International Journal Of Scientific Research

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Paraneoplastic Peripheral Neuropathy As Clinical Presentation Of Hepatocellular Carcinoma
(Indian Society for Health and Advanced Research, 2025-06) Vanukuri, Naga Jyothi; Krishna, K. Vamsi; Sujana, G.
Paraneoplastic syndromes are rare disorders that accompany the benign or malignant tumours but are not directly related to mass effects or invasion. Here we report a case of 62 year old male who presented with Peripheral neuropathy, further evaluation showed hepatocellular carcinoma (HCC). Though HCC can present as paraneoplastic syndromes, Peripheral neuropathy is a rare presentation of hepatocellular carcinoma. Recognition & diagnosis of paraneoplastic neuropathy is important as neuropathic symptoms usually precede the identification of primary tumor. Treatment at an earlier stage has better prognosis.
Effectiveness Of Octreotide In The Treatment Of Patients With Acute Pancreatitis: An Observational Study
(Indian Society for Health and Advanced Research, 2025-06) Kele, Vivek; Suraj, Lisha
Acute pancreatitis (AP) is an inflammatory condition of the pancreas having high morbidity and mortality, often leading to complications. Octreotide, a synthetic analogue of somatostatin, has been studied for its potential benefits in mitigating pancreatic inflammation and improving clinical outcomes. This observational study evaluates the effectiveness of octreotide in managing AP by analyzing clinical parameters such as pain relief, bowel motility, and complication rates. Conducted at a tertiary care hospital, the study included 50 patients divided into two groups—one receiving standard care with octreotide and the other receiving standard care alone. Results demonstrated that octreotide administration significantly reduced pain scores, enhanced bowel motility, and lowered complication rates. However, larger randomized controlled trials are recommended to establish definitive treatment guidelines.
Prospective Study Of Major Salivary Gland Swellings: Diagnosis, Management, And Outcomes In A Tertiary Care Setting
(Indian Society for Health and Advanced Research, 2025-07) Pattar, Aishwarya V; B R, Venkatakrishna; Chandramouli
Background: Salivary gland tumours constitute a significant subset of head and neck neoplasms, accounting for approximately 3–6% of all tumours in this anatomical region. The major salivary glands — namely the parotid, submandibular, and sublingual glands — are commonly involved in a variety of pathological conditions, ranging from benign lesions to aggressive malignant tumours. These tumours are characterized by diverse histopathological subtypes and a wide spectrum of clinical presentations, which can range from asymptomatic, slow-growing masses to painful, rapidly enlarging swellings with features such as facial nerve involvement or regional metastasis in malignant cases. Due to this diversity, accurate clinical evaluation, supported by imaging modalities (such as ultrasonography, CT scan, or MRI) and cytological/histopathological diagnosis, is essential for appropriate classification and treatment planning. The management of major salivary gland swellings requires a multidisciplinary approach to ensure accurate diagnosis, timely intervention, and optimal patient outcomes. This study is undertaken with theAim: aim of evaluating the Clinical profile of patients with major salivary gland swellings, Diagnostic methods utilized (including imaging and cytology), Treatment modalities employed and Outcomes observed in patients managed at our institution. A total of 15 cases wereMethods: selected based on inclusion criteria. Each patient underwent detailed history-taking, clinical examination, and diagnostic tests, including FNAC and imaging such as ultrasound or CT after obtaining informed consent. Surgical treatment was performed, and the decision on the procedure was made intraoperatively by the attending surgeon. Resected specimens were sent for histopathological examination to confirm the diagnosis. Postoperative care included monitoring surgical drains and suture removal on the fifth day. Malignant cases were referred to a higher center for further treatment, and all patients were advised to follow a structured follow-up schedule to detect complications or recurrence. TheResults: majority of salivary gland tumors were benign and occurred more commonly in females (53.3%) than males (33.3%), with malignant tumors found only in females (13%). Most benign tumors were seen in the 31–40 age group, while malignant tumors appeared only in patients over 40 years of age. The parotid gland was the most frequently affected site, accounting for over 70% of all tumors, including all malignant cases, whereas the submandibular gland contributed only benign tumors, and no cases involved the sublingual gland. Swelling was the most common presenting symptom (15) while pain was less frequent, and no cases of facial palsy or recurrence were reported. Superficial parotidectomy was the most commonly performed procedure followed by excision, total parotidectomy, and radical parotidectomy. Histopathological examination revealed pleomorphic adenoma as the most common tumor type, with only single cases of Warthin tumor and mucoepidermoid carcinoma, and no cases of acinar cell carcinoma. Salivary gland tumors are most common in the parotid gland, particularly among females in their 3rd to 5thConclusion: decades, with pleomorphic adenoma being the predominant type. Diagnosis is effectively aided by clinical examination and FNAC, which shows high accuracy. Surgery, mainly superficial parotidectomy, is the primary treatment, and long-term follow-up is essential due to the risk of recurrence and possible malignant transformation.
