Comparing the Postoperative Analgesic Efficacy of Ketorolac and Tramadol After Open Inguinal Hernia Mesh Repair: A Randomized Controlled Trial.

Background Opioids are the mainstay for postoperative pain control. However, due to the increasing dependence on opioids and their side effects, multiple adjuncts are used to reduce opioid consumption, including non-steroidal anti-inflammatory drugs (NSAIDs). Inguinal hernia repair is one of the most common procedures performed by general surgeons worldwide.

Ideal Local Anesthetic for Intraperitoneal Gallbladder Bed Infiltration Following Laparoscopic Cholecystectomy: A Randomized Controlled Trial.

Background Laparoscopic cholecystectomy is the gold standard operation for symptomatic cholelithiasis; however, pain remains a major factor in increasing morbidity and length of hospital stay. Infiltration of the gallbladder bed with a local anesthetic has been shown to improve postoperative pain after laparoscopic cholecystectomy, although it is unclear which local anesthetic provides superior pain relief. Objective The aim of this study was to compare the efficacy of various local anesthetics on postoperative pain when instilled intraperitoneally in the gallbladder bed following laparoscopic cholecystectomy.

Distal Based Sural Fascio-Cutaneous Flap: A Practical Limb Saviour for Wounds of War and Peace.

Objective: To determine the effect of mechanism of injury on wound healing, and on the viability and success of distally based sural flap when used for the coverage of defects of lower leg, ankle and foot.

Study Design: Descriptive study.

Place And Duration Of Study: Department of Surgery, Combined Military Hospital, Peshawar and Khariyan, from January 2012 to December 2014.

Frequency of dysmenorrhoea, its impact and management strategies adopted by medical students.

Background: Dysmenorrhea is quite frequent and may affect the daily activities especially during the early years of adolesence. This study aimed to evaluate the prevalence of dysmenorrhoea, its impact, and the management strategies adopted.

Methods: This cross-sectional study was done with 356 consenting females studying at Mohiuddin Islamic University, Mirpur Azad Kashmir, between 18-25 years of age, with regular menstrual cycles and normal abdomino-pelvic ultrasound and not taking any medication.

Clinico-pathological profile and outcome of inhalational burns.

Objective: To determine clinico-pathological profile and outcome of inhalational burns in a specialized burns treatment unit.

Study Design: Case-series.

Place And Duration Of Study: The Department of Plastic Surgery and Burns Centre Unit, Combined Military Hospital, Kharian Cantonment in March 2005.

Use of amnion in vaginoplasty for vaginal atresia.

A 25 years old lady with vaginal atresia, secondary to a mismanaged spontaneous vaginal delivery, underwent vaginoplasty using human amnion. The amnion was kept in its place using a 60cc syringe as a mould. For the next three months, dilatation by soft mould was followed by regular intercourse.