Full Book For Web Dedicated To Prof.Dr. Sibgha Zulfiqar The First Lady Chairperson & Dean of Sheikh Zayed Medical Complex Lahore Bismillah Hir Rehman Nir Raheem. In the name of Allah, the most Beneficent and the most Merciful Message by the Chairperson Shaikh Zayed Medical Complex & Chief Editor of Proceedings Prof. Sibgha Zulfiqar Prof. Saadia S. Alam (Chairperson& Dean) (Chief Editor) We bid farewell to Prof. Sibgha Zulfiqar our Patron in Chief Proceedings and Honorable Chairperson & Dean as she attains super annuation after 3 decades of service at SZMC Lahore. Her impeccable and whole hearted commitment to the entire Complex and especially to Proceedings facilitated us to achieve international recognition in the Directory of Open Access Journals (DOAJ), List of CPSP recognized Journals, over 3 years of HEC Y Category Indexation, all the while maintaining Our OJS supported Proceedings website of international standards which connects us to the world. We will truly miss her and wish her the best of health and Allah’s Blessings in her future endeavours. The current COVID 19 Pandemic wave has re-struck China as it suddenly relaxed it Zero Covid policy allowing unrestricted intermingling of the populace causing indeterminable number of COVID infections and tens of thousands of fatalities reported by WHO. Global warming , hunger and war have impacted global health significantly.In these rapidly changing scenarios, we steadfastly publish a diverse January to March 2023 Proceedings articles on varied aspects of medical, surgical, and allied health disciplines. All articles submitted for publication have been judged on stringent international standards of plagiarism and blind peer reviews. Our Editions have achieved expanded viewership, with researchers in wide ranging medical fields from different institutions publishing their research in Proceedings. Our nexus of undergraduate and postgraduate researchers, supervisors, academicians, and reviewers remains imperative to achieving rigorous standards of research, writing and evaluation in Proceedings. Our desire is to build linkages with top journals and researchers both in the country and abroad In Sha Allah. Our Motto “We Venture Forth” RECOGNISED BY PMC, HEC, CPSP & DOAJ PROCEEDINGS SHAIKH ZAYED MEDICAL COMPLEX Vol. 37 (1) PCPB/24(94) P-121/3196 JAN TO MAR 2023 EDITORIAL BOARD Patron in Chief: Prof. Sibgha Zulfiqar Chairperson & Dean Chief Editor: Prof. Saadia Shahzad AlamPhD Editor: Prof. Ayesha HumayunPhD Associate Editors: Prof. M. Imran Anwar FRCS Dr. Adnan SalimMRCP External Associate Editor: Dr. Usman IqbalPhD MEMBERS-NATIONAL: Prof. Mamoon Rashid-FRCS (Sitara-e-Eisaar) Prof. NadiraMamoonMRCPath Prof. M. Ashraf PhD (Tamgha-e-Imtiaz) Prof. M. Arif Nadeem (FCPS) Prof.KhalidMahmood(PhD) Dr. Sarah GhafoorPhD MEMBERS-INTERNATIONAL Prof.RenneKoeffelPhD(SUI) Prof.Jane Banaszak-Holl