ABSTRACT
Rectal injuries due to blunt or penetrating trauma are associated with significant morbidity and mortality, yet there is a lack of consensus regarding their optimal management. The management of penetrating rectal trauma invokes a complex decision tree that has been established based on lessons learned during war. It involves proximal faecal diversion by a stoma, rectal washout and placement of pre-sacral drain. Today surgeons worldwide variably use these techniques. We present a case where a young male accidentally slipped and fell on a beer bottle which got inserted in his rectum. He presented a few days later with scrotal and perineal cellulitis.

ABSTRACT
It is described as an original technique developed hoping to correct an extremely rare penile anomaly of “mega-urethra and hypospadias” appearing in the context of a “Triad Syndrome” anomaly. A progressive folding of the penile shaft together with partial excision of penile skin and correction of the hypospadias with tubularization of the urethral mucosa and obtaining a quite satisfactory end result (both aesthetic and functional).

ABSTRACT
Objectives: Correct the phimosis but preserving the prepuce. Methods: using the mesh graft plastic surgical principle often used in extensive 3rd degree burns. Results: Excellent aesthetic and functional results. Conclusion: the method of choice if one wants to correct the phimosis but preserve the prepuce.

ABSTRACT
A technique based just on the Denis Browne principle of the buried skin strip is presented and considered the treatment of choice for the vast majority of cases of Hypospadias. No perineal drainage or beads and collars are used, but instead 3 layers of resorbable 5/0 sutures on atraumatic cutting edge needles are used. Also variations of the basic principle are described as all techniques have to be adapted to the individual Patient A place must always exist for the knowledge and possible use of other techniques, if they seem to fit better a particular case.

ABSTRACT
Cataracts are a common eye disease and one of the leading causes of blindness worldwide. In patients with cataracts, the eye lens hardens and becomes cloudy, which results in vision deteriorates over time, making it difficult for the patient to carry out routine activities. There are many factors for the occurrence of the disease, the most common factor is aging. There is no treatment to prevent or stop the progression of cataract; however, the only treatment is to undergo surgery, where original lens is replaced by a new artificial lens, that can enable the patient to see clearly.

ABSTRACT
Many different viruses infect the respiratory tract. In children, rhinoviruses, influenza viruses (during annual winter epidemics), parainfluenza viruses, respiratory syncytial virus (RSV), enteroviruses, coronaviruses, and certain strains of adenovirus are the main causes of viral respiratory infections. Most often, viral respiratory tract infections spread when children's hands come into contact with nasal secretions from an infected person. These secretions contain viruses. When the children touch their nose or eyes, the viruses gain entry and produce a new infection. Less often, infections spread when children breathe air containing droplets that were coughed or sneezed out by an infected person.

ABSTRACT
Introduction: The surgeon considers abdomen as an enigma because in a good proportion of his cases, the cause of abdominal pain or the nature of the abdominal lump, may not be decided in spite of all possible investigations. But application of anatomical knowledge makes diagnosis more interesting and more rational except in few cases. Objective: To assess the diseases in patients with Non-Traumatic Acute Abdomen. Materials and Methods: It is a prospective study. Two hundred cases of nontraumatic emergency laparotomy patients were studied in Different surgical units of Dhaka Medical College Hospital during the period of July 2007to June 2008. The peak age incidence was found in the third decade of life (34%). Overall male-female ratio was 2.3:1, but there were disease specific variations. Acute abdominal pain was the constant symptom with different degree of severity, presenting either locally or diffusely. In conditions with peritonitis either local or diffuse, muscle guarding, rigidity or diminished bowel sound were found. Results: In the present study 200 patients were included. All these patients underwent emergency laparotomy with the provisional diagnosis of acute abdomen. Conclusion: The most common cause of acute abdomen in the study was acute appendicitis, affecting young population; this was followed by Hollow viscus perforation with peritonitis and bowel obstruction. To evaluating patients with acute appendicitis and peritonitis, plain x ray abdomen high sensitive in bowel obstruction and peritonitis as well. USG abdomen had high specificity as well as positive and negative predictive value in acute appendicitis. Acute appendicitis was the commonest cause 48% of patients presenting to Emergency and Casualty as acute abdomen. It must be remembered that 'Diagnostic errors at the initial assessment may at best result in unnecessary surgical intervention, and at worst demise of the patient or a protracted illness due to the development of complications, ......