Multinodular goiters are more often looked upon as potentially benign type. But the incidence of malignancy in MNG is on the rise. The objective of this study was to determine the incidence of malignancy in multinodular goiter. In this prospective study total 40 patient of thyroid swellings (MNG, STN & diffuse goitre) were seen in the M.K.C.G. Medical College Hospital, Southern Orissa, during August 2011-July 2013. Thyroid hormone profile and FNAC was done in all cases while, USG was done in 28 cases and all cases underwent surgery and subsequently histopathological examination. In our series 62.5% of patients were found to have MNG and 3 (12%) of them were found to harbor malignant lesions in their glands after histopathological studies.
The fistula in ano is commonly encountered problem in surgery and the treatment of complex fistula in ano poses a nightmare for the surgeons as there is no single technique appropriate for its treatment. The objective of this study was to determine the effectiveness of various surgical treatments in terms of recurrence and in continence. In this prospective study, total 35 patients of complex fistula in ano were treated with different surgical techniques from June 2011 to July 2013 and recorded incidence of recurrence and incontinence as follows. There was no recurrence in the patients treated with fistulotomy and cutting seton alone. But recurrence rate of 25%, 10%and 8.33% were recorded in fistulectomy, staged fistulotomy and fistulectomy with cutting seton respectively. The major and minor incontinence also occurred as follows, in fistulotomy 14.29% & 42.87%, in fistulectomy 25% & 50%, staged fistulotomy 0% & 30%, fistulectomy with cutting seton 8.33% & 16.66% but patients treated with cutting seton alone developed no incontinence.
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