A lady presented with 6 months of amenorrhea and cyclical menstruation through an opening in the abdominal wall for the same duration, following septic abortion. Examination and investigations revealed an extraperitoneal Cervicocutaneous fistula, which was excised in toto. She had an uneventful recovery and resumed normal periods.

Laparoscopic totally extraperitoneal (TEP) hernia repair is a well-accepted technique for inguinal hernia repair. Different types of mesh and fixation methods have been described. Recently, a novel, self-fixating mesh has been introduced and used successfully in open inguinal hernia repairs. We report the first initial experience using this mesh for TEP repairs.

associated with elective and emergent laparoscopic totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) procedures. Laparoscopic repair of large primary or recurrent Spigelian hernias may require mesh or fascia lata graft repair; however, patients with small Spigelian hernias (≤ 2 cm) can benefit from a simple, laparoscopy-assisted transfacial suturing technique that avoids mes...

BACKGROUND AND OBJECTIVES Gastrostomy feeding in children is well established for nutritional support. Gastrostomy tubes may be permanent or temporary. After removal, spontaneous closure may occur, but persistence of the tract requires surgical repair. Laparotomy with gastric repair and fascial closure is the standard technique for treatment of a persistent gastrocutaneous fistula. We describe ...

WHILE recurrences occur after inguinal hernia operations no-one can be completely satisfied with the operations practised. During the last 50 years repeated attempts have been made to introduce an internal approach for the repair of inguinal herniae, but these have never proved popular and the inguinal canal incision remains the routine operation; possibly the time has now arrived for a reappra...

BACKGROUND Among endoscopic hernioplasties, totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) approach are widely accepted alternatives to open surgery, both providing less postoperative pain, hospital length of stay and early return to work. Classical TEP technique requires three skin incisions for placement of three trocars in the midline or in triangulation. AIM To desc...

OBJECTIVE To determine the outcomes of patients undergoing total extraperitoneal inguinal hernia repair without fixation of the mesh. DESIGN Prospective cohort. SETTING Community teaching hospital. PATIENTS A total of 274 consecutive patients were included in the study group. INTERVENTIONS All operations were performed by the same surgeon with the patients under general anesthesia in an...