Background: Acute pancreatitis remains a common disorder with devastating consequences. Although most episodes are mild and self-limiting, upto a fifth of patients develop a severe attack that can be fatal. Inspite of technical advances in medical and surgical fields acute pancreatitis remains a major cause of morbidity and mortality. So, we have studied the clinical profile and management of acute pancreatitis. Aims and objectives were to study the clinical presentation, complications and treatment modalities of acute pancreatitis that can be offered in our institution and the outcome.Methods: This prospective study was conducted between November 2018 to October 2020 on patients admitted to Department of Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya. 50 patients with acute pancreatitis were enrolled for the study.Results: Study included 50 patients with acute pancreatitis, 40 males and 10 females. The peak incidence was in the fourth decade with the median age of 35 years. The commonest etiology was alcohol consumption accounted for 72% of cases followed by gall stones (12%), idiopathic (8%) and others (8%).Conclusions: Acute pancreatitis was found to be in a younger age group. Serum amylase and lipase should be used for diagnosis wherever possible. Scoring systems help to identify patients who are more likely to have a severe attack and they should be referred to higher centers if adequate facilities are not available. Severe cases should be managed in well-equipped ICU. Timely intervention by endoscopist and surgeons are crucial to reduce morbidity and mortality.

Introduction: Pilonidal disease in sacrococcygeal or intergluteal region is an acquired chronic inflammatory disorder with superimposed infection. It is commonly seen in young hairy individuals and usually presents as an abscess or a painful sinus tract in the natal deft with sero/purulent discharge. Aims and Objectives : The objectives of the study were to assess and compare different surgical techniques in the management of pilonidal sinus disease. Materials and Methods This retrospective study was conducted in the Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya (D), from August 2018 to January 2020. Results During the study period, 30 patients were enrolled, 22 patients were male and 8 were female, with a mean age of 24.3 years. The mean operative time for primary closure was 61 min and flap reconstructions were 70 min with mean hospital stay of 8 and 6 days, respectively. The mean time to walk without pain is 30 and 12 days, respectively. Wound dehiscence was noted in a patient with primary closure. No recurrence was noted for a mean follow-up period of 6 months in any patients. Conclusions: Flap reconstructions were superior to primary closure after excision of pilonidal sinus and that modified Limberg flap was superior with regard to wound infection and recurrence for pilonidal disease.

Carcinoma of the lip is a common head-and-neck region malignancy more commonly affecting the lower lip (>90%) with squamous cell variant being the most common (95%). Surgical excision of the tumor is the choice of treatment with reconstruction of the ensuing defect. Although various techniques are prescribed, the pick of surgery for reconstruction of full thickness defect in lower lip remains to contest. In this case account, a 65-year-old elderly female, who presented with near-total involvement of the lower lip to squamous cell carcinoma, underwent full thickness lip defect reconstruction combining two classical flaps: The Karapandzic Flap (KF) and Bernard Burrow Webster Flap (BBWF). KF being a single stage procedure has the advantage of being fully innervated with the preservation of sensation and motor function. The BBWF is an excellent procedure for repairing defects that affect more than one-third of the lower lip. It allows use of similar local tissue in a single sitting to cover the defect though at the cost of attaining a dynamic continuity. Thus combining both these flaps in our case advantages of both flaps has been utilized.

No abstract