A Rare Case Of Chronic Inflammatory Demyelinating Polyneuropathy With Concurrent Abdominal Tuberculosis
(Indian Society for Health and Advanced Research, 2025-06) Pankajkumar, Trivedi Rudra; Sreepathi, Vinay Reddy; Desai, Om Bhavesh
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a rare, immune-mediated neuropathy characterized by progressive or relapsing motor and sensory dysfunction due to peripheral nerve demyelination. CIDP can be associated with autoimmune conditions, infections, or vaccines. The coexistence of CIDP with abdominal tuberculosis (TB) is extremely uncommon and poses a diagnostic challenge due to overlapping symptoms with more common diseases and neuropathies. We report the case of a 17-year-old female with a history of abdominal TB who presented with progressive bilateral lower limb weakness and difficulty walking for one month. Neurological evaluation revealed decreased muscle strength in both upper and lower limbs, diminished deep tendon reflexes, but preserved superficial and cortical sensations. Nerve conduction studies and MRI supported the diagnosis of CIDP. Differential diagnoses including diabetic neuropathy, Guillain-Barré Syndrome, paraneoplastic neuropathy, and hereditary motor-sensory neuropathies were considered and excluded based on clinical findings, laboratory results, and imaging. Cerebrospinal fluid analysis revealed elevated protein without pleocytosis, further supporting CIDP. The patient was treated with intravenous methylprednisolone and immunoglobulin therapy, resulting in clinical improvement. This case emphasizes the importance of recognizing CIDP in patients with atypical presentations, especially when coexisting with infections like abdominal TB. Misdiagnosis can lead to delayed or inappropriate treatment, worsening outcomes. A comprehensive diagnostic approach including clinical examination, electrophysiological studies, CSF analysis, and imaging is essential to distinguish CIDP from other demyelinating neuropathies. Early recognition and timely initiation of immunomodulatory treatment are crucial to prevent complications and improve prognosis. Our report adds to the limited literature on CIDP with abdominal TB and also highlights the need for increased clinical awareness of this rare but treatable neurological condition.
Spectrum Of Maternal Indications For Medical Termination Of Pregnancy
(Indian Society for Health and Advanced Research, 2025-06) Rachmale, Sakshi; Mande, Shubhangi; Rachakonda, Lakshmi; Sawant, Shweta
Medical Termination of Pregnancy (MTP) is a vital intervention when maternal health is compromised due to systemic, obstetric, or socio-legal conditions. This study aims to audit MTP cases conducted for maternal indications in a tertiary care setting. A retrospective observational study was conducted at MGM Medical College, Sambhajinagar, involving 15 women who underwent MTP due to maternal, fetal, or social indications. Most women were aged 21–30 years (53.33%) and were multigravida (86.67%). Major indications included cardiac disease, renal dysfunction, autoimmune disorders, and previous obstetric complications. Surgical termination was preferred in early gestation (60%), while medical methods were used in later weeks (20%). Post-procedure outcomes were uneventful in 53.33% of cases, while 26.67% required blood transfusion and 20% needed ICU admission. MTP for maternal indications is a safe and essential procedure when performed under specialist supervision. Early risk identification, access to tertiary care, and improved contraceptive counseling are essential to prevent high-risk pregnancies
Exploring Optic Neuropathy In Alcohol And Tobacco Addicts: A Detailed Observational Approach
(Indian Society for Health and Advanced Research, 2025-06) Goswami, Tushargiri Rameshgiri; Gohil, Neepa R.; Solanki, Anshu
Toxic amblyopia is a vision-threatening optic neuropathy commonly associated with chronic alcohol and tobacco use. We present a case series of 20 patients, all with a history of alcohol and tobacco consumption, who exhibited bilateral visual acuity loss and retinal nerve fiber layer (RNFL) thinning. Two patients (10%) also demonstrated abnormal color vision. Our findings highlight the importance of early detection, imaging with optical coherence tomography (OCT), and public health measures to address preventable causes of vision loss.
