Study of management in patient with ectopic pregnancy.

Background: ectopic pregnancy has always challenged ingenuity of the Obstratrition and Gynaecologist by its bizarre clinical picture. If it is not attended in time, it may lead to maternal morbidity and mortality. It is one, which can mimic practically each and every gynaecological disorder as well as many surgical catastrophes Method: The present study consist of 60 cases of ectopic pregnancy from may 2007to September 2009 admitted at department of obstetrics and Gynaecology at our hospital. All data was collected in to pre designed structured Performa. Results: In present study 71.66% patients are in age group of 21-30 years of age, this may be because this time period is the maximum fertile period and use of contraception is infrequent and occasional. 80% of patients were or more then two parity. Out of 60 patient in 70.75% case aetiology was made out with majority case with infection. In only one patient was heaving post operative infection, suggested by presence o adhesion. Conclusion: Due to advance diagnostic technique, conservative treatment is also possible and with recent surgical technique, the morbidity and mortality is drastically reduced.

The surgical management of diabetic foot.

Diabetes has proved itself a silent killer disease. Today in the world maximum numbers of the patients are suffering from this disease, and moreover they are passing through the associations of the complications too. In present study 50 cases of diabetic foot surgically managed has been studied at teaching institute in department of surgery. The limb was preserved in 35 out of 50 cases. 15 out of 50 cases despite of proper medical management and repeated debridement had to undergo local amputation-B\K amputation-A/K amputation. This was done to save the patients. It is concluded that we should be able to save 100% limbs in diabetic foot and no amputations provided.

Comparative study between open V/S laparoscopic cholecystectomy.

Gall stones are one of the major causes of morbidity and mortality all over the world. Differences in primary outcomes like mortality and complication proportions (particularly bile duct injuries) are important reasons to choose one of the two operative techniques open or laproscopic Cholecystectomy. The study consists of 100 patients with a diagnosis of calculus cholecystitis that underwent Cholecystectomy. Laparoscopic cholecystectomy is a considerable advancement in the treatment of gall bladder disease .technically the dissection of the cystic artery and cystic duct is very precise and bleeding is easily controlled with less per operative blood loss.LC is associated with less chances of wound infection and there is no risk of wound dehiscence. The only disadvantage of the laparoscopic Cholecystectomy over the open procedure is the duration of operating time which is significantly longer. In cardiac patient or in those patient where general anesthesia’s contra indicated, open Cholecystectomy can be carried out in regional anesthesia and in such patient when duet o co2 inflation cardiac arrhythmia can be provoked open Cholecystectomy is better option.