Résumé
Objective: the purpose of this study is to present our experience of Laparoscopic Hernia repair
Material and Methods: we included 50 patients in our study. Total 67 Hernia repairs were done, 33 had unilateral hernia and 17 bilateral hernias. Mean age of patients was 45 years ranging from 20 to 73 years
Results: the operating time for bilateral hernia was 30% longer than unilateral, average time 67 minutes. As we got experience the operating time gradually reduced as it was evident from last 22[44%] patients, which had 35 minutes. Two [4%] of our patients had to be converted into open due to unavoidable complications. Minor complications like anterior wall cellulitis and seroma were managed conservatively with rest and antibiotics. There was no hernia recurrence in last part of our learning curve that is in last 30[60%] patients. Overall there were 2 [4 %] Recurrences occurred where the mesh was not anchored bytacs rather was fixed with polypropylene
Conclusion: laproscopic total extraperitoneal hernia repair offers the appropriate patient a viable alternative to open hernia surgery in terms of post-operative pain, recurrence and rehabilitation, to achieve good results, adequate cases should be performed to overcome the learning curve, and the mesh should be anchored to the inguinal floor to prevent recurrences
Résumé
Atresia of the colon is one of the rare types among all the gastrointestinal atresias. Sigmoid colon is one of the rarest sites of coIon atresia. In most of the pediatric surgical centers one case per year is seen and only few cases of sigmoid atresia/ stenosis documented in literature. We report a case of male baby w o presented on 4th day of life with features of large intestinal obstruction. At laparotomy type II atresia of sigmoid colon was found, for which colostomy was done