This study aimed to assess the effectiveness and safety of percutaneous needle aspiration (PERCUTANEOUS NEEDLE ASPIRATION) and percutaneous catheter drainage (PER CUTANEOUS DRAINAGE  ) in the treatment of liver abscess. Methods: A prospective randomized study was conducted in patients presenting to Department of Surgery, GMERS Medical College, Vadodara between July 2019 and May 2022. 50 patients with liver abscess were randomized into two groups A and B. Complete history, presenting symptoms, medications were noted. The effectiveness of either treatment was measured in terms of duration of intravenous antibiotic, clinical improvement, reduction in the size of cavity, treatment success rate, duration of hospital stay including long-term outcomes such as sonographic resolution of cavity and recurrence rate at 6 months post-treatment. Results: Per Cutaneous Drainage group had statistically significant rate of duration of antibiotics need, days for clinical improvement and time for 50% reduction in abscess cavity and treatment success rate with comparable long-term outcomes. Conclusion: Per Cutaneous Drainage is more efficient than Percutaneous Needle Aspiration and can be used primarily in the treatment of both amoebic and pyogenic liver abscesses along with systemic antibiotics. However, Percutaneous Needle Aspiration can serve as a safe alternative when Per Cutaneous Drainage is not available.

Introduction: Till recently Milligan – Morgan haemorrhoidectomy i.e. conventional or open haemorrhoidectomy is the most popular surgical treatment for haemorrhoids. With the advent of minimal invasive surgery, the scenario has changed. More recently, stapler haemorrhoidectomy is becoming popular as a day care procedure with minimal post-operative pain and early return to work. The present study is designed to compare make a comparative assessment of the Stapled haemorrhoidectomy against Conventional haemorrhoidectomy in the surgical treatment of haemorrhoids. Material & Methods: A hospital based Non-randomised comparative study was conducted in Dept. of Surgery of at a tertiary care hospital. A total of 50 eligible cases scheduled for haemorrhoidectomy in our hospital were included in the study.  These 50 patients were then divided into two groups i.e. 25 for stapled procedure and other 25 patients for conventional procedureData was analyzed using statistical software SPSS ver. 21. Results: Mean operative time was significantly less in stapler group (39.12 vs 45.75 mins; p<0.01) while mean hospital stay was significantly longer in conventional surgery group (7.02 vs 3.01 days; p<0.01). Post-op complain of pain, immediately after surgery (6 hrs.) and at day 1 and day 3 was significantly less in stapler group (p<0.01).