Aim To analyze the treatment and complications of gigant paraestomal eventration with a case report and literatura review Material and Methods a retrospective case report from our hospital and her evolution since her urology surgery in 2011 Results Female of 59 years old, with personal antecedents of arterial hypertension, simple cistectomy and Bricker's urinary derivation (cutaneus ureteroileostomy) in 2011 due to intersticial cistitis, parastomal incisional hernia repair with intraperitoneal mesh in 2015. The patient was derivated from urology consult for a huge paraestomal incisional hernia and personal history of obstructive uropathy and several infections of urinary tract since 2022. No obstruction clinic was associated. Elective surgery was performed with an Trasversus Abdominis Release (TAR) and moving previous urostoma: hernial sac disection and previous mesh explant. Opening Rives, Retzius spaces and transversus fasciotomy was realized. Middle line was reforzed and hernial defect was closed. Polipopilene mesh was fixed at middle line and pubis with no reabsorbible suture and reforced with haemosthatic sealant. Anterior fascia was closed fixing at middle line. At the end a new urostoma was made in ryght hypocondrium. In postoperative period the patient developed light anaemia. Following months, the patient has not other complications due to incisional hernia repair. Conclusions Many factors can contibute to incisional hernia such as obesity, hypertension, number of surgerys, age, sex… TAR technique can be useful with complex eventration but we can not forget the commorbilities association to this surgery (anemia, pulmonar Tromboembolism…)

Uterine carcinosarcoma (UCS) is a high-grade endometrial cancer characterized by two components: Carcinomatous (epithelial) and sarcomatous (stromal tissue) elements. the present study describes a clinical case of this type of UCS and also provides a brief literature review of this type of tumor. a 72-year-old female visited the emergency department of the authors' hospital with pain in the hypogastric region, intestinal dysrhythmia since 3 months prior, fever and a palpable abdominal mass. laboratory test results revealed sepsis and mild anemia and an imaging test revealed a large uterine tumor with wide areas of necrosis and adenopathies. as determined by the multidisciplinary committee, surgery was considered the main treatment option and this was performed with no incidences. Carcinosarcoma is a rare tumor, which most frequently occurs in older women. the diagnosis is based on symptoms and imaging tests, such as ecography and scans. the gold standard of treatment is surgery, although it is possible that other types of therapies, such as chemotherapy and radiotherapy may also be effective, depending on the tumor stage. on the whole, the prognosis of patients with this type of tumor is poor, with a low survival rate, even in earlier stages due to its malignant component and the possibility for metastasis. Surgery is the optimal treatment for this type of tumor, if this is possible, always individualizing patients.

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