This comparative study was conducted at ESIC MEDICAL COLLEGE & PGIMSR, K.K.NAGAR,CHENNAI -78 for a total of 50 patients who were diagnosed with Great saphenous varicose veins with perforator incompetence for a period of 18 months from April 2018. Patients underwent open subfascial perforator ligation or subfascial endoscopic perforator ligation in a 1: 1 ratio by alternate allocation method. Odd numbered patients were treated by subfascial endoscopic perforator surgery and even numbered patients were treated by open subfascial perforator ligation . The observation and inference is noted in this presentation.

Background: Cellulitis is an acute spreading infection of the skin and subcutaneous tissues characterized by local findings of tenderness, erythema, increased warmth, swelling, and regional adenopathy. Attempts to establish a precise bacteriologic diagnosis in most cases of cellulitis in adults are usually unrewarding, and therapy tends to be empiric. The aim of the study was to determine the efficacy of Ultrasonography guided sterile isotonic saline aspirate (UGSISA) in the isolation of microorganisms in the management of cellulitis.Methods: A cross-sectional study with 100 patients suffering from lower limb cellulitis was performed. The most infected area was marked with ultrasonography, using the 21 G needle under sterile precaution; around 0.5 ml of sterile isotonic saline was injected into the most infected area and aspirated. The aspirate was sent for gram staining, cultured, and analyzed according to standard procedures.Results: Needle aspirations in 100 patients were performed, and 30% had positive aspirants. The most common organism grown was Streptococci, and the least common was coagulase-negative Enterococcus, 2 patients had mixed infections. Major risk factors associated with lower limb cellulitis in our study were diabetes (54%) and spontaneous (20%).Conclusions: In our study, as a routine diagnostic procedure, needle aspiration may not be justified for all cellulitis patients, though it may still be useful in patients where the most infected area was marked with ultrasonography before needle aspiration.

Background: Surgical site infections (SSIs) are associated with high healthcare costs and worsen the post-operative course of a considerable proportion of general abdominal surgical patients. SSIs raise the risk of post-operative morbidity and mortality, necessitating hospitalization, intravenous antibiotics, and potentially surgical reintervention. The aim of the study was to compare the outcome of intermittent loose knots and the conventional vertical mattress suturing in patients undergoing abdominal surgeries.Methods: This prospective comparative study was done in patients undergoing emergency abdominal surgeries for any cause. Patients were divided into 2 groups- (a) group 1 (45 patients): intermittent loose knots between conventional vertical mattress sutures; (b) group 2 (45 patients): conventional vertical mattress suturing.Results: In this study, 31% of patients were in the 41-50 years age group, 53.3% of patients were male. Among various abdominal surgery opted, laparotomy was the most commonly performed procedure (47%). In this study, group 1 patients shown a decrease in wound gap, secondary wound closure and delayed wound approximation than group 2 patients.Conclusions: Loose knots in between conventional vertical mattress sutures are better than conventional vertical mattress suturing in terms of wound gap, secondary wound closure and delayed wound approximation.