This study reports a case of Serratia marcescens cellulitis following a snakebite in a 50-year-old woman. The bite was on the dorsum of the right hand with symptoms of envenomation. She developed swelling and cellulitis with tissue necrosis. Wound debridement was performed.  Pus and tissue biopsy cultures yielded Serratia marcescens sensitive to fluoroquinolones, aminoglycosides, third-generation cephalosporins and carbapenems. The patient responded to anti-snake venom (ASV) therapy, ciprofloxacin, local wound management and recovered uneventfully.

In the present days of industrialization, use of compressed air jets is common. Although industries provide employment to population at large, the misuse of pneumatic equipment at work place has relatively increased. We report a case of a male patient aged 20 years who presented to us with anal bleed, pain and distension of abdomen and severe breathlessness following D VHOIWKUXVWLQJ RI D YDFXXP EORZHU SLSH LQWR WKH DQDO RUL¿FH for sexual stimulation. He was investigated and underwent emergency exploratory laparotomy with total colectomy of the gangrenous colon and end ileostomy. Postoperatively, the patient succumbed to a cardiac event.

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The main cause of perforation of the gallbladder is cholecystitis with or without cholelithiasis. In old age, spontaneous perforation of gallbladder can be due to decrease in its blood supply, which can be due to atherosclerosis, focal vasospasm or localized vasculitis. Perforation of gallbladder is associated with high morbidity and mortality, if left untreated. Here we report a case of a 60-year-old male with perforation of gallbladder.

Background: Managing the donor site after harvesting a skin graft is a chief issue. There are various dressings available for the management of donor sites but there has not been a widely accepted method for these partial thickness grafts. Honey has been found to be useful in the treatment of wounds like burns for thousands of years, but only in recent times that a scientific explanation is available for its effectiveness. Split-thickness skin graft donor sites are comparable to partial thickness burn wounds. Methods: In this study, the effect of honey on skin graft donor sites has been evaluated. 50 patients have undergone skin grafting for various reasons have been randomized into two groups of 25 each in honeytreated group and Vaseline gauze-treated group. In the group A, who were treated with honey, 85% of the patients had nil or only moderate pain, whereas in the group B, who were treated with Vaseline gauze, 80 % had nil or mild pain. On examining the donor site on the 7th day, epithelialization has occurred in 48 patients as compared to 39 in group B. By the 10th day, all the wounds healed in group A who were treated with honey, whereas 66 % of wounds healed in Vaseline gauze-treated group. At 1-month follow-up, the results were comparable in both groups, with regard to patient satisfaction. Conclusion: Honey-impregnated gauze reduces pain and heals donor sites wounds quicker with better cosmetic result.

The field of surgery has come a long way since the days of sharpened stones and crude instruments. Today, medical professionals rely on a range of high-tech tools and technologies to perform a wide variety of procedures, from routine operations to life-saving treatments. As surgical technology continues to advance, many experts believe that algorithms will play an increasingly important role in the operating room of the future. Algorithms, which are sets of mathematical instructions that help computers solve complex problems, can be used in a number of ways to enhance the surgical process. For example, they can be used to create virtual simulations of surgical procedures, allowing medical professionals to practice and perfect their techniques in a safe and controlled environment. Algorithms can also be used to analyze patient data, providing doctors with valuable insights into the best ways to approach a particular case. Another area where algorithms are expected to make a big impact is in the field of robotics. Robotic systems can be programmed to perform complex surgical procedures with greater precision and accuracy than is possible with human hands alone. In addition, robots can be equipped with algorithms that help them make real-time decisions during a procedure, ensuring that the patient receives the best possible care. Overall, the integration of algorithms into the surgical process represents a major step forward in the field of medicine.

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