Objective: To compare the mean healing time in patients undergoing ultrasound guided needle aspirations versus incision and drainage for lactational breast abscess. Study Design: Randomized Controlled Trail. Setting: Department of Surgery, Holy Family Hospital, Rawalpindi. Period: 1st March 2019 to 31st August 2019. Material & Methods: After endorsement from the ethical committee, an informed consent was taken from the patients in order to obtain their data for assessment with the affirmation of privacy of their record. After taking complete history from each patient, their breasts were palpated bilaterally for any lump. The diagnosis was established by the sonomammogram. Patients were randomized by lottery method prospectively to ultrasound guided aspiration group, and incision and drainage group for lactational breast abscess. Both groups were compared in terms of mean healing time. Results: In this study, total 70 patients having lactational breast abscess were included. There were 35 patients in Group-A i.e patients undergoing ultrasound guided needle aspirations and 35 in Group-B i.e patients undergoing incision and drainage. Mean healing time in patients undergoing ultrasound guided needle aspirations versus incision and drainage for lactational breast abscess shows 21.0+1.97 days in Group-A and 44.23+3.15 days in Group-B, p value was 0.0001. Conclusion: We concluded that the mean healing time in patients undergoing ultrasound guided needle aspirations was significantly lower when compared to those with incision and drainage for lactational breast abscess.

Objective: To compare the effect of flap fixation and non-flap fixation for preventing seroma formation depending upon stage of surgery in patients undergoing mastectomy at RMU Allied Hospitals following mastectomy in our local population. Study Design: Randomized Controlled Trial. Setting: Surgical Units of Holy Family Hospital, Benazir Bhutto Hospital, DHQ Hospital (RMU & Allied Hospital). Period: October 2020 to April 2021. Material & Methods: Sample size of 114 cases was included in the study. It was Non probability, consecutive sampling technique. Patients were equally randomized to flap-fixation (Group A) and non-flap fixation (Group B). Patients of both groups were followed up to 48 hours postoperatively for seroma formation. Results were analysed using SPSS software and compared by applying chi-square test and p-value ≤0.05 considered significant. Results: Statistically significant difference (p-value ≤0.05) for seroma formation was noted only in disease stage IIIA. In group A (Flap Fixation), seroma formation was noted in 22.8% (n=13) patients, while in group B (Non-Flap Fixation) it was noted in 45.6% (n=26) patients only. Conclusion: The patients with stage IIIA undergoing mastectomy are significantly (p-value ≤0.05) associated with seroma formation. Whereas, flap fixation is more useful technique for minimizing seroma formation.

Objective: The objective is to determine the adequacy of early cholecystectomy (EC) versus interval cholecystectomy (IC) in terms of recurrence, duration of hospital admission, and perioperative complications after mild acute biliary pancreatitis (MABP). Methodology: After endorsement from the ethical committee, clinical data and files of all the admitted patients having MABP in the general surgery department of Holy Family Hospital, Rawalpindi, was collected retrospectively from August 2017 to July 2020. The patients’ demographic profile, clinical findings, diagnostic investigations, timing of cholecystectomy, operating surgeons, operative time, biliary complications, intraoperative bleeding, conversion rate, duration of admission, and recurrence were reviewed. Patients presented with abdominal pain, vomiting, jaundice, or fever. The diagnosis was confirmed on the basis of a CT scan of the abdomen showing an inflamed pancreas and stones in the gallbladder. Outcomes were compared and reviewed between the two groups. Results: In this research proposal, 263 patients admitted were analyzed. EC was performed were discharged after conservative management and followed up after 12 weeks for interval laparoscopic cholecystectomy (IC). It was observed in patients of IC (EC 2 [1.2%] vs IC 7[7%]; p value <0.01) while duration of hospitalization was prolonged as compared to patients of EC (EC 5.53+0.58days vs IC 5.82+0.78days; p value <0.001). lar in both EC and IC. Conclusion: EC performed after MABP is associated with shorter duration of hospitalization and reduced recurrence with similar rate of perioperative complications.