The mildest inflammatory changes postoperatively were found in the staple group followed by those in the Hem-O-Lok group.

The least formation of adhesion was noted in the TiMesh group, in which the highest level of shrinkage was noticed after 28 and 60 days. TiMesh has advantages over the other meshes studied, but a larger size mesh may be recommended for intraperitoneal application.

A milder postoperative inflammatory change was noted with polydioxanone Endoloop ligatures than with polyglactin ligatures.

Introduction: Tumors of spleen are generally rare disorders. The most common primary splenic neoplasm is haemangioma, although very rare. Giant, cavernous splenic haemangioma is extremely rare, less than 100 cases have been reported in the literature. Case report: We present a case of giant haemangioma in a 65 years-old patient. Radiological diagnostic methods were not conclusive. Magnetic resonance imaging showed en expansive, heterogenous lesion with signs of necrosis and haemorrhage in the central part. Those characteristics raised suspicion in malignant neoplasm, especially haemangiosarcoma and metastatic neoplasm. The surgical team performed total splenectomy, with special attention to possible bleeding as a severe complication. Pathohistological finding was undoubted. There were certain signs of benign, cavernous splenic haemangioma with areas of coagulative necrosis. Conclusion: We need to be aware of such rare entity. MRI is the most reliable diagnostic method, but the pathohistological analysis is definitive. Surgery is a treatment of choice.

The Covid-19 pandemic has suddenly spread around the world and presented primarily with symptoms common for respiratory diseases. Over time, It has been noticed that Covid 19 patients increasingly develop serious extrapulmonary complications as we will show in our case. Case presentation:Our patient is 49 years old man who is presented with general symptoms of infection and positive PCR test for SARS-CoV-2. He was one of the first patients infected with the corona virus in B&H who was primarily hospitalized due to exacerbation of his condition in form of Bilateral interstitial pneumonia. Ten days after hospitalization an x-ray was done to evaluate abdominal pain and showed distended short bowel, air fluid levels and free fluid in the abdomen which indicated ileus. With all necessary measures for protection for Covid-19 infection, the emergency laparotomy was performed and jejunoileal anastomosis with a protective ileostomy was done. Even though his second PCR test was negative his condition continue to progress. The patient was found to have bowel infarction due to ischemia with patchy necrosis and fibrin thrombi in mesenteric arteries. He developed perforation of the gangrenosum parts of the small intestine, and underwent re-laparotomy and resection. He was prescribed adequate therapy to prevent additional complications. Conclusion:Patients with COVID-19 often develop gastrointestinal complications during their hospital stay, including bowel ischemia, gastrointestinal bleeding, and severe ileus. What may seem like a Covid 19 infection must not be treated just as a respiratory infection, but with a multidisciplinary approach which is crucial for a successful final outcome.