Cecum cancer underlying appendicular abscess. Case report and review of literature

Peri-appendicular abscess is usually due to primary appendicitis or it may be caused by various pathological conditions: inflammatory, infective, neoplastic, immunological, ischemic, occlusive (table 1). We present a case of right iliac fossa abscess, initially diagnosed as a complication of acute appendicitis that, at surgical exploration, was proven to be produced by a cecal tumour causing appendicitis for an obstructive mechanism

A modified Rives–Stoppa technique with composite mesh (FLaPp) in large incisional hernia: a multicentric retrospective cohort study

Background Large incisional hernias (LIH) are challenging conditions, often necessitating complex surgical procedures such as transversus abdominis muscle release (TAR). We evaluated the feasibility and effectiveness of tension-free abdominal wall repair of LIH with an innovative modified Rives–Stoppa procedure employing a composite free lateral polypropylene (FLaPp) prosthesis. Methods Symptomatic patients affected by LIH and treated with FLaPp composite prosthesis between April 2010 and December 2016 were retrospectively analyzed. The FLaPp prosthesis is made up of two layers: an internal layer based on a polypropylene film that can be used in contact with the intestinal loops to address the posterior peritoneal defect, and an external layer based on a macroporous lightweight mesh, with which a classic repair according to Rives–Stoppa is carried out. Results Forty-three patients were enrolled in the study. All hernias were W3. Early complications were seroma (16.3%), hematoma (11.6%), wound infection (7.0%), and bowel injury (2.3%). Late complications were sinus tract (4.7%), occasional pain (2.3%), and stiff abdomen (9.3%). The median operative time was 126 min and median hospitalization was 8 days. At the median follow-up of 40 months (range 37.5–117), the recurrence rate was 9.3% (4/43). Conclusion Use of FLaPp mesh with a tension-free surgical approach is an effective strategy for managing LIH in selected cases with the presence of a posterior defect, with low rates of complications and recurrences

Sudden Sensorineural Hearing Loss after Lapaoscopic Sleeve Gastrectomy Under General Anaesthesia: A Case Report

We discuss the presentation of a sudden sensorineural hearing loss (SNHL) occurred as a rare complication after laparoscopic sleeve gastrectomy (LSG). Etiology of this complication is not clear, it seems that diverse and complex pathogenetic mechanism are involved so the prevention and treatment seems to be difficult