PhD(AUS) Prof. Hisham Al MuhtasebPhD (KSA) Dr. Salma Malik M.D (US) Dr. Sarwat ShaheenM.D(US) Dr. Aliya Asher MRCP(UK) Dr. Uzma Nasim Siddiqui FCPS(AUS) SECTION EDITORS: Dr. Shahila Jalil FCPS Dr. Samira Haque FCPS Dr. Lubna Riaz FCPS Dr. Sadia Maqsood MHPE Dr. Faraz Bokhari M Phil Dr. Noora Hassan Hezam Al- Aqmer M Phil Mrs.SaimaMohsinMSc Consultant Biostatician: Mr. Muhammad AasimM Phil Library & Information Sciences: Mr. Ihsan Basit M Phil Dr. Muhammad Shahid SoroyaPhD Technical Support: M.Saad Ullah Sheikh (BS.Engr) CONTENTS Muhammad Tayyab Zia, Ahmed Zia Ud Din, Abdullah Saeed, Sadia Abdullah, Muhammad Junaid Tahir Technical Considerations and Complication of Percutaneous Transhepatic Biliary Drainage: A Single Center Retrospective Study Nimrah Komal, Ali Mujtaba, Muhammad Wajid Munir, Aftab Ahmed, Syed Abdul Ahad, Hassan Mumtaz, Syed Abdul Rehman Shah Is Covid Vaccine Hesitancy Unfounded? A Local Comparative Study on Short-Term Side Effects of Different Covid Vaccinations Wardah Nisar, Rabbiya Sarwar, Shahid Nabi, Zainab Bilal Malik, Shamaila Zamir Attitude, Awareness and Recommendations Regarding Fortified Food Usage Amongst Health Care Professionals of Punjab Atif Mansoor Ahmed, Irum Abbas, Sohail Ahmed Siddiqui Hba1c Levels an Indicator of Glycemic Control In Diabetics With and Without Retinopathy Hamna Azhar, Izzah Baig, Fareha Azam, Jannat Ehsan, Danyal Faisal, Zainab Omer Medical Students’ Perception Regarding Community Medicine as a Subject and a Career Option Amongst Medical Colleges of Lahore City Maham Qazi, Danyal Anwar Shiraz, Ch. Muhammad Aqeel, Pir Muneeb ur Rehman, Umer Farooq, Mohammad Aslam Early Postoperative Pain in Video Assisted Anal Fistula Treatment Versus Open Fistulectomy Asma Zulfiqar, Uzma Ali, Asma Siddique, Saqib Mansoor, Gul Afshan, Muhammad Suhail Embryo-hepatotoxic Potential of Spearmint Aqueous Extracts: A Histopathological Study Talha Mahmud, Muhammad Saqib, Yasser Saeed Khan, Adeel Wyne, Faisal Rahman, Muhammad Muntazir Mehdi, Rabbia Abbas, Shazia Rafique, Muhammad Idrees A 5 Year Tertiary Centre Experience of Frequency & Risk Factors Association with Primary and Secondary Lung Cancers Ch. Muhammad Aqeel, Humaira Alam, Pir Muneeb Rehman, Aqsa Jmail, Maham Qazi, Mohammad Aslam Combination of Botulinum Toxin and Topical Diltiazem Versus Lateral Sphincterotomy in Treatment of Chronic Anal Fissure Shuja Uddin, Ejaz Ahmad, Husnain Khalid, Hafiz M. Umar, Ahmed Umair Asad Khan, Mian M. Haneef Case Report: Neglected Locked Anterior Shoulder Dislocation with Upper Brachial Plexus Injury Instructions for Authors_____________________________________ PAGE 01 06 11 18 23 31 36 41 47 52 56 ADVISORYBOARD Basic & Pre-Clinical Sciences Prof. Mateen IzharPhD, MRCPath Prof. Sibgha ZulfiqarM.Phil Prof. Muhammad SuhailM.Phil Prof. Nasreen EhsanM.Phil Prof. Tahira NaseemM.Phil Dr. Anwaar Bashir M.Phil