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.

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.