The objectives of this study were to study the total cost and operative time required for suture and staple Repairs, to study the effect on wound healing and infection rate with the use of Sutures and staples, to study the cosmetic results of these two techniques and to study the degree of patient's acceptance with the two techniques. MATERIALS AND METHODS: Source of Data: The study was conducted on 100 patients who undergoing elective surgery from January 2010 to March 2014 in BLDE UNIVERSITY, Shri B M Patil medical college Bijapur. The patients were randomly selected to receive either suture or staple repair. METHOD OF COLLECTION OF DATA: DURING OPERATION-from operating surgeon. Post operatively: from patient's input. Supply of Suture and Staples: from pharmacy. FOLLOW UP OF PATIENTS: Patients came for follow up to outpatient Department After discharge. INCLUSION CRITERIA: Patients undergoing elective abdominal surgery, with clean wound. EXCLUSION CRITERIA: Patients having lacerated wounds with skin loss. RESULT: The study groups included 100 patients who underwent wound closure by staplers and 100 patients who underwent the silk suturing. The youngest patient was aged 2 year and the oldest was 75 years old. The commonest region of the surgical wounds in this study was inguinal, 20 in staplers and 20 in suture group. The time taken for wound closure using staplers showed statistically significant difference over silk suture closure. It took the stapler four times less duration to perform wound closure. The appearance of the scar among the staple groups was good in 90% of those who returned for follow up at one month, 10% had average scar. The average cost of using staple was higher than silk suture. Patient acceptance was better in the staple group with less pain during removal as compared to suture group. There were four complications in the staple group in the form of wound infection and ten cases of postoperative wound infection in the suture group. Average VAS of patients in staple group at the end of one month was 71.88 (±5.50) while the average for suture group was 64.44(±6.17). P value calculated using Student's Unpaired 'T' test. P value was <0.0001 which was highly significant.

In a tropical country like India, it is not rare to see patients with parasitic cysts. Hydatid cysts most often caused by the parasite Ecchinococcus granulosus present as space occupying lesions of the lung or liver. Isolated musculoskeletal and subcutaneous Hydatid cysts in the absence of any involvement of the lungs and liver are very rare and only a handful of cases have been reported in literature. We report an interesting case of an isolated subcutaneous Hydatid cyst of the gluteal region presenting as a gluteal abscess in a 45 year old lady. This report aims to highlight the unique presentation of the spectrum of Hydatid disease.

Acute appendicitis is a clinical entity that presents with typical characteristics in young patients. Appendix as a cause of intestinal obstruction is uncommon and not always suspected. The gut entrapped by the appendix, acting as constricting band causes intestinal obstruction and can cause gangrene of bowel if not intervene early. Only 11 cases are reported till date. We present a case of appendicular knot in a young male patient.