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Introduction:Traditional wound closure techniques include skin sutures and metal clips. The ideal incision closure should be simple, effective, safe, rapid, inexpensive, painless, cosmetic, and bactericidal. Cyanoacrylate glue has good neovascularization, epithelialization,and fasterApplication.Soit can be considered an alternative for skin closures. Methods:A study was conducted on 50 individuals undergoing elective surgery in the department of general surgery. They were randomized into 2 groups. In group A skin closure was done with skin glue and in group B skin closure was done with sutures. Post-op pain was assessed with VAS and cosmesis was assessed with a modified Hollander cosmesis scale. The time taken for closure was assessed using a stopwatch. Results:Skin closure with skin glue was quicker than traditional closure. The average time for skin closure with glue was 1 minute and 14 seconds while it was 3 minutes and 47 seconds in the suture group. The postoperative pain was comparatively less in people who had closure with glue. Cosmesis was better in patients who had closure with glue compared to sutures.The overall satisfaction level was better in people who had closure with glue compared to those who had closure with sutures. Conclusion:According to this study, using skin glue for skin closure in clean surgery reduces thewound closure time with a superior cosmetic effect. The usage of skin glue can greatly save healthcare expenses and is favored by patients due to the simplicity of postoperative wound care. The study established the efficacy and advantages of this unique technique.The broad adoption of this innovative approach may drastically reduce the need for sutures in clean surgery.

Granulomatous mastitis is a chronic inflammatory condition of the breast that is rarely described in literature. It mimics breast abscess on clinical presentation giving dilemma to the surgeon. The etiology can be infectious, autoimmune or idiopathic. The various modalities of treatment for idiopathic granulomatous mastitis includes drainage of abscess, antibiotics and corticosteroid therapy. This is a case series of ten cases of diagnosed with granulomatous mastitis treated in the period of 2 years from 2018 and 2019 in Department of General Surgery, MGM Hospital Navi Mumbai. The data of all the patients were collected from records. They were following at regular intervals in the outpatient department to assess recurrence. The mean age of the patients was 41 years (range 26–47 years). Six patients gave history of breast-feeding in the last 5 years, one was lactating at the time of presentation. One of the patients was treated empirically for Tuberculous mastitis for the opposite breast. Others had no history suggestive of tuberculosis or other connective tissue diseases, such as rheumatoid arthritis or sarcoidosis USG breast was performed in all cases. Hypoechoic abscess was seen in 5 cases. The time taken for complete resolution of the disease was ranging from 2 weeks to 2 months. All patients had an uneventful recovery and no recurrences reported till now. GM is a rare benign breast disease that is difficult to distinguish from other inflammatory breast diseases or cancer. The diagnosis of GM must be based on a multidisciplinary approach. Surgical management followed by antibiotics was found to be sufficient to treat the condition in our patients. Corticosteroids need not be administered in all cases of this benign breast disease.

Background: The incidence of breast cancer in India is showing an increasing trend and more patients are diagnosed with breast cancer at a younger age. The prognosis of breast cancer is better when it is diagnosed at an early stage and proper treatment started early. Breast self-examination (BSE) remains as an important inexpensive tool which help in detecting any breast abnormality and diagnosing breast cancer, especially in Indian scenario. This survey was conducted among the young ladies working or studying in a tertiary care centre in Mumbai to assess the awareness about breast cancer, BSE and its practice in educated women.   Methods: This is a cross sectional study conducted among 553 females studying and working in a tertiary care institute at Mumbai. A questionnaire was prepared and response was noted down and analysed statistically.Results: According to our study even the educated women working in medical institute were not completely aware of the BSE, its practice and its importance in day-to-day life.Conclusions: The awareness  about breast cancer among students and staff  was found to be  good  in this  health care institute but most of them are not aware of proper method  and interval of BSE. The main medium of information was audiovisual. The awareness programmes need to be more for encouraging people to do a BSE and take an early medical help.

Gastrointestinal perforation is a common cause of acute abdomen due to peritonitis. The etiology and pathophysiology of gastrointestinal perforations is varied and can range from a small prepyloric perforation that is relatively clean to transection of small or large bowel with spillage of contents in peritoneum with gross contamination. Some of these are more common than others. Here we present 6 cases of rare perforations presenting to us in the casualty, their management and postoperative course in hospital. Methods: We will be assessing the cases of patients, their history, clinical presentation, radiological imaging who presented with acute abdomen secondary to bowel perforation and were intraoperatively diagnosed to have a rare pathology and assess the management and postoperative outcomes. Results: In this case series, 5 rare cases of GI perforations are highlighted including rare cases of posterior gastric perforation, DJ transection, jejunal transection, jejunal perforation, large mesenteric tear and sigmoid colon perforation. All these cases required a different approach in managing intraoperatively. Conclusion: Gastrointestinal perforation is a common cause of acute abdomen and requires emergency surgical intervention. CT imaging has become a fundamental part of the preoperative evaluation and can determine site and cause of perforation.Gastrointestinal tract perforations can occur due to various causes, and most of these perforations are emergency conditions that require early recognition and timely surgical treatment the mainstay of treatment for bowel perforation is surgery. Atypical presentation of perforation can be a challenge to surgeons andshould be prepared to deal with it.