The Rajendra Institute of Medical Sciences (RIMS), established on 15 August 2002 by upgrading the then Rajendra Medical College and Hospital (RMCH) originally setup in 1960, is a medical institute of in Ranchi, the capital of Jharkhand, India. The college is an autonomous body established under an act of Jharkhand Assembly.The institute provides free medical service along with medicines. Developments in the field of surgery include minimal access cosmetically sound (MACS) surgery.The RIMS has blocks in a multi-storied building with several medical departments. RIMS has about 33 departments which include emergency, Blood bank, Pathology, Forensic Medicine, Orthopedic, Neurosurgery, OBST & Gynae, ENT, Eye, Anesthesiology, Biochemistry, Microbiology, Pharmacology, Skin STD & Leprosy, PMR,[clarification needed] Urology, Cardiology, Rradiology and others. RIMS has facilities like CT scan, emergency pathology for 24 hrs, AIDS Clinic, X-Ray, USG, TeleMedicine Department and a Deep X-Ray unit. Dental institute began functioning in 2017 with an annual intake of 50 students.RIMS has its own blood bank, School of Nursing, dental college and College of Nursing. At RIMS medical courses include MBBS, BDS, postgraduate – MD, MS, DM, MCh and Diploma, Nursing courses include BSc.Nursing and Diploma in General Nursing and Midwifery (GNM). It also offers radiology and pathological investigation facilities.A Regional Institute of ophthalmology Block is coming up.The decision to upgrade the institute to university for conducting MBBS exams was taken in 2016..
Retroperitoneal masses comprise a heterogeneous group of benign and malignant entities originating from mesenchymal, lymphoid, neurogenic, germ cell, and metastatic tissues. Because of the large potential space of the retroperitoneum, tumors frequently attain significant size before detection and therefore present diagnostic and therapeutic challenges. Management varies widely depending on tumor biology; consequently, inappropriate surgical intervention may lead to major morbidity without therapeutic benefit. This narrative review provides a clinically oriented diagnostic and management framework integrating radiologic assessment, biopsy strategy, operative planning, and pathological interpretation. Retroperitoneal sarcomas require complete macroscopic resection, whereas lymphoma and germ cell tumors are primarily treated medically. Multidisciplinary coordination between surgeons, radiologists, and pathologists is therefore essential to avoid mismanagement and improve patient outcomes.
BACKGROUND:Bone tumors and tumor-like lesions represent a heterogeneous group of disorders with overlapping clinical and radiological characteristics, often posing diagnostic challenges in routine practice. The present study aimed to evaluate the spectrum of bone tumors and tumor-like lesions encountered at a tertiary care hospital in eastern India and to assess the concordance between radiological and histopathological diagnoses. MATERIALS AND METHODS:This prospective observational study was conducted in the Department of Pathology over 18 months and included 125 patients with clinically and radiologically suspected bone lesions who underwent biopsy or surgical intervention. Radiological findings were correlated with histopathological examination, and concordance was assessed using Cohen's kappa statistic. A p-value <0.05 was considered significant. RESULTS:Most patients were below 30 years of age (98, 78%), with male predominance (72, 58%). Swelling associated with pain (48, 38%) was the most common presenting symptom, and the femur was the most frequently involved bone. Radiological evaluation categorized 52 (42%) lesions as malignant, whereas histopathology identified malignancy in 47 (38%) cases. Osteosarcoma was the most common malignant tumor. Overall concordance between radiological and histopathological diagnoses was observed in 106 (85%) cases, with a kappa value of 0.636 indicating statistically significant moderate agreement. CONCLUSIONS:Radiological evaluation demonstrated moderate agreement with histopathological diagnosis and served as an effective preliminary diagnostic modality in bone tumors and tumor-like lesions. However, histopathological examination remained essential for a definitive diagnosis because of overlapping imaging features among benign, aggressive, and malignant lesions.
Background: This study compared perioperative and postoperative outcomes of open Lichtenstein mesh repair with laparoscopic inguinal hernia repair using transabdominal preperitoneal (TAPP) or totally extraperitoneal (TEP) techniques. Methods: This prospective observational study included 100 patients with primary inguinal hernia treated at a tertiary care centre in Jamshedpur. Fifty patients underwent open Lichtenstein mesh repair and 50 underwent laparoscopic repair (tapp/tep). Demographic characteristics, operative duration, postoperative pain, hospital stay, complications, return to normal activity, and recurrence were assessed. Results: The mean age was 48.84 ± 13.26 years in the open group and 46.52 ± 12.71 years in the laparoscopic group. Males predominated in both groups (96% vs. 98%). The mean operative time was significantly longer with laparoscopic repair (76.34 ± 14.28 vs. 59.16 ± 12.41 minutes; p < 0.001). Postoperative pain was significantly lower (2.84 ± 0.92 vs. 4.96 ± 1.12; p < 0.001), hospital stay was shorter (2.12 ± 0.76 vs. 3.68 ± 1.08 days; p < 0.001), and return to normal activity was earlier (12.8 ± 3.4 vs. 19.7 ± 4.2 days; p < 0.001) with laparoscopic repair. Postoperative complications occurred in 20% versus 44% of patients (p = 0.010). Recurrence was comparable (2% vs. 4%; p = 0.558). Conclusion: Laparoscopic repair was associated with better postoperative recovery despite longer operative time. Recommendation: Laparoscopic repair may be considered in appropriately selected patients where appropriate expertise and infrastructure are available.
