Background: Pilonidal sinus is a chronic benign disease that mostly affects young adults. It is an acquired condition and commonly arises in the sacro-coccygeal region in the hair follicles of the deep natal cleft due to certain etiologic factors like hirsutism, deep natal cleft, obesity, local trauma, local irritation and smoking. Results: In this study 40 patients of single pilonidal sinus over the sacro-coccygeal region were studied. The Mean age was 29 years and out of 40 patients 12 were females. The mean hospital stay in patients treated with excision was 29 days, for Z plasty was 24 days and for Limberg flap was 15 days. When followed up for 26 months 2 out of 10 patients treated with Z plasty, 1 out of 5 patients treated with open technique followed up for recurrence, and no recurrence were noted in patients with Limberg flap. Conclusion: In our study we conclude Limberg flap was associated with lesser post operative complications, shorter hospital stay, increased patient satisfaction and lower recurrence rate.

Aims and Objective:To study the efficacy, safety and clinical outcome of patients undergoing laparoscopic appendicectomy in the treatment of acutely inflamed appendix. Materials and Methods: Laparoscopic Appendicectomy is used as day to day procedure for acute appendicitis. Case study of 42 patients undergoing laparoscopic appendicectomy is studied in prospective data analysing duration of intraoperative time, complications during surgery, after surgery complications, time until resumption of orals, joining back to work, postoperative debility and length of hospital admission. Results: Total 42 patients underwent laparoscopic appendectomy 21 were male and 21 were female with the mean age of patient undergoing laparoscopic appendicectomy was 26.66 years. Pain in abdomen was most common symptom followed by nausea. All patients were discharged at around second day. Conclusion: Laparoscopic appendicectomy patients were admitted for lesser duration and their post operative pain was of less intensity. Patients of laparoscopic appendicectomy were started oral diet earlier.

Aim: To observe the results and complications of lateral internal sphincterotomy in anal fissure. Materials & Methods:The study was carried out as a prospective observational study of 40 patients at surgery department of a medical college & tertiary health care center, over a period of two years that included cases of anal fissure in the age group of 16 years and above for conservative & surgical management. Results: The recovery of the patient after this marvellous operation was fast and the pain relief was dramatic. On follow-up at 2 weeks post-operatively pain and other symptoms were present only in 11 patients (27.5%). On follow-up at 8 weeks post-operatively all 40 patients (100%) were symptom-free in this study. The complications that were observed within time frame of this study were Soiling in 4 patients (10%) and incontinence to flatus in 1 patient (2.5%). There was no recurrence of anal fissure observed in this study group within the time frame of this study. Conclusion: It is very evident from the above study that 'Lateral Internal Sphincterotomy' is by far the best operation for an indolent anal fissure.

Pilomatrixoma is a benign skin tumor derived from hair follicle matrix cells. They typically present as a superficial, firm, solitary, slow-growing, painless mass in the dermis. Pilomatricomas are frequently misdiagnosed and are not usually considered in differential diagnoses, either in clinical set-up or during cytological reporting. These lesions are typically found in the head and neck region. Involvement of the lower extremities is relatively uncommon and can be mistaken for malignancy. We present the case of a 55-year-old male with a pilomatrixoma of thigh which is a rare site of occurrence of the lesion and we review the literature regarding pilomatrixomas.

Pilomatrixoma is a benign skin tumor derived from hair follicle matrix cells. They typically present as a superficial, firm, solitary, slow-growing, painless mass in the dermis. Pilomatricomas are frequently misdiagnosed and are not usually considered in differential diagnoses, either in clinical set-up or during cytological reporting. These lesions are typically found in the head and neck region. Involvement of the lower extremities is relatively uncommon and can be mistaken for malignancy. We present the case of a 55-year-old male with a pilomatrixoma of thigh which is a rare site of occurrence of the lesion and we review the literature regarding pilomatrixomas.