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Pilonidal sinus over sacrococcygeal area is an acquired condition which affects young male adults usually. We did a retrospective chart review in the department of general surgery,Kalinga Institute of Medical Sciences,Bhubaneswar, for patients who underwent limberg flap repair for pilonidal sinus from sept 2015 to sept 2021 (6 years and 8 months) .A total of 49 patients with 40 males and 9 females respectively, were operated and they had a minimal post operative pain,average post operative hospital stay of 6 days and early return to work in 3 weeks. Four out of 49 patients developed seroma,out of which 1 was lost to follow up .Remaining 3 took two weeks to heal with regular dressings and no recurrence so far .One patient developed stitch granuloma and was treated conservatively. Hence Limberg flap for sacrococcygeal pilonidal sinus was found to be very useful in terms of post operative pain,infection rate,patient compliance,early return to work and almost nil recurrence rates. [ABSTRACT FROM AUTHOR]

Carotid Artery Injury is a life-threatening emergency. Injuries to the Carotid Artery constitute a particularly challenging subset of arterial trauma because they have the potential to produce exsanguinating hemorrhage, suffocating airway compromise and debilitating cerebral damage. The majority of patients with vascular neck injuries died at the site where the injury occurred or during transport to medical facilities. Transection of the Common Carotid Artery is very rarely encountered and most surgeons lack experience for intervention of the same. We reported a case of carotid artery injury, who presented to us in shock. Aggressive resuscitation and timely surgical intervention saved the life. [ABSTRACT FROM AUTHOR]

Background: Infected wounds pose a special challenge for management, with an increased risk of wound chronicity, systemic infection, and the emergence of antibiotic resistance. Silver nanoparticles have multimodal effects on bacteria clearance and wound healing. This study aimed to document the efficacy of a topical silver nanoparticle-based cream on bacteria clearance and wound healing in infected wounds compared to Mupirocin., Methods: This open-label parallel randomized clinical trial allocated 86 participants with infected wounds (culture-positive) into Kadermin, silver nanoparticle-based cream arm (n=43) and Mupirocin arm (n=43) and documented the swab culture on day 5 and wound healing at day 28, along with periodic wound status using the Bates-Jensen Wound Assessment Tool. Patients received oral/systemic antibiotics and other medications for underlying diseases. The intention-to-treat principle was adopted for data analysis using the chi-square and Student t tests to document the differences between groups according to variable characteristics., Results: All participants completed the follow-up. On day 5, wound bacteria clearance was observed in 86% and 65.1% of the participants in the Kadermin and Mupirocin arms, respectively (p=0.023). At day 28, complete wound healing was observed in 81.4% and 37.2% of the participants in the Kadermin and Mupirocin arms, respectively (p≤0.001). No local or systemic adverse event or local reaction was observed in any of the participants., Conclusion: Kadermin, the silver nanoparticle-based cream, has better efficacy in achieving faster wound bacteria clearance and healing in infected wounds compared to Mupirocin. This may have relevance for its use as an antibiotic-sparing agent in wound management., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Pathi et al.)