Objectives: The most appropriate treatment of inguinal hernia is to repair surgically. Worldwide more than 50 different techniques have been employed due to some but different problems with all techniques. Commonly used techniques are basically of two types. One is based on tissue repair and other uses the mesh. These include Shouldice, Lichtenstein, Darning repair, Totally Extra-Peritoneal (TEP) and Trans Abdominal Pre-Peritoneal (TAPP) repair. All the techniques have certain benefits and trade-offs as well. Our aim was to compare the outcome of Desarda repair versus Lichtenstein repair. Study Design: Randomized Controlled trial. Settings: DHQ Hospital Gujranwala. Period: From 27 October 2017 to 27 March 2018. Material & Methods: We included 60 patients in the study. In 30 patients Lichtenstein Hernia Repair was done and in 30 patients Desarda repair was done. The demographic information, outcome in the form of duration of operation, postoperative pain, and return to normal activity was recorded. All this information was collected through a predesigned performa. Patients were followed up on OPD basis. Data analysis was done by using SPSS 20. Results: Mean operative time in group A and group B was 61.20±12.558 and 71.89±13.118 respectively. Statistically significant difference was present in treatment group in term of operative time i.e. (P-value = ˂ .05). In both treatment group, mean time to require to start normal activity in A and B  was 10.06±1.771 and 11.14±2.485 and it is statistically significant (P-value=.001). Postoperative pain was less but statistically insignificant in study group. Conclusion: Desarda repair is better than Lichtenstein repair in terms of operative time and return to normal activity.

Background: Cleft palate surgeries are one of the most common surgeries done by Plastic surgeons. Aim: To determine the role of postoperative antibiotics in terms of incidence of complications in cleft palate surgery. Study Design: Prospective randomized control trial. Place and duration of study: Department of Plastic Surgery, Bashir Hospital, Sialkot from May 2016 to January 2019 Methodology:. Patients were randomly divided into two groups. Both groups received a single dose of injection Ceftriaxone (50mg/kg) about 30 minutes before incision. Group A (n=25) received a 5-day regimen of oral Amoxicillin + Clavulanic acid (15mg/kg/dose in three divided doses per day) post operatively. Group B (n=25) received 5-day regimen of oral Amoxicillin + Clavulanic acid (15mg/kg/dose in three divided doses per day) plus oral Metronidazole (7.5mg/kg/dose in three divided doses) for 5 days postoperatively. Patients were followed up postoperatively at 2 weeks, 1month and 2 months for complication such as infection and wound dehiscence. Result. .Candidates belonging to Group A, (Amoxicillin + Clavulanic acid group) were reported to have Infection 6 (24%) (P 0.005) and delay oral intake. Candidates who were administered oral Amoxicillin + Clavulanic acid (15mg/kg/dose in three divided doses per day) plus oral Metronidazole (7.5mg/kg/dose in three divided doses) 2 patients (8%) had infection in group B which was settled with improvement in oral hygiene. Conclusion: whose candidates who were admitted or stayed for longer duration of time in hospital had insufficient and poor dietary intake. One of the candidates was again admitted due to being dehydrated along with rotavirus whereas group A 24% patients got infected on the other end group B only 8% patients got infected.In net shell, this study revealed that use of postoperative antibiotics (Amoxicillin + Clavulanic acid and metronidazole) can reduce the incidence of infection and results in better surgical outcome of cleft palate surgery Keywords: cleft palate repair, Amoxicillin, Clavulanic acid, Metronidazole, Prophylactic Antibiotics