Objectives: To determine the role (frequency) of non-operative conservative management in liver injuries in blunt abdominal trauma. Methodology:.. Study Design: Descriptive study. Setting: Department of surgery Peoples University of Medical & Health Sciences Nawabshah. Period: 36 months extending from august 2014 to July 2017. Patients & Methods: All Patients with abdominal blunt trauma underwent ABCD evaluation, primary survey, secondary survey and initial management/resuscitation as per needed. History, clinical examination, plain radiographs, ultrasound (FAST) and computerized tomography were used as diagnostic tools. Patients with isolated liver injuries in blunt abdominal trauma wereselected for the present study. Selected cases with hemodynamic instability, even after initial vigorous resuscitation had to undergoes immediate surgical abdominal exploration while the rest of the selected cases were hospitalized and kept under strict monitoring. The decisions of late surgical intervention were then made on deterioration of hemodynamic stability and rapid progression of liver injuries from lower grades to higher grades. Percentages of the cases managed conservatively and rest of others who required surgical interventions were noted. Data was analyzed on SPSS-21. Results: 78 cases were selected with mean age of 38 years & SD± 7. Male to female ratio was 5:1. 11% of the cases with hemodynamic unstability underwent immediate surgical intervention. 8% of the case underwent late surgical operative management after initial course of non operative conservative management. 81% cases were managed with successful non operative conservative approach. Conclusion: Most of the liver injuries in blunt abdominal trauma require non-operative conservative management. The decision of operative management should be taken on the basis of the hemodynamic status and not merely on the grade of the hepatic injury.

Objectives: To determine the frequency of recurrence after hydrocelectomy.Study Design: Descriptive. Place & Duration: Study was conducted at surgical department ofPeoples University of Medical and Health Sciences Nawabshah from June 2012 to December2016. Patients & Methods: This study was conducted at surgical unit 1 of Peoples Universityof medical and health sciences Nawabshah from June 2012 to December 2016. 150 malepatients with primary hydrocele were included. Diagnosis of hydrocele was confirmed byclinical examination, Trans illumination test and scrotal ultrasound. After preliminary workup allpatient underwent spinal anesthesia. Transverse incision made, fluid is sucked out, most of thehydrocele sac is excised and edges are sutured under run or diathermized. Post operatively 6to 8 doses of antibiotics were given and patients were discharged after a short hospital stay. Onearly follow ups wound infection and hematoma were noted, managed and recorded. Up to 3years on long follow ups were made to detect recurrence of hydrocele. Data was analyzed bystatistical package of social sciences (SPSS)-24. Results: Study was extended for 54 monthsand included 150 adult male patients with primary hydrocele. Mean age was 45 years, SD±4 and a range of 14-79 years. Mean operating time was 25 minutes, SD±5 and arrange of15-50 minutes. Mean post hospital stay was 24 hours. Post-operative hematoma was noted in16(10.6%). There was no any recurrence of hydrocele was found up to three years follow up.Conclusion: Complete removal of sac of hydrocele eliminates almost any chance of recurrenceso that one can claim for “no sac no recurrence”.

June 2012 to December 2016. Patients & Methods: This study was conducted at surgical unit 1 of Peoples University of medical and health sciences Nawabshah from June 2012 to December 2016. 150 male patients with primary hydrocele were included. Diagnosis of hydrocele was confirmed by clinical examination, Trans illumination test and scrotal ultrasound. After preliminary workup all patient underwent spinal anesthesia. Transverse incision made, fluid is sucked out, most of the hydrocele sac is excised and edges are sutured under run or diathermized. Post operatively 6 to 8 doses of antibiotics were given and patients were discharged after a short hospital stay. On early follow ups wound infection and hematoma were noted, managed and recorded. Up to 3 years on long follow ups were made to detect recurrence of hydrocele. Data was analyzed by statistical package of social sciences (SPSS)-24. Results: Study was extended for 54 months and included 150 adult male patients with primary hydrocele. Mean age was 45 years, SD± 4 and a range of 14-79 years. Mean operating time was 25 minutes, SD±5 and arrange of 15-50 minutes. Mean post hospital stay was 24 hours. Post-operative hematoma was noted in 16(10.6%). There was no any recurrence of hydrocele was found up to three years follow up. Conclusion: Complete removal of sac of hydrocele eliminates almost any chance of recurrence so that one can claim for "no sac no recurrence".