Can post-operative antibiotic prophylaxis following elective laparoscopic cholecystectomy be completely done away with in the Indian setting? A prospective randomised study.

Premise And Objective:: Elective laparoscopic cholecystectomy (LC) has low risk for post-operative infectious complications; still most clinicians use persistent post-operative prophylactic antibiotics out of habit, tradition, or simply as defensive practice due to evolving medicolegal implications of a large number of surgeries being showcased as daycare or next day discharge procedures. This randomised prospective trial was done to test the need for such prophylaxis in cases of elective LC in a rural/semi-urban setting.

Materials And Methods:: Two hundred and ten successive patients undergoing elective LC were randomised into groups receiving single dose of injection ceftriaxone at the time of induction of anaesthesia, (Group A = 112 cases) and those who in addition to above received injection ceftriaxone twice daily for 2 days postoperatively (Group B = 98 cases).

Topical Phenytoin Application in Grade I and II Diabetic Foot Ulcers: A Prospective Study.

Background: India is fast becoming world diabetes capital. Diabetic foot infections are major problems among innumerable complications associated with diabetes.

Material And Methods: A randomized control study was conducted to evaluate the effect of topical phenytoin on healing in diabetic foot ulcers.

Malignant urothelial carcinoma of urinary bladder in a young child: a rare case report.

We present a rare case report of a malignant, high-grade, urothelial bladder carcinoma in a 4-year-old boy. The tumor recurred quickly after resection. The recurrence was treated with partial cystectomy plus MVAC (methotrexate, vinblastine, Adriamycin, cisplatin).

Pica - a case of acuphagia or hyalophagia?

Pica is an eating disorder typically defined as the persistent eating of nonnutritive substances for a period of at least 1 month at an age in which this behavior is developmentally inappropriate. Acuphagia being consumption of sharp objects and Hyalophagia consumption of glass materials. Majority of the foreign bodies ingested into the gastrointestinal tract pass through the rectum asymptomatically, where as objects which are sharp, long, jagged may not be able to pass through.