RESUMEN
Objectives: Diagnosing acute appendicitis still principally relies on history taking and a physical examination. An early diagnosis of acute appendicitis heavily influence the rate of complications. The aim of this study is to highlight the different clinical presentations of acute appendicitis with their complications. Out of patients admitted to the surgical ward at Daman hour Teaching Hospital with a suspicion of acute appendicitis,a total of 186 patients were diagnosed and treated as appendicitis. Normal appendix was removed in 1.1.82% of patients. Uncomplicated appendicitis were operated on in 51.61% of patients. Perforated appendicitis, appendicular inflammatory mass and appendicular abscess were diagnosed in 14.5.1%, 12.36% and 9.67% of patients respectively. Acute appendicitis represents a diagnostic challenge for surgeons in some patients. So, our aim is to diagnose patients with acute appendicitis early, to avoid unnecessary surgery and also avoid delay of interferences that lead to unexpected complications
RESUMEN
Circumcision is one of the oldest surgical procedure performed today. The present study was performed to find a suitable age for adequate and satisfactory circumcision in male babies. It includes 100 male babies; fifty were circumcised early in the neonatal period and the other fifty at around 5 months of life. Tight frenula band was present in 60% of the early circumcised group and in [16%] of the late circumcised group. Easy retraction of the prepuce was done more frequently in the late group. Wound crust formation, infection and perimeatal inflammation occurred in 40%, 28%, 12% of the early group, while in the late group it was 6%, 10%, 4% respectively. In conclusion, Circumcision in male babies performed later around 5 months of age is more easier and results in fewer complications than circumcision done in the early neonatal period