Background:Inguinal herniotomy is the most common surgery performed by pediatric surgeons. Aim:To compare the results and complications between two conventional methods of pediatric inguinal herniotomy with and without incising external oblique aponeurosis in terms of recurrence of hernia and other complications. Methods: This one blinded clinical trial study was conducted on 800 patients with indirect inguinal hernia. Inclusion criterion was children with inguinal hernia. The first group underwent herniotomy without incising external oblique aponeurosis and second group herniotomy with incising external oblique aponeurosis. Recurrence of hernia and other complications including ileoinguinal nerve damage, hematoma, testicular atrophy, hydrocele, ischemic orchitis, and testicular ascent were evaluated. Results:Recurrence and other complications with or without incising external oblique aponeurosis had no significant difference, exception made to hydrocele significantly differed between the two groups, higher in the incision group.Conclusion:Herniotomy without incising oblique aponeurosis can be appropriate choice and better than herniotomy with incising oblique aponeurosis. Children with inguinal herniotomy can be benefit without incising oblique aponeurosis, instead of more interventional traditional method.

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Primary vaginal squamous cell carcinoma (SCC) is one of the rarest kinds of cancer in gynecological cancer. We report a 40-year-old presented with abdominal pain in her right lower quadrant with past-medical history of vaginal cuff SCC without any metastasis about 2.5 years ago which was treated with a combination of surgery and radiotherapy. Ultrasonography and abdomino–pelvic CT scan suggested an inflammatory phlegmon in RLQ probably due to a complicated appendicitis or malignancy. Ultrasonography-guided biopsy was performed which showed a poor differentiated SCC. Chest and abdominopelvic CTs showed no metastasis. Patients underwent laparotomy and ileocecal resection then end-to-end anastomosis was performed. A study of specimens showed a non-keratinizing SCC.

Introduction: Indirect inguinal hernias in children are causing by the opening of the vaginal process and the entry of viscera into it. To compare the rate of complications and recurrence after open and laparoscopic hernia surgery. Methods: In this case-control study, the patients who underwent surgery by laparoscopic and open methods for 2018-2020 years. The data were extracted from a checklist based on the variables sex, age, infection rate, side effect, hydrocele rate, scar length, testicular swelling rate, and rate and recurrence. Results: A total of 261 patients were examined. The results showed that there was a statistically significant difference between the time of surgery in both surgical methods (Z = -9.903, p < 0.001). There is a significant statistical relationship between recurrence and surgical procedure (p = 0.021). None of the patients in the study had a positive infection, positive hydrocele, and positive testicular swelling after surgery. Conclusion: Both methods are safe that can be selected according to the patient's condition. It is recommended that further clinical studies be performed to evaluate and compare these two surgical procedures.