C.P. Ganesh Babu’s research while affiliated with Mahatma Gandhi Medical College and Research Institute and other places

Background The risk of surgical site infection (SSI) is approximately 1–3% for elective surgery and more for emergency surgeries. Apart from patient endogenous factors, the role of external risk factors in the pathogenesis of SSI is well recognized. However, among the various measures to prevent SSI, only some are based on strong evidence, and there is insufficient evidence to show whether one method is superior to any other. Therefore, this study was carried out to find out the various factors causing post-operative wound infection, the commonly associated microorganisms, and antibiotic sensitivity and resistance pattern. Methods The study was conducted in tertiary care hospital, Pondicherry between September 2012 and September 2014. All the patients who underwent emergency surgeries in the Department of General Surgery were included in the study. An elaborative clinical study of post-operative wound infection was conducted. The suture site was inspected for any sign of infection starting from the second post-operative day till discharge from hospital. Wound swabs were collected and sent for aerobic culture and sensitivity. Results In this study, open appendectomy was the most common surgery that was performed on an emergency basis. Anemia followed by hypoalbuminemia were the two important comorbid conditions. The rate of infection for clean-contaminated, contaminated, and dirty wound were 16.88%, 38%, and 20% respectively. Conclusion SSI occupies a significant proportion among various hospital-acquired infections. SSI not only prolongs the hospitalization but also markedly increases the expenditure and morbidity.

The incidence of congenital bilobed gall bladder is 1 in 3000 to 4000. A Phrygian cap is a congenital abnormality of the gallbladder with an incidence of 4%. Preferred mode of diagnosis for Phrygian cap is cholescintigraphy and multi phase MRI, as Ultrasonography and CT are not always conclusive. The estimated prevalence of gallstone disease in India has been reported as 2% to 29%. A case of bilobed gall bladder with Phrygian cap in both the lobes and pigment gallstone in one of the lobes presenting as calculus cholecystitis is reported for its rarity and difficulty in arriving at correct preoperaive diagnosis.