Post operative(laparoscopic sleeve gastrectomy) - gastro pulmonary fistula.

Laparoscopic sleeve Gastrectomy (LSG) is a new restrictive bariatric procedure increasingly indicated in the treatment of morbid obesity. Postoperative complications are mainly represented by gastric fistula with an occurrence rate of 0% to 5.1% in the literature. This complication is difficult to manage and requires multiple radiological, endoscopic, and surgical procedures. We are reporting second such case till date following Laparoscopic sleeve Gastrectomy. The present report describes the serious nature of this complication in a patient after an uneventful Laparoscopic sleeve Gastrectomy.

Hanging giant inguinal hernia.

The giant inguinal hernia has now become rare. Better hygienic conditions and better hernioplasty techniques, carried out with local anesthesia; usually encourage patients to undergo surgical treatment of the hernia soon after diagnosis. A case of giant inguinoscrotal hernia is being reported. Problems arise in management for both the patient and the surgeons because of the rarity of reported cases.