Management of female uro-genital fistulas: framing certain guidelines

The study was carried out to discuss the pathogenesis and management protocol of seven different varieties of female uro-genital fistulas [FUGFs]. During 2000-2007, total of 15 FUGFs were operated, which belonged to seven different varieties requiring different routes and surgical procedures for their repair. Different fistulas with different pathophysiological factors required specific examinations and investigations preoperatively. The results of the repaired FUGFs, following the general surgical principles, were acceptable with formation of only one residual fistula. Successful correction of FUGFs is a surgical challenge. Detailed history, through examination and planning, atraumatic tissue handling, routine use of the interposition or onlay reinforcement flaps and vigilant postoperative care were found the key factors in successful outcome of the repaired fistulas

experimental study of zinc in diabetes mellitus

Present study was conducted to observe the changes in body weight, physical endurance and levels of zinc in serum and tissues in experimentally induced diabetes in rats. Oral zinc sulfate supplementation was done in three different doses [50 mg/kg, 150 mg/kg, and 300mg/kg] to see if zinc supplementation has any effect on the above parameters. After 7 days of alloxan treatment, rats having blood sugar levels of more than 350 mg/dl were selected for the present study. Serum zinc level in diabetic rats was significantly low as compared to control. Brain zinc level of diabetic rats was significantly low, whereas kidney and liver zinc levels in diabetic rats were significantly high. Swimming time and body weight were significantly decreased in diabetic rats as compared to control rats. On oral zinc supplementation serum zinc levels of diabetic groups II and III rats increased significantly from 4th week as compared to the control and diabetic group I rats. Brain zinc level of diabetic group III rats was found to be increased significantly as compared to diabetic groups I and II, whereas kidney zinc level of diabetic group III was significantly low as compared to diabetic groups I and II, but no significant change was noted in liver zinc level. Gain in body weight with improved physical endurance was observed along with elevated serum zinc levels in experimental diabetic rats