Background:It has been more than a decade, since the introduction of laparoscopic management of ventral and incisional hernia. The purpose of this article was to systematically review the literature, analyze the results of Laparoscopic repair of ventral and incisional hernia and to ascertain its role.Materials and Methods:Pubmed was used for identifying the original articles. Both incisional and ventral hernia repair were included. Out of 145 articles extracted from Pubmed, 34 original studies were considered for review. More than three thousand patients were included in the review. Variables analyzed in the review were inpatient stay, defect size, mesh size, hematoma, seroma, wound infection, bowel perforation, obstruction, ileus, recurrence and pain. Qualitative analysis of the variables was carried out.Results:Seromas (5.45%) and post operative pain (2.75%) are the two common complications associated with this procedure. Recurrence rate was found to be 3.67%. Overall complication rate was 19.24%, with two deaths reported.Conclusion:The results suggest laparoscopic repair of ventral and incisional hernia as an effective procedure. Faster recovery and shorter in patient stay - makes it a feasible alternative to open repair.

Introduction: Accidental foreign body ingestion is commonly encountered in clinical practice. Foreign bodies in the appendix are also well recognized but are very uncommon, as the majority of the ingested foreign bodies pass through the whole gastrointestinal tract without complications. Acute appendicitis due to a foreign body is a diagnostic dilemma; for which computed tomography is considered the method of choice for preoperative diagnosis. Case Report: We are presenting a case of a 49-year-old gentleman who had small bowel perforation due to appendicular foreign body which initially presented with a clinical picture of acute appendicitis. Conclusion:The low index of suspicion and prompt action are needed to reach a favorable outcome.

Introduction: Small bowel obstruction (SBO) is a condition with many well-recognized common causes and a distinct set of symptoms, including constipation, vomiting, and abdominal distension. Recent developments in both imaging modalities and minimally invasive techniques have meant that patients can be more appropriately selected for surgical intervention and that common causes of SBO can be readily identified. Despite these advances, it must be acknowledged that rare causes of SBO are still causing a diagnostic dilemma.Case Report: We are presenting a rare cause of a 45-year-old lady with mechanical bowel obstruction leading to intestinal gangrene caused by a huge uterine fibroid. Conclusion:It is essential that rare causes of bowel obstruction are identified and presented to facilitate their recognition in future to reach better patient's outcome.