Background: Acid burn injuries represent a special type of burn injury, with a pathophysiology depending on the type of acid, concentration, strength, quality, duration of contact, and penetration power. The consequence of acid attacks on survivors brings dramatic change in their lifestyle. The alarming increase of acid-throwing cases for the last 2 decades in Bangladesh is a cause of concern which led to its study. Objective: To describe the causes and consequences of acid violence among the acid burn victims in a specific center of Bangladesh. Methods: This is a cross sectional type of study conducted over a period of one year from December 2013 to November 2014 at Acid Survivors Foundation, Mirpur, Dhaka. 121 victims of acid violence were included in the study. Data collected by interviewing the patients using semi structured questionnaire which were later edited and analysed. Results: Among the respondents 25.6% (n= 31) were in the age group of 11 – 20 years, followed by 24.8% (n= 30) in the age group of 31 – 40 years. Causes of Threw Acid is 40.4% (49) cases were due to refusal of love or marriage proposal, in 27.3 (33) cases were due to dowry. Majority of cases affected on chest (62.0%), upper limb (58.7%), face (53.7%), neck (47.9%), back trunk (27.3%), lower limb (24.8%), abdomen (24.0%). Out of 121 patients 62.85% (n=44) needed single surgery, 28.57% (n=20) needed multiple setting surgery and 56.2% heal with minor scar, 25.6% had neck contracture, 21.5% had deformity in face. 81.0% are suffering from both anxiety and depression, 11.6% from anxiety alone and 7.4% from depression alone. Conclusion: A comprehensive effective, integrated, and gender specific medico-legal support for acid violence survivors should be ensured throughout the country. Journal of Surgical Sciences (2019) Vol. 23 (1) : 29-32

Soft tissue reconstruction of the diabetic foot is a challenge for the perioperative team. This study aims to describe a group of methods for the management of diabetic foot ulcers in order to reduce deformity and salvage the lower limb. This study emphasizes the appropriate timing and staging of surgery, discusses the most common plastic surgery techniques, and underscores the importance of a team approach in the management of diabetic foot wounds. A group of different advanced methods for the management of Diabetic foot such as sharp debridement of ulcers, application of vacuum therapy, and other forms of reconstructive plastic surgical procedures were used. Data collection was done in Z. H. Sikder Womens Medical College Hospital where the treatments were given. The study period was Jan 2018 to July 2019. Thirty-four patients with type 2 and type 1 diabetes mellitus were enrolled in the current study. Females (61.05%) and males (38.95%) with different stages of diabetic ulcer and related problem underwent treatment within this time frame. They underwent different methods of surgical management: debridement (12%), vacuum therapy (24.06%), amputation (4.04%), skin grafting (38.00%) and flap reconstruction (21%). The outcome is satisfactory and offer less hospital stay. Using advanced surgical wound management including reconstructive plastic surgical procedures; it was possible to reduce the hospital stay, the rate of high amputations of the lower limb and the deformity.

Mammary duct ectasia is considered as a benign condition of the mammary gland. Many theories analyses and summarized the disease regarding the pathogenesis. Firstly, the primary pathological process is due to be involutional and atrophy of the ducts. Other cause of dilation of the ducts, leading to the decrease or absent of secretion, inflammation and duct rupture. Secondly, the causative factor is inflammatory process with periductal inflammation followed by obliteration of ducts, sclerosis of duct and surrounding tissue and duct ectasia. Mostly mammary duct ectasia resolves without any treatment. Applying light warm compresses to nipple and wearing a supportive bra, can help to reduce discomfort of the patient. But If there is evidence of an infection, antibiotics will be prescribed without hesitation. It’s completely prohibited to squeeze the area to increase discharge, as there is increase chance to develop inflammation and infection. If symptoms still persisted than surgery may be done to disconnect the ducts and remove the ducts, Known as Hadfield’s operation. Recently sub-areolar major mammary duct excision – Hadfield’s procedure is very popular and has gained widespread acceptance in management of nipple-areola complex problems like suspicious or troublesome discharge, clinical or sono-mammographic central anomalies and chronic sinus-fistula. Here two cases with nipple discharge managed with two very common surgery with microdocectomy and total duct excision held in Z.H Sikder Women’s Medical College Hospital. Patients were very satisfied with the treatment as they got relief of symptoms and most importantly get rid of the fear of carcinoma.

Inguinal hernia in females is quite uncommon compared to males. However, in female it may pose both a diagnostic as well as surgical challenge to the attending surgeon. Awareness of anatomy of the region and all the possible contents is essential to prevent untoward complications. Here we are presenting a case of indirect inguinal hernia in a 25 years old women and how she was diagnosed and ultimately managed.

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