Dr. Suleman Dawood PhD (UOL) Dr. Nighat Yasmeen PhD (KEMU) Dr. Saima Chaudhary PhD (UHS) Medicine and Allied Prof.AzeemTajFCPS Prof. Abdul ShakoorFCPS Prof. Talha MahmudFCPS Prof. SafooraAamirFCPS Dr. Lubna Riaz FCPS Dr. Asfand Tariq FCPS Surgery and Allied Prof. Ali RafiqueMirzaFCPS Prof. Muhammad Ikram FCPS Prof. Imran AnwarFRCS Prof. Shafqat MukhtarFCPS Dr. Jamshaid RahimFCPS Dr. Syed Sajjad Raza KazmiFCPS Diagnostic Division Prof. Mona AzizFCPS Prof. SaulatSarfrazFCPS Dr. Amir KhanFRCR PEER REVIEW BOARD (National) Prof. M. Nauman AhmadFFARCS Prof. Naseem SaudPhD Prof. M. Ovais OmerPhD Prof. Shabbir BhattiPhD Prof. ZahidNiazFRCS Prof. Zamir AhmadPhD Prof. Muhammad Arif Nadeem FCPS Prof. Muhammad MoinFRCS Prof. Khalid Mahmood PhD Prof. Sadia ChiraghM.Phil Prof. Muhammad AslamFCPS Prof. Abdul Mannan M.S Prof. NaheedHumayunFCPS Prof. Farhat Naz FCPS Prof. Abdul Hameed FRCS Prof. Rafeea Tafweez PhD Prof. Inayat ThaverPhD PEER REVIEW BOARD (National) Prof. Ashraf ChaudhryFCPS Prof. KashifMalikFCPS Prof. AftabTurabiPhD Prof. Uzma HussainFCPS Prof. Muhammad PervaizFRCS Prof. Fouzia Shaukat FCPS Prof. Maryam RashidPhD Prof. Rabeia Bilal PhD Prof. Khwaja KhursheedFCPS Prof. Tanvir Akhtar Butt MS Prof. Naila Akhtar FCPS Prof. AbidaShaheenPhD Prof. Sajida Malik M.Phil Prof. Rumina Hasan PhD Prof.Khalid Javeed Khan FRCS Dr. Farooq Afzal FRCS Dr. Saman ShahidPhD Dr. Muhammad ShahzadPhD Dr. Ali Hussainy Zaidi M.D Dr. Shahzad Khuram AkramPhD Dr. Fahad Azam PhD Dr. Khadija Irfan FCPS Dr. Uzma MalikFCPS Dr. Ayesha Mallick FRCP Dr. TehseenHaiderKazmiFCPS Dr. Khalida Ajmal M.Phil Dr. Israr AhmedFCPS Dr. Saima BatoolFCPS Dr. Saleem Muhammad RanaPhD Dr. Muhammad Khurram HabibFCPS Dr. Saba Riaz PhD Dr. RaaziaTasadduqPhD Dr. Nageen Hussain PhD Dr. Saadia Nosheen Jan FCPS Dr. Soumble Zulfiqar PhD Dr. Yasir Abbas Zaidi FCPS Dr. Muhammad Zeeshan SarwarMRCS Dr. Muhammad Imran KhokarMRCS Dr. Nabiha FarasatM.Phil Dr. Tayyaba Muzaffar M.Phil Dr. Zaeem Khalid FCPS Dr. Nafeesah Fatimah FCPS PEER REVIEW BOARD (International) Prof. Khalid Javeed Khan FRCS Prof. Renne Koeffel PhD (Switzerland) Prof. Jane Banaszak-Holl PhD (AUS) Prof. M. Hisham Al-Muhtaseb PhD (Jordan) Prof. Mukhtiar Baig PhD (KSA) Dr. Sarwat ShaheenM.D(USA) Dr. Zeeshan I. Shaikh M.D (USA) Dr. Tanzeel Qurat IjazMRCP (UK) Dr. Hafiz Sohail Anjum FCPS (Ireland) Dr. RafayAzharFRCP (Singapore) Dr. Mazhar Nawaz M.D (USA) Dr. Ahmad Azam Malik PhD (KSA) Dr. Ishtiaq Ahmed FCPS (KSA) Dr. AamirOmairPhD (KSA) Dr. Sabina Ahmed Mir M.D (USA) Dr. Anita LamichhaneM.D (Nepal) Dr. Faiza DurraniPhD (UK) Dr. Waseem LodhiFRCOG (UK) Dr. Seerat Zahra HammadM.S(KSA) Dr. Shafya Shahid PhD (U.S) Dr. Abdul WaheedFRCS (U.K) Dr. Humaira ZareenFCPS (KSA) Dr. Amira Okud M.D (KSA) Dr. Asma Ahmed MRCP (UK) Dr. Sabahat Sabir MRCOG (UK) Dr. Sarfaraz Ahmad FRCR (UK) Dr. Zouina Sarfaraz M.D (UK) Dr. Humaira Zaman FCPS (UK)