Introduction: The objective of the study was to assess the rate of canine retraction and secondary outcomes associated with conventional fixed orthodontic treatment (CFO) and CFO with micro-osteoperforation (CFO + MOP), that is, anchorage loss, root resorption, vitality of tooth, pain and discomfort level during the procedure. Methods: A total of 16 patients with Class II Division 1 malocclusion who required upper first premolar extraction with lower non-extraction/single incisor extraction were divided into the test group (MOP) and positive control group (CFO + MOP) for a split-mouth study. Both maxillary canines were retracted with nickel–titanium (NiTi) closed coil springs. Patients were reviewed after 24 hours, 7 days, 28 days, and 4, 8, and 16 weeks to assess the rate of tooth movement, anchorage loss, root resorption, vitality of tooth, pain and discomfort level. Results: There was a statistically significant difference in the rate of tooth movement between the CFO and CFO + MOP groups after the first 4 weeks ( P-value = .026), whereas no statistically significant difference was observed at 8, 12, and 16 weeks ( P-value = .33, .99, and .08, respectively). In the CFO group, there was no statistically significant difference in tooth movement between different time intervals ( P-value > .05). There was no significant difference in root resorption between the groups. The pain level was higher in the MOP group in the first 24 hours ( P-value < .05) after the procedure. Later on, the difference in pain level between the groups was not significant ( P-value > .05). The vitality of retracted canines in both groups was healthy. Conclusion: The study recommends that the CFO + MOP procedure has substantial potential to be used as an adjunct to the routine mechanotherapy for faster tooth movement, as it may reduce the treatment time by half in the first 4 weeks after the MOP procedure. There are no potential differences in anchorage loss, tipping, vitality, and apical and lateral root resorption between the CFO and CFO + MOP groups. This trial was registered at Clinical Trial Registry, India.

BACKGROUNDIsolated testicular tuberculosis is a bizarre entity and it can present with atypical clinical features and its radiological signs remain elusive. Owing to its unusual occurrence and presentation, it can be confused with testicular tumour as has been presented in this case of a 54-year-old male patient who presented with absolutely no clinical symptoms other than a painless progressive left scrotal swelling.

Usually, in acute on chronic mesenteric ischaemia, the safest option is resection of infarcted bowel and exteriorisation of both ends. This allows inspection of both bowel ends for their viability. Anastomosis and restoration of continuity of bowel is delayed for 4-6 months is done in favour of healing. If the viability of bowel is unclear, second look laparotomy maybe needed, which may maximize intestinal salvage. In this case, we have done massive resection of small bowel with end-to-end anastomosis, which survived in spite of more than 50% thrombosis of two major vessels.

Testicular abscess with reactive hydrocele can be challenging to differentiate from malignancy or epididymo-orchitis. We present a case of 60 year male with complaint of swelling right scrotum for 6 months without any other symptoms and comorbidities. USG impression heterogeneous enlarged right testis suggestive of right testicular abscess with fluid collection in tunica vaginalis sac? Pyocele; proceeded with right high orchidectomy in suspicion of malignancy per-operatively cord was thickened. On examining the specimen gross hydrocele was found and on incising testis frank pus extruded, HPE-acute on chronic xanthogranulomatous epididymo-orchitis with foreign body giant cell reaction testis shows atrophic changes. Epididymo-orchitis or testicular abscess or pyocele usually presents with fever and pain scrotum. In our case, it was asymptomatic and chronic.