New Indian Journal of Surgery

Hydatid disease is common in some parts of the world and is usually located in the liver and lungs. Musculoskeletal hydatidosis is very rare which accounts for 1-5.4% of all cases of echinococcosis. Primary subcutaneous hydatid cyst is very rare and the incidence is unknown.On clinical examination, it mimics a soft tissue tumour and the pre-operative radiological diagnosis is very important to avoid biopsy.We report a case of primary subcutaneous hydatid cyst in the right medial thigh.

Key Words: Subcutaneous tissue; hydatid cyst.

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Appendicitis caused by a foreign body is quite rare; however, ingested foreign bodies that enter into the appendix may not be able to re-enter the colon and may cause appendicitis or perforation. An accurate and prompt diagnosis is essential for minimizing morbidity. We report a case of foreign body appendicitis in an eight-year-old male child. The patient presented with pain abdomen and fever and has diagnosed with acute appendicitis. The patient was taken up for appendectomy which revealed metal balls and pebble. The patient was treated with broad-spectrum antibiotics and made an uneventful recovery.

Key words: Appendicitis; Foreign body; Appendectomy; Antibiotics.

This is a retrospective and prospective study of clinical profiles of electric burn cases in Western Rajasthan during Jan. 2004 to Dec. 2007 admitted in burn ward of Dr. S. N. Medical College, Jodhpur, Rajasthan. Methods: Patients data were examined in detail with reference to their age ,sex , mode of injury, part of the body affected, surface area involve, hospital stay, management (surgical as well non surgical ), and ultimate outcome of the disease. After analyzing the cause of morbidity and mortality of these patients, discussing possible methods to reduce them were advised. This study comprised 238 cases of electric burn in the age group 21-30 years maximally affected with M:F ratio of 20.6:1. Of these 94.53%were Hindu and -5.47% were Muslim. Maximum hospital stay was of patients with Body Surface Area (BSA) 51-60%. Maximum no of deaths were 21-30% of BSA group. Body parts maximally affected were upper limb followed by lower limb, chest, abdomen, and lastly head and neck. In 238 patients total 182 surgeries were done among which 77 patients required amputation; debridment was second and skin grafting were the third commonly performed operations. Nine patients underwent subclavian artery ligation. Among amputations maximum were below elbow amputation. Fifty percent patients had revised amputation in upper limb converting below elbow to above elbow. In 10% patient above elbow amputation converted into shoulderdisarticulation. Maximum no. of the patients was from 0-10% BSA. Mortality was maximum in patients having more than 80% burns and disability was maximum in 0-10% group. Total, 57 patients suffered from disability in which 37 patients lost their upper limb. Most common cause of death was septicemia.  Study shows that electric injury causes significant morbidity and mortality in all groups studied and is mainly due to high tension electric current. Electric injuries mostly occur in rural areas. It causes significant damage to general population as well as electricians. Mortality and morbidity make victims and family members of victims dependent on others. It can be prevented by educating the people about proper handling of electric circuit and devices. Proper communication is a must among electricians. Proper rehabilitation of handicapped persons and employment to family members may reduce social burden.

Key word: High tension electric current; Body surface area; amputation; mortality; morbidity.

Oral cancer is a major health problem across the world; the most common cancer in Indian men (56.4%) and women (44.9%), as reported by the National Cancer Registry of India[1]. Traditionally, oral cancer is a disease mainly affecting the older age group, attributed to indiscriminate tobacco usage. However, recent studies show an increasing incidence among young adults due to changing life styles. Aim and Objectives: The purpose of this study was to study the clinical profile of oral cancer cases with emphasis on demographic and clinicopathologic variables. Materials and Methods : Data of 514 oral cancer cases reported between Jan 2006-Dec 2010 were retrieved from the case records. Statistical analysisincluded calculation of percentages and proportions.Results: Majority of the subjects belonged to the 41-50 years age group, of the lower-middle and upper lower socioeconomic status. About 411 (80.2%) subjects consumed tobacco in various forms and males used more tobacco (66.53%) as compared to females (33.47%). Gingivobuccal sulcus was the most common site of oral cancer, with a commonest histopathological type being squamous cell carcinoma.Conclusion: Majority of the cases were squamous cell carcinoma and presented in the advanced stages of the disease.

Key words : Oral squamous cell carcinoma; tongue cancer.

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