No abstract

Antibiotic prophylaxis is being commonly used in mesh repair of inguinal hernia but its role has been questioned in a recent Cochrane analysis performed in 2003. Routine use of antibiotic prophylaxis in mesh repair of inguinal hernia can lead to bacterial resistance and increase in cost. In a present double-blind placebo controlled trial involving 120 patients undergoing inguinal hernia repair using prolene hernia system, we did not find any benefit of the routine use of antibiotic prophylaxis in terms of wound infection rate.

BACKGROUND:Peritonitis secondary to small bowel perforation is a common surgical emergency seen across the globe.METHODS:A young male patient presented with ileal perforation that was repaired primarily. He recovered uneventfully after the operation.RESULTS:Histopathology of the margins of the perforation revealed tuberculosis. A search for evidence of a primary focus of tuberculosis was unsuccessful. The patient was started on anti- tubercular therapy and he was followed up with good results.CONCLUSION:This present case underscores the importance of biopsy specimens taken from the margins of patients with ileal perforation to avoid the misdiagnosis of such condition.

Background: Partial cholecystectomy is usually performed with the aim of preventing bile duct injury and/or vascular injuries in situations where there is difficulty in performing

A 65-year-old man presented with history of pain in the right side of abdomen for last 2 years with concomitant dyspepsia. On examination, there was no icterus, and abdominal examination was unremarkable. The patient had been investigated earlier and referred to tertiary center in view of common bile duct (CBD) stones. Magnetic resonance cholangiopancreaticography (MRCP) showed dilated CBD packed with stones. The patient was subjected to ERCP and stenting, and then underwent open cholecystectomy with CBD exploration. On opening the CBD, there was a single large stone occupying whole of the CBD and extending into both hepatic ducts. The stone could not be removed in toto, so it was extracted in two pieces which measured approximately 9×4 cms (Fig.