Introduction Hollow viscus injury following blunt abdominal trauma is an infrequent diagnosis. Blunt hollow viscus and mesenteric injury (HVMI) is not only an uncommon finding but its timely diagnosis is also difficult. Due to its less frequency, this injury has not been studied in detail prospectively.

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Mucormycosis is caused by saprophtytic fungi which cause acute invasive zygomycosis. It clinically presents with necrosis, and on histopathology, acute and chronic infiltrates are seen. It rarely infects a healthy host, but is devastating in an immunocompromised host. We studied five cases with post-operative abdominal wall mucormycosis, three females and two males. Three patients were post-operative while the other two had mucormycosis following trauma and infection was found in sutured wound. All were initially diagnosed as cases of necrotizing fasciitis. Two patients eventually survived after intensive medical therapy and extensive debridements.

The present study was an endeavor to study the incidence of double J stent related morbidity. In this prospective study, 90 patients with various indications for DJ stenting were studied for post-stent complications during the immediate post-operative period and on follow up. Out of total 90 patients 59 were male and 31 were female, mean age of patients was 42.64 years. Most common indication for DJ stenting was ureteric calculus followed by hydronephrosis, pelvi-ureteric junction obstruction and ureteric stricture. Complication occurred in total of 68 patients out of 90 studied, with incidence of complications being 75.5%. Frequency and dysuria were the most common complications observed, occurring in 36.6% and 35.5% of patients respectively. KEYWORDS: Complications. Infection, ureter. INTRODUCTION:Ureteral stents represent the most mature application of an indwelling endoluminal splint, having first been described by Zimskind et al 1 in 1967. As originally described, the intent of implantation was for the treatment of ureteral obstruction or fistula. Maturity of the technique paralleled development of extracorporeal shockwave lithotripsy (ESWL) and technical advances that allow endoluminal investigation and treatment of a variety of urinary tract diseases. As a result, the indications for ureteral stent placement have expanded significantly. Ureteral stent placement is now considered a standard and indispensable urologic tool.As the technique has evolved, so has the design of the implanted device. It should be recognized, however, that no currently available device fulfills all the criteria for the "ideal" stent. 2 Certain consequences can be anticipated with implantation of a foreign object into the urinary tract. There can also be unexpected complications. 3 There is paucity of published literature on the subject of ureteral stent related morbidity in Indian setting. This study proposes to bridge this gap by documenting ureteral stent related morbidity in Indian patients and by evaluating the incidence of various DJ stent related morbidity.

Diabetic foot has become the common indication for hospital admissions among diabetics. The diabetic foot commonly begins as an ulcer. So rapid and extensive is the underlying damage that approximately 20% of these patients end up with amputation. Numerous dressings have been introduced that could help or hasten the healing process in foot ulcers. In this study, we have compared the efficacy of collagen granules in diabetic foot ulcers. 50 patients were divided into 2 groups of 25 patients each. One group received collagen dressing and the other group received standard saline dressings. The wound was reviewed on weekly basis for the maximum period of 12 weeks or till the wound healed spontaneously (whichever was earlier). We found collagen dressing to have statistically significant impact on the ultimate outcome (healing) in diabetic foot ulcers.

BACKGROUND Laparoscopy has become the preferred surgical approach to different diseases as it allows diagnosis and treatment at the same time. We wanted to evaluate the role of diagnostic & therapeutic laparoscopic surgery in patients of perforation peritonitis and their outcome. METHODS This was an observational study done over a period of one and half years from January 2017 to June 2018. All patients diagnosed with perforation peritonitis and those who were stable haemodynamically were included in this study. RESULTS 94 cases of perforation peritonitis underwent diagnostic and therapeutic laparoscopy. Mean age of patients was 41.62 years. Most common cause was appendicular perforation. 7 patients were diagnosed to have gastroduodenal perforation. Out of 20 patients of small bowel perforation, 7 (35%) were managed laparoscopically, while in 13 (65%), we needed conversion. Out of 26 cases of GB perforation, 24 cases (92.3%) were completed laparoscopically. All cases of sigmoid perforation were managed laparoscopically. Two patients died post operatively and 10 (10.6%) patients had post-operative intra-abdominal collections. 12 (12.8%) patients developed surgical site infection. CONCLUSIONS Laparoscopic management is feasible, safe and effective surgical option for patients with perforation peritonitis in properly selected cases with high diagnostic yield, early start of enteral feed and fast postoperative recovery.

Inebriated motor cyclists in dense fog of North Punjab often lose control and run into the barbed village fencing. The wire drapes the front of the neck and penetrates the tissues to varying depth, depending on the intensity of trauma. This is commonly noted between the cricoids and the mandible. Timely surgical intervention, intoxication and speed checks can reduce the incidence of poor visibility related mishaps. An individual sustained and survived penetrating barbed wire injury by wrapping his head gear around his neck and drove to a rural health care facility for a primary repair of his neck.

This is a case report of 45-year-old woman with recurrent phyllodes tumour. Although these tumours are not very rare and one finds them occasionally in day-to-day practice, we report here a case of recurrent phyllodes tumour that was treated by a simple mastectomy 1 year back, and it recurred very fast and attained enormous dimensions without any local ulceration.