Prognostic Value Of Serum Albumin & Serum Uric Acid In Patients Of Acute Exacerbation Of COPD: A Cross-Sectional Study
(Indian Society for Health and Advanced Research, 2025-07) Kumar, Mukesh; Sharma, Amit Kumar; Saxena, Anil; V, Menon Haripriya; Kumar, Kaushal
Background: Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) significantly impact morbidity and mortality. This study evaluates the prognostic value of serum albumin and serum uric acid in AECOPD. A cross-sectional study involving 165Materials And Methods: AECOPD patients was conducted. Serum levels of albumin and uric acid were measured and correlated with disease severity and clinical outcomes including ICU admission and mortality. Serum albumin levels negatively correlated with COPD severity (r = -0.65, p < 0.001), whileResults: serum uric acid positively correlated (r = 0.6, p < 0.001). Lower albumin and higher uric acid levels were significantly associated with longer hospital stays, ICU admission, and mortality. Multivariate analysis showed serum albumin (OR = 0.7, p < 0.001) and serum uric acid (OR = 1.3, p < 0.001) as independent predictors of poor outcomes.
Effect Of LNG IUCD (MIRENA) Vs Dienogest In Adenomyosis: A Randomized Control Trial
(Indian Society for Health and Advanced Research, 2025-07) Johari, Meenakshi; Kumari, Swati; Patel, Helibahen
Background: Adenomyosis, a common gynecological condition in reproductive-aged women, causes dysmenorrhea, menorrhagia, and pelvic pain, significantly affecting quality of life. Hormonal therapies like LNG-IUS and dienogest offer uterus-preserving treatment options. Objectives: To compare the clinical efficacy, symptom control, and adverse effect profile of oral dienogest versus levonorgestrel-releasing intrauterine device (LNG-IUS) in the management of adenomyosis. A randomized controlled trial (RCT) was conducted on 100 womenMethods: diagnosed with adenomyosis. Participants were randomly divided into two groups: oral dienogest (2 mg daily) and LNG-IUS (Mirena), and followed up at 3, 6, and 12 months. VAS scores, PBAC scores, uterine volume, and adverse effects were analyzed. Dienogest showedResults: superior reduction in pain and menstrual volume at 6 and 12 months. LNG-IUS was more effective in reducing uterine volume. Irregular bleeding and device expulsion were higher with LNG-IUS. Dienogest demonstrated better long-term symptom control and tolerability,Conclusion: making it a favorable conservative option for adenomyosis.
Oral Signposts In Multisystem Inflammatory Syndrome In Children: A Diagnostic Window Into MIS-C"- A Review
(Indian Society for Health and Advanced Research, 2025-07) Dogra, Aarzoo; Singh, Arshdeep
Multisystem Inflammatory Syndrome in Children (MIS-C) is a severe, post-infectious complication associated with SARS-CoV-2, characterized by systemic inflammation and multi-organ involvement. Among its clinical spectrum, oral and mucocutaneous manifestations are increasingly recognized as key diagnostic features. This article discusses the origin, distribution, recurring spread and various treatment modalities.
