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BACKGROUND Short interconception period affects maternal health & foetal wellbeing. We wanted to study effect of Short Interconception Period (ICP) on maternal and foetal outcome and maternal quality of life as assessed by WHO-QOL BREF questionnaire. METHODS This case control study was conducted among 67 antenatal patients at a tertiary care centre in central India. Antenatal woman with Short ICP was defined as one with Last menstrual period within 18 months from last live / stillbirth. Group A (cases) comprised of 32 consecutive patients who had short ICP. Group B (controls) comprised of 35 consecutive patients with normal ICP. RESULTS Mean triceps fold thickness, a measure of nutritional status of the mother, was less in Group A with statistically significant difference (p value 0.03). Preterm labour, gestational hypertension and anaemia were commoner in Group A with statistically significant difference (p values 0.0230, 0.0462 and 0.0183 respectively). Low birth weight neonates and intrauterine growth retardation were more common in Group A with statistically significant difference as per Chi square test (p value 0.005 and 0.02 respectively). Women of both groups were satisfied with their health status as per WHOQOL-BREF, though women with normal ICP had statistically insignificant lower psychological, physical and environmental domain scores. CONCLUSIONS There is a need for improvement in interpregnancy services with emphasis on contraception and nutritional supplementation.

Anastomosis in Gastrointestinal surgery is a very commonly performed procedure , since the era of Sushruta, various methods of intestinal anastomosis were followed- recent advancement is the use of stapler as a device for GI anastomosis. Because of the use of staplers technical failures is a rarity, anastomosis is more consistent, and can be used at difficult locations. MATERIALS AND METHODS : A total of 50 cases which met the inclusion and exclusion criteria were included in this hospital based prospective comparative study. The study population included all patients who underwent elective gastrointestinal surgeries . STUDY FACTORS : The subjects were allocated into two groups according to the type of anastomosis, hand sewn and stapler. Both hand sewn and stapled anastomosis were further divided into three sub-groups according to the site of anastomosis viz esophageal, gastrojejunal and colorectal. OUTCOME FACTORS : Anastomotic Integrity, Duration of operation, Return of Bowel activity, Hospital stay. RESULTS: A total of 50 patients with malignant or benign condition of bowel and esophagus, requiring anastomosis were allocated in study group of GI staplers and control group of conventional Hand sewn technique. Out of 50 cases there were 13 esophageal anastomosis, 19 gastrojejunostomies and 18 colorectal anastomosis CONCLUSION: In our present study, we found that stapling technique can significantly reduce the time for anastomotic procedure, less tissue trauma due to less tissue handling, there is early restoration of gastrointestinal function, early resumption of oral feeding and reduced duration of hospital stay which helps ultimately in early return to routine work, importantly staplers can be used at places were hand sewn anastomosis is technically difficult. Technique related complications do not show significant differences which suggests that one can use staplers with same safety and accuracy as sutures

Background Meckel's Diverticulum is the most commonly encountered congenital anomaly of the small intestine, occurring in approximately 2% of the population. Occasionally Meckel's diverticulum harbors neoplasms. Case presentation A 65 year old gentleman, presented with a pelvic mass. On exploratory laparotomy, it turned out to be gastrointestinal stromal tumour (GIST) arising from Meckel's diverticulum. Short history and review of literature are discussed. Conclusion Neoplasms occurring from Meckel's diverticulum, even though rare, should be considered as differential diagnosis of pelvic masses arising from bowel, wherever imaging modalities fail to give a definitive diagnosis.

ObjectiveTo report a rare case of spindle cell sarcoma of submandibular salivary gland, with intraoral extension with pathological dilemma.Case reportA 40-year-old male presented with swelling and pain in right submandibular area since 1 year. Right submandibular gland excision with intraoral mass excision was done with reconstruction of floor of mouth. Postoperative histopathology was suggestive of low-grade malignant tumor with differential diagnosis of acinic cell tumor, vascular tumor and myoepithelial tumor. The immunohistochemistry report revealed spindle cell sarcoma with high degree of vascularity. Based on this report postoperative radiotherapy was planned.ConclusionAccording to literature, spindle cell sarcoma of submandibular salivary gland has not been reported yet. This case is presented for its uniqueness of its site, extension and histopathological dilemma.

Gastrointestinal stromal tumor (GIST) is now defined as a specific, KIT-expressing and KIT-signalling driven mesenchymal tumor of the gastrointestinal (GI) tract. A great majority of GISTs occur in the stomach (60 -70%) or small intestine (25 - 35%). Colon, rectum, appendix (together 5%) and esophagus (2 - 3%) are rare sites. Small GISTs are typically incidentally detected on the external aspect of stomach or intestines during radiologic studies or surgery for unrelated conditions. We present a 45 year old female with a history of lump in epigastrium and left hypochondrium diagnosed later as GIST stomach.