Background: Pilonidal sinus (PNS) is an acquired condition described as a chronic sinus containing hairs and found between the buttocks. Best surgical method is still being searched for treatment of PNS in terms of minimizing disease recurrence and patient discomfort.Methods: The prospective study of 40 patient undergoing excision and primary closure of pilonidal sinus from October 2013 to July 2016 at Max Super Speciality Hospital Gurgaon.Results: Mean operative time was 30 minutes. One patient developed hematoma due to blockage of drain on post-operative day 2 which was flushed with saline and drain made patent, one patient developed seroma and one had wound infection. Rest other patients had uneventful course post operatively. No recurrence was noted over 6 month follow up.Conclusions: We advocate this method of treating PNS which is simple, less time consuming, short hospital stay, rapid healing, shorter time off work, minimal recurrence with excellent results.

Background: Scoring systems are valuable and valid for discriminating between acute appendicitis and nonspecific abdominal pain. Alvarado scoring is classical and different modifications of Alvarado score have been introduced but none is ideal and negative appendicectomy rate is still high. The aim of the study is to design a more reliable scoring system which is cost effective, simple, easy to learn, high accuracy, which can be applied by any doctor at any health care facility.Methods: Retrospective study of 160 patients hospitalized with abdominal pain suggestive of acute appendicitis and subsequently operated over a period of 5 year from January 2012 to January 2017 at Max Super Speciality Hospital, Gurgaon.Results: In the present study based on six clinically most significant variables, a diagnostic accuracy of 96.25% was achieved while the same was 85% for classical Alvardo Score. This significantly increased the diagnostic accuracy and lowered the negative appendicectomy rate.Conclusions: Max Appendicitis Score is perfect scoring system for diagnosing appendicitis, it can be specially very handy in peripheral health centers where radiological facilities are sparse.