Background: Abdominal incision hernia is a common complication of abdominal surgery. Despite significant improvements in medical technology and healthcare, an increasing number of patients are also benefiting from complex surgical procedures. The objective of this study was to analyze the risk factors for incisional abdominal hernias and to identify measures that could reduce the incidence of this complication. Material and methods: All patients included in the study are from the University Hospital of Trauma for a period of 3 years, from January 1, 2015, to December 31, 2017. Eighty-seven adult patients who underwent surgical repair of incisional abdominal wall hernia were enrolled. Variables that are compared in this study include the type of suture material, type of suture technique and concomitant diseases .etc. Results: According to our study the risk factors for incisional hernia are related to patients and the abdominal surgery used, the size of the abdominal wall defects. Conclusions: Risk factors such as the size of the defect, wound infection, obesity, use of steroids and chronic constipation have great importance and have to be strictly evaluated as they have more chances to lead to a possible recurrence…

Background: Inguinal hernia repair remains the most common surgery performed by general surgeons worldwide. There is a lot of published data on the surgical management of inguinal hernias in our country. This study aims to describe our experiences in the surgical management of inguinal hernias and compare our results with those reported in the literature. Material and Method: A descriptive retrospective study was conducted at the University Hospital of Trauma in Albania. From April 2016 - March 2018 were recorded all the data for patients who presented to our hospital and underwent inguinal hernia repair in our hospital, under the conditions of elective surgery. Statistical data analysis was done using SPSS software version 17.0. Results: In this period had a total of 542 patients with inguinal hernias were enrolled in the study. The median age of patients was 46,12 years (range 14 to 92 years old). Males outnumbered females by a ratio of 18.3:1. This gender difference was statistically significant (p = 0.004). Most patients 130 (23.9%) presented late (more than one year of onset of hernia). At presentation, 208 (38.4%) patients had a reducible hernia, 101(18.6%) had an irreducible hernia. The majority of patients 303(55.9 %) had a right-sided inguinal hernia, and 156(28.7 %) had left-sided inguinal hernia with a right-to-left ratio of 1.94: 1. Eighty-three 83(15.3%) patients had bilateral inguinal hernias. 319 (58.8%) patients had an indirect hernia, Conclusion: Inguinal hernias continue to be a source of morbidity and mortality in our center. Early presentation and elective repair of inguinal hernias is pivotal in order to eliminate the morbidity and mortality associated with this very common problem.

Background: Managing principles for traumatized patients have continued to evolve with advances in technology. Hemorrhage remains the leading cause of morbidity and mortality in trauma, pre-hospital management by well-trained and well-equipped medical teams at the scene as well as in hospitals have continued to improve treatment outcomes. Although new treatment options continue to be evidence, as well as the implementation of concepts related to the optimal time for the operation. Although the preliminary assessment was performed using the Injury Significance Score (ISS) as an assessment and prognostic element to determine the timing of the intervention The current consensus argues that unnecessary delays in fracture care should be avoided while respecting the complex physiology of certain groups of patients who may remain at increased risk for complications. Using innovative techniques and understanding concepts such as the anatomy of traumatic injuries, the optimal approach to the polytrauma patient continues to evolve day by day.

The spread of the Corona virus, first identified in China in December 2019, spread to Europe and was recognized as a pandemic by the World Health Organization (WHO) on March 11th.Measures to achieve social distancing have been implemented in different periods and rates of time around the World.The traumatic and non-traumatic emergency patient needs timely and competent care throughout the treatment chain, relying on broad-based competence, multidisciplinary teamwork and communication. In a medical field that is moving towards increasing subspecialization, it is easy to see how the quality of care of these groups of patients can be improvedACTES throughout its topic focuses on these important groups of patients, patients with critical illness and surgical impairment, during the development of ACTES as an online event will try to bring together groups of health professionals to improve, optimize, inspire, and to provide the opportunity for networking and learning from each other.While of course there is a major focus on managing Covid-19 patients at the moment and for a longer period thereafter, the greatest impact on mortality and morbidity is likely to be in those patients who may not have access to care specialized due to lack of resources or due to less attention. We want to take this opportunity to remind everyone that we as traumatic and non-traumatic emergency surgeons have a duty to insure the sick and seriously injured during this period as well.