Aim: To compare Transanal suture rectopexy with Open hemorrhoidectomy in patients of hemorrhoids. MATERIALS AND METHOD: After obtaining institutional ethics committee clearance, a prospective comparative study was done involving 60 patients with hemorrhoids undergoing either Transanal suture rectopexy [TR] or Open hemorrhoidectomy [OH]. With simple random sampling, the patients who t into the criteria was randomized in to two groups A for Transanal suture rectopexy and group B Open hemorrhoidectomy Both the procedures were compared RESULTS: with respect to mean operating time, intra-operative & post-operative bleeding, postoperative pain & use of analgesia, duration of hospital stay along with six months of post operative complications in which we observed that Transanal suture rectopexy is better in terms of intraoperative bleeding, postoperative pain, duration of hospital stay and postoperative recurrence as compared to Open hemorrhoidectomy. Suture hemorrhoidopexy can be considered as a safe alternative CONCLUSIONS: approach for surgical treatment of hemorrhoids than open hemorrhoidectomy after adequate training. More studies are needed to declare it as a standard procedure for the cure of the disease of hemorrhoids

Intercostal chest drain (ICD) or chest tube is a simple device used very frequently in medical, surgical and critical care specialties to drain air, blood or pus from the pleural cavity. Fracture of ICD and displacement of fractured segment within the pleural cavity is a rare complication. Minimal invasive approaches via video-assisted thoracic surgery (VATS) have been demonstrated predominantly in traumatic thoracic foreign body removal cases in a primary surgical setting. Here we present a case of a broken chest tube in the pleural cavity removed using VATS. A brief case report, review of literature and prevention of this complication is described.