Background: Appendicitis is inflammation of the appendix. In managing the patients with appendicular mass, many controversies arouse between conservative method of treatment and surgery, antibiotic therapy duration, drain usage, skin closure. This study evaluates the safety and efficacy of laparoscopic appendectomy in patients with complicated appendicitis.Methods: This is a retrospective study conducted in in Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, April 2017 to August 2017. It included a total of 100 patients who were treated for appendicitis.Results: The numbers of male patients were 15, number of female patients were 7. The male to female ratio was 2:1. The patients age ranged from 14 to 48 years. The duration of treatment before admission ranged from 5 days to 10 days. Most of the patients had leucocytosis (68%) of greater than 10,000/mm3. All patients had undergone laparoscopic appendectomies within 24 hours. The average duration of stay in hospital was 5 to 10 days. No intra-operative complications were observed.Conclusions: This study concludes that laparoscopic appendectomy is more feasible in patients with appendicular mass.

Iatrogenic colonic injury induced by barotrauma during colonoscopy is not uncommon but non iatrogenic injuries due to high pressure compressed air are extremely rare. Such instances are frequently reported among young male industrial workers with access to machinery like high grade air compressors. Trans anal insertion of nozzle of industrial air compressor as a prank or pervert act leads to multiple site colonic injuries leading to significant morbidity and mortality. Degree of injury depends on anatomical factors, air pressure and air velocity. In this case series, we report our experience with treating three such patients with high pressure colonic barotrauma.

Background: The objective of the study was to evaluate the advantages of USG guided pigtail catheter placement for drainage of liver abscess as a minimally invasive procedure.Methods: This is a retrospective study conducted in Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, April 2017 to August 2017. It included 45 patients who were diagnosed with solitary liquefied liver abscess. The effectiveness of drainage was determined by doing serial USG scans.Results: Age group varied from 27 to 52 years. Out of 45 patients 41 were men and 4 were women. The male to female ratio was 10:1. All the patients underwent USG guided pigtail catheter insertion for solitary liver abscess. Average hospital stay varied from 2–3 days. No complications were observed during the procedure.Conclusions: This study concludes that drainage of solitary liver abscess by USG guided pigtail placement as a minimally invasive procedure was good in clinically improving the patient’s general condition & decreasing the size of abscess cavity.

Introduction The disease of varicose veins is a common vascular condition affecting one out of five in world population. Although conventional surgical treatments were considered the gold standard, they were fraught with many complications. Endovenous thermal interventions like endovenous radio frequency ablation (RFA) have largely superseded traditional surgery as the gold standard treatment as it is minimally invasive. Our initial experience with this treatment modality is presented along with the review of literature. Aim Our aim was to evaluate the efficacy, safety, clinical outcomes, and health economic benefits of endovenous RFA for varicose veins in our setup. Materials and Methods It was a prospective observational study conducted by the Department of General surgery at ESIC Medical College and Hospital, Hyderabad, India, from September 2020 to February 2021. Thirty consecutive patients with primary varicose veins were evaluated by detailed history, clinical examination, and venous Doppler study of the lower limbs. The procedure was performed under spinal anesthesia and Doppler ultrasound guidance using the ClosureFast (Medtronic) radio frequency segmental ablation system. Additionally, multiple stab phlebectomies were performed to deal with tributary varices in required cases. Various intraoperative (length of vein ablated and operative time) and postoperative (complications and return to work) variables were studied. Postoperative follow-up at 1,8,24 weeks was done clinically and using Doppler ultrasound to look for the recanalization of vein. The collected data were entered in Microsoft Excel spreadsheet and analyzed using descriptive statistics. Results The mean (standard deviation) age of patients was 39.1 (8.7) years. Ten patients had C2 disease, six C3, eleven C4, and three had C6 disease. The mean postoperative visual analog scale score on day 1 was 1.4. Mean return to normal activity time was 1.3 days. Average return to work time was 2.1 days. The post-procedure total occlusion rate at 24 weeks follow-up was 96%. Conclusion Endovenous RFA is a safe and effective minimally invasive modality for treating lower limb varicose veins, providing health economic benefits to patients.