Introduction: The objective of this study is to compare the outcomes of Modified Desarda repair no mesh and Lichtenstein repair for inguinal hernia. Patients and Methods: This is a prospective randomized controlled trial study of 1113 patients having 1141 hernias operated from January 2008 to December 2017. 575 patients were operated using Lichtenstein repair and 538 using Desarda repair. The variables like age, sex, location, type of hernia, tolerance to local anesthesia, duration of surgery, pain on the first, third and fifth day, hospital stay, complications, re-explorations, morbidity and time to return to normal activities were analyzed. Follow up period was from 1-10 years (median 6.5 years). Results: There were no significant differences regarding age, sex, location, type of hernia, and pain in both the groups. The operation time was 51 minutes in Modified Desarda group and 40 minutes in the Lichtenstein group that is significant (p<0.05). The recurrence was 0.0 % in Modified Desarda group and 0.2 % in Lichtenstein group. But, there were 5 cases of infection to the polypropylene mesh in the Lichtenstein group, 2 of this required re-exploration. The morbidity was also significantly more in Lichtenstein group (5,5 %) as compared to Modified Desarda group (4.3 %). The mean time to return to work in the Modified Desarda group was 8.26 days while a mean of 12.58 days was in the Lichtenstein group. The mean hospital stay was 29 hrs. in Modified Desarda group while it was 49 hours in the Lichtenstein group in those patients who were hospitalized. Conclusions: Modified Desarda repair scores significantly over the Lichtenstein repair in all respects including re-explorations and morbidity. Modified Desarda repair is a better choice as compared with Lichtenstein repair.

We performed a descriptive and observational study with a retrospective Character in our surgical group at "Dr. Enrique Cabrera" Teaching and General Hospital, between the years 2009-2018 to the patients who underwent surgical repair of femoral hernia through the Lichtenstein Plug technique and their postoperative behavior. The following variable were analyzed: age, type

Benign tumors derived from adipose tissue are probably the most common in the clinic. The most common of these is the subcutaneous lipoma, which practically does not cause any type of functional disorder or diagnostic problem. However, there are other types of lipomas of subfascial localization (deep lipomas), much less frequent, which can be symptomatic and, above all, can raise serious doubts in their diagnosis.Lipomas account for 16% of soft tissue tumors that originate in the hand. They have a particular clinical presentation due to the anatomical and functional complexity of the area. We present a case, attended in our service, male of 35 years of age with tumor on the level of the tenar region of the right hand that extended towards the first interdigital space for his palmar and dorsal face, of approximately one year of evolution, with slight difficulty for the digital clamp, although its main concern was cosmetics. Imaging and anatomopathological preoperative studies were performed, the surgical treatment was the excision of the tumor and the definitive diagnosis was made by biopsy of the surgical piece.

This work is licensed under Creative Commons Attribution 4.0 License ABEB.MS.ID.000555.Result: 32.8% were between 25 and 29 years old and 41.7% were black. At least half were 52.3% pre-university, more than 59.0% were workers. The majority began sexual intercourse before the age of 20. 90.3% presented risk factors associated with vaginal discharge. The white, lumpy caseous flow represented 63.1%. At least 9 out of 10 patients presented vaginitis. More than 75% had Monilia or Gardnerella vaginalis. It was found that 95% of patients with vaginitis had risk factors. Conclusion:Patients predominated between the second and third decade of life, of the black race, with the pre-university concluded and workers. The majority were single or accompanied, had begun their sexual life at an early age and presented risk factors. Patients with vaginitis prevailed, with white, lumpy, case-like discharge and with Monilia as the germ causing vaginal discharge. There was a statistically significant relationship between the presence of risk factors and the flow classification.

In recent years, acute appendicitis is presented more frequently in geriatric age due to increased life expectancy and is associated with a higher incidence of perforation and high mortality.Objective: To characterize the behavior of acute appendicitis in the elderly at "Enrique Cabrera" Hospital over a period of ten years. Methods: a retrospective descriptive study was carried out by reviewing 114 medical records of patients over 60 years of age treated at "Enrique Cabrera" Hospital, who underwent an urgent surgical intervention for acute appendicitis, during the period from January 2011 and December 2020. The most important variables analyzed were age, sex, clinical picture, operative finding, complications and biopsy reports. Results:The age group between 60 and 69 years, male sex, predominated. Typical abdominal pain prevailed over atypical. The most frequent operative finding was uncomplicated acute appendicitis. Surgical site infection was the most common complication. There was a satisfactory response in all the operated patients.Conclusions: Patients older than 60 years operated by Acute appendicitis were predominant in males between 60 and 69 years of age, with typical abdominal pain and classic signs of appendicitis. illness. The suppuration phase of the appendix. A favorable evolution of the patients was observed operated. and 21.3% in 2020. In 2025, Cuba will be the oldest country in