Background: Ventral hernias are one of the most common problems confronting general surgeons. Incisional hernia is a common long-term complication of abdominal surgery and is estimated to occur in 3% to 13% of laparotomy incisions. Because there is no prospective cohort available to determine the natural history of untreated ventral hernias, most surgeons recommend that these hernias should be repaired when discovered. So, there was a need to study the disease with respect to the various presentations, to gauge the awareness levels of the patients coming to us and also to determine the best modality of treatment in our set-up. This study was done to know the proportion of ventral hernias occurring in both sexes, various age groups, various risk factors and complications of different types of ventral hernias, clinical presentations and their treatment. Methods: This was a prospective study done at our tertiary care hospital between August 2014 and August 2015 (12 months). A total number of 50 cases of anterior abdominal hernias excluding groin hernias, posterior abdominal wall hernia was studied. Data collection included a detailed history and a thorough clinical examination. Data was entered in the proforma, tabulated and analyzed using software package for statistical analysis (SPSS 2015).Results: Ventral hernia constituted 4% of all admissions to the surgical ward. Incisional hernia was the most common amongst the ventral hernias with an incidence of 46%. Infra umbilical midline was the most common site for herniation in 42% of cases followed by umbilical region in 32% of cases. Obesity and constipation were found to be the major predisposing risk factors. Small defects (<2cm) presented early with more complications.Conclusions: In the present study of ventral hernias, 50 cases of ventral hernias that were admitted to Department of Surgery in our tertiary care hospital. Ventral hernia constituted 4% of all admissions to the surgical ward. The male to female ratio was 1:1.9 The mean age was approximately 41 years. Incisional Hernia was strangulated umbilical hernia - intra operative the most common variety.

Background: Incisional hernia is the most frequent postoperative complication following abdominal surgery. Several studies have shown that incisional hernias have different etiologies which are related to the patient, the surgical technique, the suture material, and experience of the surgeon. Aim of present study was to assess the magnitude of problem, analyse various factors leading to development of this condition, different modalities of treatment practiced, postoperative complications, various factors affecting surgical outcome in these patients. Methods: This prospective descriptive study was conducted in department of surgery at a tertiary care teaching hospital at Solapur, Maharashtra, India from January 2014 to December 2016. All the patients, regardless of age and gender, admitted with diagnosis of incisional hernia were included in the study. Depending upon the size of defect treatment was carried out. Postoperatively patients were followed up for detection of possible complications and their treatment. Results: Total 50 patients of incisional hernia were studied. Mean age was 46 years with male to female ratio 4.5:1 wound infection in the post-operative period was the commonest etiology noted followed by obesity. Conclusions: Wound infection following previous surgery was the most important risk factor associated with incisional hernia. The other risk factors were obesity and COPD. Polypropylene mesh repair is superior to anatomical repair as it has less recurrence. Deshmukh SN et al. Int Surg J. 2017 May;4(5):1657-1661 International Surgery Journal | May 2017 | Vol 4 | Issue 5 Page 1658 treatment of incisional hernia is still an unanswered problem. Keywords 9The introduction of prosthetic mesh revolutionised the treatment of groin hernia but, to date, has had little impact on the treatment of incisional hernia. 10 The present study entitled is undertaken to assess the magnitude of problem, analyse various factors leading to development of this condition and different modalities of treatment practiced, postoperative complications and their management, various factors affecting surgical outcome in these patients. METHODSAfter obtaining the institutional ethics committee approval, present prospective descriptive study was carried out in the department of surgery at a tertiary care teaching hospital at Solapur, Maharashtra, India. Present study was carried out for a period of 2 years (January 2014 to December 2016) on 50 patients. Inclusion criteria• All the patients of incisional hernia having age of 18 years and above18 years and less than 70 years, irrespective of sex, will be included in this study.• Both electively and emergency operated cases of incisional hernia will be included in this Exclusion criteria• Patients of incisional hernia with co-morbidities like abdominal malignancy, cirrhosis with end stage liver disease.• Pregnant patients with incisional hernia.• Patients less than 18 years and more than 70 years of age.• Patients with recurrent incisional hernia.On admission detailed his...

