The objective of our study is to determine the surgical outcome, effectiveness and the complications of computer tomography guided drainage of pancreatic abscesses. Study Design: Descriptive case series. Setting: Tertiary care hospital in Karachi Pakistan. Period: Three years from November 2012 to October 2015. Methods: The patient population consisted of all those patients who were diagnosed as a case of pancreatic abscess both clinically and on radiographic analysis, and who had to have the computer tomography guided percutaneous drainage of the abscess. The drained fluid was sent for histopathologic and cytological analysis, and a drain was placed in the pancreatic tissue for further collection of the discharge material. Patients were followed for up to 40 days post operatively, and various complications were noted. Results: The patient population consisted of n=550 patients of acute pancreatitis, out of which n=30 (5.45%) were diagnosed cases of pancreatic abscess, out of these patients n=5 (16.67%) were males and n=25 (83.33%) were females, and the mean age of patients was 44 +/-11 years. In n=24 (80%) of patients the abscess resolved completely in 20 to 40 days. N=5 (20%) of patients had complications and had to undergo laparotomy. Conclusion: According to the results of our study, the computer tomographic guided drainage of the pancreatic abscess is a very safe and effective procedure for the treatment of pancreatic abscess. The rate of complications is low, and patients show swift recovery post operatively.

Introduction: Postoperative inguinal pain is one of the most significantcomplications following inguinal hernia repair. Routine ilioinguinal nerve excision has beenproposed as a means to avoid this complication. Objectives: To compare the postoperative painafter preservation and elective division of ilioinguinal nerve during inguinal hernioplasty.Methods: This was a Randomized Controlled Trial conducted at the department of generalsurgery at KVSS Site Hospital for a period of 6 months from Jun 2011 to Nov 2011. 84 patientswho underwent mesh hernioplasty for unilateral inguinal hernia, were randomly assigned into twogroups (A and B), 42 in each group. Ilioinguinal nerve was preserved in group A patients, whereaselective division was carried out in patients of group B. Mean postoperative pain scores wererecorded using numerical analogue scale on first and third postoperative day, and one monthafter surgery. The SPSS version 16 was applied to the data. Results: Mean±SD age was38.46±14.36 years. Seventy four (88.1%) patients were male whereas ten (11.9%) were female,with male to female ratio being 7:1. Using the numerical analogue scale to detect pain severity onpostsurgical day 1 and 3, mean scores±SD in the nerve-preservation and nerve-excision groupswere 2.88±0.43 versus 2.04±0.39, and 1.95±0.39 versus 1.43±0.44, respectively (p<0.05). At 1month after surgery, these scores were 1.73±0.62 versus 0.98±0.25, respectively (p<0.05).Conclusions: Postoperative pain after inguinal hernioplasty significantly decreases in electivedivision of ilioinguinal nerve as compared to nerve preservation.

Objectives: The objective of our study is to determine the surgical outcome,effectiveness and the complications of computer tomography guided drainage of pancreaticabscesses. Study Design: Descriptive case series. Setting: Tertiary care hospital in KarachiPakistan. Period: Three years from November 2012 to October 2015. Methods: The patientpopulation consisted of all those patients who were diagnosed as a case of pancreatic abscessboth clinically and on radiographic analysis, and who had to have the computer tomographyguided percutaneous drainage of the abscess. The drained fluid was sent for histopathologicand cytological analysis, and a drain was placed in the pancreatic tissue for further collectionof the discharge material. Patients were followed for up to 40 days post operatively, and variouscomplications were noted. Results: The patient population consisted of n=550 patients ofacute pancreatitis, out of which n=30 (5.45%) were diagnosed cases of pancreatic abscess, outof these patients n=5 (16.67%) were males and n=25 (83.33%) were females, and the meanage of patients was 44 +/- 11 years. In n=24 (80%) of patients the abscess resolved completelyin 20 to 40 days. N=5 (20%) of patients had complications and had to undergo laparotomy.Conclusion: According to the results of our study, the computer tomographic guided drainageof the pancreatic abscess is a very safe and effective procedure for the treatment of pancreaticabscess. The rate of complications is low, and patients show swift recovery post operatively.