This case report discusses the successful application of granulated sugar to reduce a prolapsed ileostomy thereby eliminating the need for an emergency surgery.

Background groin hernia repair is considered to be one of the most commonly performed operations by general surgeons however; there is no “gold standard” operation for treatment of inguinal hernias. The optimal surgical approach must be selected individually for the patient, taking into account patient age, hernia size, unilaterality or bilaterality, primary or recurrent status, and type of anesthesia, occupation, and leisure activities. Aim of the Work is to compare the outcome results of the laparoscopic total extraperitoneal TEP hernia repair with mesh or the transabdominal preperitoneal repair (TAPP) with mesh to those of open repair with mesh. Patients and Methods this is a prospective study conducted on those who are diagnosed to have inguinal hernia (direct, indirect). 40 cases with direct, indirect, unilateral or bilateral inguinal hernia and will be divided into two groups: Group A 20 cases fixation a mesh with Tackers . Group B 20 cases fixation a mesh with intracorporeal sutures. The study will be Conducted at Ain Shams University hospitals (El-Demerdash) and other authorized hospitals under supervision of thesis supervisors. Results smoking appears to be a risk factor for hernia development since almost 55% of the study group A and 65% of the study group B were smokers, obesity also appears to be a risk factor since BMI was about 30.20± 7.82 among group A and 32.05 ± 5.98 among group B. This is in contrast to age which seems not to be as strongly related. Conclusion we found the rate of postoperative early and late complications comparable in both groups. But in the LAP group we were able to discharge them from the hospital faster than the OPEN group, they also resumed full activity early.

Background: Most of major pelvic fractures result from very high energy trauma and require urgent hospital treatment. However more minor, stable fractures may only require a period of rest and analgesia followed by gradual mobilization. Extended civil development and increased means of transportation in Sudan during the last two decades led to an increase in the number of highly potentiated traumatic accidents including isolated or combined pelvic and acetabular injuries. For this reason a unit for pelvic surgery has been established in Khartoum north teaching hospital in 2006. Objectives: A prospective study designed to evaluate the various patterns of pelvic and acetabular injuries in Khartoum North Teaching Hospital. Material and Methods: Patients with pelvic ring and acetabular injuries treated in Khartoum North Teaching Hospital, Khartoum, Sudan, between August 2006 and September 2009 were enrolled in the study. The collected data had been managed statistically using the appropriate SPSS computer package. Results: Hundred ten patients were included in the study. There were eighty one males. The mean age (± SEM) was 36.6 ±1.61 years. The cause of injury was a road traffic accident in 89 patients, a fall from height in ten patients, a fall at home in three patients and in eight patients due to miscellaneous cause. Forty four (40%) patients presented directly to our hospital, whereas, 66 (60%) patients referred from other various hospitals from different region of Sudan. The average hospital stay (± SEM) was 16.12 ±1.09 days. Regarding pattern of fractures; pelvis only was 59.1%, acetabulum only was 25.5%, and combined pelvic and acetabular fracture was 15.5%. According to Tile's classification of pelvic and acetabular injuries there were 25 (22.7%) patients with type C1 pelvis, 18 (16.4%) with type A2 pelvis, 15 (13.6%) with type A1 acetabulum, three 2.7% with type A2 pelvis and A1 acetabulum, and three 2.7% with type C1 pelvis & A3 acetabulum injuries. Thirty seven patients had associated skeletal fractures and 12 patients had extra-skeletal injuries. Conclusion: Pelvic and acetabular injuries remain relatively uncommon in Sudan when compared with other musculoskeletal injuries. But our study showed that there is a continuous increase in the number of pelvic and acetabular injuries. So, many pelvic surgery units are needed to be established to cover many areas in Sudan to overcome the delay factor which may affect management outcome.

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