The Government Medical College, Srinagar (Urdu, گورنمنٹ میڈیکل کالج سرینگر) (Koshur; سرکآرؠ طِبہ ژاٹٔھل سریٖنگر ) (also known as GMC Srinagar) is a government medical college and hospital at Srinagar, Jammu and Kashmir. It was established in 1959. It is the oldest medical college in Kashmir. The college and hospital are affiliated with the University of Kashmir and recognized by the Medical Council of India (currently National Medical Commission). The college is located in the Karan Nagar area of Srinagar, about 1.5 km (0.93 mi) from Lal Chowk. The girls' hostel is located within the campus but the boys' hostel is one km (0.62 mi) away. It has well-equipped labs. The selection to the college is done on the basis of merit through National Eligibility and Entrance Test.
Background: Adequate lymphadenectomy is a key determinant of oncologic outcomes in right-sided colon cancer, influencing staging accuracy, adjuvant therapy and long-term survival. D3 lymphadenectomy combined with Complete Mesocolic Excision (CME) has demonstrated superior nodal yield and oncologic clearance compared with conventional resections. However, the laparoscopic approach remains technically demanding and prospective data from the Indian subcontinent are limited. This study aimed to evaluate the feasibility, safety and short-term oncologic outcomes of laparoscopic D3 right hemicolectomy. Methods: This prospective observational study was conducted at a tertiary care teaching hospital between January 2018 and December 2025. Patients aged >= 18 years with histologically confirmed right-sided colon adenocarcinoma undergoing elective laparoscopic D3 right hemicolectomy were included. A standardized medial-to-lateral approach with central vascular ligation and CME was used in all cases. Primary outcomes included feasibility, lymph node yield and R0 resection rate, while secondary outcomes included operative parameters, postoperative recovery and 30-day morbidity and mortality. Results: A total of 142 patients underwent laparoscopic D3 right hemicolectomy. All procedures were completed laparoscopically with a conversion rate of 0%. The mean operative time was 146 +/- 34 minutes and mean intraoperative blood loss ranged from 100 to 150 mL. The mean lymph node yield was 45 +/- 8.4. R0 resection was achieved in all patients. Early postoperative recovery was observed, with tolerance of solid oral diet at a mean of 24 hours and a mean hospital stay of 7 days. Major complications included anastomotic leak in 3 patients (2.1%) and wound-related complications in 5%, with no 30-day mortality. Conclusion: Laparoscopic D3 right hemicolectomy is a safe, feasible and oncologically sound procedure in experienced centers. The high lymph node yield, zero conversion rate and acceptable morbidity support its role in the management of right-sided colon cancer. Further multicentric studies with long-term follow-up are required to establish survival benefits.
This cross-sectional study examines dermoscopic features associated with malignant melanocytic longitudinal melanonychia in patients with skin of color.
Woodhouse-Sakati syndrome (WSS) is a rare autosomal recessive neuroendocrine disorder caused by pathogenic variants in the DDB1- and CUL4-associated factor 17 (DCAF17) gene. The c.321+1G>A splice-site mutation is an extremely rare variant with limited reports in the literature. Identification of such ultra-rare variants contributes to strengthening genotype-phenotype correlations. We describe a 33-year-old Kashmiri woman with classical features of WSS, including hypergonadotropic hypogonadism, diffuse alopecia, diabetes mellitus, characteristic facies, and intellectual disability. Whole-exome sequencing revealed a homozygous DCAF17 c.321+1G>A variant. This case represents a rare occurrence of this mutation and provides additional evidence supporting its pathogenic role in WSS.
Background: Variations in suprascapular notch morphology or ligament ossification can significantly influence the available space for the nerve, potentially predisposing individuals to suprascapular nerve entrapment—a frequently overlooked cause of chronic shoulder pain and functional impairment. Objective: This study was designed to systematically evaluate morphological patterns and morphometric dimensions of the suprascapular notch and to explore their potential clinical relevance in nerve compression syndromes. Methods: An observational morphometric study was carried out on 70 adult dry human scapulae obtained from the Department of Anatomy, Government Medical College, Srinagar. The suprascapular notch was categorized using the Rengachary classification (Types I–VI). Key morphometric parameters including superior transverse diameter (STD), vertical depth (VD), and distance from the notch to the supraglenoid tubercle were measured with a vernier caliper. The presence of partial or complete ossification of the superior transverse scapular ligament was also documented. Statistical analysis involved descriptive methods and inferential testing. Results: Type III (U-shaped notch) emerged as the most prevalent morphology (40.0%), followed by Type II (21.4%) and Type IV (15.7%). Types I and V each accounted for 8.6%, while Type VI was the least frequent (5.7%). The mean STD, VD, and notch-to-tubercle distance were 11.4 ± 3.2 mm, 7.6 ± 2.5 mm, and 28.9 ± 3.7 mm, respectively. Ossification of the ligament was observed in 14.3% of specimens. Conclusion: Considerable anatomical variability exists in suprascapular notch morphology. Narrower notches and ligament ossification may contribute to nerve compression. These findings have important implications for surgical planning, imaging interpretation, and regional anesthesia.
Background:Autonomic nervous system tests uncover and early identify several key derangements in diabetic foot ulcer group of patients.With an unprecedented increase in number of Diabetic foot cases reporting to outdoor department in our country, picking these cases early would definitely enable us to better address this clinical entity. Objective: To identify by virtue of review of literature and analysis of relevant studies the correlation between Diabetic foot ulcers and Heart rate variability,which connotes Autonomic nervous system functioning. Materials and Methods: Our review study included analysis of longitudinal cohorts and matched studies from 2010- 2025 to to better identify correlation between heart rate variability and diabetic foot ulcers. Results: Current review of data over past 15 years shows that autonomic neuropathy, determinant of significance , like cardiac autonomic part, reflected by significantly altered HRV tests, increases the risk of developing DFUs by over four times. Conclusions:The societal burden of diabetes in chronic disease category is profound. Introduction of prophylactic measures in these early diagnosed patients will reduce the burden of treating the same condition in advanced stages. It would positively impact the rate of complicated ulcers and need for amputations.