Sustainable Nursing Practice In The Era Of Climate Change: A Global Health Review
(Indian Society for Health and Advanced Research, 2025-07) Koteswaramma, Devarakonda; Devi, Laishram Sanjita; Verma, Rupali
Climate change is a global health emergency with widespread implications for healthcare systems and nursing practice. As frontline caregivers and health advocates, nurses play a pivotal role in mitigating climate impacts, promoting sustainability, and ensuring community resilience. This review synthesizes current literature on sustainable nursing practices in the context of climate change, focusing on education, advocacy, clinical care, and policy. The article highlights best practices, global initiatives, and research gaps while proposing an integrated framework for climate- resilient nursing.
Efficacy Of High Flow Nasal Cannula Oxygenation Versus Apnoeic Oxygenation In Patients Undergoing Rigid Bronchoscopy: A Prospective Randomized Controlled Study
(Indian Society for Health and Advanced Research, 2025-06) S, Manisha; Bhatt, Swati A; S, Kavya.; M, Uma.
Background And Aim: Apnoeic oxygenation during rigid bronchoscopy poses unique challenges due to shared airway access and potential for rapid desaturation. High Flow Nasal Cannula (HFNC) offers an advanced oxygenation method that may provide superior outcomes compared to conventional apnoeic oxygenation via the bronchoscope's side port. This study aimed to assess and compare the efficacy of HFNC versus side-port apnoeic oxygenation in patients undergoing diagnostic bronchoscopy and foreign body removal. A prospective randomizedMaterial & Methods: controlled trial was conducted on 110 patients (aged 18–60 years, ASA I–III) at a tertiary care centre from August 2023 to July 2024. Participants were randomized into two groups: Group H received HFNC at 30 L/min (100% FiO?), and Group A received 100% FiO? at 6 L/min via the bronchoscope's side port. SpO?, EtCO?, EtO?, and number of desaturation-related interruptions were recorded at defined intervals. Data were analyzed using SPSS version 26 with p < 0.05 considered significant. Group H demonstrated significantly higher SpO? values throughoutResults: the intraoperative period (p < 0.0001) and had no procedural interruptions, unlike Group A which experienced 32 desaturation-related interruptions. EtCO? was significantly lower in Group H postoperatively, indicating better CO? clearance. EtO? was also significantly higher in Group H immediately post-procedure (p = 0.0001). The mean procedure duration was shorter in Group H (12.35 ± 1.93 min) compared to Group A (13.67 ± 1.73 min, p < 0.001). High Flow Nasal Cannula oxygenation provides superior apnoeic oxygenation, better intraoperativeConclusion: oxygen saturation, fewer interruptions, and improved gas exchange in patients undergoing rigid bronchoscopy. It should be considered a preferred modality in shared airway procedures requiring apnoeic oxygenation
Lepromatous Leprosy With High Bacillary Index On Histopathology And Clinical Correlation-A Case Report; A Rare Finding In Western UP.
(Indian Society for Health and Advanced Research, 2025-07) Singh, Ranbeer; Jain, Shraddha; Tyagi, Swati
Leprosy, caused by Mycobacterium leprae, remains a challenging endemic disease due to its complex nature. We report a case of a 13-year-old male presenting with multiple erythematous nodules, hypopigmented patches, and sensory loss. Histopathological examination revealed diffuse dermal infiltration with foamy macrophages containing acid-fast bacilli, confirming lepromatous leprosy. This case underscores the importance of correlating clinical and histopathological findings for accurate diagnosis and management, emphasizing early detection to prevent long-term complications and transmission.
