Never events in surgery is not an uncommon occurrence. It is difficult to find any surgeon who never had an experience of one or another kind of mistake, committed while delivering the surgical care to the patient. Whatever the reports come out through news media or other sources are just a tip of iceberg. Collectively, its results, not only as a huge suffering and financial burden for the patients but also its impact on the operating surgeon and sometimes to related institute, are very far reaching and extremely negative. In spite of all of this, every one of us thinks this as an individual problem or one of the anecdotal media coverage. The aim of this study is to create an awareness among surgeon's fraternity and bring the attention of associations of surgeon bodies to this serious issue so that collective steps can be initiated to address it. In an attempt to find all the related information, an extensive search of literature in English language was performed using online search engines: PubMed NCBI database, Google search, and other digital sources available online. Error may be in the form of an act of commission, act of omission, error of planning, or error of execution, but whatever the reason, ultimate impacts are not less than disastrous, affecting individuals to global level. In addition to the enforcing authorities, all other stake holders should wake up and must take collective and comprehensive approach to create a safety system inside the health care organisations.

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Aim: Abdominal wall ventral hernias are either midline or nonmidline. Non-midline abdominal wall hernias are not a common entity and even rarer is a lateral ventral hernia. Laparoscopic management of these hernias are surgically challenging, and outcomes are unpredictable. This study aims to evaluate and analyze the results of laparoscopic repair of comparatively rare non-midline hernias done at the tertiary teaching hospital in the span of last four years. Material and methods:For this retrospective descriptive study, from record file, all cases of laparoscopic ventral hernia repair done in the last four years (from 01/01/2012 to 01/01/2016) by the main author at Lady Hardinge Medical College screened and out of these, total of thirteen cases (n-13) of non-midline ventral hernia selected for their data analysis.Results: Out of total thirteen cases (n = 13), a large percentage was of female gender (76.92%), their mean age of the patients were 43 +/-9.30 years. (SD = 11.41). Range 24-64 years. Most of the patients were overweight with mean weight was 72.846 kg. (SD = 13.369). Mean operating time were 78.84 minutes (SD = 22.62) (range 60-120 minutes). One patient (7.69%) had developed chronic infected discharging sinus which ultimately required removal of mesh. Same and only patient in our series reported recurrence which makes an overall percentage of recurrence 07.69%. Conclusion:Even though non-midline abdominal wall hernias are comparatively atypical in its presentation and challenging for the laparoscopic surgeon, overall patient's epidemiology, the surgical outcome in term of recurrence and complications are not much different.Clinical significance: Presentation of a non-midline hernia is atypical and surgically complex which require an experience to handle it.

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