Sigmoid Colon Fistula due to Mesh Infection in a Patient Operated for Incarcerated Groin Hernia with Transabdominal Pre-Peritoneal (TAPP) Technique

Although laparoscopic surgery is an accepted procedure in elective inguinal hernia repair, it is controversial for incarcerated hernias. Persistent infections due to inflammation of mesh; visceral tissue erosion and migration of mesh are rare but possible complications. In this manuscript, we report a case of laparoscopic hernia repair with transabdominal preperitoneal technique complicated with both these complications and discuss with literature. [Cukurova Med J 2015; 40(Suppl 1): 122-126

The factors that affect the mortality of emergency operated ASA 3 colon cancer patients

Introduction: colorectal cancers take third place among cancer-related deaths and 10-28% of these patients are admitted with the necessity of emergency surgical intervention. The main propose of this study was to investigate the factors affecting mortality in ASA 3 colorectal cancer patients who undergo emergency surgery. Methods: between 2010 and 2017 ASA 3 patients who underwent emergency colon cancer surgery were included in the study. All of the study group was evaluated within the first 30-day time-frame. The results were obtained by a statistical comparison of the data of patients with and without mortality. Results: one hundred and twenty eight patients included in the study. There was no statistical difference in the demographic data of the groups and the indications of the operation. The differences and durations of surgery also did not make any statistical difference. The complication rate was the same according to the Clavien-Dindo classification. Conclusion: despite the screening programs applied in colorectal cancers, applications to emergency services and procedures performed under emergency conditions are still at high levels. Surgical operations, which have to be performed in patients with impaired metabolic status, carry major risks for patients, but their outcomes are also satisfactory for them