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Introduction: Inguinal hernia repair is the most frequently performed surgical procedure worldwide. Advances in laparoscopic techniques have ushered an opportunity to improve and improvise many surgical procedures. Singleincision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy, and has been successfully performed by many surgeons. Aim of the study was to asses the safety and feasibility of single por laparoscopic approach for inguinal hernia repair. Material and methods: This study was conducted on 50 patients presenting to Acharya sri chander college of Medical Sciences and Hospital, Sidhra, Jammu ASCOMS over a period of one year from November 2011 to October 2012 with uncomplicated inguinal hernia in whom 25 patients underwent single port laparoscopic TAPP(SPL-TAPP) hernia repair and 25 underwent conventional three port transabdominal preperitoneal hernia repair. Results: No significant differences were noted among patient demographics. The age group ranged from 20-60 years. The mean Age, weight and height in SPL-TAPP were 44.4, 59.46 and 157.2 cm respectively. Mean operative time, hospital stay in single port TAPP was significantly lower as compared to conventional surgery. Moreover postoperative complications were also lesser in SPL-TAPP with almost no reoccurances. Conclusion: Single port TAPP offers to be safe and efficacious with minimum reoccurances and shorter hospital stay

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BACKGROUND Intestinal obstruction accounts for 15% of all patients presenting to emergency department with complaints of acute abdominal pain. Recognising obstruction early, aggressive preoperative treatment, skilled surgical techniques and intensive postoperative management improves outcome. We wanted to correlate the clinical findings with radiological and intra-operative findings in cases of intestinal obstruction. METHODS 50 cases of intestinal obstruction chosen by simple random technique, were studied in the department of general surgery at MMIMSR, Mullana, Ambala. Intraoperative findings were compared with x-ray, USG abdomen and CT abdomen findings. RESULTS Adhesions and bands (26%) were found to be the most common cause of intestinal obstruction. Most common finding on plain x-ray abdomen was the presence of dilated gut loops (82%). USG abdomen has limited diagnostic value in cases of intestinal obstruction with most common finding reported in USG abdomen being that of small bowel obstruction (62%). Out of 49 patients who underwent CT scan abdomen and surgery, CT findings matched with intraoperative in 45 patients (91.84%) and the most common finding was adhesions and bands (22.4%). CONCLUSIONS X-ray abdomen and USG abdomen have limitations and are diagnostic only in a handful of cases. CT abdomen provides much more elaborate information and helps the surgeon to understand the pathology. Preoperative CT also helps prevent laparotomies in scenarios where surgeon with preoperative knowledge can opt for laparoscopic approach, thereby reducing postoperative stay in the hospital and complication. So, understanding of the imaging modalities and knowing when to use them and what to look for can save precious time of the patient and also that of the surgeon allowing for early diagnosis and better plan of treatment.