Background: The goal of this series was to compare performing axillary clearance versus none performing in patients with node biopsy negative.Methods: This study included 114 patients had breast cancer , presented with breast mass no enlarged axillary node either clinically or radiologically and all patients had negative sentinel lymph node intraoperatively those patients presented to Sohag Cancer Center and General Surgery Department Sohag, Egypt during the period of May 2018 to May 2019. Analysis of the clinical presentation, grade of breast cancer and radiological findings was done. All patients with above mentioned criteria were fitted for the study.Results: A total of 114 patients, all of them had sentinel lymph node negative, axillary dissection done in 55 patients of them while 59 patients had no dissection. We divided the patients in our series into group A (with axillary dissection) and group B with non-dissection; in group A 27 (49.1%) patients had lymphoedema on post-operative follow up while in group B none of patients complained from lymphoedema. Numbness was found in 11 (20%) patients among group A patients, while in group B none of patients complained from numbness. On follow up of seroma we discovered that in group A all the patients had seroma while in group B only 9 (15.3%) patients had seroma. None of our 114 patients either with or without dissection had recurrence on follow up period.Conclusions: Clearance of the axilla in sentinel node negative patients has no significant difference in overall survival but also increased rates of lymphoedema, seroma and haematoma.

Background: The goal of this study was to compare herrnioplasty with or without mesh fixation for inguinal hernias, paraumbilical hernia and epigastric hernia.Methods: This study included 288patients (170 males and 118 females) of different age groups with hernia  who were admitted to general surgery department of sohag university hospital during the period from April 2018 to march 2019. Analysis of the clinical presentation, type of hernia and patients risk factors was done. All patients with above mentioned hernias without history of previous operations, was eligible for the study.Results: A total of 288 patients, 123 patients (42.7%) had oblique inguinal hernia, 75 patients (26%) had epigastric hernia, 77 (26.7%) had Para umbilical hernia and 13 (4.5%) had direct inguinal hernia. We had two groups, group (I) with mesh fixation included 141 patients (49%), while group (II) included patients (51%) without fixation of the mesh. Methods of fixation of the mesh in group (I) included suturing in 94 patients (32.6%), while using staples in 47 patients (16.3%). From 288 patients, 26 patients (9%) were hypertensives, 13 patients (4.5%) were diabetic and 13 patients (4.5%) were smokers. Follow up period extended for eight months post operatively, patients without fixation to their mesh had less pain and infection.Conclusions: Herrnioplasty can be carried out either with fixation of the mesh or not, it will not affect recurrence of the hernia and has less cost and operative time.