Amyand’s hernia is an inguinal hernia with trapped appendix; its frequency is approximately 1%. Acute appendicitis is a rare clinical presentation (0.1%) of Amyand’s hernia. It was first described by Claudius Amyand in 1735. We report a patient of Amyand’s hernia, three years of age, presented with right inguinoscrotal hernia. Right side groin discomfort was present. Herniotomy was performed revealing anon-inflamed appendix within the inguinal canal for which a classic appendectomy was done.

Objective: To compare the frequency of seroma formation in harmonic scalpel vsunipolar electrocautery in post modified radical mastectomy (MRM). Study Design: Quasi experimental study. Place and Duration of Study: General Surgery Department, Pak Emirates Military Hospital Rawalpindi, from Jul to Dec 2017. Methodology: Eighty women with breast carcinoma planned for modified radical mastectomy were included in the study with inclusion and exclusion criteria and divided in equal group A (Harmonic) and group B (Unipolar cautery). Randomization was performed by lottery method for both groups. A standard level III clearance was performed. All patients were followed up on weekly basis and seroma formation was evaluated in both groups. Results: Mean age in group A and B was 51.36 ± 11.04 years vs 52 ± 11.19 years (p>0.05). Mean duration of complain in group A and B was 1.675 ± 0.47 months vs 1.775 ± 0.42 (p>0.05). Mean time of procedure in group A and B was 110.00 ± 4.71 mins vs 100.875 ± 5.14 (p>0.05). Mean body mass index in group A and B was 30.217 ± 4.99 kg/m2 vs 30.210 ± 5.31 kg/m2 (p>0.05). Seroma formation in group A and group B patients were found to be 5 (12.5%) vs 10 (25%) with (p>0.05). Conclusion: Frequency of seroma formation in harmonic scalpel is lower than electrocautery in post modified radical mastectomy, so it can be safely performed along with harmonic scalpel with reduced duration of drainage and seroma formation.

This paper discusses the methodology developed for petrophysical modeling and its application to the main limestone formations in the Mid-region of Iraq. The systematic approach presented in this study evaluates not only combination of porosity, permeability and irreducible water saturation at each depth, but also free-water level and capillary pressure curve, such that water-cut of flow tests is closely reproduced in numerical simulation. It is one of the major achievements in this study. The algorithm matched to several sets of core samples: 2,903 porosity, 2,767 permeability, and 95 Irreducible water saturation samples that give the algorithm the robustness for future properties prediction. To develop the prediction Algorithm, it was employed multiple regression analysis (MRA) which mathematically requires independence between explanatory variables. Since possible explanatory variables (porosity, permeability and facies) indicate interdependency, it was investigated when necessary to transform the variables into independent axes. It was found that logarithm of permeability has correlations positive to porosity and FZI and negative to irreducible water saturation. Therefore, foot-by-foot evaluation shall meet the following conditions, (Sw) along wells shall be explained by single free-water level (FWL) for each pressure compartment and Water-cut observed on production test shall also be closely simulated with the FWL, For modeling purposes, Sw is split into irreducible water saturation (Swir) and transitional (mobile) water saturation (Swm) as water-cut is a function of only the latter.