Gall stone disease (GSD) is one among the most common reasons for which patients flock the office of general surgeons and cholecystectomy is one of the most common surgeries performed worldwide. Though majority of the patients are asymptomatic but a considerable number among them are deprived of their vital gall bladder for just or unjust reasons. With the introduction of laparoscopic cholecystectomy, there has been significant escalation in unnecessary cholecystectomies leading to excessive burden on health care system as well as subjecting patients to undue surgical risk. Considering the benign natural history of GSD, a restrictive strategy should be adopted while deciding surgical management for GSD. In this article, the author has given evidence from already published literature to support his views. Preoperative and sincere assessment of each symptom with exclusion of functional disorders and due consideration of patient’s life expectancy are paramount in reducing unnecessary cholecystectomies as well as ensuring long tern relief of symptoms post-surgery.

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Brachial artery pseudo-aneurysm (BAP) is a rare entity because pseudo-aneurysms are common in lower limbs.1 Usual causes of BAP are humeral fractures, iatrogenic causes (repeated punctures for sample collection, following construction of Brachio-cephalic fistula) or some genetic causes like Ehler Danlos syndrome (EDS). This case has been reported to highlight the importance of considering all the differential diagnosis while evaluation of an upper limb swelling especially in the cubital fossa and due consideration of history of any IV drug abuse.

Background: This study involved various malignancies affecting the groin area in all age group of patients and both genders. The aim of the study was to study the various types of malignancies affecting groin, viz. primary or metastatic, and to project their clinical profile.Methods: In this observational study, a total of 145 patients of groin malignancies were studied in department of General and Minimal Invasive Surgery and allied specialties in a tertiary care hospital. The study was retrospective from January 2005 to April 2012 and prospective from May 2012 till 2014. Results: Out of the total of 145 cases almost 95% were metastatic in the groin and primary groin cancers constituted only 4.9% of the cases. Out of 138 tumors that were metastatic in the groin 108 were squamous cell carcinomas followed by malignant melanoma in 28 cases. Most common predisposing factor for development of groin malignancy was use of kangri in our area.Conclusions: Most of the groin malignancies are metastatic to groin and primary cancers at groin are very rare. Kangri use in our part of the world, is the most important predisposing factor leading to squamous cell carcinoma. The management protocol followed in order to treat groin malignancy is surgery of the primary lesion and block dissection of groin.