Enterocutaneous Fistula of the Scrotum.

Inguino-scrotal hernia is a very common surgical entity. Though much common in pediatric population, yet no age is exempted. Enterocutaneous fistula in an inguino-scrotal hernia is a very rare surgical entity in both developing as well as developed countries. Comparatively commoner in pediatric age group but no age is exempt, the information gathered from few cases available in the surgical literature. About 08 cases in pediatric age group and 06 cases in adult population are available in the literature that could be revealed from Pubmed/Medline as well as medical library shelf search. We report here two rare cases of scrotal enterocutaneous fistula in an adult in inguinoscrotal hernia.

A Comparitive Study of Mini-Appendectomy & Conventional-Appendectomy in Acute Appendicitis.

The study was undertaken in an attempt to compare Mini-appendectomy with Conventional-appendectomy. 200 patients each in two groups were subjected to mini-appendectomy with 2-2.5 cm transverse incision (Group I) and conventional-appendectomy with standard Grid-Iron incision 6-8 cms (Group II). There were 92 males and 108 females in Group I whereas, 98 males and 102 females were subjected to conventional-appendectomy in Group II. Average age of patients in Group I was 22.3 years (5-65 yr) whereas, in Group II average age was 22.4 years (7-65 yr). Average weight of pts in Group I was 45.7 Kgs (20 kgs to 60 kgs) and 50.2 Kgs (24 kgs to 68 kgs) in Group II. Average time taken to complete surgery in Group I and Group II was 11.4 mt (11-35 mt) and 26.4 mt (25-45 mt) respectively. Average dose of analgesic used in Group I and II were 2.2 doses (2-4 doses) and 4.2 doses (4-8 doses) respectively. Post operative hospital stay in Group I was 2.14 days (2-5 days) and 4.34 days (4-11 days) in Group II. Time to return to work in Group I was 8.2 days (8-12 days) and 13.2 days (9-21 days) in Group II. There was no mortality and negligible morbidity in both the study groups. Mini-appendectomy has definite edge over conventional-appendectomy in terms of operation time, analgesics used, post-operative hospital stay, and return to work hence can be a safe alternative to conventional-appendectomy.