Surgical emergencies, onco-surgeries and colorectal surgeries in COVID-19 pandemic: practical advice based on the global experience and at Dr. D. Y. Patil Medical College, Hospital and Research Centre

The existing coronavirus 2019 (COVID-19) pandemic is challenging healthcare systems at global level. We provide a practical strategy to reform pathways of emergency elective onco-surgery and colorectal surgery in the COVID- 19 pandemic. The novelists, from areas affected by the COVID-19, thought to outline the key-points to be conferred. Responsibilities were allotted, concerning specific characteristics of surgical emergencies, onco-surgery and colorectal surgery during the pandemic, including the administrative management of the catastrophe in India. The endorsements were collected and summarized. During the swift spread of COVID-19, it remains thoughtful to halt non-cancer procedures and prioritize surgical emergencies. Endoscopy, proctological procedures have to be completed selectively. With colorectal emergencies, a conservative approach is recommended. Detailed procedures should be followed when operating on COVID-19 patients, using committed personal protective equipment and adhering to specific rules, containing minimally invasive surgery. These guidelines summarize the strict instruction of entry/ exit into theatres and operating block as well as advice on performing procedures carefully to decrease risk of contracting the virus. It is likely that restructuring of health system is required, at central, state, and district levels. A description of the strategy adopted in Dr. D.Y. Patil Medical College Hospital, Kolhapur is provided. Evidence on the management of patients requiring surgery for surgical emergencies, onco-surgery and colorectal conditions during the COVID-19 pandemic is presently deficient. Healthcare professionals have succeeded with high volumes of surgical patients during the pandemic, could be useful to alleviate some risks and decrease exposure to other patients, public and healthcare staff.

Umbolith with umbilical abscess and omphalitis: a rare case

Umbolith is a relatively rare entity under normal circumstances, especially in the urban scenario. Usually seen in obese individuals with a deep and retracted umbilicus due to constant accumulation of sebum/keratin leading to stone formation. It’s usually covert until complicated by secondary infection (abscess) or ulceration. Sinus was laid open and healthy granulation was seen within 1st week. Pus culture sensitivity suggestive of heavy staph growth and antibiotics were given accordingly. Appendicitis was treated conservatively.

Advantage Of Magnifying Narrow Band Imaging (NBI) Endoscopy Over Conventional White Light Endoscopy In The Diagnosis Of Helicobacter Pylori Related Chronic Gastritis.

Helicobacter pylori is a vital human pathogen involved as a causative organism in chronic gastritis [1]. Peptic ulceration is a common complication of this infection. Several study shows direct association between H. pylori and gastric carcinoma. The upper Gastrointestinal Endoscopy is investigation of choice for the screening and diagnosis of Helicobacter pylori related chronic gastritis. As field of endoscopy is getting advanced some new techniques like NBI (Narrow Band Imaging) are developed. Due to better visualization of Subendothelial Capillary Network (SECN) by using lights of two different wavelengths NBI method it is more useful in visualization of affected area of gastric mucosa [2]. Total 100 cases of chronic gastritis were diagnosed using upper G.I .Scopy, Biopsies were taken using both NBI and WLE and results were compared using Rapid Urease kit. Narrow band imaging was found more effective than conventional white light endoscopy in the diagnosis of H. Pylori related chronic gastritis [3].