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Background: Acute pancreatitis is significant reason for intense abdominal torment. The job of diagnostic markers (pancreatic enzymes like amylase and lipase) as prognostic pointers has been a disappointment. C-reactive protein (CRP) assessment is modest and effective option. In this concentrate we have endeavored to check whether a solitary and early assessment of CRP levels is a viable indicator of morbidity and mortality in acute pancreatitis.Methods: This was a prospective observational study done at Government Medical College Srinagar Kashmir for a period of three years from May 2015 to April 2018. Fifty patients diagnosed to have acute pancreatitis were included in this study. Their CRP levels were sent on second day of admission and computed tomography (CT) scan done after 72 hours of admission. Demographic variables were recorded along with local and systemic complications and compared with CRP levels.Results: In this study of 50 patients, we found that most of the patients of pancreatitis were young to middle aged males, a majority of whom belonged to fourth decade of life. We found that levels of CRP rise as age and severity progresses. CRP levels also remains on higher side in various local complications like necrosis, acute fluid collection etc., however a statistical significance could not be ascertained.Conclusions: Acute Pancreatitis is a life-threatening disease with a wide spectrum of clinical symptoms. C Reactive Protein as a prognostic marker has shown promising results in earlier studies. There is an need to further study its role so as to reduce the mortality and morbidity associated with acute pancreatitis.

Background: Stapled hemorrhoidectomy, popularly known as Longo technique is in use for the treatment of hemorrhoids since its first description to surgical fraternity in the world congress of endoscopic surgeons in 1998. Objectives: To evaluate the feasibility, patient acceptance, recurrence and results of stapled haemorrhoidectomy in our early experience. Methods: Between Jan 2012 and Dec 2013, 42 patients with symptomatic GRADE III and IV hemorrhoids were operated by stapled hemorrhoidectomy by a single surgeon at our surgery department. The evaluation of this technique was done by assessing the feasibility of the surgery; and recording operative time, postoperative pain, complications, hospital stay, return to work and recurrence. Results: All the procedures were completed successfully. The mean (range) operative time was 30 (20-45) min. The blood loss was minimal. Mean (range) length of hospitalization for the entire group was 1 (1-3) days. Only 3 patients required more than 1 injection of diclofenac (75 mg) while as rest of the patients were quite happy switching over to oral diclofenac (50 mg) just after a single parenteral dose. All the patients returned to their routine work in less than a week's time. The mean (range) follow-up was 6 (4-12) months. There were no major intraoperative or postoperative complications except for retention of urine in 8 patients. The patients are still on regular follow-up and have not had recurrence as yet. Conclusion: Stapled hemorrhoidectomy technique is a safe alternative to the traditional Milligan-Morgan technique. It can be performed as an office procedure, is well tolerated by patients and is cost effective than conventional surgical therapy.

Background: Pilonidal sinus is a common chronic inflammatory anorectal condition that arises usually in the natal cleft of the sacrococcygeal region. This disease leads to deterioration not only in professional life of young adults but in their personal life as well. The Limberg flap reconstruction is a frequently used procedure in pilonidal sinus. This aim of this study was to observe the usefulness of Limberg flap technique in treatment of pilonidal sinus in our setup.Methods: This study enrolled a total of 50 patients who underwent Limberg flap surgery for sacrococcygeal pilonidal sinus over a period of 6 years in two different tertiary care hospitals of northern India. Various factors were studied in this study which included age group, gender, operative time, length of hospital stay, post-operative complications, recurrence and time required for return to normal work and activities. All the data was tabulated and analysed.Results: In this study we found that the maximum number of patients were young males in their third decade of life who presented with complaints of discharging sinus, pain and infection. The Limberg flap technique was used in these patients which showed a good outcome as far as complication rates and recurrence rates were concerned. Also return to work in these patients was quite early when compared with other methods in literature.Conclusions: In this study, we can conclude that this procedure is relatively easy to perform with a shorter learning curve, fewer complication rates, faster healing and is associated with a shorter hospital stay.

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