April-June 2019 Issue

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Sumanth Laxminarayana1, Rehan Ul Haq2

Author Affiliation: 1- Senior resident, Department of Orthopaedics, University College of Medical Sciences (Delhi University), GTB Hospital, Delhi. 2- Professor Orthopaedics, Department of Orthopaedics University College of Medical Sciences (Delhi University), GTB Hospital, Delhi


Osteoporosis, a state of decreased bone mineral density, is a well-known entity. Similarly sarcopenia a condition where there is significant loss of muscle associated with ageing is also well documented. Osteosarcopenia1 where there is co-existence of the above two mentioned chronic musculoskeletal conditions, associated with ageing is a recently described clinical entity. Both these conditions share common risk factors and biological pathways. They lead to greater risk of falls, fractures, institutionalisation and significant socioeconomic costs. With an increasing elderly population, osteosarcopenia is a community healthy issue that will become increasingly relevant in the future.


Vats R, Gupta L, Goel D, Bhalla V P

Author Affiliation: Department of Surgical Gastroenterology and Bariatric Surgery B L Kapur Super Specialty Hospital, Pusa Road, New Delhi


Postsurgical complications after sleeve gastrectomy can be divided into early and delayed. Haemorrhage is considered to be one of the most common early complications after sleeve gastrectomy [1]. Incidence of hemorrhage post LSG has been reported in 1.1–8.7% of cases[5]. Sleeve gastrectomy is still relatively new and a thorough literature review does not produce any meaningful reviews on hemorrhage. It seems that hemorrhage is actually quite rare and may reflect the fact that most surgeons performing this procedure and publishing on it are already very experienced with gastric bypass surgery and are well past the learning curve for bleeding prevention. The authors present their experience of the common site of bleeding during LSG and the ways to limit them.

Case Report: Lipoma of scalp in 14 months old girl

Anand Singh Kushwaha M.Ch. Pediatric Surgery

Author Affiliation: Shishu Sadan Hospital New Delhi


Around 1% of general population is diagnosed with lipoma, which is commonest mesenchymal slow-growing benign soft tissue tumor (universal tumor). Head and neck lipoma in Paediatric population are rarely described in literature. We are reporting a scalp lipoma in a 14 month old girl.

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