Anju Nagar

ABSTRACTAbdominal injury following road traffic accident is less common, compared to the extremities, head and chest. Bowel may get injured following blunt abdominal trauma, but perforation and complete transection is rare. Reports of intestinal perforation during low energy impacts such as bicycle falls, are extremely rare. We report a case of 30-year-old male, who presented with severe abdominal pain, following bicycle road traffic accident. Chest X-Ray was normal, X ray flat plain abdomen showed air under both dome of the diaphragm and abdominal FAST scan revealed intra-peritoneal free fluid with internal echoes. Early exploration and prompt surgical intervention led to the successful outcome in this patientKeywords: Blunt trauma abdomen, isolated jejunal transection, double barrel jejunostomy.

ABSTRACTDiathermy is widely used for underlying tissue dissection, cutting, and hemostasis even though a fear of excessive scarring and poor wound healing have curtailed its widespread use for skin incision. Only few surgeons employ diathermy in making a skin incision with fear of producing deep burns and resultant scarring. Keywords: Diathermy, incision, scalpel  

ABSTRACTWounds can cause painful lengthy hospital stay, multiple stages of surgeries, and enormous financial burden. During the last decade, various new dressing materials developed, like calcium alginate, hydro- colloid membranes and fine mesh gauze. These have disadvantage in that they become permeable to bacteria. Biological dressings like collagen on other hand, create the most physiological interface between the wound surface and environment, and impermeable to bacteria. Biological dressing’s collagen granule dressing has advantage over conventional dressing in terms of, non-immunogenic, non-pyrogenic, being natural, easy application and decreased days of healing. Keywords: Collagen dressing, chronic Wounds, Wound Healing, Wound History, wound dressing

Obturator hernia is a rare type of abdominal wall hernias, generally occur in thin and old women with chronic illness. They are associated with high rate of mortality and morbidity, diagnosis is often late as they don’t have specific symptoms or findings and are a challenge to the surgeon. Mostly present with intestinal obstruction features. Early surgical intervention is usually delayed due to lack of preoperative clues for diagnosis. Our study shows a similar case of a thin, elderly female with obstructed obturator hernia and discusses the difficulties in diagnosis and management of such cases and reviews recent literature.