Background: One of the major challenges faced worldwide is management of burn wounds, particularly among the pediatric population. Immense research is going on to overcome the challenges associated with survival of these patients and healing of burnt areas. Newer dressing materials are being developed and one of them is collagen. The collagen is biocompatible. The aim was to achieve earlier and better healing of wounds, and to obviate the need for frequent change of dressings; which besides being painful, is quite troublesome in pediatric population.Methods: A prospective study was conducted in 38 patients of scald burns under-5 years of age, from October 2016 till July 2017. After thorough cleaning of burn wounds and thorough rinsing of collagen sheets with normal saline, the wounds were covered with sheets of collagen. Paraffin with chlorhexidine impregnated gauze dressing was applied over the sheet of collagen followed by dry gauze, cotton and bandage application. First dressing was opened after 5 days and then after 3 to 4 days.Results: The wounds healed in 10 to 14 days in most of them. Infection developed in one case, warranting removal of collagen sheet. None developed any adverse reaction to the application of collagen dressing.Conclusions: We conclude that collagen based dressing is a very good modality of treatment for the burn wounds with advantages of being cost effective, requiring lesser number of dressings and blood transfusions, and shorter duration of hospital stay.

We report a rare case with herniation of the uterus, fallopian tube, and ovary in a femoral hernia. A female patient was admitted with complain of the painful lump in the left groin. Clinical examination indicated strangulated femoral hernia, which necessitated an emergency surgery. During surgical procedure, the uterine tube, left fallopian tube and left ovary, were observed as the contents of the hernia. The contents were reduced back into the pelvic cavity, and the hernia was repaired. The patient made good recovery postsurgery.

AIM AND OBJECTIVETo find out the safety and efficacy of sclerotherapy in management of symptomatic first and second degree haemorrhoids. PATIENTS AND METHODSTotal 53 patients of both genders were selected with diagnosis of symptomatic first or second degree haemorrhoids, all of them were subjected for injection sclerotherapy and procedure repeated as per need. Patients were assessed at 1 week, 1 month, 3 months and 6 months thereafter. RESULTSBleeding stopped in 94.3% of the patients after treatment at 6 months follow-up with early and smooth recovery without any significant morbidity. CONCLUSIONThis prospective study concluded sclerotherapy as a safe, easy, cheap and effective method of treatment of first degree and early second degree haemorrhoids devoid of any significant complications. KEYWORDSHaemorrhoids, Sclerotherapy, First Degree Haemorrhoids, Second Degree Haemorrhoids, Rubber Band Ligation, Anorectal Symptoms. HOW TO CITE THIS ARTICLE:Ambedkar V, Singh A, Gaharwar APS, et al. A prospective study on role of sclerotherapy in management of first and second degree haemorrhoids.

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