Background Given the risk of surgical site infection (SSI), the use of mesh in contaminated ventral hernia repair (VHR) is not standardized and still a clinical dilemma. This meta-analysis aimed to assess whether mesh use increased the risk of SSI in patients following VHR in contaminated field. Methods We performed a systematic review of published literature. Studies comparing the mesh repair and anatomic repair, the use of mesh in different Center for Disease Control and Prevention (CDC) wound classes and mesh repair with synthetic mesh or other type of meshes to treat complicated and contaminated VHR were considered for analysis. The main outcome was SSI incidence. Results Six studies compared mesh and suture repairs. No significant difference in SSI incidence was observed between patients with complicated VHR in the mesh and suture repair groups. Five studies analyzed mesh repair in patients by field contamination level. There was no significant difference between the use of mesh in clean-contaminated, contaminated and dirty field versus clean wound class. Moreover, there was no significant difference between the use of mesh in clean-contaminated and contaminated cases. Four studies compared mesh repair technique with synthetic mesh or other type of meshes were included. The incidence of SSI was significantly lower in the synthetic mesh group. Conclusions The use of mesh repair in the management of complicated VHR compared to suture repair is not associated with an increased incidence of SSI even in potentially contaminated fields.

HighlightsOnly one percent of foreign body ingestion needs surgery.Exploratory laparotomy has been the mainstay of treatment for patients requiring surgery however surgeons are more and more tempted to use laparoscopy in emergency setting.The increased use of minimally invasive surgery resulted in less morbidty and faster recovery after the surgical treatment of many diseases.Large scale randomized controlled trials are needed before this can be used as a standard of care.

HighlightsVaginal cuff dehiscence (VCD) and evisceration (VCDE) is a rare but rather serious complication of any type of hysterectomy.The overall incidence was ranged betwenn 0% and 7,5%.Historically, laparotomy was recommended for VCD repair.In our case we choosed to add a Polyglactine mesh and in the limit of our review it’s the only case reported.

IntroductionIntussusception through an ileostomy is one of the rarest complications of stomas. In this study we report a case and a brief update of the literature to focus on the clinical level of this pathology and the therapeutic attitudes.Presentation of casea 44-year-old man who underwent a small bowel resection with double stoma for tuberculosis peritonitis presented with stomatal prolapse. On examination of the stoma, small bowel mucosa appeared to have evident rather than serosa. The patient had an elective reduction of the proximal stoma under anesthesia.ConclusionA review of the literature shows that Intussusception through an ileostomy can occur at any time after the first surgery. The cause is still unclear. Urgent conservative surgical management based on manual reduction should be preferred.