Haemorrhoidectomy: open versus closed technique

To compare open haemorrhoidectomy technique with closed one in terms of wound healing time and complications. A comparative clinical trial. Department of Surgery Bahawal Victoria Hospital Bahawalpur, from June 2006 to June 2008. Patients of 3rd and fourth degree haemorrhoid [n-60] were selected for this study. They were divided into two groups. Group A [n-30] was treated by open haemorrhoidectomy [Milligan Morgan technique] and group B [n-30] was treated by closed haemorrhoidectomy [Ferguson technique]. Postoperatively patients were evaluated for wound healing time and complications. The age of the patient ranged from 18 years to 73 years. The wound healing time was little over 2 weeks in group B while it was just above 4 [1/2] weeks in group A with p value of less than 0.05. After 24 hours the mean VAS in group A was 4.76 +/- 1.4 while it was 3.93 +/- 1.68 in group B and the p value was 0.046 which was significant The best results were obtained with closed haemorrhoidectomy technique as there was less post operative pain, rapid wound healing and less post operative bleeding with this approach. Closed haemorrhoidectomy is treatment of choice for 3[rd] and 4[th] degree haemorrhoids

Mondor's disease of breast

A case of Mondor's disease of breast in a 32 years old lady is described. She presented with painful vertical subcutaneous cords under her left breast. On scintimammography a suspicious nodule in her breast was detected, which revealed to be benign epithelial lesion on FNAC. With reassurance and placebo, the disease resolved spontaneously within two months