Neural Symphony: Harmonizing Transcranial Direct Current Stimulation (tDCS) For Post-Stroke Cognitive Resurgence - A Narrative Exploration
(Indian Society for Health and Advanced Research, 2025-07) Khandare, Shilpa; Upganlawar, Dhanashree
Neurocognitive deficits post-stroke is a pervasive repercussion of stroke, adversely affecting key cognitive faculties, including executive function, memory, and attention. Transcranial Direct Current Stimulation (tDCS) is a non-intrusive technique that modulates brain activity without the need for surgical intervention. This review consolidates current literature to critically examine the effectiveness of tDCS in ameliorating cognitive deficits associated with PSCI. Although numerous studies suggest promising outcomes, particularly in augmenting executive function and overall cognition, its efficacy in enhancing memory and attentional processes remains ambiguous. Variability in stimulation protocols, patient demographics, and study methodologies further complicates the interpretation of results. Given the escalating interest in tDCS as a rehabilitative modality, a rigorous and systematic review is imperative to delineate its therapeutic value, highlight existing research gaps, and inform future investigations aimed at optimizing its clinical application in post-stroke cognitive rehabilitation.
An Observational Study Of Clinico Epidemiological Profile Of Hematological Malignancies In Paediatric Age Group At SMS Medical College, Attached Hospitals, Jaipur.
(Indian Society for Health and Advanced Research, 2025-07) Agrawal, Akshita; Mishra, Deepika; yadav, Swati
Background- Hematological malignancy comprises a major health problem in the society due to its high mortality and morbidity. Among all the cancers, most frequent cancer in pediatric age group is the hematological malignancy. It is important to them for prognosis and management lacunae in the pediatric population for better risk stratification and treatment. Hence, the study aims to find out its prevalence,clinical hematological profile and to aid in early diagnosis of the disease. 120 specimens of hematological disorder in pediatric age group patient were studied inMethods- pathology department of SMS Medical College, Jaipur from December 2023 to December 2024. Most of the patients in this study wereResult- from Rajasthan, Haryana, U.P. and Bihar region. The age of the patients ranged from 0-15 years, out of which 67%were Male, 33% were female with a M:F ratio of 2:1. Majority of the patients (58%) were in the age group of 0-5years.The most prevelant clinical symptom were fever (85%) followed by fatigue (60 %), while the most common clinical sign observed in the subjects was pallor (83%).Anemia, leucocytosis, thromocytopenia and splenomegaly were common finding in most of the patients.The most common malignancy that was diagnosed with the help of Flow cytometry and PCR was B-ALL (65%), followed by T-ALL (17%), AML (9%), CML (3%). None of the cases were found to demonstrate CLL and Lymphoma while about 4% cases were lost to attrition due to failure to follow up by the patient, consequently Flow cytometry results were not available for those cases. The accurate diagnosis, classification and timely management of hematological malignancies isConclusion- effectively accomplished by a multifaceted approach which includes clinical presentation, peripheral blood film analysis, bone marrow aspiration study, immunophenotyping using flow cytometry and cytogenetics.
Grading Of Glial Tumors By MR Perfusion Mean Relative Cerebral Blood Volume
(Indian Society for Health and Advanced Research, 2025-07) Mogha, Vinod Kumar; Prajapati, Neeraj; Namrata; Rana, Vishal Raj; Saxena, Priyanka
Objective: To determine the usefulness of corrected relative cerebral blood volume in assessing the histopathological grade of cerebral gliomas. Materials And Methods: In order to determine relative cerebral blood volume (rCBV)(rCBV) (rCBV ratio = rCBV[tumor] / rCBV[contralateral white matter]) , 33 patients with pathologically proven gliomas ( 2 Grade 1, 6 Grade 2, 8 Grade 3, 17 Grade 4) underwent dynamic contrast- enhanced T2*-weighted and conventional T1- and T2-weighted imaging. rCBV maps were obtained by fitting a gamma-variate function to the contrast material concentration versus time curve. rCBV ratios between tumor and normal white matter (maximum rCBV of tumor / rCBV of contralateral white matter) were calculated and compared between four grades of glioma. Mean rCBV ratios were 1.00 ± 0.35 for grade 1Results: gliomas, 2.6 ± 1.17 for grade 2 gliomas, 4.98 ± 0.76 for grade 3 gliomas and 6.54 ± 1.47 for grade 4 gliomas, and were thus significantly different;The rCBV ratio cutoff value which permitted discrimination between high-grade (gliomas) and low- grade gliomas was 2.86, and the sensitivity of this value were 93.4%. Mean rCBV is a useful and reliable technique for determining the preoperative histopathologicConclusion: grade of cerebral gliomas.
