Background: In the present scenario the entire healthcare system has been overburdened with chronic wounds be it monetary wise or manpower requirements like nurses, doctors, etc. A chronic wound is being treated by many topical drugs which are prevailing in the market. So we considered this study i.e. “the effect of cadexomer and providone iodine on chronic leg ulcers”. Objective:  The main and primary objective of this study was to compare the outcome of both, Cadexomer and povidone-iodine, about their effect on the treatment of leg ulcers. Methods: With 30 patients in each group, 30 patients with chronic wounds participated in this prospective study. As part of the statistical analysis, Pearson's Correlation Coefficient and the Student's Paired T-Test are used. Results: Patients who received cadexomer iodine ointment had a significantly (p<0.05) greater rate of wound healing, as well as a significantly lower level of bacterial overload and promotion of the creation of granulation tissue. Conclusion: The effect of cadexomer as a vector in combination with providone iodine ointment resulted in a higher rate of biofilm, slough, and debris reduction and a better rate of granulation tissue formation promotion, both of which increased the rate at which a wound heals and lowered the cost of managing chronic wounds. Recommendation:  It is recommended that the efficacy of the ointments (cadexomer and providone iodine) be researched for proper healing of ulcers and wounds in diabetic leg ulcers because a significant number of diabetic patients experience leg ulcers because, in this study, it was discovered that over 60 people suffered with the risk of leg ulcers.

Hemorrhoids are basically anal cushions which turn out to be pathological giving rise to bleeding, pain and protrusion outside the anal canal. The chief complaint of patients with hemorrhoids is bleeding from the rectum which is usually painless and associated with episodes of defecation. The study was done to assess postoperative pain, time duration of the procedure, complications in the postoperative period, return to normal work, and recurrence between the stapler and open hemorrhoidectomy for grade III and IV hemorrhoids. Material and methodsThe present prospective study was conducted among 60 patients in the General Surgery department at Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, Bihar over the duration of two years presenting with grade III and IV degree hemorrhoids. Thirty patients each were divided into open hemorrhoidectomy and stapled hemorrhoidectomy groups. The study evaluated variables like operative time, stay at the hospital and postoperative complications and compared them between the two techniques. Follow-up of patients was done at regular intervals. Evaluation of postoperative pain was done using visual analogue scale (VAS) with ranges from 0 to 10. We evaluated the data using the chi-square test with a p-value <0.05 as significant. ResultsOf 60 patients, 47 (78.3%) were males and 13 (21.7%) were females with a male: female ratio being 3.6:1. The operating time and hospital stay were much less in the stapler hemorrhoidectomy group as compared to the open procedure group. Also, postoperative pain (visual analogue scale) was less in the stapler hemorrhoidectomy group with 36.7% of patients presenting with pain at one week, 23.3% at one month and 3.3% at three months in the open hemorrhoidectomy group whereas 13.3% presenting as pain in one week, 10% presenting at one month and none presenting at three months in the stapler hemorrhoidectomy group. There was recurrence seen in 10% of cases at three months in the open hemorrhoidectomy group as compared to the stapler hemorrhoidectomy group where no recurrence was found at three months followup. ConclusionHemorrhoid offers a variety of surgical modalities of treatment. We have come to the conclusion that stapled hemorrhoidectomy has less complications and good patient compliance. It can be an effective option in the treatment of third and fourth-grade hemorrhoids. With proper training and expertise, stapler hemorrhoidectomy is a better and reliable technique for hemorrhoid surgery.

Aim: (a) To study the clinical profile, demographics, symptoms, and indicators of patients with abdominal emergencies requiring non-traumatic surgery. (b) To determine the diagnosis and the appropriate treatment options for patients presenting to the emergency room with abdominal surgical crisis that are not trauma related. (c) To examine the results of various treatment approaches in patients who have non-traumatic surgical abdominal emergencies and present to the emergency room. Methods: The study included all non-trauma patients under 70 years of age who presented to emergency with abdominal pain. Results: In our analysis, acute appendicitis was the most frequent cause of acute abdomen, followed by acute intestinal blockage, cholecystitis, and nephrolithiasis. Conclusion: During the workup of these patients, clinicians must take several diagnoses into account; those individuals who may need surgical exploration should be recognised early to reduce their morbidity and death.

Background- Unnatural deaths place a significant burden on society. The sociodemographic characteristics of these deaths in Bihar is not well-documented in the literature. The goal of the current study was to add to knowledge so that these deaths could be stopped or reduced. Material and Method- A retrospective autopsy analysis of one-year unnatural deaths (421 cases) was done at the Department of Forensic Medicine and Toxicology, Nalanda Medical College & Hospital, Patna & Madhubani Medical College & Hospital, Madhubani, Bihar. RTA was the most common cause of unnatural deaths (126/421 i.e., 29.9%). It was followed by violence death (84/421 i.e., 19.9%), poisoning (74/421 i.e., 17.6%), hanging (34/421 i.e., 8.1%), burn (32/421 i.e., 7.6%), drowning (27/421 i.e., 6.4%), strangulation (20/421 i.e., 4.8%) and others (electrocution, lightning, fall- 24/421 i.e., 5.7%). Victims of most unnatural deaths were male except in burn and strangulation cases (3.5% vs 4.1% & 2.1% vs 2.6%). Cases of unnatural deaths were seen to be higher in younger and working age groups (226/421 i.e., 53.4%) in both males and females in the age group of 16-40 years. There was a slight increase in unnatural deaths in the summer season (40%). Suicide was the most common cause of unnatural deaths (140/421 i.e., 33.2%), followed by RTA (126/421 i.e., 29.9%), homicide (104/421 i.e., 24.7%), and other causes (drowning, electrocution, etc.– 51/421 i.e., 12.2%). Male to female death ratio in suicide, homicide and RTA was 1.7 (88/52), 4.8 (86/18), and 8.6 (113/13) respectively. Conclusion- Unnatural death is one of the indicators of the level of social and mental health. Many studies showed different results regarding different modes of unnatural death. These deaths can be minimized by public awareness, skilled drivers, better road conditions and health system, female education and their social empowerment, sincere effort to solve unemployment, strict rules of law, and regulation on the selling of agrochemicals and other poisons.