HighlightsPorto-mesenteric vein thrombosis is rare and fatal complication after laparoscopic sleeve gastrectomy (LSG) for morbidly obese patients.Most patients presented with vague abdominal symptoms, so the physician should has high index of suspicion to recommend CT abdomen.Early diagnosis is of paramount importance for better outcome.Prophylactic anticoagulant is essential after LSG to prevent PMVT.

Patients with a history of LABG can have esophageal dysmotility whether they are symptomatic or asymptomatic. Based on existing literature, we recommend pre-operative manometry in these patients requesting revisional surgery.

IBD (inflammatory bowel disease) characterized by chronic inflammation of the gastrointestinal (GI) tract is one of the chronic diseases the prevalence of which has been increasing globally. In the past few decades, significant improvements were made in the treatments relating to IBD which have reduced the hospitalization and mortality rates; however, there is still room for improvement with other alternative therapies. HBOT (hyperbaric oxygen treatment) is one of the effective therapies used in treating various conditions including wounds, decompression sickness, stroke, etc. Several studies have reported the role of HBOT as an adjunctive treatment to IBD, while adopting conventional treatment procedures. There is an increasing trend of research in this particular area. Studies have shown that HBOT reflects its therapeutic effect by controlling inflammation, reducing oxidation stress, improving the process of cleaning damaged cells and recruiting the cells involved in repair; thereby improving the immunity response system. In this context, the purpose of this review is to summarize past clinical and experimental studies and to understand the role of hyperbaric treatment for IBD. The findings from the review have suggested that hyperbaric therapy can be an effective adjunctive approach for IBD, based on which some ideas for future clinical and research work are provided.

Study purposeIt is important to understand the users' perceptions toward the use of smartwatches and the various factors that affect the adoption of smart watches. These findings would contribute to the literature in understanding users' usage, preferences, needs, and expectations about smartwatches that would aid smartwatches designers and also decision-makers in integrating the smartwatch technology in various service-enabled areas such a healthcare, e-learning etc. To address this gap, the objective of this study was formulated to understand the actual consumers' perceptions of toward the use of smartwatches and explore the critical factors affecting the adoption and intention to use smartwatches in the Kingdom of Saudi Arabia.MethodsA cross-sectional study was designed to assess the actual perception of use smartwatches and to investigate the influencing factors that affect the utilization among Saudi population using the survey technique. Questionnaire design was based on the domains of Technology Acceptance Model (TAM) to determine the factors affecting smartwatches utilization. The sample composed of Saudi Arabian residents aged 18 years and above. The response rate for the online questionnaire that was distributed through the social media applications was 58.61% representing 135 participants. The data was collected in November 2020 and analyzed using the Statistical Packages for Software Sciences (SPSS).ResultsThe prevalence of participants who had knowledge about smartwatch was 94.1%. When comparing the demographic characteristics between those owning and not owning a smartwatch, it was found that educational level (X2 = 9.365; p = 0.025) and knowledge about smartwatch (X2 = 7.897; p = 0.005) had significant relationship with owning a smartwatch. When comparing between design aesthetic, perceived usefulness, ease of use, enjoyment and healthology in relation to the socio demographic characteristics, it was found that respondents in the older age group (≥45 years) (F = 11.797; p <0.001) and those with master degree (F = 3.449; p = 0.002) observed to have significantly lower mean score in design aesthetic while females exhibited significantly higher score in perceived enjoyment and healthology (T = −3.629; p = 0.001) as well as design aesthetic (T = −2.070; p = 0.043).ConclusionFactors such as age, education, gender, income can significantly affect the adoption of wearable devices in Saudi Arabia.

Femoral hernias account for 8%–11% of all groin hernias and 3%–5% of all anterior abdominal wall hernias. While groin hernias are more common in males, femoral hernias are developed more commonly in female, accounting for 22%–34% of all groin hernias compared with 1.1% in male. The lifetime risk of developing groin hernia in male is approximately 25% but in female less than 5%, so in all female patients with groin hernias, femoral hernias should be included in the differential diagnosis until proven otherwise. The main concern of a femoral hernia is the higher risk of bowel strangulation, presenting emergently in 32%–39% of patients. We report a case of strangulated femoral hernia in a 78-year-old female who was presented to emergency department with groin abscess based on ultrasound image; patient was then diagnosed as having strangulated femoral hernia and taken to the operating theater, where she was found having strangulated segment of small intestine, so the patient underwent bowel resection and anastomosis with repair of the defect extraperitoneally, and ultimately, the patient improved and discharged from the hospital. Strangulated femoral hernia can present with groin abscess. Furthermore, femoral hernia should be ruled out in elderly patient presented with groin abscess, especially female patients.