Background: India, has an estimated annual incidence of 6-7 million burn cases. In the state of Odisha, there are very few epidemiological studies of Burn injuries. Therefore a hospital based descriptive study among the admitted burn cases was conducted. Methods: The study was conducted among the burn cases admitted to the burn unit of Surgery Department of SCB Medical College and Hospital, Cuttack during the time period from 1st January 2014 to 31st May 2015.A total of 145 patients were included for the study. Results: Socio-demographic profile of burn cases showed 83 (57.2%) were females and rest 62 (42.8%) were males. Regarding residence, 109 (75.1%) of the burn victims were from rural area and the rest 36 (24.9%) were from urban area. Also 140 cases (96.5%) belonged to low socio-economic status and were having BPL card. Regarding the nature of burn, 108 (74.5%) cases had it accidentally while 33 (22.7%) had burn due to suicidal attempt and the rest 4 (2.8%) had homicidal burn and all these 4 cases were married females. 104 (71.7%) cases were affected by flame, 12 (8.2%) cases were due to scald while 29 (20%) were due to electric burn. Among the burn cases due to flame, kerosene was the most common cause. Conclusions: The study revealed that thermal burn was the most common type of burn and the victims were in their active productive period of life (21-40 years), married, illiterate and were from rural areas. Among the thermal burn victims, use of kerosene was the most common cause of burns in both the sexes.

Background: Vascular anomalies comprise a widely heterogeneous group of lesions. Diagnosis and management of these lesions present challenges to the surgeons, radiologists and histopathologists. Accurate classification of these lesions results in appropriate therapy. Aim of the study is to study the role of histopathology and histochemical stain in the diagnosis of vascular malformationMethods: The present study is a hospital based observational study on vascular malformations over a period of three years from 2016 to 2018 done in department of Pathology and Plastic Surgery at tertiary care centre, Visakhapatnam.Results: Out of 107 specimens of vascular anomalies received, 72 cases were vascular neoplasms, 35 were vascular malformations. Majority of the vascular malformations were seen in the cervicofacial region (43%) followed by extremities (37.1%). Most common malformation in the present study was arterio venous malformations (60%) followed by venous malformations (22.8%). Verhoeff’s VanGieson stain demonstrated discontinuity of internal elastic lamina in cases of arteriovenous malformation and helped in differentiating the lesions from capillary malformation and vascular tumors.Conclusions: Histopathology, special histochemical stains along with imaging features can be used to reduce diagnostic difficulties and in helping proper management of vascular malformations.

BACKGROUND Trauma being the most underrated killer of the young needs more careful management. Spleen is the most common intraabdominal injured organ in blunt trauma cases. An adequate clinical analysis, assessment of the patients, diagnosis and treatment with high suspicion of any concealed injury within the abdomen is a must. My study comprises a comprehensive study of cases with splenic injury, mechanism of injury, clinical presentation, grading the injury and accordingly the most appropriate management.

Introduction: Electrical burn injury in India comprises a fair percentage of overall burn injuries, and they cause significant morbidity. Reconstruction of scalp defects often poses challenges to the plastic surgeon regarding the timing of surgery, choice of reconstruction, and postoperative management. The objective of this article is to throw light on various options for reconstruction of scalp defects as the involvement leads to significant morbidity. Materials and Methods: The study was conducted at a tertiary burn care unit. The period of this study was from 2016 to 2019. Retrospective analysis was done. Results: In this study, retrospective analysis of 40 cases of scalp burns was evaluated from 2016 to 2019. Out of these, 6 patients were managed with primary suturing, 8 patients underwent split-thickness skin graft, 24 patients required local flaps, and 2 patients were managed with extracorporeal radial forearm flap. There were no major complications. Minor complications like wound infection were seen in five of the local flap patients which were managed with antibiotics and regular dressing. Two patients had partial flap loss which was revised and managed conservatively. All flaps healed well. There was hair loss patch evident in patients where split-thickness graft was used. Conclusion: Thorough debridement of the wound is necessary in electrical burns. Smaller scalp wounds can be managed with split-thickness skin graft and local flaps, but larger defects should be managed with distant flaps and free flaps. This study shows that local flaps are the ideal choice for reconstruction of scalp defects due to their easy availability, minimal complications, and acceptable cosmesis.