Varicose veins, one of the oldest known diseases of mankind were treated by various modalities starting from simple phlebotomy to minimally invasive approaches. Aim and Objectives: In this study the outcome of two surgical treatment modalities of varicose surgery with and without venous stripping was compared based upon a follow up period of two months. Materials and Methods: Among the 92 patients operated for varicose veins between September 2018 to November 2019 in all surgical units of Trichy SRM Medical College Hospital, S50 patients of age group 16 -70 yrs were taken up for the study after matching. Results: In this study males contribute the maximum bulk of about 82%. As for as the age is considered, patients aged between 40 -70 yrs was more, which was about 58%.The hematoma formation after venous stripping was 28% whereas it was only 4% in the other group. There was no significant difference in healing of leg wounds in both the studies The first postoperative comfortable ambulation with minimal pain was possible in more patients who did not undergo venous stripping (92%) than who underwent stripping (68%).Long postoperative stay of more than 6 days was found in 8% of those who underwent stripping and 4% of the other group. The long stay was mostly due to pain and delayed wound healing. Pain relief was seen in 96% of those who had venous stripping and 88 % of those who did not undergo venous stripping at the end of second month. Conclusion:This study on observation concludes there was no significant difference in healing of leg wounds, hospital stay and pain relief in both the studies, but the Trendelenburg procedure with incompetent perforators ligation without venous stripping appears to be better than Trendelenburg procedure with incompetent perforators ligation with venous stripping.

BACKGROUND Abdominal wound dehiscence is a preventable complication, but is still seen. When present, it poses problem in the management of the case, increases the morbidity and mortality of the patient. The present study is a prospective study done from January 2010-May 2016 with an objective to find out the incidence of wound dehiscence, the most common pathologies associated with dehiscence and to find out the statistical significance of the difference risk factors causing wound dehiscence and to evaluate the role of tension sutures in prevention of wound dehiscence. MATERIALS AND METHODS 291 major laparotomies were followed from January 2010-September 2016. There were 21 cases of dehiscence and from the remaining 270 cases, 58 patients were chosen as controls who underwent the same procedure, but without dehiscence. 15 factors were analysed and compared between the dehiscence and control groups. RESULTS The incidence was found to be 7.2%. Peritonitis was the most common pathology. The significant factors were age more than 50, wound infection. Tension suture application has shown to reduce the incidence of wound dehiscence. CONCLUSIONS  Intra-abdominal sepsis (peritonitis) increases the incidence of wound dehiscence.  Age >50, Uraemic, Jaundiced, Obesity, Malnutrition increases the incidence of wound dehiscence.  Wound infection was a highly significant factor having 8 times more risk of dehiscence.

Oesophageal cancer is one of the least studied and deadliest cancers worldwide, because of its aggressive nature. It ranks sixth among all cancers in mortality. AIMS AND OBJECTIVES/THE AIMS OF THIS STUDY IS TO ANALYSE AND STUDY1. The incidence of carcinoma oesophagus, age and sex wise; 2. The clinical presentation of carcinoma oesophagus; 3. The common sites of occurrence; 4. The pathological pattern of carcinoma oesophagus. METHODS/PLACE OF STUDY

BACKGROUND Studies were undertaken to evaluate whether different abdominal surgeries could benefit from early enteral feeding. Early feeding improves the outcomes of patients with trauma and burns, although few studies have examined its use after surgeries. This study compares an early regular diet to conventional postoperative dietary management to determine GI complications after abdominal surgeries. The aim of the study is to analyse and compare early enteral feeding with conventional postoperative dietary management to access complications after abdominal surgeries. MATERIALS AND METHODS Place of study-Department of General Surgery, Chennai Medical College and Research Centre. Period of study-Between January 2015 to February 2017. Totally, 50 patients who had undergone various abdominal surgeries in that 25 cases are subjected to study and remaining 25 were control objects. RESULTS The results of our study the effect of enteral feeding analysed by the main outcome measures like vomiting, wound infection, mortality showed significant betterment to the control group. The length of the hospital stay was relatively less. CONCLUSION This study provides evidence to support the use of enteral feeding in surgical patients and indicate no increased morbidity or mortality. For early enteral nutrition to be effective, it must actually be received and tolerated by the patient.

OBJECTIVESThe advances in modern surgery era for assessment of breast lumps has not replaced the triple assessment, which are clinical examination, radiological examination and pathological examination. (1) This study is about to substitute mammogram and ultrasonogram to assess the palpable breast lumps. (2) combined with other two modalities. METHODS Place of StudyDepartment of General Surgery, Chennai Medical College Hospital, Irungalur, Trichy. Method of collection of data: A prospective cross sectional study of 100 female patients with palpable breast lumps attending outpatient department was done and study period is from April 2013 to September 2015. Inclusion CriteriaFemales more than 30 yrs. Females presenting with palpable breast lump. Exclusion CriteriaFemale patient less than 30 yrs. Male patients. Advanced breast cancer patients. RESULTSOut of 100 female patients, 68 patients with 73 breast lumps were inducted into the study. The MTT obviated excision biopsy in 16 patients (22%) and this is the potential advantage of this test. Thus the final study group (n^57) underwent the MTT followed by excision biopsy, the results of which were available for comparison. The average age of women in this study was 41.84+9.1. The mean shifting to 47 years in patients with malignancy, the youngest patient was 30 years and the oldest was 65 years. This conforms with the suitable age for subjecting patients to screening procedure followed worldwide (i.e.) above 40 years; 9 women were nulliparous of which only 3 had malignant lesions. The rest (n-48) were nulliparous. The results do not point to any positive association between parity and malignancy (P>0.05). CONCLUSIONWe conclude that modified triple assessment is a very useful diagnostic tool to evaluate patients with breast lumps and to detect patients with breast cancers with replacing core needle biopsy instead FNAC and Ultrasonogram for Mammogram pertaining to facility available.