There was no significant difference between fixation and nonfixation of mesh in TEP inguinal hernia repair with respect to postoperative pain, length of hospital stay, resumption of normal activities, seroma formation, and recurrence rate. Nonfixation of mesh is safe and recommended in TEP inguinal hernia repair when done by an experienced surgeon, even in a rural setting. The study highlights the potential for universal application of the procedure.

No abstract

Compared to unilateral inguinal hernia repair, bilateral TEP repair is associated with a similar length of hospital stay, postoperative pain scores at 24 hours and 1 week, seroma formation, urinary retention rates, recurrence, and conversion rates. Therefore, the morbidity parameters in bilateral laparoscopic hernia repair are similar to unilateral repair.

Aneurysmal bone cyst (ABC) of the skull is exceedingly rare. We report a unique case of an intradural ABC without bone involvement presenting with raised intracranial pressure. The patient was a 14-year-old boy who presented with headache, vomiting and right focal seizure. Imaging showed a large multicystic left frontal lesion without any evidence of bone involvement. The lesion adherent to an intact sphenoid wing dura was completely excised. The histopathology report was consistent with an ABC. This case represents the first report of an ABC without involvement of the skull bones or any evidence of dural erosion. The possible mechanism of origin at this unusual location is hypothesized.

Contrary to the common belief, the majority of staples are retained after SH.