Introduction: Pilonidal sinus disease (PSD) is a chronic inflammation and infection of the sacrococcygeal area with swelling, discomfort and seropurulent discharge among the ain symptoms. Studies show the disease to be an acquired condition. Among the treatments offered are excision and secondary intention healing, marsupialization, excision and primary closure, and different kinds of excision followed by flap repair, commonly being Karydakis flap and Limberg flap. The surgical outcomes of both the types of flaps is compared in this study. Aim and Objectives: To assess the surgical outcome between Karydakis flap and Limberg flap in pilonidal sinus. Materials and Methods: It was an observational study conducted at department of surgery, in patients with pilonidal sinus between the age of 15 to 65 yrs. A total of 30 patients were included after obtaining the informed consent, with group A as 15 patients undergoing Karydakis flap procedure and group B as 15 patients undergoing Limberg flap procedure. Results: The mean age of patients was found to be 33.10±11.57yrs of age, male preponderance (80.0%) was seen. Male to female ratio was 4:1. Mean operative time was 45.1±3.0 and 57.7±3.7mins for Karydakis flap and Limberg flap method respectively. Significant lower blood loss was seen among the Karydakis flap method. Lower duration of hospital stay was seen among the Karydakis flap group (4.9±1.2days), Limberg flap group (5.2±0.7days). Overall, 6 patients presented with recurrence who underwent the Karydakis flap method. Conclusion: Comparative results seen between both Karydakis flap and Limberg flap however, Karydakis flap procedure showed shorter operative time, lower blood loss. Patient's with Limberg's flap had lesser early post operative complications, early pain-free toileting and nil recurrence and was recommended to other patients. Hence, Limberg flap is still a better option to the patients as compared to Karydakis flap procedure.

Background: the most common surgical problem is hernia. It is common in both the sexes and the commonest site being the inguinal region. The prevalence of hernia is about 30%. The tubercle plays an important role in inguinal hernia. The measurements wary from person to person depending on it the risk of developing inguinal hernia is also present. Prevention is a major step which specially in early adulthood. Aim: To assess the liaison (relation) of pubospinal distance between cases and controls. Methods: A case control study was carried out to evaluate the risk of low lie tubercle. All the subjects were evaluated who fulfilled the inclusion criteria. The sample size studied was 150 cases and 150 controls. Measurements of SS line, ST line and MP line were taken and evaluated for risk of inguinal hernia. Results: the age group studied ranged from 17 to 65 years. 120 were male subjects and 30 female subjects. Major of the subjects had indirect hernia. The commonest complaint among the subjects was swelling. The measurements were taken in detail and analyzed for cases and controls. The role of SS, ST and MP lines were significant and proportional to developing inguinal hernia. Conclusion: the end result of this study showed age group between 51-60 years inguinal hernia is common. More number of subjects had indirect inguinal hernia. With regard to measurements SS and ST line was higher in cases when compared to controls.

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Background: Inguinal hernias are one of the commonest problems encountered by the patients, which requires admission and surgery as its treatment. Present Study aimed to compare the surgical outcomes of Desarda repair versus Lichtenstein repair for inguinal hernia. Methodology: This present prospective comparative study was conducted among the patients above 18yrs of age getting admitted to hospital with diagnosis of uncomplicated inguinal hernia included after obtaining the informed consent. Result: Total of 50 patients were included in the study and divided into two groups based on type of surgical treated opted for the patients, in each group 25 patients are included. The overall mean age of all the patients included in the study was found to be 50.32±13.67yrs. Duration of the surgery, there was significant lower duration of surgical time in Desarda repair (48.2±7.62mins) compared to Lichtenstein repair (87.4±7.37mins) (p<0.05). The cost of procedure among the DR group was lower than in the LR group (approximately 3000 and 5000 INR respectively). Found a significant higher pain score among the patients of LR group at 6hr (5.2±1.1) and 12hr (2.4±0.8), compared to DR group at 6hr (3.8±0.8) and 12hr (1.6±0.5). (p<0.05) Number of days to resume to work was significantly lower in DR group (11±1.0days) compared to LR group (12.8±1.4days). (p<0.05) Conclusion: Present study documented a shorter operating time, early discharge and return to work among the patients underwent Desarda repair compared to the Lichtenstein repair. The post operative time and cost of surgery was found to be lower among the Desarda repair.