Role Of Rapid Molecular Test To Detect Chlamydia Trachomatis And Neisseria Gonorrhoea In Diagnosing Subclinical Pid
(Indian Society for Health and Advanced Research, 2025-07) Girotra, Parul; Gupta, Smriti; Gupta, Rekha; Singh, Ravi Pratap; Khare, Anjali
Background: Pelvic Inflammatory Disease (PID), especially its subclinical form, remains a significant cause of infertility and reproductive morbidity in women. Chlamydia trachomatis and Neisseria gonorrhoeae are key pathogens implicated in PID, often remaining undetected due to asymptomatic infections. To evaluate the role of rapid molecular testing for Chlamydia trachomatis and Neisseria gonorrhoeae inObjectives: diagnosing subclinical PID among women attending a gynecology outpatient clinic. A cross-sectional study was conducted on 80Methods: women aged 18–45 years, divided into clinically diagnosed PID cases and controls. Endocervical swabs were analyzed using real-time PCR for Chlamydia trachomatis and Neisseria gonorrhoeae. Bacterial vaginosis was assessed via Nugent scoring and Amsel's criteria. PCRResults: positivity for Chlamydia trachomatis and Neisseria gonorrhoeae was significantly higher among clinical PID cases (p<0.05). Combined testing improved diagnostic sensitivity and specificity. Rapid molecular tests are effective in early detection of subclinical PID, enhancingConclusion: reproductive health outcomes.
Tuberculosis (TB) Longitudinal Extensive Transverse Myelitis: A Rare and Challenging Diagnosis
(Indian Society for Health and Advanced Research, 2025-07) Venkatesh, Narnae Sai; Raju, Gorantla; Krishna, K. Vamsi; Sujana, G.
Central nervous system tuberculosis, accounting for about 1% of all tuberculosis cases, manifests as transverse myelitis, involving one or more vertebral segments of the spinal cord. In rare instances, it can extend to involve three or more segments, which would be classified as longitudinally extensive transverse myelitis(LETM). The causes of LETM can be attributed to various factors, including, infections, neoplasms, vascular, and autoimmune and demyelinating diseases. Interestingly, mycobacterium tuberculosis is a rare cause of LETM. In this report, we present a case of a 43-year-old male who was presented with acute progressive quadriparesis with bladder and bowel involvement diagnosed as LETM secondary to TB. This case underscores the importance of considering tuberculosis as a differential diagnosis of LETM, particularly in endemic regions.
Understanding - Porocarcinoma "A Case Report On One Of The Rare Cutaneous Malignancies"
(Indian Society for Health and Advanced Research, 2025-07) Venkatesh, Moparthy; Sabari, Sai; Hussain, Jahid
Porocarcinoma is a rare and aggressive type of skin cancer that originates in the eccrine sweat glands and requires prompt medical attention for effective treatment. Porocarcinoma typically presents as a firm, painless nodule or lump on the skin, often on the extremities, head, or neck. Early detection and treatment are crucial for improving outcomes. Treatment approaches may vary depending on the stage and extent of the disease. Treatment usually involves surgical excision, potentially with lymph node dissection, and may be complemented by radiation therapy.