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Lymphangioma (cystic hygroma) is benign congenital malformation of the lymphatic system commonly present in the neonate or in early infancy. The cysts are generally filled with clear lymph and the commonest site is neck. We present a case of unusual giant lymphangioma of the breast in an adult female. The relevant literature is briefly revived.

Background: Oesophageal stricture is a common problem in general surgical practice. It can be benign or malignant, simple or complex. Benign oesophageal strictures include peptic, corrosive, post-surgical anastomotic strictures, post radiotherapy and drug induced strictures. The aetiology of this condition varies in developed and developing countries. Aim of present study was to determine the aetiology of benign oesophageal stricture, to evaluate the role of endoscopic dilatation of stricture and final outcome in these patients in our region.Methods: This prospective descriptive study was conducted in department of surgery at a tertiary care teaching hospital at Aurangabad from December 2009 to November 2013.  All the patients, regardless of age and gender, admitted with diagnosis of benign oesophageal stricture were included in the study. Depending upon the type of stricture treatment was carried out. Postoperatively patients were followed up for detection of possible complications and their treatment.Results: Total 50 patients of oesophageal stricture were studied. Mean age was 33.65 years with male to female ratio 2.8:1. Ingestion of corrosive substance was the commonest etiology noted followed by peptic strictures.Conclusions: Corrosive ingestion was the commonest cause of benign oesophageal stricture in our region followed by peptic strictures. Endoscopic dilatation is safe and effective in treating benign oesophageal strictures.

Introduction: Breast conservation surgery (BCS) has gained acceptance among the surgeons for the management of young patients with early breast cancer. Aim: To study the outcomes of breast conservation surgery in early breast cancer patients at a tertiary care centre in Marathwada region of Maharashtra, India. Materials and Methods: This prospective interventional study included 40 patients in the age group of 20-65 years with stage I or stage II breast cancer was carried out in Government Medical College and Hospital, Aurangabad, India. Once staging workup was done, all patients were evaluated for suitability of BCS. Surgical treatment consisted of wide local excision and axillary dissection with gross tumour surgical margin of 2 cm. Surgical morbidity like prolonged seroma formation, surgical site infection, haematoma, lymphoedema was assessed postoperatively. Pathological assessment included primary tumour size, histological type, margin status. Radiotherapy was given to all patients. Chemotherapy was used where indicated with the appropriate regimen. All patients were followed up at three months, six months and 12 months. Cosmetic outcome was assessed by Harris four point Likert Scale. Descriptive statistics was used and results were expressed in terms of frequency and percentages. Results: In this study; 28 (70%) patients had no postoperative wound complications. About 4 (10%) had surgical site infection, and 8 (20%) had prolonged seroma formation. Out of 40 patients, 37 (92.5%) patients postoperatively had all the margins free from the disease on histopathology, 2 (5%) had single margin positive which required revision surgery, and 1 (2.5%) had all the margins positive; hence Modified Radical Mastectomy (MRM) was performed. The cosmetic outcome was good to excellent in 34 (85%) cases. Conclusion: Breast conserving surgery had a good cosmetic outcome. Most patients had disease free margins.

Mesenteric cysts are not uncommon in pediatric age group but giant lymphatic cysts of mesentery are reported infrequently. This is a report of 18 months old child who had distension of abdominal and anemia since three months. Investigations revealed E/O lymphatic cyst? Mesenteric cyst? Large cystic mass in abdomen. On exploration large lymphatic cyst in the mesentery of sigmoid colon found. The cyst was multilocular and appeared to be the collection of lymph (chyle) between the mesentery of sigmoid colon. It is postulated malformation of lymphatic at the root of mesentery might have lead to this pathology.

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