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Background and Aims: The complication rate after surgery for gastric cancer varies according to the particular definition of morbidity, so it's necessary to report them using a standardized method, the Clavien-Dindo system. The purpose of this study was to prospectively analyze all postgastrectomy complications in patients with gastric adenocarcinoma according to the severity grade using Clavien-Dindo system, in order to identify risk factors for postoperative complications and their prognostic significance on survival. Methods: This study is based on data from 90 consecutive patients who underwent gastrectomy for gastric neoplasia between January 2010 and February 2014 at the same unit. 15 patients were excluded (benign tumors, GISTs, missing data). Complications were categorized according to the Clavien-Dindo classification (uncomplicated patients vs patients classified ≥Grade I). The following risk factors were studied: age, BMI, sex, operation method, extent of resection, duration of surgery, transfusions, TNM staging, and lymph node ratio. Multivariate logistic regression was used to evaluate the association between risk factors and presence of complications. To assess the effect on overall survival, after selection of covariates using backward elimination, the Cox proportional hazard model was applied. L. Bruno et al. 1455Some variables can predict the risk of postoperative complications, the occurrence of which is a predictor of reduced probability of survival. In this respect it's essential to reduce complications.

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Background: Laparoscopy is widely employed to manage primary and post incisional hernias. However, consensus on the best available surgical inlay mesh is still lacking.Methods: A single-center database was used to compare the perioperative and long-term outcomes of laparoscopic ventral hernia repair completed between 2014 and 2018, using different types of meshes. Of the 79 included patients, 47 (59%) underwent implantation with Dual Mesh™ 17 (22%) with Parietex™ and 15 (19%) with Physio mesh TM and the patients were grouped accordingly. Results:The baseline characteristics of the three groups were similar. Recurrent ventral hernias were more frequent in the Dual Mesh™ group (23.4 vs. 0 vs 0%; P=0.01). Perioperative complications and quality of life scores after surgery were also similar. Postoperative hematomas occurred in 3 (17.6%) patients in the Parietex™ group, in 1 (2.1%) patient in the Dual Mesh™ group and in none of the patients in the Physio mesh™ group (P=0.02). The incidence of recurrence was comparable, although the median follow-up was longer in the Physio mesh™ group (57 months), P=0.001. Conclusions:Laparoscopy is safe for treating ventral hernias. The choice of one type of mesh over another seems to not be correlated with most perioperative and long-term outcomes.