposarcoma is a rare diagnosis; hence, a differential diagnosis of an abdominal mesenteric tumor should also be considered. Here, in this case, report, we are reporting a well-differentiated primary mesenteric liposarcoma with Meckel's diverticulum, which has not been reported till now. The clinical findings and imaging were more suggestive of the gastrointestinal stromal tumors, but on laparotomy, it turned out to be primary mesenteric liposarcoma (well-differentiated) with multiple mesenteric lipomas and Meckel's diverticulum.

Introduction: The majority of surgical complications after tissue transfer surgery (Localtransposition of the fasciocutaneous flap, Pedicle flap, Free flap or musculocutaneous flap) arerelated to vascular thrombosis, which usually occurs within 3 days of surgery. Venous congestionusually results in oedema and darkening of the skin colour. During early venous obstruction, aneedle stick will cause rapid bleeding of dark blood and arterial obstruction or spasm will causedelayed bleeding. Patients and methods: This is prospective study was carried out during theperiod from January 2018 to February 2021 at the Plastic surgery unit-Chirayu Medical College AndHospital Bhopal, India. This study included patients aged 13 to 70 years undergoing reconstructivesurgery with flaps (Fasciocutaneous Pedicle flap, Free flap, local transposition flap ormusculocutaneous flap) for the wounds at any part of the body. The NTG patch was applied over thecutaneous surface of the compromised flap and then flap insufficiency was observed. Results: Inthis study total of 50 patients with flaps reconstruction were included. Among which 34 %( 17patients) had skin changes and 66 % (33 patients) had congested bleed on needle prick. NTGpatches were applied on the flap surface at regular intervals. After 1 week follows up, the changes in82% (41) flaps were reversed back and the flap remained healthy. 18% (nine) flaps had partial andor complete necrosis. Conclusion: There was a marked reduction in partial flap necrosis in patientswho received nitroglycerin patch. The flap survival was significantly improved and prevents the re-exploration of flaps. Their application is a simple, safe, and effective way to help salvage the flaps.

IntroductionAcute pancreatitis (AP) is one of the most common emergency room presentations, with an annual worldwide incidence of 150-420 cases per million and a 30-50% mortality rate. Unfortunately, predicting prognosis in AP patients at an early admission phase is difficult. The Waterlow score is a semi-quantitative composite score devised to stratify the risk of developing pressure sores in in-patient settings. Components such as age, gender, nutritional status, body mass index, mobility, smoking status, comorbidities, surgery, use of medications, neurological status, and continence, all combine to generate a single numerical figure between 2 and 64 to overcome the difficulty of the composite scoring systems such as the Ranson score, Glassgow score, Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) and its modification (Portsmouth or P-POSSUM), Simplified Acute Physiology Score (SAPS 2), Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and Bedside index for severity in acute pancreatitis (BISAP). AimThis study aimed to validate the Waterlow score as a surrogate marker in predicting in-patient mortality, length of hospital stay (LOHS), intensive care unit (ICU) admissions, and AP complications compared to the Ranson score and serum CRP levels. MethodA prospective case series analysis was conducted from August 2018 to November 2019 at a tertiary care center in central Gujarat. This study included 51 newly diagnosed patients with AP or acute on chronic pancreatitis on accrual. Out of 51 patients, four were excluded from our study, as three were discharged against medical advice (DAMA) and one other absconded from the ward premises. The study group comprised 47 patients diagnosed with AP, out of which 40 patients were male (85.1%) and seven were females (14.9%). The mean age of the population was 37.5 ± 13.0 years. Microsoft Excel calculated the standard deviation and mean for data entry. All statistical analyses were made with MedCalc software version 19.1.3 (MedCalc Software Ltd., Ostend, Belgium).

BACKGROUND Electrocautery is mainly used for haemostasis and less often for skin incisions. We have done a prospective study to compare the postoperative complications regarding skin incisions made by scalpel and electrocautery in patients undergoing inguinal hernioplasty. Aim-This study is done to evaluate and compare the post-operative pain at 6, 12 and 24 hours in electrocautery incision and scalpel incision over the skin and also to compare the incidence of surgical site infection in two different types of skin incisions on day 1 and day 7. MATERIALS AND METHODSThis study was conducted in 80 patients undergoing inguinal hernia repair who were admitted in the A prospective randomised control trial with double blinding was done. The patients were randomised in two groups: Group A 40 patients (Electrocautery) and Group B 40 patients (Scalpel).