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Background: The solitary thyroid nodule, defined as a palpable discrete swelling within an otherwise apparently normal gland, is usually a benign lesion. However, patients and physicians alike are typically concerned about the possibility of thyroid cancer. This study describes a strategy for the treatment of clinically euthyroid patients who have a solitary thyroid nodule that prevents unnecessary testing while identifying the few patients who require therapy.Methods: This is a prospective study of randomly selected patients with clinically palpable, solitary thyroid nodule diagnosed and treated at Al-Karama Teaching Hospital from September 2015 till December 2018. Initially 176 patients were diagnosed by clinical examination to have solitary thyroid nodule but after investigation and operative finding, 42 patients were found to have multinodular goiter and all excluded from the study.Results: All the 134 patients included in the study (21 males and 113 females) have been evaluated by clinical examination; thyroid scan and fine needle aspiration, ultrasound and the results of the evaluation have been correlated with operative histologic diagnosis. The study was undertaken to obtain information on the usefulness of the above measures for predicting or ruling out malignancy in solitary thyroid nodule.Conclusions: The incidence of malignancy seems to be higher among male, presented with hard nodule at palpation, those associated with hoarseness or palpable cervical lymph nodes. A cytological diagnosis of malignant tumor is reliable and provides sufficient basis of definitive surgery for thyroid cancer.

Background: An abdominal wall hernia is a protrusion of a viscus or part of a viscus through an abnormal opening in the wall of the abdominal cavity. Different approaches have been described in regards to management and repair of hernia. The present study aims at showing the rate of frequency to use the prosthetic mesh versus classical repair in adult inguinal hernia.Methods: A retrospective study lasted from October 2014 to July 2018 in Al-Karama Teaching Hospital. The study Samples consist of 315 patients with inguinal hernia, the age group (20-70) years old they were diagnosed according to clinical examination. There are 76 patients operated on using mesh technique (tension free).Results: All patients in our series were male, with age group (20-70) years. However, the inguinal hernia more frequent with increase age. In age groups; (40-49) was 25 patients (32.89%). The indirect inguinal hernias are most common in the young 65% whereas direct hernias are most common in the old. In our series sixty-one (80.26%) patients with indirect inguinal hernias, eleven (11.82%) patients with direct hernias and six (5.263%) patients with pantaloon type.Conclusions: The frequent uses of mesh in inguinal hernioplasty increasing with age. Tension –free hernioplasty is technically simple surgical operation, which can be used to repair any groin hernia. The use of mesh patch with or without plug is technically easier to work than the classical methods and far simple to secure to surrounding tissues.