Most patients who come to a general hospital in a developing country are poor. The most important prohibiting factor for use of polypropylene mesh in hernia repair is its exorbitant cost. Hence, research workers have been on the lookout for an equally effective but economically affordable mesh. Worldwide, surgical repair of inguinal hernia is the most common general surgery procedure performed at the present. Lifetime risk of groin hernia is 15% in males and 5% in females. Most of the patients who visit a general hospital are from either lower middle class or poor socioeconomic strata. The most important prohibiting factor for use of polypropylene mesh in hernia repair for the common man is its exorbitant cost. The aim of this study is to document the feasibility, safety and cost-effectiveness of the use of polyethylene mesh. A single blind, prospective, randomized controlled study, comparing 35 patients of two groups was conducted in a tertiary teaching hospital over a period of 5 years. The patients in both groups underwent inguinal hernioplasty, and were administered similar antibiotics and analgesics. The postoperative course with regard to pain, seroma formation, infection, hospital stay, recurrence and scar quality was evaluated and compared. Statistical analysis was performed with Chi square test. The properties of both meshes were the same with respect to ease of handling, pain score, seroma formation, infection rate, resumption of daily activities, scar quality and mesh rejection. Recurrence rate was zero for both groups. Polyethylene mesh was 2,808 times cheaper than the commercially available polypropylene mesh. This study proved the safety, simplicity, efficacy and cost-effectiveness of polyethylene mesh for inguinal hernia meshplasty, insuring economical, accessible health care for the financially weak section of the population.

The mitral-aortic intervalvular fibrosa is an avascular fibrous structure between the anterior mitral leaflet and the aortic annulus. Pseudoaneurysm formation of the mitral-aortic intervalvular fibrosa is a rare but known entity most commonly caused by infective endocarditis or valve surgery. We present a 29-year-old patient with a mitral-aortic intervalvular fibrosa pseudoaneurysm of no evident cause who was successfully managed surgically.

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Angiolipoma is a variant of lipoma with prominent vascular component. Although angiolipoma is the most common tumour in the trunk and extremities of young people, it occurs infrequently in the head and neck region with only few cases reported in the literature. Angiolipoma of cheek is very rare. The authors present clinical and histological features of a giant, non‐infiltrating angiolipoma excised from cheek of young female. Even though non‐infiltrating type of angiolipoma are not reported to have recurrence, our case was a recurrent lesion. It was completely excised.