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Background: Lymphadenopathy is a very common clinical manifestation of many diseases. It is defined as an abnormality in the size of character of lymph nodes, caused by the invasion or propagation of either inflammatory cells or neoplastic cells into the node. The study intends to find out systematically the various pathological conditions presenting with enlarged lymph nodes in the neck, also the various nodes of clinical presentations and behaviors of these conditional.Methods: The clinical material consists of all inpatients and outpatients presenting to department of General Surgery. The study was conducted during the period from January 2017 to June 2018. This study consisted of 50 consecutive cases and diagnosis was made on the basis of clinical and histopathological findings. Patients, in whom FNAC and/or biopsy of enlarged node could not be carried out, were excluded.Results: Out of 50 cases in the study, 76% were non-neoplastic. 44% of the cases were due to tuberculosis. Majority of the cases were in 3rd and 4th decade of age. After swelling in the neck, pain and fever were the most common presentation.Conclusions: In the present study, non-neoplastic accounted for 76% of cases, 44% turned out to be tuberculosis and 30% reactive lymphadenitis. Among the neoplastic lesions, malignant secondaries accounted for 16% while non-Hodgkin’s lymphoma and Hodgkin’s lymphoma accounted for 6% and 2% respectively. In this present study, fine needle aspiration cytology was found to be reliable and cheapest method of diagnosis without any significant morbidity and with good patient compliance.

Background: Perforation due to duodenal ulcer is a common cause of peritonitis and is considered as one of the most catastrophic complication of duodenal ulcer perforation. Repair of perforation are considered particularly hazardous because of the extensive duodenal tissue loss, friability of the ulcer margins, surrounding tissue inflammation, poor general condition of the patient and overwhelming sepsis due to bacterial peritonitis. Thus, there is a need to compare closure of duodenal perforations by either Graham’s patch (OX) or omental plugging (OP) which are the simpler and more common methods followed these days in duodenal perforation management.Methods: The clinical material consists of all inpatients admitted under General Surgery for management of duodenal ulcer perforation at College of Medicine and JNM Hospital, Nadia. The study was conducted during the period from July 2018 to June 2019. This study consisted of 50 consecutive cases and diagnosis was made on the basis of clinical and histopathological findings.Results: A total of 73 patients were enrolled for the study. All our patients were males. Wound infection (OX -21.1%, OP -14.3%), septicaemia (OX-15.8%, OP-11.4%), and lung complication (OX-13.2%, OP-11.4%) were the commonest complications. Mean postoperative stay for OX was 12.92 with standard deviation 3.00 while in OP was 11.54 with standard deviation 1.54 (statistically significant).Conclusions:OP is associated with less incidence of postoperative complication in compared to omentopexy procedure for example wound infection, reperforation, lung complication, septicemia and intra-abdominal abscess. OP is associated with less number of mortality. OP is associated with higher mean operative time as it is a relatively newer and less utilized technique.

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