[The role of Shouldice's operation in treating inguinal hernia]. / Miejsce operacji Shouldice a w leczeniu przepukliny pachwinowej.

Clinical estimation of Shouldice procedure in the surgical treatment of inguinal hernia was performed in the group of 95 patients (102 operations) treated in the Second Department of General and Vascular Surgery Clinic at Zabrze between 1994 and 1996. Their ages ranged from 18 to 78 years with an average 53.6. The sex index (men to women) was 11:1. The bilateral hernia was found in seven cases and all of them were treated surgically at the same time. The most treated hernias was considered as type II and V by Gilbert classification. Among treated patients there were six cases of recurrence hernia earlier operated according to other procedures (mainly Bassini, Girard, Halsted, and artificial knitted-graft placed up intraperitoneally). In 28 cases of fascia transversalis large deficiency (the third and fourth type of Gilbert classification) authors used the two-layer modification method of reconstruction instead four layer of hernial canal posterior wall reconstruction the typical for Shouldice procedure. It was sufficient in all cases without respect to hernia size and fascia transversalis deficiency. There were no complications in postoperative periods. The recurrence of hernia, appeared only in one patient (0.98%) nine months after operation. In authors opinion, the Shouldice procedure is the most effective among all classical ways of inquinal hernia repairs.

[Acute appendicitis in pregnancy]. / Ostre zapalenie wyrostka robaczkowego u ciezarnych.

A retrospective analysis is reported of 110 pregnant women with acute appendicitis on the basis of inquiry with participation of 23 surgical centres in the period 1979-1989. Attention is called mainly to diagnostic difficulties and peculiarities of the clinical course of this acute abdomen syndrome in pregnancy. The authors found that acute appendicitis was most frequent in primiparae in the 1st and 2nd trimester of pregnancy and the always high mortality was caused mainly to delay of operation.