Background: The round block technique (RBT) is an oncoplastic technique used in the excision of peri-areolar breast lesions especially in small to medium-sized breasts with moderate ptosis. Objective: Our study aims to introduce the technique of modified round block technique (MRBT) and to compare RBT and MRBT in peripherally located tumors as regards the oncological safety and cosmetic outcomes. Patients and methods: From October 2018 to October 2021, a randomized controlled clinical trial was conducted on 40 female patients with early stages of breast cancer. Patients selected had tumors at least 2 cm away from the nippleareola complex (NAC) and an expected excision volume not exceeding 20% of the breast volume. Patients' demographic data and tumor characteristics were recorded and analyzed. Results: The MRBT group has a significantly shorter operative time (P-value 0.016). Positive margin involvement was recorded in 2 cases requiring re-excision in the RBT group. Six patients developed seroma formation which was significantly higher in the MRBT group (P-value 0.048). A significantly lower mean change in areolar diameter was observed in the MRBT group (P-value 0.032). Two cases developed local recurrence, one in each group. No cases of distant metastasis were encountered during the follow-up. MRBT group has a significantly higher cosmetic outcome than RBT (P-value 0.03). Conclusion: The MRBT is an oncoplastic technique suitable for the excision of breast tumors in different breast quadrants especially peripherally located tumors in patients with small to medium-sized breasts and when the excision volume is not exceeding 20% of the breast volume.

Background:The conventional open omental patch repair is the gold standard treatment for peptic ulcer perforation (PUP). Laparoscopic management has been advocated for the treatment of perforated peptic ulcers since 1990, but many concerns still exist about the technique's viability and safety. Objective: The aim of the current study is to compare the results and outcome of open versus laparoscopic repair technique for perforated peptic ulcers. Patients and methods: A total of 73 cases with a preoperative clinically diagnosed with peptic ulcer perforation were distributed randomly into two groups to perform either open or laparoscopic repair with an omental patch comparing their operative and postoperative results. Results:In comparison to open surgery, laparoscopic PUP repair led to quicker oral eating and bowel movements, less postoperative discomfort, less superficial wound infections, fewer pulmonary and overall problems, secondary intervention, and a shorter hospital stay. Its sole drawback was a longer operating time. Conclusions: Laparoscopic technique is a safe and feasible treatment modality for PUP with superior outcome when compared to open surgery.