European Journal of Molecular & Clinical Medicine

Hydatid disease is a zoonosis caused by Echinococcus tapeworms. Hydatid disease has wide geographic distribution and is considered a public health problem in developing country.
Objective: The present study was carried out to evaluate the demographic characteristics, clinical presentations, and management of the patients of the hydatid disease
Material & Method:The current study is a retrospective study for the patients attending a tertiary care hospital Rajasthan between august 2017 to august 2022. The information was gathered from medical records. Data was entered in Microsoft Excel and used SPSS version 22
Results:36 diagnosed patients of hydatid disease underwent during the study period, 72.2% of them were males and half of the patients were > 40 years of age. 69.4% residing at rural areas and 47.2% was belonged to lower socio-economic class. Liver was the most common site (80.5%) of involvement. Abdominal pain (94.4%) followed by nausea/vomiting (47.2%), was the most common complaint, whereas abdominal mass (58.3%) followed by palpable liver (33.3%) were the most common physical finding in our study population. Cystobilliary fistula was the common post-operative complication in hydatid disease. Surgery was the treatment of choice.
Conclusion:In hydatid disease liver was the main organ involved, abdominal pain and lump were main presenting complaints. Open surgery was the mainstay of treatment.

To study the intraoperative and immediate complications of Laparoscopy and Mini- laparotomy techniques in interval tubal sterilization.
Methods: A prospective comparative study with a 600-person sample size was conducted from January 2018 to June 2019 at the Department of Obstetrics and Gynecology, Andhra Medical College, Department in Visakhapatnam. Women who are having interval mini-laparotomies and interval laparoscopic tubal sterilizations in a hospital.
Results: In this study, out of 600 patients who underwent tubal sterilization, the majority of them were in the age group 20-25years. In both the groups in this study, parity of 2 or more were common i.e., 49.5% (Para 2) in laparoscopic group and 48 % (Para 3) in minilaparotomy group. HBsAg positivity was the most common co-morbidity, with 41 patients in mini- laparotomy group. Total of 25 (6.75%) patients had undergone surgery in the past in the laparoscopic study group. Adhesions (3.25%) were the most frequent incidental pelvic pathology found during laparoscopy. Fibroid was seen in1.75% cases of laparoscopic group. Mean duration of surgery was significantly less in the laparoscopic group as compared to the mini-laparotomy group, with 10.92+14.20 min, 19.62+8.90 min. respectively. Mesosalpinx bleed (3.0%) was the most common intraoperative complication in both laparoscopy and mini-laparotomy group. Among patients undergoing laparoscopic tubal sterilization the proportion of intra operative conversion to a laparotomy to complete the operation was 6 out of 300 patients included in the study (5%). Post-operative complications such as Fever (57.50%), Wound discharge (13%) and abdominal pain (28.50%) were more commonly seen in the mini-laparotomy group than the laparoscopy group.
Conclusion: Finally concluded that, overall complications (i.e. when combined intraoperative and immediate post-operative complications) were more common in Minilaparotomy group when compared to laparoscopy group.

Background: Most demanding and challenging conditions to manage across the globe in
subjects of all ages are chronic idiopathic pain syndromes. Various diagnostic advancements
have been made, pain in these subjects still presents a challenge for all available diagnostic
and management methods.
Objectives: The present study was conducted to assess the efficacy and role of diagnostic
laparoscopy in the identification of the etiology of chronic abdominal pain which is not
diagnosed.
Materials and methods: In 30 subjects with chronic abdominal painwith unknown etiology
or who were refractory to the treatment for more than 3 months. Diagnostic laparoscopy was
done for all the subjects. The collected data were subjected to statistical evaluation and the
results were formulated.

Background: Most demanding and challenging conditions to manage across the globe in
subjects of all ages are chronic idiopathic pain syndromes. Various diagnostic advancements
have been made, pain in these subjects still presents a challenge for all available diagnostic
and management methods.
Objectives: The present study was conducted to assess the efficacy and role of diagnostic
laparoscopy in the identification of the etiology of chronic abdominal pain which is not
diagnosed.
Materials and methods: In 30 subjects with chronic abdominal painwith unknown etiology
or who were refractory to the treatment for more than 3 months. Diagnostic laparoscopy was
done for all the subjects. The collected data were subjected to statistical evaluation and the
results were formulated.

Background: Most demanding and challenging conditions to manage across the globe in
subjects of all ages are chronic idiopathic pain syndromes. Various diagnostic advancements
have been made, pain in these subjects still presents a challenge for all available diagnostic
and management methods.
Objectives: The present study was conducted to assess the efficacy and role of diagnostic
laparoscopy in the identification of the etiology of chronic abdominal pain which is not
diagnosed.
Materials and methods: In 30 subjects with chronic abdominal painwith unknown etiology
or who were refractory to the treatment for more than 3 months. Diagnostic laparoscopy was
done for all the subjects. The collected data were subjected to statistical evaluation and the
results were formulated.