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Road traffic injuries nowadays take the place as a major public health problem constituting leading cause of mortality and morbidity globally and in India, more than a million are injured annually and about a lakh are killed in road traffic accidents. Road traffic accidents are defined as a collision involving at least one vehicle in motion on a public or private road that results in at least one person being injured or killed. In this context, an epidemiological study was conducted in a teaching hospital of West Bengal for last one year for better understanding of the factors involved in road traffic accidents. The study population comprised of all the victims of road traffic accidents attending the emergency department during the study period. Total 355 gave full response with written informed consent and included in the study. Every one out of five subjects was male. Most were from 10-29years age group. Students (18.3%), skilled (21.9%) and unskilled worker (23.7%) by profession were found to be the major victims. More than half (55.5%) of the victims were involved in the two Wheeler accident. Among the all victims 25.92% were released after given first-aid and 48.73% were hospitalized. Half of the accident occurred in July -August and between 6 p.m. to 11p.m. The results ch. can be corroborated with further studies with more robust hypothesis.

Testicular abscess is a rare surgical entity of Zone III of inguinoscrotal region. C Trachomatis and E Coli are the two commonest causative organism worldwide. A total number of eleven cases of testicular abscesses had been reviewed for a period of one and half years. It was seen that, the cases mainly present with complaint of acute scrotum with discharging pus and acute abdomen. Mean age of the patients under study is around 53 yrs. Ultrasonography used for diagnosis. In two third cases epididymoorchitis history was obtained. Regarding growth pattern of pus, it was found that identifying bacterial pathogens are found in seven case where as no growth was found in rest. E coli was found to be the commonest pathogen in culture isolate. One patient of chronic testicular abscess, who was on treatment for pulmonary tuberculosis; pus culture revealed AFB to be causative bacteria. Only a single case of acute testicular abscess was found to have seropositivity for HIV virus, his pus culture was notably negative for any other bacterial pathogen. One out of the 7 cases of acute testicular abscess and 2 of the 4 cases of chronic testicular abscess were found to have type II DM. Orchiectomy and broad spectrum antibiotics were used as mainstay of treatment.

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Introduction: Laparoscopic cholecystectomy which is the gold standard of management of gall bladder pathologies has variability in terms of conversion to open procedure and operative difficulties according to the intraoperative findings.The G10 scoring system is used to predict the diificulty and outcome of surgery. Aims And Objectives: The study aimed at intraoperative assessment of gall bladder and its anatomy and surgical difficulty in laparoscopic cholecystectomy. Objective is to correlate the following factors :conversion to open procedure, surgical complication, operating time, hospital stay and readmission. Materials And Methods: All patients undergoing Laparoscopic cholecystectomy in College of Medicine and JNM Hospital, six months from the approval of Institutional Ethical Committee were used as samples. Result: 13% of difficult and 75% of extremely difficult cases were converted to open.In difficult level, 4.3% had bile duct injury, pericholecystic abcess formation and readmission whereas in extreme difficult level, 25% had bile duct injury, abcess formation and readmission. Conclusion: The more the G10 score, the more the difficulty level and there is more conversions and complications. Association of conversion,readmission and complications with degree of difficulty is statistically significant i.e. G10 classification remains a valid indicator for operative difficulties.