Self-limiting postoperative hyperbilirubinemia is seen in most of patients who undergo surgery for acute abdominal conditions like acute appendicitis, peritonitis, blunt injury abdomen, penetrating injury abdomen, intestinal obstruction etc. MATERIALS AND METHODS: Prospective study of 200 cases who were operated for acute abdominal conditions from June 2012 to June 2015 were included in the study. RESULTS: Out of 200 patients included in the study around 158 patients had postoperative hyperbilirubinemia which is around 79% of total patients which is significant. CONCLUSION: Postoperative hyperbilirubinemia is seen in most of cases of acute abdomen and these is found to be clue to circulating endotoxins which may impair the excretion of bilirubin by bile canaliculi and also bacterial load overwhelms kupffer cells function and may cause hepatocyte dysfunction. This hyperbilirubinemia is self-limiting and no specific management is necessary. By 5 th to 7 th postoperative day serum bilirubin levels are coming to normal level.

Femoal hernia has always been one of the most challenging disease a surgeon will face in his career. Open method of repair has been the traditionally followed method for many years. This study compares the results of herniorrhaphy with hernioplasty in RIMS, Kadapa. MATERIALS AND METHODS: This is a retrospective study of all the patients who have undergone femoral hernia surgery in RIMS, Kadapa from 2012. RESULTS: 18 cases of unilateral femoral hernia were operated by herniorrhaphy/hernioplasty. Post-operative analysis and follow up reveals no significant difference in the morbidity, mortality and recurrence, either operated by herniorrhaphy or hernioplasty. CONCLUSION: Femoral hernia cases both reducible and non-reducible were operated by open technique. All the safety precautions and utmost care is taken for successful outcome. All patients recovered and all are doing well. There is no recurrence either operated by herniorrhaphy or hernioplasty.

ABSTRACT:Surgical site infection is the most common complication following surgical procedures. The aim of the study is to determine the incidence, associated risk factors and antimicrobial sensitivity pattern at RIMS, KADAPA. MATERIALS AND METHODS: This is a prospective study carried at surgical wards of RIMS KADAPA from Jan. 2015 to June 2015. All the patients were followed for 30 days for development of surgical site infection. Infected cases were identified using CDC, criteria. All the data are expressed in percentage. RESULTS: The overall prevalence of surgical site infection is 19%. The incidence was more common in age group above 40 years. The risk factors associated with SSI are long stay in hospital (14%), abdominal surgeries, long duration of surgery, and diabetes. The most common organism isolated is Staphylococcus aureus (30%). CONCLUSION: Surgical site infection is most common following surgery. Significant determinants are long stay in the ward, abdominal surgeries, emergency surgeries and diabetes. Effective infection control measures and good regular surveillance will improve the SSI rate to an acceptable level.

No abstract