Polypropylene suture versus skin staples for securing mesh in lichtenstein inguinal hernioplasty.

Objective: To compare polypropylene suture and skin staples for securing mesh in Lichtenstein inguinal hernioplasty in terms of mean operating time and postoperative pain.

Study Design: Randomized clinical trial.

Place And Duration Of Study: Surgical Ward, Combined Military Hospital, Kharian, from August 2011 to February 2012.

Tracheal schwannoma: a rare tracheal tumour.

Primary tracheal tumours are histologically similar but 100 times less common than main stem tumours. We report a case of primary tracheal schwannoma in a middle aged man. He had chronic cough for 2 years, and developed hemoptysis and stridor in the days preceding to presentation.

Gastropleural fistula: an unusual sequel of blunt chest trauma.

In the October 2005 Earthquake in mountainous Azad Kashmir and adjacent areas in Pakistan, a young female sustained crush injury chest and upper abdomen. She remained hospitalized with lower chest pain. All initial investigations were normal and she was discharged symptom-free on conservative management.

Pilomatrixoma breast mimicking carcinoma.

A 50-year-old male with a painless progressively increasing lump of right breast, misdiagnosed on fine needle aspiration cytology as carcinoma breast, operated for modified radical mastectomy, is presented here. Histopathology of the resected specimen revealed pilomatrixoma.

Threaded-alive on a wooden picket.

A case of 4-year-old girl is presented, brought threaded-alive on wooden picket due to head-on fall from roof with wooden picket entering through left subcostal region and exiting from right buttock. Midline laparotomy was performed. Wooden picket was removed after enlarging the entry and exit wounds.

Fournier's gangrene--a rare complication of hydrocele aspiration.

A case of Fournier's gangrene of scrotum with systemic inflammatory response syndrome resulting from hydrocele aspiration in young male patient is presented. He was treated with antibiotics, wide local debridement of scrotal skin with evacuation of pus and gas; followed by serial debridements and dressings. Secondary suturing of scrotal defect was done after 02 weeks.