Background: Gallstones can cause varied spectrum of histopathology. Xanthogranulomatous cholecystitis and metaplasia have been shown to have association with carcinoma gallbladder. Incidental carcinoma of the gallbladder is a nightmare for the patient. Routine histopathology of all cholecystectomy specimens is an effective policy for its early diagnosis and management. Methods: It is a retrospective study of histopathology of cholecystectomy specimens related to gallstones disease done at a rural government in north India. All patients with preoperative or intraoperative gross malignancy of gallbladder were excluded from study. Results: In our study, females were predominating over males with a ratio of 6.07:1. The mean of all patients was 44.16±14.64 years. Chronic cholecystitis was most common (69.81%) histopathological entity. Incidental carcinoma was also revealed in 1.9 % of the cases. Metaplasia and xanthogranulomatous cholecystitis was reported in about 6% cases. Mixed stones were most common type reported in 76.79% cases. Multiple stones (72.8%) were more common than single stones. Majority (58%) of the cases in our study were operated by laparoscopic technique. Gallbladder perforation was most common complication noticed in about 4.15% cases. Conclusions: Despite meticulous preoperative investigations and gross specimen examination, incidental carcinoma of gallbladder is a rule rather than exception in significant number of cases. A routine histopathology of specimen should be considered especially in high risk zones of carcinoma gallbladder.

No abstract

No abstract

Background: Port site infection is not an uncommon entity in laparoscopic cholecystectomy. It has been reported in 1.4 -6.7% of the cases. Patients and methods: It is a surgical audit of port site infections in 700 cases of laparoscopic cholecystectomy operated in our institute. Results: Females (85%) predominated over the males (15%). Mean age was 42.71 years with a standard deviation of 13.79 years. About 1/3rd (34.85%) of the cases in the present study were also suffering from an associated comorbid illness. Port site infection (PSI) was noticed in 3.71% (n=26) of the cases, it was only a superficial PSI in 1.71% (n=12) cases while a deep PSI in rest 2% cases Conclusions: Proper mechanical cleaning, sound selection of sterilisation method, strict compliance to the sterilisation steps without any enticements are the keys to avert the unsought complications like PSI in this novel laparoscopy technique.

RT-PCR is significantly more sensitive than histopathology and AFB smear in detecting MTB in fistula-in-ano. The routine practice of doing only histopathology and AFB smear in fistula patients might be missing a significant number of MTB cases and could be responsible for many recurrences in fistula patients. RT-PCR should preferably be done in all fistula cases and at least in refractory and recurrent fistulas.