Objective: To compare the efficacy of catheter drainage with incision and drainage in children having soft tissue abscess. Study Design: Randomized Control Trial. Setting: Department of Paediatric Surgery, Allied Hospital Faisalabad. Period: January 2016 to June 2017. Material & Methods: After taking approval from the hospital ethical committee, 160 patients coming through OPD of the department who fulfilled the inclusion criteria were enrolled, and informed consent was taken from them. The patients were randomly divided into two groups using a computer-generated random number table. In group A, patients underwent catheter drainage method, and in group B, patients underwent incision and drainage method. Results: Out of 160 cases (80 in each group), 60% (n=48) in Group-A and 67.5% (n=54) in Group-B were between 1-6 years while 40% (n=32) in Group-A and 32.5% (n=26) in Group-B were 7-12 years of age. 70% (n=56) in Group-A and 67.5% (n=54) in Group-B were males. On efficacy comparison, it was shown that 73.75% (n=59) in Group-A and 47.5% (n=38) in Group-B had efficacy; the p-value was calculated as 0.0007, showing a significant difference. Conclusion: We concluded that catheter drainage is better than incision and drainage in children having soft tissue abscess in terms of length of hospital stay ˂ 24 hours.

To compare the outcome of the Bracka I Graft Technique versus Blair-Byar’s Flap technique in orthoplasty for urethral plate in terms of procedure time, hospital stay and urine stream after removal of Foley catheter. Objectives: There are multiple types of procedures to correct the chordee in hypospadias with chordee cases. We planned to perform study to discuss the differences between Bracka I where Graft is used for the plate of urethra and Blair-Byar’s flap technique in term of procedure time hospital stay and urine stream after removal of Foley catheter. Study Design: Randomized Control Trial study. Setting: Pediatric Urology Department, Children Hospital Faisalabad (CHF). Period: 1 year and 9 months, from April 2016 to December 2018. Material & Methods: Total 80 patients were taken with Non probability consecutive sampling technique was adopted with inclusion criteria with more than 2 years of age and hypospadias with chordee while, exclusion criteria of patients were previous surgery of chordee correction and any other associated anomalies. Results: In the patients with Bracka I procedure, n=37 patients (92.5%)  have uneventful uptake of graft, where two (5%) patients have failure of uptake of graft while one (2.5%) of them had wound infection and adequate urinary stream after removal of Foley was found in all 40 patients. In Blair-Byar’s technique procedure had uneventful uptake of graft in n= 36 patients (90%) where two (5%) patients have failure of uptake of graft while two (5%) of them have wound infection. Cosmetically acceptance was in 39 patients (97.5%) by the parents and feasibility to do the second stage.  While among Blair-Byar’s technique cosmetically acceptance was in 35 patients (87.5%) by the parents and feasibility to do the second stage. Conclusion: Bracka I (graft) Orthoplasty and Blair-Byar’s (flap) Orthoplasty has equivocal results in terms of tissue uptake and uneventful recovery, urinary stream post operatively, post-operative meatal diameter while cosmetically Bracka 1 is superior to Blair-Byar’s  technique while feasibility of the availability of local tissue to make tube for urethroplasty in stage II.

Objectives: To determine the maternal and fetal outcome in patients presented with major degree Placenta previa and to evaluate the Potential risk factors. Study Design: Descriptive Case Series study. Setting: Department of Obstetrics and Gynecology Independent University Hospital Faisalabad. Period: January 2020 to February 2021. Material & Methods: All patients with major degree previa confirmed by ultrasonography beyond 28 weeks of gestation were selected irrespective of their parity, type of placenta previa and with live or dead fetus. Results: Total 38 patients were selected with Major degree placenta previa in 1 year of duration. 47% patients were in age group 31-35 years and 65.7% patients were grand multi-para. In our study 73.6% patients were having previous scar uterus. All patients received blood transfusions and cesarean hysterectomy in 36.8% of patient’s done due to placenta previa and uncontrolled hemorrhage. Only 2 patients got bladder injuries during surgery and in one patient required hysterectomy has to be done later. Regarding neonatal outcome 47.3% neonates were active and required no resuscitation and 21% neonates expired within 48 hours. Conclusions: Now a day’s major degree placenta previa is a main obstetrical challenge associated with blood transfusion, ICU admissions and Obstetrical hysterectomy. Fetal outcome was relatively satisfactory. Maternal complications can be reduced by early diagnosis, Identification of the risk factors, correction of Anemia, Blood arrangement & Team work in Territory care hospital.