Aim: To evaluate Post-Laparoscopic infection in Mesh followed by inguinal hernia repair. Study design: A retrospective study Place and Duration: This study was conducted at Jinnah Postgraduate and Medical Centre Karachi from April 2021 to April 2022 Methodology: A total of 80 participants were included in the study. All the patients had an extensive infection in the mesh followed by mesh hernia repair through laparoscopy. The preoperative workup was done for all the patients before a laparoscopic excision of mesh. A drain was placed in the preperitoneal space after the removal of the mesh. Closure of the peritoneal flap was done after that with a 3/0 absorbable suture. Result: The course of the operation was uneventful for all the patients. Only two patients required a sigmoidectomy for the repair of the fistula. Three patients presented with contralateral side infection and mesh residues around the pubic. A second laparoscopy was done on those three patients. Recurrence of hernia was seen in four of the cases observed on follow-up. Conclusion: Laparoscopic removal of the mesh is a superior approach to the open surgical removal of the mesh for the treatment of mesh infection. However, prevention of infection by prophylactic antibiotics, maintaining an aseptic environment during hernia repair surgery, and proper sterilization of the instruments can prevent the infection. Keywords: laparoscopic, mesh infection, inguinal hernia repair

Aim: To assess the different kinds of management provided to patients with Blunt Abdominal Trauma (BAT) in the surgical department of a tertiary care hospital. Study design: prospective study Place and Duration: This study was conducted at Liaquat University of Medical and Health Sciences Jamshoro from March 2021 to March 2022 Methodology: The present study includes 115 patients who presented with blunt abdomen trauma (BAT). The data was collected with the pre-designed questionnaire. Data were collected prospectively from all patients admitted to the hospital with abdominal trauma. The trauma was treated using ATLS (Advanced Trauma Life Support) techniques. Laboratory and imaging investigations were performed to diagnose and manage the patients. SPSS version 21 was used to analyze the data. Descriptive statistics were presented in mean, SD/median, frequency, and percentage. Results: During the investigation, 115 BAT patients were examined. The average age of the patients was 33.7 ± 7.2 years. Males (n=94, 81.7%) and symptomatic cases (n=108, 94%) made up the majority of the injured patients. More than half of the patients (n=73, 63.5%) had abdominal tenderness when they arrived. The majority of the patients had X-rays (n=87, 75.6%) ultrasound (n=75, 65.2%), lab investigation (n=83, 72.1%) and abdominal CT scan (n=35, 30.4%). Only a few patients died (n=17, 14.8%). Patients were treated conservatively in 83% of cases, while surgical treatments were used in 17% of cases. Conclusion: Non-operative therapy has become the gold standard for critically stable patients with traumatic injuries. Although non-operative management has a higher risk of failure in patients with multiple solid organ injuries, it should still be used with caution in most critically stable persons who do not have peritoneal symptoms. Keywords: Accident, Blunt Abdominal Trauma (BAT), Non-operative management, vitally stable.