INTRODUCTIONA ventral hernia is defined as a fascial defect located in the abdominal wall. Primary ventral hernias have been classified as umbilical, epigastric, Spighelian and lumber hernias, and secondary ventral hernias are incisional hernias that have developed from previous postoperative scars. 1 Ventral hernia repair is a common surgical procedure. Mostly, ventral hernias are small umbilical and epigastric hernias, but almost 30% of these procedures are incisional hernia repair is and around half of these have been done laparoscopically. 2Once the patient develops ventral hernia, it inevitably increases in size with time and surgery becomes more and more difficult and hence the repair should not be delayed. With the increase in the number of abdominal surgeries and the use of various incisions associated with surgeries, there is an increase in the incidence of incisional hernia. The surgeons became aware that certain incisions were followed by increased incidence of incisional hernia, because of this awareness, consideration was given to the choice of incision, suture materials that are being used, type of wound closure etc.., Moreover ventral hernias can become irreducible, obstructed, strangulated due top various reasons which markedly increases the risk to patient's life. The treatment of ventral hernia has evolved over many decades. Primary suture repairs were done in the beginning which carried an unacceptably high recurrence Conclusions: Laparoscopic repair of ventral hernia is showing promising results and is being widely practiced nowadays. Postoperative pain is less, hospital stay is shorter and there is a lower short term complication when compared to open repairs. There is lesser incidence of wound infection; movement of bowel is sooner, shorter hospital stay and faster resumption of routine activities.

Background: It is a benign encapsulated tumour occurring commonly in young females of 15-25 years of age. Presently it is considered as hyperplasia of a single lobule of the breast (classified under ANDI). Fibro-adenomas are one of the main benign diseases of breast. Though considered as a risk factor for development of breast cancer its reporting has been over shadowed by that of breast cancer. Methods: The study was undertaken during the period August 2014 to August 2016, patients who attended surgical outpatient as well as in patient of ESIC medical college hospital formed part of the study. Results: During the study period a total of 80 cases were confirmed as fibro-adenoma. The ages of cases ranged from 10-60yrs maximum number of cases 50 (62.5%) was in age group 16-30 years followed by 31-45 years with mean age of presentation 27 years. Majority of cases 60 (75.0%) belonged to urban background. It was found that 55 (68.75%) of the cases were married. Conclusions: Fibro-adenomas which is small, single, age <30 years can be left alone with regular follow-up with USG at 6 monthly interval. But anxiousness of patient and parents find difficult for this conservative approach.

Background:A scoring system which can compare patient populations and severity of illness, objectively predict mortality, morbidity and can help to evaluate the treatment strategy is the dire need for evaluative research of intensive care. Methods: The study is done after obtaining a detailed history, complete general physical examination and systemic examination. The patients are subjected to relevant investigations like X-ray erect abdomen, CXR, USG and routine investigations like Hb, TC, urea, creatinine, serum electrolytes.

Background: Stomach infections with Helicobacter pylori mainly occur during childhood. If persistent, these may cause chronic gastritis often leading to peptic ulcer disease, later on in life. Ulcer is a sore or hole in the lining of the stomach or duodenum (the first part of the small intestine). Objective was to detect the prevalence of H. Pylori in patients with gastritis. Methods: This study involved 90 patients with gastritis who attended surgical outpatient as well as inpatient department of ESIC Medical college hospital from April 2014 to March 2016. Results: Endoscopy was carried for all patients to diagnose gastritis. Urease and Serum IgG anti H. Pylori antibodies used to detect the presence of H. Pylori in these patients. Ninety patients; 60 males (66.67%) and 30 females (36.33%) were infected with gastritis. The results showed that 53.33% of the patients gave positive results on urease test. The results showed that for screening and determining the clinical features of gastritis, at least one method for H. Pylori are required to give positive result in order to identify an infected patient with H. Pylori. Conclusions: There is an additional aspect to treatment of gastric ulcers, the one of health care providers and patient's awareness of the cause and most efficient treatments for this medical condition. Ulcers that presented until recently a life-long disease with only symptomatic relieve available, became an easily curable condition, when the right pathway of treatment is chosen.

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