Background: Burns represent one of the major health problems in India. Epidemiological study is the first step in planning preventive and management strategies. Objective: To study some of the important epidemiological factors in relation to burn cases at a tertiary care level teaching hospital in rural area. Methods: Present study was retrospective study of all burn injury cases admitted at tertiary care level teaching hospital situated in rural area. The information obtained was tabulated analyzed using the software GraphPad Instat. Mean, median, and standard deviation (SD) were calculated where applicable. Chi-square test was used as a test of significance. Results: Overall female burn patients were significantly higher than male (χ2= 6.480, p = 0.01). Majority of female patients (68.64%) had total burn surface area more than 35% whereas 48.70% of the male patients had a total burn surface area more than 35% (χ2= 7.99, p = 0.005). Superficial to deep burns were present in 97% of patients. Majority (80%) of the burn injuries were allegedly accidental. Thermal burn was the commonest cause of burn followed by scalds. In majority of the patients (91.8%) burns were caused by flame occurred at home. Conclusion: Most of the time lack of safety measures is an important cause for burn. The most important step is public education on safer first-aid practices, availability of good burn care facilities in all public institutions as near to the place of accident as possible.

Lipomas are benign tumors composed of mature fat, usually encapsulated. Vast majority of lipomas are small, weighing only a few grams, and grow slowly. Lipoma occur rarely in breast causing diagnostic dilemma. Chondroid lipoma is a rare variant of lipoma which is benign in nature. We present a case of 65 year old female patient presented with lump in right breast, underwent surgical excision and histopathology reported as chondroid lipoma.

Abstract

Introduction: Internal hernia presenting with intestinal obstruction is a rare entity with reported incidence of 0.6% to 5.8% only. The present case is of internal  herniation through a peritoneal rent in the Pouch of Douglas, occurring six years after abdominal hysterectomy. Till date only 4 cases of hernia through a rent  in pouch of Douglas are reported.

Objective: Presenting here a case of internal hernia which was treated successfully

Conclusion: Internal hernia occurring through peritoneal rent  in Pouch of Douglas and presenting with intestinal obstruction six years after abdominal hysterectomy is rarest of its kind.

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BACKGROUND Prospective studies and Meta-analysis have indicated that non-mesh repair is inferior to mesh repair based on recurrence rates in inguinal hernia. The incidence of complications immediately and later in postoperative period in either of the repairs are also less in the mesh repairs as compared to the non-mesh repairs.

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Background: Wound care management has long been a primary point of care for surgeons and clinicians alike. The burden of care and time required in the management of wounds has led to development of innovative and expensive materials which alleviate the burden of healing on our physiology and reinforce the healing mechanisms.  Methods: A case series analysis of 240 patients included on accrual was carried out. These patients were randomly assigned to 3 groups. Group A ulcers were dressed with 2% acetic acid soaked sterile pads. Group B received the acetic acid-iodine combination and group C dressed with traditional Povidone-Iodine ointment and solution. These ulcers were evaluated on admission and on intervals of 5 days with a customized scoring system, Dr. Kamal’s adaptive wound healing score (KAWHS). A sterile culture swab with coverage of healthy granulation tissue was considered the primary end point of the study. Results: Resolution of slough was significantly earlier in group A and B as compared to group C. odor subsided earliest in group A, followed by group B and C. Resolution of purulent discharge was achieved earliest in Group B which was significant in comparison to group A and C. Wound healing was observed to be better in acetic acid usage groups.  Conclusions: Acetic acid dressings are effective in treating chronic non-healing wounds with mono and poly-microbial culture.

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