Suction assisted lipectomy [SAL] as a replacement for conventional surgical excision of subcutaneous lipomata

Introduction: Lipomata are avascular, painless, slow growing benign tumors of mature fat cells. Surgery is often sought for aesthetic reasons. Conventional excision of lipomata leads to visible scarring which in cases of large or multiple lipomata can be contrary to the purpose of the consult. We present the preliminary results of a novel suction assisted technique for lipoma excision developed at our institute. Materials and Methods: 18 patients with subcutaneous lipomata were included, who among them had a total of 51 lipomata. A suction cannula was inserted through a single sub- centimetric aesthetically placed incision under local anaesthesia to excise the lipomata. Postoperative complications and cosmetic outcomes were noted. Results: Complete excision of up to 17 lipomata was possible in all patients through a single sub- centimetric incision. Cosmetic results were excellent without any intra- or post- operative complications. Conclusion: Suction assisted lipectomy (SAL) is an aesthetic, simple and safe technique requiring no special training, with complete lipomata clearance with minimal complications. We strongly recommend that SAL with capsular extraction as an ideal replacement for conventional surgery in moderate [4-10 cm] to large lipomata [>10 cms] and in multiple lipomatosis

Case Report - An arteriovenous fistula following chalazion excision

An arteriovenous fistula secondary to a chalazion is a rare occurrence. It may follow spontaneous necrosis or surgical trauma. Digital subtraction angiography and identification of the arterial feeders combined with direct puncture of the nidus and embolization is recommended, as surgical excision becomes much easier and results in a complete excision of the lesion. Conchal cartilage graft is a useful lining material for reconstruction of the tarsal plate due to its natural curvature. It restores lid integrity and ensures a stable and functional eyelid

Indian guidelines on imaging of the small intestine in Crohn’s disease: A joint Indian Society of Gastroenterology and Indian Radiology and Imaging Association consensus statement

The Indian Society of Gastroenterology (ISG) Task Force on Inflammatory Bowel Disease and the Indian Radiological and Imaging Association (IRIA) developed combined ISG-IRIA evidence-based best-practice guidelines for imaging of the small intestine in patients suspected to have or having Crohn’s disease. The 29 consensus statements, developed through a modified Delphi process, are intended to serve as reference for teaching, clinical practice, and research