The described technique offers a simple option for open repair of small midline hernias in patients with co-existing rectus divarication, to decrease the risk of upper midline recurrence in an at-risk patient group. This initial case series is able to demonstrate a suitably low rate of recurrence and complications.

No abstract

There are relatively few published reports of Horner's syndrome following penetrating injury to the neck. We present the case of a 19-year-old female sustaining a Zone 2 neck laceration with Horner's syndrome due to complete transection of the sympathetic trunk. Nerve repair was performed with an interposition cable nerve graft using ansa cervicalis and resulted in complete recovery at 13 months follow-up. Neuropraxia cannot be differentiated from nerve transection clinically or radiologically and given the potential for complete recovery after nerve repair, we advocate for surgical exploration in all cases of penetrating neck injury with Horner's syndrome.

Gallbladder agenesis is a rare but well-documented anatomical variation. Pre-operative diagnosis may be difficult as patients can present with typical symptoms of biliary colic and imaging may be misleading. We report a case of choledochoscopy and common bile duct stone retrieval in a patient found to have agenesis of the gallbladder intra-operatively.