The management of emergency groin hernias is difficult due to the absence of any consensus and the surgical management is tailored by the treating surgeon. Emergency groin hernias include incarcerated and strangulated inguinal and femoral hernias and they carry a high morbidity and mortality. The treatment of emergency groin hernias is usually performed with sutured repairs like Shouldice, Bassini, Darning and the Desarda technique. Hernia repairs with mesh can also be safely performed if there is no or minimal contamination of the wound. The laparoscopic repairs like the Transabdominal preperitoneal (TAPP) and Total Extraperitoneal (TEP) can be performed but require training and equipment and is not recommended for the management of emergency groin hernia. In this review we will look at the management of emergency groin hernias.

Appendicular abscess is a complication from perforation of the appendix, and it is seen in 10% of cases of acute appendicitis. It is diagnosed by clinical examination, the presence of leukocytosis and imaging modalities like ultrasound or computerized tomography. The treatment is usually conservative with intra-venous fluids, antibiotics and percutaneous drainage of the abscess. The introduction of laparoscopic surgery has seen a move towards immediate appendectomy. Interval appendectomy is no longer a routine and is only performed for patients who present with recurrent symptoms. We have conducted this narrative review article to look at the various management options for appendicular abscess.

Benign gastric outlet obstruction is a rare condition that is seen and its causes obstruction of the pylorus. Peptic ulcer disease accounts for the most common cause for benign gastric outlet obstruction. The diagnosis is confirmed by imaging modalities like upper gastrointestinal contrast series or computerized tomography. The treatment of benign gastric outlet obstruction is divided into endoscopic or surgical treatment. Endoscopic ballon dilatation is the most common primary treatment for benign gastric outlet obstruction with surgical therapy being reserved for failure of endoscopic treatment. Surgical therapy involves performing a vagotomy and a drainage procedure like a pyloroplasty or gastrojejunostomy. We have conducted this review article to look at the diagnosis and treatment of benign gastric outlet obstruction.

Femoral hernias are a rare presentation of groins hernias, but it is associated with an increased risk of complications like strangulation and obstruction. It is seen in older patients and the diagnosis is usually late. The surgical treatment of femoral hernias can be divided into open femoral hernia repairs that include the low, inguinal or preperitoneal approach. The laparoscopic methods include the transabdominal preperitoneal (TAPP) and the total extraperitoneal (TEP) repairs. As there is no consensus on what the best surgical procedure for femoral hernias is, we have conducted this review article to look at the surgical management of femoral hernias.

Open inguinal hernia repairs are a common general surgical procedure, and it can be divided into mesh-based repairs and sutured based repairs. Mesh-based repairs are the most popular open inguinal hernia repair with the Lichtenstein repair being the most common surgical procedure. The sutured based repairs are not as commonly performed with the Shouldice repair being the most popular repair, but the Desarda repair is slowly emerging as a viable sutured based inguinal hernia repair. We have conducted this review article to look at the varies types of mesh based and sutured based repairs for open inguinal hernia repair including their complications and recurrence rate. We also looked at the effect of chronic pain and the role of antibiotic prophylaxis in open inguinal hernia repair.

Pneumatosis intestinalis is a rare disease by the presence of multiple gas-filled cysts in the intestinal wall, which eventually could burst and release the gas into de abdominal cavity that can simulate and acute abdomen event. The etiology is not well known but it is attributable to rheumatologic diseases. To correctly manage the patients affected with this pathology is important to differentiate the candidates to conservatively versus surgical management.

Introduction: Pulmonary hydatid disease is a parasitic infestation endemic in many sheep and cattle farming regions, particularly in Algeria. Complicated forms are a frequent occurrence and characterized by radio-clinical polymorphism and therapeutic difficulties. Material and Methods: This is a retrospective study (2017—2023) including 94 cases of complicated hydatid cyst of lung. Results: Complicated hydatid cyst of lung represented 22.76% of all hydatid cyst of lung treated surgically in our department. The average age was 27.8 years (4—56 years) with a slight male predominance 57.45%. The circumstances of discovery were dominated by cough in 54.26% and hemoptysis in 32.99%. The definitive diagnosis was made on the radio-clinical and biological findings. The treatment was surgical in all cases, conservative treatment was practiced in 87.03%, and parenchymal resection was performed in 16 patients. Postoperative hydatid recurrence was noted in only one patient. Conclusion: Hydatid cyst of the lung is a common zoonosis in Algeria. Its treatment is essentially surgical and must be initiated quickly once the diagnosis is established in order to avoid progression towards complications that are sources of diagnostic and therapeutic difficulties.