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Aim and Objective: 1. To evaluate the advantages of USG guided pigtail catheter placement for drainage of liver abscess. 2. To assess the morbidity and complications of percutaneous pigtail catheter drainage in treatment of liver abscess. Methods: The study was conducted at Zydus Medical College and Hospital, Dahod, Gujarat, January 2018 to January 2020. It included 40 USG confirm cases of liver abscess. The liver Abscess ≥5x5 cm underwent percutaneous drainage was determined by doing serial USG scans. Results: Age group varied from 20 to 60 years. Out of 40 patients 36 were men and 4 were women. The male to female ratio 10:1. 28 patients had solitary abscess, while 12 had multiple abscess. Pigtail catheter of various sizes (10 F or 12 F) were introduced in these patients using the Seldinger technique. The volume of pus drained ranged from 150 to 400 ml, complications were minor and included catheter blockage in 8 patients and tract pain in 35 patients. There was no mortality associated with this procedure. This study shows a success rate of 96%. One patient required repeat pigtail placement after 6 months for recurrent liver abscesses. Conclusion:This study concludes that drainage of liquefied moderate to large sized liver abscess by USG guided pigtail placement as a minimally invasive procedure with low morbidity and mortality and should be first line of management of liver abscesses.

Review the patient of ileal typhoid perforation treated in surgical department in S.S.G. hospital Baroda. In present study, age and sex distribution, 31 male (77.5%) and 9 females (22.5%), clinical presentation role of investigation. To assess the morbid pathology and evaluate the complication arising from ileal perforation due to late presentation, multiple perforation and the incidence of faecal fistula and the mortality rate adversely affected by drainage of copious quantities of pus and faecal material from the peritoneal cavity. The complication arising from ileal typhoid perforation and those following surgery for the same and role of various operative procedure in the management of patient with ileal typhoid perforation.to study the incidence of mortality and morbidity in patient with typhoid perforation.

Background And Need of Research: It is unquestionable that health-care professionals work in stressful environment and that stress has become a concern for health-care professionals. Physiotherapists are a professional group of health-care workers with a high rate of attrition and at risk of stress. The purpose of this investigation was to examine the stress levels and health-related quality of life of physiotherapists working in hospital and clinical setup with those who are in academic sector. Methods: An Observational Study was conducted on Physiotherapists of Gujarat State. Perceived Stress Scale and Short Form-12 Survey (SF-12) was filled by 102 physiotherapists (n=51 clinical and n=51 non-clinical). Ethical approval has been taken. Result: SPSS Version 29 Software was used for Data Analysis. Mann Whitney U test was used to compare Stress and Quality of Life (QoL) Physical & Mental component in Physiotherapists. The result of Stress and Quality of Life in Clinical and Non-clinical physiotherapist was significant with P value of p=0.021 and p=0.114 (PCS) and p=<0.001 (MCS) respectively. Conclusion: The Result of this study suggests that Stress and Mental Component of QoL of Clinical physiotherapist was more than that of non-clinical physiotherapist. Clinical Implications: Aerobic Exercise and Breathing Exercises, Yoga Key words: Stress, Quality of Life, Physiotherapists.