Comparative Study Of Early Versus Delayed Laparoscopic Cholecystectomy In Acute Cholecystitis And Its Complications
(Indian Society for Health and Advanced Research, 2025-06) N, Pavan Kumar; Kumar, C. Sai Manoj; V, Murthy Kumar
Background: Acute cholecystitis is due to gallstones in upto 90% of patients. Laparoscopic cholecystectomy is currently the gold standard treatment for acute cholecystitis and are mainly performed after the acute episode occurs while conservative therapy followed by delayed laparoscopic cholecystectomy are still common in many centres. However the timing of laparoscopic cholecystectomy still remains controversial regarding the inflammation, edema and adhesions during the course of disease. This study aimed to assess the benefits and complicationsAim: associated with early laparoscopic cholecystectomy compared with delayed laparoscopic cholecystectomy in patients with acute cholecystitis. Methods: This was a randomized control study carried out between July 2023 to December 2024; 50 patients with acute cholecystitis were divided into two groups(early and delayed groupa), each compromising 25 patients. 25 patients treated with laparoscopic cholecystectomy within 24 to 72hrsof arrival at the hospital were assigned to the early groups. The other 25 patients were placed in delayed groups, first treated conservatively, and followed by Laparoscopic Cholecystectomy 6-8 weeks. The conversion rates in both the groups were 12% and 28% respectively. TheResults: operating time was 76.16 +/-23.38 minutes in early group and 116.48 +/- 23.14 minutes in delayed groups. Both the groups observed equal level of postoperative complications. Mean hospital stay was less in early group(3.84 days) compared to delayed groups(6.48 days). DelayedConclusion: Laparoscopic Cholecystectomy is associated with longer hospital stay but equivalent morbidity to early laparoscopic cholecystectomy for patients with acute cholecystitis. Hence Early Laparoscopic Cholecystectomy would appear to be the treatment of choice for patients presenting with acute cholecystitis.
Optimizing Hemorrhoidal Surgery Outcomes: Chivate's Procedure Cuts Recurrence Significantly
(Indian Society for Health and Advanced Research, 2025-07) Sah, Pramod Kumar; Kumar, Sunil; Ahmad, Sohail
Background: Hemorrhoids, or anorectal vascular cushions, become symptomatic when they enlarge or prolapse, causing bleeding, mucous discharge, itching, pain, and prolapse. The objective of this study is to assess the effectiveness of the Chivate procedure compared to Longo's technique, focusing on key outcomes such as operative time, post-operative pain, complication rates, return to normal activity, and recurrence. The Chivate procedure, with its minimally invasive approach, aims to enhance patient recovery and reduce recurrence by precisely restoring the anatomical structure of the hemorrhoidal cushions. In this prospective comparative study, conducted at DarbhangaMaterial And Methods: Medical College from August 2023 to July 2024, a total of 50 patients with clinically diagnosed second, third, or fourth-degree haemorrhoids were enrolled and surgically treated. The patients were randomized into two groups: Group A (n=25), in which Chivate's procedure was performed, and Group B (n=25), in which Longo's Stapled Hemorrhoidopexy was conducted. Postoperative assessments were carried out at 12, 24, and 48 hours to monitor early recovery metrics, while follow-up evaluations at 2, 4, and 8 weeks, extending up to 6 months, enabled a systematic comparison of both procedures concerning operative time, postoperative pain, complication rates, recovery to normal activities, and recurrence rates. Statistical Analysis: Data analysis was conducted using standard statistical methods with SPSS software (version 200). Comparative evaluations between the two groups were performed using the Chi-Square Test, with statistical significance defined at a P-value of <0.05. The Chivate techniqueResults: (Suture Rectopexy) demonstrated reduced postoperative pain, as measured by the Visual Analogue Scale, along with shorter operative times, fewer days of hospitalization, and a quicker return to normal activities. The Longo technique (Stapled Hemorrhoidopexy) yielded similar results in these areas. While there were no significant differences in postoperative complications between the two procedures, the recurrence rate was lower in the Chivate technique. Specifically, 7 cases of recurrence were noted following Longo's procedure, compared to only 3 cases after the Chivate procedure. Several surgical techniques are employed in the management of haemorrhoids. However, our study indicates that theConclusion: Chivate procedure (Suture Rectopexy) offers superior clinical outcomes compared to the Longo procedure (Stapled Hemorrhoidopexy), particularly in terms of minimizing recurrence rates and achieving better aesthetic results. While both procedures exhibit comparable postoperative recovery profiles, the Chivate technique demonstrates a significant advantage in reducing recurrence, making it a more efficacious option for the long-term management of hemorrhoidal disease.

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