No abstract

Background Surgical repair of hernia is considered to be one of the most repeatedly conducted operations all over the world. Aim This study has been carried out to obtain well-established information about surgery duration, hospital stay, and short-term and long-term complications, following inguinal or ventral hernia repair using ProGrip meshes. Patients and methods A total of 50 patients with right oblique inguinal hernia (Rt. OIH), left oblique inguinal hernia (Lt. OIH), or paraumbilical hernia and epigastric hernia (PH or EH) ventral hernia were enrolled in this study. Operative repair was performed using self-gripping polyester meshes. Follow-up to compare the anticipated outcomes of these hernia types was done. Results Most of the short-term and long-term complications were found to be low in Rt. OIH, Lt. OIH, and PH or EH ventral hernias. Hospital stay was found to be 1–2 days in all of them. Return to work was 10–14 days. Patient satisfaction was 100% in Rt. OIH, and a little below in other types of hernias. Hematoma was found to be 0–13.3%, seroma in 0–23.3%, pain in 10–30%, wound infection in 0–16.7%, and recurrence 0–10%. Conclusion For the ProGrip meshes, they are recommended to be used in both Rt. OIH and Lt. OIH, as well as EH and PH.

Background: Pilonidal sinus disease (PSD) is currently viewed as an acquired condition that develops abscesses and typically several fistula tracts because of a continuous inflammatory response to the retention of hair follicles in the intergluteal gap. Objectives: The aim of the current work was to evaluate the outcomes of Gips technique for management of pilonidal disease (PD) using minimally invasive surgery and following the impact of this procedure on the patients.

Aim To examine the effect of weight-loss induced bariatric procedures on albuminuria levels among diabetic patients suffering from obesity. Methods Adults patients who suffer from morbid obesity and type 2 diabetes mellitus (T2DM) were included in a prospective cohort study. Subjects were scheduled to undergo laparoscopic sleeve gastrectomy (LSG) or one-anastomosis gastric bypass (OAGB). The albumin-to-creatinine ratio (ACR) was adopted to assess the degree of albuminuria. Microalbuminuria was determined as a ratio of >2.5–30 mg/mmol and >3.5–30 mg/mmol for males and females, respectively, while macroalbuminuria was diagnosed when the ACR exceeded >30 mg/mmol. Results The mean uACR decreased significantly from 20.95±16.89 to 9.92±12.69mg/mmol in LSG cohort (p <0.001), and from 19.52±16.65 to 9.34±11.77mg/mmol in the OAGB cohort, with no statistically considerable differences between both cohorts at the end of follow-up (p = 0.78). Twelve months after the procedures, the percentages of cases with microalbuminuria decreased significantly to 23.8% and 23.9%, respectively (p < 0.001); likewise, the percentages of cases with macroalbuminuria significantly decreased to 7.9% and 7.5% in the LSG and OAGB groups, respectively (p < 0.001). There were no statistically considerable differences between LSG and OAGB regarding the percentages of patients with micro or macroalbuminuria at the end of follow-up. Besides, there were no significant associations between the degree of weight loss and improvement (p = 0.959) or remission (p = 0.73) of microalbuminuria. Conclusion Bariatric surgery significantly reduced the severity of albuminuria 1-year after the procedure, with no preference for one procedure over the other.