Objective: The aim of this study is to compare the outcome of percutaneous aspiration with incision drainage for management of breast abscess. Study Design: Comparative Study Place and Duration: The study was conducted at Surgery departments of Lady Reading hospital, Peshawar during the period of six months from August 2020 to January 2021. Methods: Total 110 women were presented in this study. Patients were aged between 20-45 years. Patients’ detailed demographics including age, weight, height and body mass index were recorded after taking informed written consent. Women had breast abscess were included. Patients were equally divided into two groups, I and II. Group I had 55 patients and received percutaneous aspiration while in group II 55 patients were underwent for incision drainage. Outcomes among both groups were compared in terms of early restoration of breast feeding, pain score by using VAS and time of healing. Complete data was analyzed by SPSS 24.0 version. Results: Mean age of the patients in group I was 30.11±8.56 years with mean BMI 26.9±3.77 kg/m2 while mean age in group II was 29.17±9.44 years with mean BMI 26.08±3.27 kg/m2. Mean weight of patients in group I was 72.19±17.44 kg and in group II mean weight was 74.35±19.78 kg. Mean height in group I was 154.12±9.55 cm and in group II was 156.08±8.71 cm. Restoration of breast feeding among group I was 47 (85.45%) and in group II 32 (58.2%) patients restored breast feeding. Satisfaction among patients in group I was higher than that of 45 (81.82%) as compared to group II 31 (56.4%). Conclusion: We concluded in this study that percutaneous aspiration in breast abscess was successful and affective as compared to incision drainage with less complications and high satisfaction rate among the women. Keywords: Breast abscess, Percutaneous aspiration, Incision drainage,

Objective: To determine the complications of laparoscopic cholecystectomy in patients of acute cholecystitis. Study Design: Prospective study. Place & Duration: Department of Surgery, Lady Reading Hospital, Peshawar for duration of six months from January 2020 to June 2020. Methods: Total 120 patients of both genders with ages 20 to 60 years were included in this study. Patients’ detailed demographics were recorded after taking written consent. Patients with history of abdominal surgery were excluded. All the patients underwent laparoscopic cholecystectomy for gall bladder diseases. Post-operative pain was analyzed by VAS. Complications were recorded at 5th postoperative day. Data was analyzed by SPSS 24.0. Results: Out of 120 patients 30 (25%) patients were males and 75% patients were females. Most of the patients 50 (41.67%) were in the age group 31 to 40 years followed by 37 (30.83%) patients were ages between 41 to 50 years. 70 (58.33%) patients had surgical size port incision was 5mm and 50 (41.67%) patients had 10mm. Mean pain score was 2.24+1.1 at 5th postoperative day. Wound infection was found in 10 (8.33%). Port site hernia was found in 12 (10%). Conclusion: Laparoscopic cholecystectomy is safe and effective treatment procedure with no major complications. Keywords: Laparoscopic Cholecystectomy, Acute Cholecystitis, Wound Infection, Port Site Hernia, Pain

Introduction: The development of new surgical techniques and medical devices, like therapeutical multimodal approaches has allowed for better outcomes on patients with rectal cancer. Owing to that, an increased awareness and investment towards better outcomes regarding patients sexual and urinary function has been recently observed. Objective: Evaluate and characterize the sexual dysfunction of patients submitted to surgical treatment for rectal cancer. Materials and Methods: An observational retrospective study including all male patients who underwent a surgical treatment for rectal cancer between January 2015 to December 2019. A total of 113 patients were included in the study. All patients were underwent major surgery for rectal cancer. An inquiry questionnaire presented to every patient about its sexual habits and level of function before and after surgery. Results: All patients included in the study were males. Patient age range between 40-75 years with mean age of 57 years. Surgical procedure was rectum anterior resection (RAR) in 62(54.8%) patients and an abdominoperineal resection (APR) in 51(45.1%). 71(62.8%) patients described their sexual life as important/very important. Sexual function worsening was observed in 83 (73.4%) patients with complains of erectile dysfunction and ejaculation impairment. 30 (26.5%) patients didnt resume sexual activity after surgery. Increased age (p=0.06), surgery performed (APR) (p=0.04) and the presence of a stoma (p=0.04) were predictors of erectile dysfunction after surgery. Conclusions: This study demonstrated the clear negative impact in sexual function of patients submitted to a surgical treatment for rectal cancer. Since it is a valued feature for patients, it becomes essential to correctly evaluate/identify these cases in order to offer an adequate therapeutical option.

Objective: To determine the effectiveness of combination of dexamethasone and ondansetron in prevention of postoperative nausea and vomiting in laparoscopic cholecystectomy. Study Design: Descriptive Case Series study. Setting: Departments of Surgery, Khyber Teaching Hospital and Hayatabad Medical Complex, Peshawar. Period: 01 Jan 2018 to 31 May 2019. Material & Methods: A total of 231 patients undergoing laparoscopic cholecystectomies were included in the study and subjected to dexamethasone in combination with ondansetron and followed up at 24 hours after surgery to detect nausea and vomiting. Results: The mean age of the study sample was 38.5 + 10.4 years. In our study, we had 62.3% males and 37.7% female patients. On follow up, we observed that PONV was recorded in 39.4% of patients of which grade 1 were 15.2%, grade 2 were 14.7% and grade 3 were 9.5%. In this regards, the effectiveness of dexamethasone and Ondansetron combination was recorded in 60.6% of patients. Conclusion: The combination of dexamethasone and ondansetron is moderately effective in prevention of post operative nausea and vomiting.