Salivary duct carcinoma of the parotid gland is an uncommon tumor, highly aggressive. About 200 cases have been reported in the English literature until now. Pathomorphologically, these tumors showed great similarities to ductal carcinoma of the female breast, which is why they described this tumor as "salivary duct carcinoma." The authors describe a new case of salivary duct carcinoma of the parotid gland. We present the case of a 43-year-old patient with swelling over Left Parotid Region with no history of Facial Nerve Palsy. The MRI examination of the head showed a large irregular marginated solid soft tissue of left parotid gland, with infiltration of adjacent soft tissue with bony erosion. A Pre-Operative FNAC showed findings suggestive of a Salivary Gland Neoplasm. A malignant tumor was strongly suspected, so that a total left parotidectomy with excision of the adjacent facial nerve and left lymph node dissection was performed. Microscopic examination concluded to a salivary duct carcinoma of the left parotid gland negative with Her2/neu antibody with lymph node metastasis. Salivary duct carcinoma of the parotid gland is a rare tumor with an aggressive behavior. This is due to its propensity to infiltrate distant organs. The diagnosis is based on microscopic examination. Treatment modalities are non-consensual, but some authors advocate the necessity of aggressive approach, especially in tumors negative with Her2/neu antibody. This is due to the fact that the overexpression of this antigen was reported to be associated with a poor prognosis.

The aim of this study was to evaluate the versatility of tensor fascia lata flap for laparoscopic reconstruction of umbilical hernias. MATERIALS AND METHODS: In this study a total of 24 patients with defects over umbilical region were included. Reconstruction was performed using patients' fascia lata. Patients were evaluated in terms of viability of the tissue and donor site morbidity, followed up for a period of 3 years. RESULTS: All the defects got effectively and adequately repaired using the autologous fascia lata. All the patients were followed up for an average period of 3 years. Donor site morbidity was minimal. CONCLUSION: It was concluded that the autologous fascia lata is a versatile, reliable, easy, and less time consuming procedure for the coverage of umbilical wall hernias via laparoscopy.

BACKGROUND: This study evaluates the feasibility of laparoscopic transfascial suture and extracorporeal knotting repair of umbilical hernias. METHODS: From August 2005 to August 2015, 45 patients underwent laparoscopic umbilical suture repair. The repair was performed with the Carter-Thomason suture passer and cobbler's needle. RESULTS: Of the 45, 36 patients with more than 1-year follow-up were included in the study. The mean diameter of the umbilical hernia defect was 1.30 cm (range, 0.5 to 2). At a mean follow-up of 34 months (range, 12 to 60), there were only 1 recurrence (2.77%) which happened in patients with hernia defects larger than 1.5 cm in diameter. Apart from 2 wound infections, no other complications occurred. CONCLUSION: Laparoscopic suture repair of umbilical hernias with the suture passer method is effective and durable. The cobblers needle proved a simple and cosmetically acceptable device with which to close the umbilical hernia defect extracorporeally.This technique can be done simultaneously during other laproscopic procedures such as laproscopic cholecystectomy,laproscopic appendicectomy where mesh placement is not feasible in view of contamination.We tried this new innovative method and proved successful on long term followup.