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Aim: To compare Transanal suture rectopexy with Open hemorrhoidectomy in patients of hemorrhoids. MATERIALS AND METHOD: After obtaining institutional ethics committee clearance, a prospective comparative study was done involving 60 patients with hemorrhoids undergoing either Transanal suture rectopexy [TR] or Open hemorrhoidectomy [OH]. With simple random sampling, the patients who t into the criteria was randomized in to two groups A for Transanal suture rectopexy and group B Open hemorrhoidectomy Both the procedures were compared RESULTS: with respect to mean operating time, intra-operative & post-operative bleeding, postoperative pain & use of analgesia, duration of hospital stay along with six months of post operative complications in which we observed that Transanal suture rectopexy is better in terms of intraoperative bleeding, postoperative pain, duration of hospital stay and postoperative recurrence as compared to Open hemorrhoidectomy. Suture hemorrhoidopexy can be considered as a safe alternative CONCLUSIONS: approach for surgical treatment of hemorrhoids than open hemorrhoidectomy after adequate training. More studies are needed to declare it as a standard procedure for the cure of the disease of hemorrhoids

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Background: Gallbladder perforation (GBP) is a rare clinical entity but life-threatening complication of cholecystitis with or without stones and associated with increased rate of mortality and morbidity due to late diagnosis. Case description: We describe the case of a 51-year-old male patient who presented with abdominal pain and a Niemeier type II GBP. CT scan revealed a GBP with subhepatic collection and surrounding inflammatory changes. It was communicating through a thin hypodense band with the cystic duct, distal to an impacted stone. Through laparoscopy, the collection was confirmed to be a subhepatic secondary to GBP. The cholecystectomy and the abscess cavity treatment were completely handled via laparoscopic approach. Discussion and conclusion: The case report demonstrates that laparoscopic approach can be a safe and feasible method in order to treat both the cause and the complication in this situation. Early diagnosis and appropriate minimally invasive approach are the key to manage this condition.

Highlights Rectal impalement injuries are infrequently encountered in surgeons’ practice. They pose a diagnostic challenge to surgeons and put them in demanding circumstances for successful extraction. High index of suspicion of perforations should be there in all rectal foreign bodies. Iatrogenic bladder injuries give excellent results when repair suitably. Prompt diagnosis and immediate intervention to remove the foreign bodies are quintessential in all rectal foreign bodies with evidence of perforation.